ima hbi nabh initiativeimahbi.in/wp-content/uploads/2017/07/why_accreditation.pdf · those who are...

IMA HBI NABH

INITIATIVE(a project of IMA Hospital Board of India)

DR RAVI WANKHEDKARIMA National President Elect 17-18

Past National Sec IMA HBI

JAI IMA

NO LONGER CREAM OF SOCIETY..

CRIMINALS OF SOCIETY

CLINICAL ESTABLISHMENT ACT

• SAVE THE DOCTORS..

SAVE THE PATIENTS

• SAVE THE PATIENTS..

SAVE THE DOCTORS

80 % Healthcare is given by Private Sector80 % Healthcare is given by Private Sector

VIBRANT PVT SECTOR CARRIES ALL THE BURDEN OF HEALTH

SERVICES

Small and Medium private hospitals provinding

quality affordable primary & secondary

healthcare are an Asset and not a liability !!

STATUS OF SMALL HOSPITALS

MORE THAN 800 SMALL HOSPITALS HAVE CLOSED IN

KERALA

IN LAST 10 YEARS.

FRESH SPECIALISTS ARE NOT STARTING INDIVUAL

HOSPITALS

QUESTION OF SURVIVAL..

SAVE DOCTORS..SAVE PATIENTS..

SOLUTION

FORMATION OF HBI

� UNITY OF DOCTORS.

� PROVIDE ALTERNATIVE SOLUTION TO GOVERNMENT.

� DECIDE OUR OWN STANDARDS.

VOLUNTARY ACCREDITATION

SOLUTION

“TREAT IN INDIA”

�RIGHT TO HEALTH.

�INREASE GOVT SPENDING ON HEALTH.�INREASE GOVT SPENDING ON HEALTH.

�INCENTIVES TO DOCTORS SETTING UP

HOSPITALS IN RURAL AREAS.

�NATIONALISATION OF MEDICAL COLLEGES.

JAI IMA

EACH INDIVIUAL DOCTOR IS VERY STRONG

But

OUR ASSOCIATION IS WEAKOUR ASSOCIATION IS WEAK

SOLUTION

�ACTIVE INTERVENTION

during formulation of laws to modify during formulation of laws to modify laws as per our requirements

�IF WE CANT BEAT THEM,JOIN THEM

be prepared with alternative solutions

FRIENDLY

NEIGHBOURHOOD

NURSING HOME

� 24*7

� AFFORDABLE

� ETHICAL

HEALTH CARE

HEALTHCARE

�Available

�Accessible

�Affordable

�Accountable

Ethical,Moral,Legal,Scientific

HEALTHCARE

Accountability Needs Improvement

Can be achieved thro

QUALITY IMPROVEMENT

�ACCREDITATION

HOSPITAL

ACCREDITATION

NEED OF HOURNEED OF HOUR

ACCREDITATION

• ACCREDITATION means classification of

hospitals as per prescribed norms.

• RANKING/GRADING/RATING

• Like STAR Ratings of Hotels

• Like NAC Ratings of Educational Institutes

• Like CRISIL Ratings of Companies

JAI IMA !!

ACCREDITATION

DEFINITION:-

Accreditation is defined as public recognition

of achievement of accreditation standards by

a healthcare organization, demonstrated a healthcare organization, demonstrated

through an independent external assessment

of that organization's level of performance in

relation to the standard.

JAI IMA !!

ACCREDITATION

SALIENT FEATURES

� Independent, objective evaluation process.

� Highly credible and unbiased.

� Broadest possible consensus among users and stake holders.stake holders.

� Encourage improvement in the delivery of healthcare

� Continuous Process

� Voluntary

Worldwide acceptance

JAI IMA !!

ACCREDITATION

Various NGO’s &Semi Govt Organizations do

accreditations

• QCI-NABH

National Accreditation Board National Accreditation Board

for Hospitals& health care providers

• ISO

JAI IMA !!

HOSPITAL ACCREDITATION

HOSPITAL ACCREDITATION

NABH ACCREDITION

• SCHO – LESS THAN 50 BEDS

• HOSPITALS – MORE THAN 50 BEDS• HOSPITALS – MORE THAN 50 BEDS

• ENTRY LEVEL

• PROGRESSIVE LEVEL

• FULL ACCREDITION

IMA –NABH INITIATIVE

NABH accreditation was always thought to be only

for BIG hospitals,

Very DIFFICULT,

very EXPENSIVE.very EXPENSIVE.

IMA HBI sat & discussed with NABH for nearly six

months.

Fomulated new EASIER guidelines to achieve

ENTRY level accreditation.

This can be easily achieved by SMALL & MEDIUM

level hospitals.

Objectives• To assist hospitals to achieve international

standards in patient care and safety.

• To assist hospitals to countenance CEA .

• To increase the viability of small and mediumhospitals by value addition.

• To provide hospitals an affordable access toaccreditation.

IMA –NABH INITIATIVE

WHY SHOULD MEDICAL

ESTABLISHMENTS BE ACCREDITED ESTABLISHMENTS BE ACCREDITED

WITH NABH ?

QUALITY IMPROVEMENT

IRDA REGULATION

WHY NABH ACCREDITION

EMPANELMENT IN INSURANCE SCHEMES

CLINICAL ESTABLISHMENT ACT

PROTECTION IN MEDICOLEGAL CASES

BETTER BUISNESS

Propagate that your establishment offer facilities that are of better

quality.

Propagate that your premises provide high standards of care with high

level of patient safety.

Get empanelment with CGHS, ECHS,PSUs, and State Government.

Provide better quality of services and that in turn, will generate more

business.


business.

Generate faith in Public regarding transparency in billing with no hidden

costs.

Strengthen the faith that the hospital follows a policy a rational use of

drugs including antibiotics, investigations and treatment.

Strengthen the public faith that their rights will be respected and

protected.

You will be better prepared to face Clinical Establishment Act.

You may get exemption from Inspection under CEA.

Apply for empanelment with UN institutions.

Apply for government projects and grants.

Apply for international grants.

Collaborate with other recognized health care establishments.

Generate faith in Public that your hospital does not sell fake/spurious drugs.

Generate faith in Public regarding the accuracy of laboratory tests.


Generate faith in Public regarding the accuracy of laboratory tests.

Provide an infection fee, clean, hygienic, environment (with minimal hospital acquired

infections) to the patients.

Get your establishment recognised for DNB, Internship & fellowship programs.

Strengthen the faith that the hospital complies with standard procedures of care with

minimum errors.

Inculcate faith in hospital doctors that their rights are also being respected.

Generate confidence in Public that the hospital will provide safe and secure environment

for them.

As far as possible, Recruit qualified staff, residents and nurses.

Reduce liability insurance costs due to accreditation.

Develop faith in Public that the technicians in the establishment are well-trained and qualified.

Assure the Public that the hospital maintains and strictly follows its infection control policy.

Hence, they will be less apprehensive of acquiring infections like Hepatitis B, Hepatitis C, HIV

and TB when they come to your hospital.

Assure the Public that any news story from the establishment, on TV or print, will be scientific.


Assure the Public that any news story from the establishment, on TV or print, will be scientific.

Generate confidence among the Public that their right to confidentiality will be respected and

their medical records would be preserved.

Gain a marketing advantage in terms of costs of treatment or services provided compared to

those who are not accredited as Accreditation means better quality of services.

Enhance the skills and knowledge of your staff further as accreditation will lead to a process of

continuous learning and improvement.

Empanel your establishment with insurance agencies and other third parties as Accreditation

facilitates such processes.

Substantially reduce the chances of people filing cases related to medical negligence against

your establishment as NABH accreditation means that the medical establishment adheres to

standard treatment guidelines. As a result, You will have a stronger defence against

malpractice litigations.

SHCOs (Less than 50 beds)

• Entry Level standards:

No of Standards :41

No of Objective Elements:149No of Objective Elements:149

• Full Accreditation Standards

No of Standards : 61

No of Objective elements : 289

Hospitals(More than 50 beds)

• Entry Level standards:

No of Standards :45

No of Objective Elements:167No of Objective Elements:167

• Full Accreditation Standards

No of Standards : 102

No of Objective elements : 636

IMA HBI NABH INITIATIVE

“Cluster Based Technical

Assistance for NABH Pre-


Assistance for NABH Pre-

Accreditation Entry Level

Certification Programme”


This initiative is a part of the leadership role that IMA played in

championing the cause for a more liberal accreditation programme that

suits the realities of the tens of thousands of small and medium medical

professionals owned hospitals which are the true back bone of the health

care delivery across our country.

The IMA has an exclusive agreement with NABH to promote this

programme across the country and a successful pilot has been working in programme across the country and a successful pilot has been working in

South India over last 2 years with considerable participation.

The technical assistance programme designed and offered by IMA HBI is

implemented Nationally and has been pilot tested and modified to the

needs of small and mid-sized hospitals.

This works on the principle of collaboration between the participants

hospital under the IMA umbrella and offers trustworthy and sound

technical assistance validated and constantly monitored by the IMA team.

Services

1. Baseline assessment

2. Training of Nodal Person

3. Technical assistance in formulating SOPs etc3. Technical assistance in formulating SOPs etc

4. Onsite training

5. Hand holding

6. Mock assessment

FINAL CERTIFICATION WILL BE GIVEN BY NABH


The key reason for IMA to develop this cluster based technical support

programme enabling the hospitals to achieve the entry level NABH

accreditation was the prevalent scenario where several private agencies are

offering so called consultancy support at inflated prices and without

sufficient technical knowhow.

There have been several instances over the last few years of our hospitals There have been several instances over the last few years of our hospitals

being swindled by such fly by night operators and agencies.

Any short comings in the support programme shall be immediately addressed

through a monitoring committee of IMA and corrective actions ensured on

receiving any grievances from our participant hospitals.

IMA-HBI-NABH initiative is transparent on the cost sharing to be borne by

each category of hospitals ( classified according to bed strength) and the

services that will be provided by the technical assistance team.

Copy NABH Pre Accreditation Entry Level Standards for hospital :

Rs. 1500/-

OrganizationAssessment Criteria Certification Fee (Rs.)

AssessmentApplication

FeeCertification

Fee

NABHFinancial Terms and Conditions

Hospital One man-day Rs. 2,000/- Rs. 30,000/-

Note : The man days given above for assessment are indicative and may change depending on the facilities and size of the hospital.

Gst applicable

NABH Financial Terms and Conditions

Organization Assessment Criteria Certification Fee (Rs)

Assessment Application FeeCertification

Fee

Copy of NABH Pre Accreditation Entry Level Standards for SHCO : Rs. 1000/-

Assessment Application Fee Fee

SHCO One Man day Rs 1000/- Rs 10,000/-

Note: The man days given above for assessment are indicative and may change depending on the facilities and size of the SHCO.

GST applicable

Expenses of IMA HBI (Entry level

accreditation)

Hospital Size/Category Sharing of IMA’s

expensesexpenses

SHCO (1-50 Beds) Rs 50,000/-

51-100 Beds Rs 1,00,000/-

101-200 Beds Rs 1,50,000/-

201-300 Beds Rs 2,00,000/-

300 plus beds- Rs 2,50,000

• It is not that difficult as it appears..

• Most of things are available & followed..

• Only reorganization & streamlining is needed..

• Pre assessment is done..

ACCREDITATION

• Pre assessment is done..

• Start up kit provided..

• Visits, discussions, training of staff done

beforehand..

• Inspection done only when we are ready..


NOT AS DIFFICULT AS IT APPEARS

TOGETHER WE CAN DO IT

IMA –NABH INITIATIVEHOW TO DO IT?

1-Become IMA HBI Member.

2-Fill IMA HBI NABH Application Form.

3-Pay necessary fees.

4-Attend daylong workshop.

Contact-Dr Jayesh Lele

09819812996

Dr Mangesh Pate

09820064054

Dr Dinesh Thakre

08888129007

Dr Neeta Biyani

09823442140

THANK YOU

YOUR FEEDBACK IS MOST WELCOME

[email protected]

09422296495

www.imahbi.in

ima hbi nabh initiativeimahbi.in/wp-content/uploads/2017/07/why_accreditation.pdf · those who are...

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