Aviyana Healthcare Pvt. Ltd.

Accreditation

Aim The primary purpose of NABH is to establish and operate an accreditation program for Healthcare and Hospital organizations. The constituent Board of Quality Council of India takes care of the much-desired requirements of the consumers so that they can set some targets and Benchmarks for the progress of the health industry. The NABH is supported by various stakeholders like consumers, government, and industry. Of all the stakeholders, consumers, significantly, the patients are highly benefited from the norms of NABH.

Benefits of NABH Accreditation: There are a lot of benefits to all the hospitals/ clinics with Full NABH or the Entry level NABH. Some significant benefits of NABH have been listed below:

• Hospitals get better rates from insurance companies and government panels. For example, CGHS pay 10-20% higher reimbursement rates to NABH empanelled hospitals.
• Source of huge recognition to the hospital, and helps build customer trust.
• Makes the hospital eligible for the service of global patients..
• Regularly monitored results help the employees and other staff members to ensure better services and amenities to the patients.
• Reduction in Hospital Infections, Medical Errors and Accidents, resulting in reducing unnecessary stay at the hospital
• Reduction in Costs through improving Operational Efficiency
• Better Staff Utilisation through training & clearer assignment of roles and responsibilities with credentialing and privileging
• Optimising usage of Materials with better Inventory Management, avoiding of Stock-outs.

NABH Programs: NABH has accreditation programs for:

• Hospitals
• Nursing Homes
• Health Care Organizations
• Blood Banks & Transfusion services
• Primary or Secondary Health Centers
• Medical Imaging Services
• Dental Hospitals/Centers
• Eye care Hospitals/ Clinics
• AYUSH hospitals, etc.

Procedure for NABH Accreditation: It is a five-step procedure to apply for NABH Accreditation:

Submission of application to NABH

The application should accommodate the application fee, self-declaration on the terms and conditions, filled self-assessment form, And other mandatory documents like Hospital policies, fire NOC, lift NOC, MCA related NOC, police NOC, Pollution NOC, address proof, and ID of the day Hospital directors, Bank statements and electricity bill, amount of shares, details of the percentage of shareholding, Signage NOC and other related documents.

Review of application by NABH

Once the officers associated with NABH receive the application of the aspirant hospital, they are supposed to scrutinize it with an acknowledgment letter for the submission and the unique reference number so that they can track the process.

Pre-assessment by committee members

NABH sends a principal Inspector or evaluation team to ensure the following aspects or for the final assessment:

• Preparation of the aspirant hospital for the final assessment
• Reviewal of the authenticity of documents submitted by the hospital
• Clarification in the practice of the evaluation by the employees of the hospital.

Final-assessment

The aspirant hospital must take the final assessment after making the officials’ corrections during the pre-assessment by committee members. The concerned person will do a last review of all the functions and services in the final evaluation. Afterward, the hospital will get its accreditation certificate from NABH. The validity of that certificate is for three years.

Reassessment and surveillance

Since the validity of accreditation is for three years, the committee of NABH schedules a cycle of three years for the surveillance and reassessment in the hospitals. It is the hospital’s responsibility to apply for reassessment at least six months before the expiry of the validity of the accreditation. There are consequences if the hospital does not apply for the reassessment and surveillance in the given time.

NABH Documents Required: There are several statutory and non-statutory documents that the NABH team will ask you to update on their protocol.

Key documents required by NABH are listed below:

• Hospital registration certificate
• Hospital photographs
• Any other Empanelments/ Accreditations
• Details of doctors and support staff
• List of the services provided
• Bio-medical waste certificate
• NOC from Fire department
• Lift NOC (If elevate available)
• SOPs for the various quality procedures followed at the hospital

NABH Requirements: There are several infrastructure and quality requirements that NABH has w.r.t to Operation theatre and other parts of the hospital.

The Key requirement are listed below:

• Disabled friendly passage, halls, and washrooms
• Modular OT
• CSSD room
• Laminar flow
• Bio-medical waste room

Preparation for NABH Accreditation To get your Hospital accredited by NABH, the administration should prepare a plan of action to obtain a goal.

The first step is to appoint a person to coordinate and check on all the activities that seek accreditation.

• The first step is to nominate a person who is familiar with the existing quality assurance system. In this way, the officer can figure out the loopholes where the hospital needs to work and what improvements are to be made.
• There must be an excellent understanding of the aspirant hospital about the assessment procedure of NABH.
• The officers appointed by the hospital should set the Benchmarks and ensure the higher standards to be implemented.
• Before presenting the quality standards to the NABH team, the hospital should undergo a self-assessment drive. If they find everything up to the mark, they can move forward with submitting the application form.

Standards to maintain for Full NABH Accreditation

There is a complete set of standards that an aspirant hospital should maintain before presenting itself for the evaluation and grant of approval:

There is a specified structure for quality improvement in the care provided to the patients by the hospital. It helps build a quality culture to maintain for all the hospitals for the grant of approval.

Patient-centered standards

• The Care of Patient (COP)
• Access, Assessment & Continuity of Care (AAC)
• The Management of Medication (MOM)
• The Hospital Infection Control (HIC)
• The Patient Right and Education (PRE)

Organization-centered standards

• The Responsibility of Management (ROM)
• The Continuous Quality Improvement (CQI)
• The Facility Management and Safety (FMS)
• The Information Management System(IMS)
• The Human Resource Management (HRM)

How Aviyana Healthcare helps in NABH Accreditation

At Aviyana Healthcare, we help hospitals to achieve compliance with NABH. Our team keeps updating all the NABH policies and function changes to fulfill the gap so that the hospital never fails to achieve its aspirations.

If we work systematically, we are already halfway done. So here’s a step-by-step guide that hospitals can follow to get NABH done via us:

Reassessment and surveillance

Connect Aviyana Healthcare Team

Connect with the Aviyana Healthcare Team to discuss specific details.

Connect with our quality consultant

Once you finalize terms with the Aviyana Healthcare team, we will move forward with the allotment of duties to the account manager & NABH quality consultant to understand your needs and provide solutions to facilitate the process.

NABH standards implementation

Our consultants train your team for NABH quality standards. We perform a need gap analysis to ensure that all the improvement areas are taken care of.

NABH certification

We train you for the final assessment. Once the process is completed, you will get the registrations and certifications.

You can connect Ms Sharvari Shinde on 8433680863 for more details

NABL - National Accreditation Board for Testing and Calibration Laboratories

National Accreditation Board of Testing and Calibration Laboratories (NABL) gives accreditation to Conformity Assessment Bodies i.e. Laboratories. It is an autonomous body under the aegis of Department of Science and Technology, Govt. of India that is registered under the Societies Act. It has a Mutual Recognition Arrangement (MRA) with Asia Pacific Laboratory Accreditation Cooperation (APLAC) as well as International Laboratory Accreditation Cooperation (ILAC).

The objective of the NABL Establishment

The sole purpose of the NABL-ISO 17025 is to provide third-party assessment to ensure excellent quality and technical competence of testing and calibration laboratories, which enables the government and the industry to streamline and maintain the standardized quality environment.

NABL provides accreditation to laboratories in the Major Fields of Science and Engineering that are performing tests and calibrations as per ISO 17025 and ISO 15189.

Some of the few fields where NABL-ISO 17025 can be applied include Mechanical, Chemical, Electrical, Electronics, Biological, Fluid-Flow, Non-Destructive, Radiological, Thermal and Forensic, Electro-Technical, etc. Also, NABL-ISO 17025 provides accreditation to proficiency testing providers and reference material producers.

NABL-ISO 17025 Implementation Requirements

• Define Roles and Responsibility for Lab Operation and management.
• Testing to be performed as per Defined standard
• Essential documents development and maintenance for quality assurance.
• All the samples must be organized and documented.
• Written procedures must be followed for all the tasks.
• The quality of the results should be checked and monitored frequently.
• Test reports should be created for test results and the estimation of the measurements.
• Data integrity must be ensured and maintained.
• Analytical processes must be validated for sampling and testing.
• Results that are non-conforming must be documented, analyzed and controlled.
• Employees must be qualified for their assigned jobs.
• Environmental conditions must be taken into account and monitored throughout.
• All the inquiries and complaints from clients should be formally addressed.

NABL-ISO 17025 Implementation Steps

NABL-ISO 17025 implementation in your existing environment can be simple and hassle-free. Also, you can choose to participate in various proficiency programs to improve your testing competencies. You can integrate new learning and updated techniques to enhance the quality of results in your laboratories. In order to remain NABL-ISO 17025 compliant and maintain accreditation, you must also get a periodical re-evaluation done by the accreditation body.

To avail of the numerous benefits of NABL-ISO 17025 accreditation, follow the essential steps while implementing NABL 17025 in your existing environment.

• Appoint a project manager/owner.
• Define the Scope for Certification.
• Research and understand the requirements associated with the standard.
• Perform a gap analysis and identify weak areas.
• Prepare an action plan as per the analysis.
• Consider all the information and standard requirements to prepare action plans.
• Proceed ahead with the action plan.

Benefits of NABL-ISO 17025 accreditation: NABL-ISO 17025 accreditation has several types of benefits including internal as well as external. The majority of the practical benefits can be witnessed on your day-to-day operation in the laboratory which also enables you to improve testing competency, streamlined management, lessened challenges or glitches, and improved results.

Eventually, the growing benefits of NABL-ISO 17025 accreditation can help you with not only financial benefits but also recognize you for accuracy and details. Some of the key benefits of NABL-ISO 17025 accreditation are explained below.

Internal Advantages

• Increased confidence in the testing and calibration reports due to increased accuracy, validation, and right documentation.
• Improved control over laboratory operations due to detailed documentation, ISO 17025 standard regulations, and other effective guidelines.
• Improved testing competency and quality of the testing competencies and results.
• Improved feedback from clients for the improved accuracy of the results.
• Acquired measurable growth in business as a result of the improvement in processes and results as well as improved efficiency.
• Streamlined internal management and consistency in operations and hence, efficiency in the internal operations.
• Improved performance of the employees due to increased motivation.

External Advantages

• Recognition in the national and international markets as a result of exceptional performance.
• Enhanced customer trust and confidence because of accurate test reports and results.
• Reduction in multiple assessments hence increased client trust and saved time.
• Recognition in the industry for extraordinary performance.
• Cost and time saving as a result of increased efficiency.

Aviyana Healthcare Consultants team includes renowned ISO 17025 consultants who are also NABL qualified so that they possess the expertise to empower laboratories with efficient NABL-ISO 17025 implementation and enhance their internal as well as external results for better growth. Having assisted 100+ labs with NABL-ISO 17025 accreditation, we have gained in-depth knowledge and knack for an efficient NABL-ISO 17025 accreditation that ultimately maximizes your business. We have also facilitated 25+ ILC/PT testing labs for NABL accreditation and learned new techniques for simplified NABL-ISO 17025 accreditation that helps to get the best of the ISO 17025 standard. To step up your business by improving performance, proficiency of testing competencies and internal operational efficiency, contact our experts now.

You can connect Ms Sharvari Shinde on 8433680863 for more details