NABH
Quality : Safety : Wellness
Amber Raza
Medical Microbiologist
NABH
National Accreditation
Board for Hospitals &
Healthcare Providers
What is Quality ?
◦How good something is,
1. Beautiful or attractive
2. Durable
3. Meeting standard
4. Healthy Fresh & Rotten Oranges
5. Value for money
or
◦How much satisfaction the person gets from the service.
What is Quality of Care?
◦Perform daily to benefit patients without
causing harm to them.
◦Pay attention.
◦Use methods that have been tested to be
safe, affordable.
◦Practice according to set standards.
QCI – Quality Council of India – Accreditation boards
NABH – National Accreditation Board of Hospital & Healthcare Provider
NABCB – National Accreditation Board for Certification Bodies
NABL – National Accreditation Board for Testing & Calibration
NABET – National Accreditation Board of Education & Training
NBQP – National Board for Quality Promotion
NABH History
2009 2016 2025
• NABH • 3rd • 5th
established in • 2nd Edition • 4th Edition • 6th
Edition Edition Edition
2005 2012 2022
What is Accreditation?
◦External review of the effectiveness of
quality system implemented and
compliance with the standards
prescribed by NABH.
◦Standards are suitable for Indian
scenario.
What is NABH ?
National Accreditation Board of
Hospitals and Healthcare Providers
(NABH) is a constituent board of Quality
Council of India, set up to establish and
operate accreditation programme for
healthcare organization.
NABH Standards
◦10 chapters
◦100 standards
◦639 Objective Elements
◦Each accreditation standard is a statement of an
expectation or requirement which makes it possible to
deliver quality care.
◦Objectives element are sub components of standards.
Chapters
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. Infection Prevention and Control (IPC)
6. Patient safety and Quality Improvement (PSQ)
7. Responsibility of Management and Safety (ROM)
8. Facility management and Safety (FMS)
9. Human Resource Management (HRM)
10.Information Management System (IMS)
Benefits of NABH Accreditation
Benefits To The Clients
◦Good health Outcomes
◦Client Satisfaction
◦Value for Money
◦Less Frustration
◦No Medical Errors
Benefits to Health Providers
◦Health staff become more satisfied with their
work
◦Health workers understand patients better.
◦Information flow among staff is improved.
◦Health staff who perform well are rewarded.
Benefits To The Health Institution
◦Patients become more satisfied with the services.
◦More patients may use our services.
◦The environment will become clean and beautiful.
◦The facility will have a good reputation.
◦Provides an objective system of employment by Insurance &
other 3rd parties.
Overview of the NABH Accreditation Process
Submission of
Application
Desktop Review
Pre-assessment
(optional)
Feedback to healthcare
Final Assessment organization &
Review of Assessment report Necessary corrective
by NABH Secretariat actions taken
Recommendation by By healthcare
Accreditation Committee
organization.
Approval for
Accreditation
Issue of accreditation
certificate (valid for 4 years)
Surveillance assessment
(21-24 months)
For renewal assessment, the accredited hospital
Renewal assessment* has to apply 6 months prior to expiry of validity of
accreditation
Document required for NABH
◦System Manual
◦System Procedure
◦Policy
◦Objectives
◦Mission & Vision
◦Standard operating Procedure (SOP)
◦Checklist
◦Forms
◦Formats
◦Records
THANK YOU
“If we are truly committed to quality, almost any mechanism will
work.
If we are not, the most elegantly constructed of mechanism will fail.”
Dr. Avedis Donabedian
