Sie sind auf Seite 1von 12

Leveraging Accreditation Program for

Patients Well Being

Girdhar J Gyani
Secretary General, QCI
CEO, NABH
1

Quality Council of India (QCI)

QCI is an autonomous body set up by Govt.


of India to establish and operate
accreditation structure in the country and
promote quality through National Quality
Campaign under the overall mission;
Quality for National Well Being.

2
Quality Council of India

1
Structure of QCI

Quality Council of
India

National National Accreditation National


Accreditation Board Board for Testing and Registration Board
for Certification Calibration for Personnel and
Bodies (NABCB) Laboratories (NABL) Training (NRBPT)

National Accreditation National Board for Quality Information


Board for Hospitals & Quality Promotion
and Enquiry Service
Healthcare Providers (NBQP)
(NABH)

3
Quality Council of India

National Accreditation Board for Hospitals & Healthcare


Providers (NABH)

Set up in association with Govt. of India and the


Indian Health Industry.
Catering to the needs of the consumers and setting
standards for progress of the health industry.
Supported by all stakeholders and having full
functional autonomy in its operations

4
Quality Council of India

2
Structure of NABH

Quality Council of India

National Accreditation Board for Hospitals &


Healthcare Providers
Appeals
Committee

Secretariat
Accreditation Technical
Committee Committee
Panel of
Assessor/Expert
5
Quality Council of India

Composition of Board

1. Chairman
2. Indian Medical Association
3. Consumer Co-ordination Council
4. Insurance Regulatory & Development Authority (IRDA)
5. Indian Nursing Council
6. Sree Chitra Tirunal Institute for Medical Science & Technology
7. Director General, Armed Forces Medical Services
8. Department of Bio-Technology
9. Postgraduate Education Institute (on rotation basis)
1. PGI Chandigarh
10. CEO NABH (member secretary)
11. Confederation of Indian Industry (CII)
12. The Associated Chambers of Commerce and Industry of India (ASSOCHAM)
13. Federation of Indian Chambers of Commerce and Industry (FICCI)
14. Academy of Hospital Administration (AHA)
15. Ex Officio Members
1. Secretary General - QCI
2. Chair – Accreditation Committee – NABH
3. Chair Technical Committee – NABH
4. Chair – Appeal Committee – NABH

6
Quality Council of India

3
Composition of Technical Committee
(Hospitals)

1. Col (Dr.) Pawan Kapoor (O/o DGAFMS)


2. Dr. Siddhartha Satpathy (AIIMS)
3. Col (Dr.) S. K. M. Rao (O/o DGAFMS)
4. Dr. Bidhan Das
5. Dr. S Murali (Manipal Hosp, Bangalore)
6. Dr. Vikram Kashyap (Neurosurgeon, Bangalore)
7. Dr. Aniruddha Mukherjee (Min. of Health, Govt of WB)
8. Mrs. Kawaljeet Oberoi (Gen. Mgr. Nursing Kokilaben
Dhirubai Ambani Hospital , Mumbai)

7
Quality Council of India

Composition of Accreditation Committee (Hospitals)

1. Dr. Nandkumar Jairam (Columbia Asia, Bangalore)


2. Dr. Praneet Kumar (Fortis Healthcare Limited, Jaipur)
3. Dr. Tilak Suvarna ( Asian Heart Institute, Mumbai)
4. Prof.(Dr.) A.K. Agarwal (IGNOU, Delhi)
5. Dr. Lloyd Nazareth, Wockhardt Hospitals, Bangalore
6. Dr. Pawan Kapoor-Convener TC (Hospital)-By Invitation

8
Quality Council of India

4
Accreditation

Accreditation relies on establishing technical


competence of healthcare organization in terms
of accreditation standards in delivering
services with respect to its scope. It focuses on
learning, self development, improved
performance and reducing risk. Accreditation
is based on optimum standards, professional
accountability and encourages healthcare
organization to pursue continual excellence

9
Quality Council of India

International Linkages

•NABH is an institutional member of the International Society for Quality in


Health Care (ISQua).
•NABH is also a member of ISQua Accreditation Council.
•NABH is a member of International Steering Committee of WHO
Collaborating Centre for Patient Safety as a nominee of ISQua Accreditation
Council.
•NABH is on board of Asian Society for Quality in Healthcare (ASQua),
Kualalampur. This initiative is to strengthen the Asian representation at
international level.
•NABH represents on the Advisory Board of Medical Tourism Association,
USA (MTA).
10
Quality Council of India

5
NABH Standards for Hospital, 2nd Edition

NABH hospital standards, 2nd edition, November


2007 have been accredited by International Society
for Quality in Healthcare (ISQua) under its
International Accreditation Program (IAP) for a
cycle of 4 years (April 2008 to March 2012)

11
Quality Council of India

Standards

Patient Centered Standards:


1.Access, Assessment and Continuity of Care (AAC)
2.Care of Patients (COP)
3.Management of Medication (MOM)
4.Patient Rights and Education (PRE)
5.Hospital Infection Control (HIC)
Organization Centered Standards:
6. Continuous Quality Improvement (CQI)
7. Responsibilities of Management (ROM)
8. Facility Management and Safety (FMS)
9. Human Resource Management (HRM)
10.Information Management System (IMS)

12
Quality Council of India

6
Current status on Accreditation
(as on 15th December, 2008)

Accredited Hospitals: 23
Applicant Hospitals: 55

Accredited SHCOs: 01
Applicant SHCOs: 08

Applicant Blood Banks: 08


(Final assessment planned for 04 blood banks)
13
Quality Council of India

New Initiatives….

Other Accreditations Program


•Accreditation of Blood Banks
•Accreditation of Small Health Care Organizations (SHCO)
•Accreditation of Health and Wellness Centres

Accreditation Under Launch


•Accreditation program for Oral Substitution Therapy (OST) centres.
•Accreditation of Diagnostic Centres (Radiology)
•Accreditation of Dental Centres
•Accreditation of Ayurvedic Hospitals/Clinics

14
Quality Council of India

7
Some of the prominent Accreditation Bodies operating
in other parts of World

1. The Australian council on Healthcare Standards


ACHS/ACHSI.
2. Accreditation Canada/ International.
3. Council for Health Service Accreditation of Southern
Africa.
4. CHKS Healthcare Accreditation Quality Unit UK.
5. Joint Commission/ JCI.
6. Malaysian Society for Quality in Health.
7. Japan Council for Quality in Health.

15
Quality Council of India

Benefits of Accreditation

16
Quality Council of India

8
Patients

Accreditation benefits all stake holders. Patients are the


biggest beneficiary. Accreditation results in high quality of
care and patient safety. The patients get services by
credentialed medical staff. Rights of patients are respected
and protected. Patient satisfaction is regularly evaluated.

17
Quality Council of India

Healthcare Organizations

Accreditation to a healthcare organization


stimulates continuous improvement. It enables the
organization in demonstrating commitment to
quality care. It raises community confidence in the
services provided by the organization. It also
provides opportunity to healthcare unit to
benchmark with the best.

18
Quality Council of India

9
Healthcare Organization

Staff in an accredited healthcare organization are


satisfied lot as it provides for continuous learning,
good working environment, leadership and above
all ownership of clinical processes. It improves
overall professional development of Clinicians and
Paramedical staff and provides leadership for
quality improvement within medicine and nursing.

19
Quality Council of India

Third parties

Finally accreditation provides an objective system


of empanelment by insurance and other third
parties. Accreditation provides access to reliable
and certified information on facilities,
infrastructure and level of care.

20
Quality Council of India

10
Driving Factors for Accreditation

Consumer Protection Act


Clinical Establishment Act
Insurance Companies regulation
Empanelment by CGHS, ECHS, Corporate etc.
Community Awareness & Response
Health Tourism

21
Quality Council of India

Challenges & Opportunities

• Awareness on Accreditation
a) Health industry
b) Consumers
c) Regulators

• Creating enabling mechanism to assist hospitals on


accreditation

22
Quality Council of India

11
Challenges & Opportunities

• How do we add value to accredited hospitals


-Clinical indicator program
- Quality tools; Six Sigma, Lean etc.
- HR, HIS (MIS)
- Education Programs

• Knowledge sharing with


-ACHS, JCI
-ISQua, Others

• Ownership of accreditation program by Health industry


• Acceptance of accreditation program by Consumers

23
Quality Council of India

24
Quality Council of India

12

Das könnte Ihnen auch gefallen