National and International Accreditations and Certifications like the Full NABH, Entry Level NABH, NABL & JCI are considered prestigious acknowledgements of the Healthcare Quality as they substantially improve the safety and quality of care and services provided for Large, Medium and Small Healthcare Organisations. Quality Standards form the basis of an objective evaluation of the process that can help health care organizations measure, assess and improve performance. Most of these improvements being possible only by with grass root changes in the practices followed across the Organisation.
ACME Consulting is India's leading Healthcare Quality Consultancy. Since our inception in 1996 we have worked with over 1000 Hospitals & Labs, both in the Private and Government Sectors to successfully implement quality management systems like the JCI, Full NABH, Entry Level NABH, NABL and the ISO 9001. Our team of in-house healthcare quality professionals is the largest in the country today. We are also the only Quality Council of India Accredited Consultancy for NABH and Entry Level NABH in India retaining the same for 14 years without a break. We have also been rated highest for Quality Improvement Projects by NHSRC, the technical wing of National Rural Health Mission, Government of India.
The National Accreditation Board for Hospitals & Healthcare Providers (NABH) Standards is today the highest benchmark standard for hospital quality in India. For Allopathic Hospitals there are mainly two versions of the Standards, one being the Full NABH suitable for large Speciality and Tertiary Care Level Hospitals and Entry Level NABH meant mainly for Smaller Hospitals who do not have the Infrastructure and Resources to comply with the Full NABH.
Though developed by the Quality Council of India initially on the lines of International Accreditation Standards like the JCI, ACHS and the Canadian Hospital Accreditation Standards, the Full NABH has now evolved over 5 major revisions and is now seen as an advanced and very practical set of Standards, topical and relevant to India's unique healthcare system requirements. It is also accepted by ISQUa, the International Society for Quality Assurance in Healthcare, as an International Accreditation on par with the world's best. The Entry Level NABH came up nearly 8 years later to meet the needs of smaller Hospitals who were finding it difficult to comply with the more stringent requirements of the Full NABH.
Both the Full NABH and the Entry Level Quality Standards are effectively Management Systems for all types and sizes of Hospitals that enable them to deliver High Quality Services. The Standards thus cover the entire range of operations and services provided by the Hospital, right from registration of patients and their initial assessment to laboratory services that will be offered in-house as well as those that will be outsourced, display of patient rights & education, policies & procedures on care of patients, management of medication, hospital infection control process that has been deployed, facility management & safety, Human resources management and patient information management systems.
Patients are the biggest beneficiaries from both the Full NABH Accreditation and the Entry Level Certification, as it results in a high quality of care and patient safety. The patients get services by credential medical staff. Rights of patients are respected and protected. Patient satisfaction is regularly evaluated. Quality Accreditations and Certifications also benefit the staff of the hospital as it provides for continuous learning, good working environment, leadership and above all ownership of clinical processes.
Both the Full NABH Accreditation and Entry Level NABH application in Hospitals stimulate continuous improvement, enabling the Hospitals in demonstrating commitment to quality care and raises the community confidence in the services provided by the Hospitals. They provide an opportunity to benchmark with the best.
Major hospital performance related benefits from Implementing either the Full NABH or the Entry Level NABH
The Full NABH and the Entry Level NABH also serve as an objective system of empanelment by Insurance and other Third Parties Administrators. Accreditation providing access to reliable and certified information on facilities, infrastructure and level of care, a need being felt increasingly by the Indian Insurance Companies who have recently come out with a three tier package segmenting hospitals into A,B& C categories based on which tariffs for cashless hospitalization treatments will be set. The Full NABH Accreditation will naturally help Hospital to be in the A Category.
National Accreditation Board for Testing & Calibration Laboratories (NABL), similar to the NABH, is also an autonomous body, under the Quality Council of India. The primary objective being to maintain an accreditation system for laboratories suitable for India, developed in accordance with relevant national and international standards and guides. The NABL Accreditation is a formal recognition of the technical competence of a laboratory based on third party assessment and following international guidelines. Trained Assessors taken from institutions all over India, with established credentials in testing and calibration activities carry out the assessment.
The Joint Commission in an independent, not-for-profit organization that has accredited and certified more than 20,000 health care organizations and programs in the United States. The Joint Commission accreditation and certification is recognized as a symbol of quality that reflects an organization?s commitment to meeting certain performance standards.
The Joint Commission International came about in 1994 to meet the healthcare quality accreditation requirements in countries outside the United States. Though local needs vary and diverse cultures present unique challenges, the Joint Commission International (JCI) has become recognised as a consistent beacon for patient safety and quality improvement in the global community. JCI has a presence in more than 90 countries today.
JCI works with health care organizations, governments, and international advocates to promote rigorous standards of care and provide solutions for achieving peak performance. The accreditation process seeks to help organizations identify and resolve problems and to inspire them to improve the safety and quality of care and services provided. The process focuses on systems critical to the safety and the quality of care, treatment and services. The Joint Commission Standards are developed with input from health care professionals, providers, subject matter experts, consumers, government agencies and employers. They are informed by the scientific literature and approved by the Board of Commissioners.
Our approach to the JCI Accreditation makes it a more rigorous exercise when compared with the NABH. While the aim of both accreditation systems are to improve the safety and quality of care and services provided, we focus during the JCI more on systems critical to the safety and the quality of care, treatment and services. The Standards form the basis of an objective evaluation process that can help us measure, assess and improve performance. By involving the staff at all levels we work to making improvements possible only by changes in the practices followed across the Hospital. For this reason in the JCI implementation we find it essential that the senior management of the Hospital from the Directors to the Departmental Heads demonstrate their total commitment to the exercise, with their participation at every stage of the accreditation process. The evident display of their involvement will help in ensuring the participation of all in the process.