22/10/2013 THE NABH EXPERIENCES. India is known for its Population size INDIA = QUANTITY QUALITY MOVEMENT HAS NOW BEGUN. Worlds largest democracy.

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1 THE NABH EXPERIENCES Worlds largest democracy. Worlds 4th largest economy. Largest English speaking nation in the world. 3 rd largest standing army force, over 1.5Million strong. 2 nd largest pool of scientists and engineers in the World. 2 India is set to overtake China as the world's most populous nation by India s population is expected to grow from 1.08bn to 1.63bn people, overtaking China, which is forecast to reach 1.44bn from 1.3bn currently. India, will also have the highest working population in the World 700 million people out of 1.1 billion people are young; the young population will continue till Healthcare one of the largest service sectors in India Healthcare spending expected to rise by 15% per annum Healthcare expected to contribute 6.1% of GDP in 2012 and employ 9 million people 3 4 India has the largest numbers of medical colleges in the world (300) It produces the largest numbers of doctors among developing countries (48,000 approx. annually) It gets large number of medical Tourists from even the developed countries India is fourth largest producer of drugs by volume in the world India is known for its Population size INDIA = QUANTITY QUALITY MOVEMENT HAS NOW BEGUN 6 1

2 After World war II Japanese products were NOT known for Quality called cheap compared to western products Now Japanese products are known for Quality & Cost Effectiveness: Toyota Honda Sony Nikon Canon s Korean products labelled CHEAP INFOSYS WIPRO Now they too are known for Quality: Samsung Hyundai LG TATA OBEROI HOTELS 10 Ernie Codman (Surgeon) Banned by Mass Gen. Codified his own experience End Result Idea 11 2

3 Certification : ISO SIX SIGMA Accreditation is public recognition by a national body on the achievement of a set of standards by a healthcare organization, Accreditations: NABH (QCI) NABL demonstrated through an independent external assessment of that organization s level of performance in relation to the standard A methodology approved by WHO for complete evaluation of an organization and all functions and processes leading to clinical outcomes. It usually voluntary and aims at meeting agreed upon quality standards related to essential healthcare facilities. Accreditation relies on establishing technical competence of healthcare organisation 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 organisation to pursue continual excellence. Set up by the Government of India and Indian Industry. Ministry of Tourism & WTO called upon QCI to serve as umbrella body to spearhead quality initiative to promote Medical Tourism. To cater to needs of consumers and setting standards for progress of industry. The constitution and structure for NABH was laid in the year 2006 To provide boost to Medical Tourism. In the first year > 100 clinicians, nurses and administrators trained To ensure Quality and Safety of healthcare services. across country to serve as assessors 3

4 National Accreditation Board for Hospitals is an accreditation board under the Quality Council of India QCI is a non-profit autonomous society registered under the Societies Registration Act XXI of 1860 with an objective to: Establish Accreditation structure in the country Spread the quality movement in India by undertaking National Campaigns Governed by 38 members council comprising all stakeholders. National Accreditation Board for Certification Bodies (NABCB) QUALITY COUNCIL OF INDIA National Accreditation Board for Testing and Calibration Laboratories (NABL) National Accreditation Board for Education Training (NABET) The council is the apex body formulating strategy, policies, supported by Accreditation boards and quality formulation boards for various industry sectors. NABH is an accreditation Board for Health Services Delivery Industry National Accreditation Board for Hospitals & Healthcare Providers (NABH) National Board for Quality Promotion (NBQP) QCI Made in India For India By India NABH Accreditation Appeals Committee Wide acceptance Both Private and Govt. Sector National Equivalent of JCAHO, USA Accreditation Committee Technical Committee Secretariat Supported & managed by QCI An autonomous body Accredited by ISQUA Assessors Uniquely tailored for Indian healthcare. Uses highly trained, qualified and experienced assessors. Assessments are comprehensive and multidisciplinary. Quality improvement is an important goal. Patient Safety Centric. Vision To be the apex national healthcare accreditation and quality improvement body, functioning at par with global benchmarks. Mission To operate accreditation and allied programs in collaboration with stakeholders focusing on patient safety and quality of healthcare based upon national / international standards, through process of self and external evaluation. 4

5 : The President of India, Dr. A.P.J. Abdul Kalam awarded 1 st 5 accredited hospitals in India : Blood Bank Accreditation launched Nominated as ISQUA member Founder member of ISQUA : Launched accreditation of SHCO 2 nd edition of NABH accredited by ISQUA : 1 st blood bank accredited MOU with Ministry for Ayush accreditation standards CGHS mandates NABH accreditation for empanelment Dental, Allopathic Clinic, Imaging accreditation launched. NABH International borne:- MOU Philippines ECHS mandates NABH accreditation for empanelment 3 rd edition of NABH standards approved by ISQUA NABH makes in-roads to academic council of MCI Institutional member as well as Board member to Accreditation Council of ISQUA On the Board of ASQUA Represents on the Advisory Board of Medical Tourism Association (USA) Member of International Steering Committee of WHO collaborating centre of Patient Safety as a nominee of ISQUA Institutional member of International Spa Association Hospitals Primary, Secondary and Tertiary Blood Banks Ayush Hospitals The International Society of Quality in Health Care (ISQUA) launched its International Accreditation Programme (IAP) in This is the only international programme that Accredits the Accreditors. Wellness Centre Diagnostic Centre Imaging and Worldwide ISQUA have only accredited 53 sets of standards from 22 countries. Laboratory Dental Centres NABH is one of these Clinics & Day Care Centres Oral Substitution Centres 5

6 ISQUA Accreditation of NABH Standards for Hospitals April 2008 March 2012)- 2 nd Edition April 2012 March 2016)- 3 rd Edition MILESTONE ACHIEVED IN nd Edition 10 Chapters 514 Standards 3 rd Edition 10 Chapters 644 standards (To be released on the 1 st of Jan 2012) Outline of NABH Standards Patient Centered Standards Access, Assessment and Continuity of Care (AAC) Patient Right and Education (PRE) Care of Patient (COP) Management of Medication (MOM) Hospital Infection Control (HIC) Organisation Centered Standards Continuous Quality Improvement (COI) Responsibility of Management(ROM) Facility Management and Safety (FMS) Human Resource Management (HRM) Information Management System (IMS) 6

7 Although 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. Accreditation to a hospital stimulates continuous improvement. It enables hospital in demonstrating commitment to quality care. It raises community confidence in the services provided by the hospital. It also provides opportunity to healthcare unit to benchmark with the best. Percentage of Medication Errors Finally, accreditation provides an objective system of empanelment by insurance and other Third Parties (e.g. CGHS). Accreditation provides access to reliable and certified information on facilities, infrastructure and level of care. Percentage of Transfusion Reaction Urinary Tract Infection Rate Respiratory Tract Infection Rate Surgical Site Infection Incidence of falls Incidence of bed sores after admission Bed Occupancy Rate Average length of stay in hospital Incidence of Needle sick injuries What will be our advantage if we are accredited? Are we going to: Have more patients? Get better rates? Spend less money? Have fewer mishaps? Provide better care? Accredited hospitals report significant improvements in: Leadership Medical Record Management Infection Control Reduction in Medication errors Can we provide what you are telling us? Staff training and professional credentialing Quality monitoring 7

8 Building on PATIENT SAFETY & QUALITY OF CARE