Quality Wave in Healthcare – is it real or is it a mirage

July 3, 2017 by · Leave a Comment
Filed under: Healthcare, Healthcare Quality, Hospital, NABH 

IS THERE REALLY A QUALITY WAVE IN THE COUNTRY IN THE HEALTHCARE SECTOR?

Author: D.Satishkumar, Principal Consultant Value Added Corporate Services P Ltd

The healthcare sector in the country has witnessed a lot of changes over the past few years. One of the changes to have happened is in the area of quality of healthcare delivery and the necessity to introduce accreditation / certification systems to evaluate and monitor the same.

NABH Accreditation assumes larger significance in this context. Accreditation relies in establishing the technical competence of an organisation to deliver services adhering to specific standards.

The hospital accreditation program (NABH) was launched in the year 2006 in the country. Initially NABH came up with 2 set of standards, one for hospitals with more than 50 beds which was called as NABH Accreditation and another standard for hospitals between 20 & 50 beds called NABH SHCO (Small Healthcare Organistions)

Initially there were a very few takers as Quality and Accreditation were something which were alien to the healthcare sector. The first wave to go for accreditation started gaining momentum when in the year 2008 / 2009 CGHS made accreditation standards mandatory for hospitals which needed empanelment with them. Hospitals which had empanelment with CGHS and which wanted to empanel with CGHS went for accreditation but after that there was a downtrend and the numbers started stagnating. Most of the smaller facilities faced difficulties in complying to the requirements laid down by the accreditation body. NABH felt that a smaller version needs to be introduced with reduced requirements so that the small and mid-sized facilities would also start going for accreditation, there by ensure atleast some basic quality of care to patients.

This article discusses whether introduction of Entry Level Accreditation has really increased the number of organisations seeking quality.    Read More

Accreditation must for hospitals in State Insurance Scheme

Source: The Hindu

In an attempt to establish standards of care for patients and safety in healthcare institutions in Tamil Nadu, the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) is contemplating making accreditation mandatory for hospitals seeking empanelment as part of the scheme.

A couple of protocols, pre-accreditation entry-level standards for hospitals and the other for smaller healthcare organisations have already been readied and issued as a circular, besides being hosted on the CMCHIS website.

“The idea is that even if the patients are not paying for the treatment, the government is. It is not charity that the hospitals are doing, and patients need to get the best,” a Health Department official said.

This is seen as the first move to bring both private and public healthcare institutions within the ambit of quality regulation, something that is achieved merely by self-motivation currently.

The standards have been evolved in consultation with the National Accreditation Board for Hospitals (NABH), and are in fact inspired by their entry-level accreditation standards that make it easier for hospitals to imbibe quality control culture.

“Earlier, hospitals which could not afford the process of quality control would just stay away. But, we are now offering them a foot in the door,” K.K. Kalra, CEO, NABH, had told The Hindu earlier.

The CMCHIS staff will first seek to orient hospitals on these standards before beginning the process of pre-accreditation, according to officials.

It is expected that at a certain point, accreditation for a hospital will become a pre-condition for empanelment in the government insurance scheme.

Existing hospitals that do not have accreditation will also be eased into the process, officials said.

United India Insurance, the insurance partner for the State government in this venture, seems equally enthused by this move.

Asha Nair, director and general manager, United India Insurance, said, “I would be very happy if this can be implemented. It means we are ensuring a minimum quality of service for all healthcare consumers across the board.”

The ideal would be to make it qualifying criteria for new hospitals that apply for empanelment.

Hospitals that have already been empanelled can be given time and a deadline to get accreditation, she said.

NABH sets new entry-level standards for Accreditation of Hospitals

Source: The Hindu

The National Accreditation Board for Hospitals and Healthcare Providers (NABH) has released a new batch of entry-level standards for accreditation of smaller hospitals. As the name suggests, Entry Level Standards are meant for hospitals who want to get started on the quality certification journey, but are unable to do so due to the stringent requirements of the full NABH accreditation.

“The whole idea behind introducing this new set of standards is to become more inclusive; to get a number of hospitals to join the quality journey. With the full set of NABH standards, recognised by the International Society for Quality in Healthcare [ISQua] many smaller hospitals cannot even hope to apply for,” explains K.K.Kalra, CEO, NABH. Currently, there are only 227 hospitals with NABH accreditation, and about 1200 in various stages of application.

The new standards will be a foot in the door for a number of small hospitals who find the rigor of the NABH full standards beyond their capacity. At the same time, Dr. Kalra hastens to reassure those in the field that there will be no dilution of standards whatsoever.

“There are two types of new standards: One, for hospitals with over 50 beds, and two, for small hospitals with less than 50 beds. While the full NABH has 102 Standards and 636 Objective Elements, there are about 45 Standards and 173 Objective Elements for 50-bedded hospitals and 41 Standards and 149 Objective Elements for less than 50 beds,” he adds.

It is by no means easy to get accreditation even at the entry level without adhering to a set of regulations, Dr. Kalra says, and without hard work on the part of the hospital, it will not be possible.

The NABH standards were put in place about seven years ago to provide quality assessments for hospitals in the country. The NABH accreditation has been viewed as the ideal qualifying criteria for selection or empanelment by the Ministry of Tourism, Central Government Health Services, several public and private insurance companies.

In fact, a number of insurance companies are considering making the entry level standards the bare minimum for empanelment of hospitals, Dr. Kalra added. Once the smaller hospitals get in the race, they can even work on moving to full NABH accreditation. “But this is the entry point. Small hospitals in small cities too have a right to joining the quality race. Why should they be kept out?”

National Accreditation Board for Hospitals & Healthcare Providers Note for Applicant HCO (Health care organizations)

February 21, 2014 by · Leave a Comment
Filed under: Announcements, Healthcare 

Greetings everyone,

Please note all HCO (Health care organizations) applications for NABH Accreditation, applied for various programmes on or before December 31, 2011 and have not undergone Pre assessment till date stands CLOSED.

Henceforth they will have to re-apply for NABH Accreditation and will be considered as a FRESH APPLICATION.

- Dr. K K KalraCEO, NABH

(Date : February 14, 2014)

HospiArch 2012 India’s BIGGEST Conference series on Hospital Planning, Design & Architecture

April 7, 2012 by · Leave a Comment
Filed under: Uncategorized 

HospiArch 2012, Hyderabad

a 2 Day Conference on 

“HOSPITAL PLANNING DESIGN & ARCHITECTURE”

Friday & Saturday, April 20th & 21st 2012, Hyderabad

Amen Business Solutions, Bangalore is conducting a 2 day conference on Hospital Planning, Design & Architecture in Hyderabad on April 20th & 21st. Value Added Corporate Services P Ltd are the knowledge partners for the event.

For more details: www.amen-hospiarch2012.blogspot.com

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REGISTRATION 

DELEGATES (Hospitals) – India 

  • Individual Delegates : Rs. 3500/- per head
  • Group Registration (3 + from One Hospital) : Rs. 3000/- per head

DELEGATES (Other Organizations) – India

  • Individual Delegates : Rs. 4000/- per head
  • Group Registration (3 + from One Organization) : Rs. 3500/- per head

STUDENTS – India 

  • Individual Students : Rs. 2000/- per head
  • Group Registration (5 + from One Institute) : Rs. 1500/- per head

DELEGATES – Foreign Nationals 

  • USD $ 100 per Delegate

LAST DATE : April 4th 2012 

An additional amount of Rs. 500 to be added for Registrations after the Last Date and On the Spot (subject to availability of seats) 

Registration FEE includes :

  • Conference – 2 Days
  • Conference Kit
  • Lunch and High Tea – 2 Days
  • Certificate of Participation
  • PPTs of the Speakers
  • Pictures of the Conference

PLEASE NOTE : 

  • Students are requested to send /produce a photocopy of their college IDs along with the Registration Form and Fee.
  • Only Students pursuing FULL TIME course are valid for Student Fee
  • Registration Fee is Non-refundable or Non-transferable against any other AMEN event, however change in Delegate / Student is possible.
  • Registration on First – Come – First – Serve
  • AMEN would not be responsible for cancellation / postponement of the Event due to any kind of Natural / Man-made Disaster or unfavorable situation / incident.
  • 30 Minutes of the Conference would be dedicated to Sponsors (if any)

HOW TO REGISTER 

Courier a DD / Cheque drawn in favour of “AMEN Business Solutions” payable at Bangalore along with duly filled Registration Form (attached) to any of the addresses mentioned below :

AMEN
No. 233, 6th Main, Rajeevgandhi Nagar,

Near Lourdes School, Nandini layout,

Bengaluru – 560096, Karnataka State.

Ph : 09035189825 …

or

Value Added Corporate Services Pvt. Ltd.
D-No. 1-8-540/A1, Second Floor, Besides R K Electronics,

Street No. 7, Chikadapally, Hyderabad – 500021, AP State.

Ph : 040-66620039.

Once Registration Form along with the respective DD/Cheque is received, our Executive would call / Email you and furnish the required details and confirm Registration… 

Note : PLS EMAIL US YOUR SCANNED PHOTOGRAPH

VENUE 

EXPOTEL HOTEL

Hyderabad Trade Expo Centre Pvt. Ltd.,

Lower Tank Bund Road, Hyderabad