Introduction
To improve the quality of healthcare services in our country for the class of population through various tools and support and methodologies, the government of India has established an accreditation known as the National accreditation board for hospitals and health care.
It’s an autonomous body established in2005, governed by QCI (quality council of India). It is responsible for framing policy, constitution and monitoring the QCI standards. It maintains the standard for quality assurance, quality control, and quality improvement.
To improve the efficiency and competent organization to complement the healthcare system, to improve its efficiency and predictability of healthcare outcomes is the main objective of NABH
NABH accreditation means
A promise to create a culture of quality, patient safety, efficiency and accountability towards patient care.
setting up protocols and policies as per International /National Standards for patient care, medication management, consent process, patient safety, clinical outcomes, medical records, infection control, and staffing.
Maintenance of respect, dignity, and courtesy at all times with the patient.
Maintenance of transparency in billing and availability of tariff list.
Monitoring of its services for improvement.
Promise to prevent adverse events that may occur.
Benefits of NABH Accreditation
- It set up the protocols and systemizes processes for hospitals and healthcare
- NABH accredited hospitals or healthcare centre gets increasing recognition
- Improvises the quality and standards of the healthcare centre
- Provide a safe workplace and satisfaction to its employees and patients
- Look after the safety parameters of the recognised/applicant institution
- Helps in incremental revenue generation (as the registered entity will have an increase in patient inflow due to recognition)
- It also ensures patient satisfaction and respect
Scope of NABH /Objectives
- Improvisation of healthcare facilities
- Maintenance of Quality of Service,
- It takes initiatives like Safe-I, Nursing Excellence, Laboratory certification programs (not limited to these)
- Education and Training for Quality & Patient Safety
- Recognition: Endorsement of various healthcare quality courses/ workshops
Procedure for application of NABH Accreditation for Healthcare providers
To apply for NABH (National Accreditation Board for Hospitals & Healthcare Providers) accreditation, healthcare providers need to follow a step-by-step process. Here are the details:
1. Application Submission to NABH: The healthcare provider must complete the recommended application form, which includes the following:
- Pay the application fee specified in the form.
- Provide a self-declaration of compliance with NABH's Terms and Conditions.
- Fill in the Self-Assessment form provided by NABH.
- Prepare a Hospital Manual/Quality Standards that align with NABH standards.
- Upload relevant documents, such as hospital policies and procedures, necessary clearances (Fire NOC, Lift NOC, MCA related NOC, etc.), ID and address proof of proposed directors, financial documents, and other relevant approvals.
2. Application Review by NABH Team: Upon receiving the application, NABH will scrutinize the form and issue an acknowledgment letter to the healthcare provider. The letter will also include a unique reference number for future correspondence.
3. Pre-Assessment: NABH will assign a Principal Inspector/Valuation Team to conduct a pre-assessment of the healthcare provider. The objectives of this stage include:
- Assessing the hospital's readiness for final assessment.
- Reviewing the scope of authorization and determining the number of assessors and duration required for accreditation.
- Evaluating the hospital's documentation, standard operating procedures (SOPs), and clarification of assessment processes.
4. Final Assessment: The healthcare provider must address any non-compliance issues identified during the pre-assessment stage. The final assessment involves a comprehensive review of the hospital's functions and services.
5. Issuance of Accreditation Certificate: Upon successful completion of the above steps, NABH will issue an accreditation certificate to the healthcare provider. This certificate is valid for a period of three years and is accompanied by a scope of accreditation.
6. Surveillance and Reassessment: Throughout the three-year accreditation cycle, NABH conducts periodic surveillance visits to ensure ongoing compliance with accreditation standards. Healthcare providers must apply for the renewal of accreditation at least six months before the expiry of the current validity period.
By following these steps, healthcare providers can initiate and complete the process of applying for NABH accreditation, demonstrating their commitment to delivering high-quality healthcare services.
Documents to be attached along with the application
- Polices and procedure of Hospital
- NOC related to MC
- NOC from Police
- NOC from Pollution department
- Directors ID and Address proof
- List of shareholder and their details
- The objective of the company (of the proposed company)
- MOA and AOA (of an existing company)
- Other relevant document related to hospital approval
Documents required for obtaining NABH:
Registration certificate of the applicant establishment
MOA/AOA/COI (if the establishment is in the form of the company)
Certificate of Registration in case of business entities other than Companies
Fire NOC
Lift NOC (if the hospital is equipped with lift facility)
Police NOC
Pollution NOC
Id and address proof of owners (applicant)/ Director (in case of a company)
Address proof of the establishment
List of shares allotted and details of shareholders
Other relevant information and documents of hospital as may be demanded by the Authority
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What are the Types pof NABH Accreditation?
There are two types of NABH accreditation:
1. NABH-first-level Certification: This type of accreditation is granted to healthcare organizations that meet the initial set of quality standards set by the National Accreditation Board for Hospitals & Healthcare Providers (NABH). It signifies that the organization has successfully implemented a quality management system and is committed to providing safe and effective healthcare services.
2. Full NABH Certification: This level of accreditation is awarded to healthcare organizations that meet all the rigorous quality standards and criteria outlined by NABH. It demonstrates the organization's exceptional commitment to maintaining the highest level of patient safety, quality care, and continuous improvement. Achieving full NABH certification signifies that the organization has implemented robust processes and systems across all areas, including clinical care, patient rights, infection control, infrastructure, and management systems.