Medpoint Healthcare is
a leading healthcare consultancy in India and abroad to help healthcare
organization achieve business excellence through the rational development and
improvement of the business system. Medpoint
support its clients to prepare
themselves for a NABH accreditation using a unique approach aimed at
transforming Healthcare facilities to delivering efficient, safe and
predictable care while remaining viable.
We help our clients
create value and architect change through our unique spectrum of Healthcare
Consulting Services. With our ongoing in- house research and quality improvement
efforts, we always strive to be up-to-date and able to provide the client
qualitative, cost effective and comprehensive solutions.
Accreditation would be
the single most important approach for improving the quality of Healthcare
Facility. Accreditation is an incentive to improve patient option of choosing a
Healthcare Facility. Accreditation system ensures that Healthcare Facility,
whether public or private, national or expatriate, play there expected roles in
national health system.
Initiating
the Project
- Discussion with Top Management of HCP via Opening meeting to have a situational appraisal and understand the sponsor’s perspective of the output/ deliverables.
- Chalk out a tentative plan
- Formation of Core team & Sensitization
- Gap Analysis
GAP
Analysis
Creation of Internal
Committee
Prepare Gap Report
Discuss GAP Analysis
report with Management/ Head
Handover Draft Report
to Management for internal review, decisions, comments, suggestions,
recommendations for closing featured gaps
Discuss Management
reviews over GAP Analysis Report & Finalize Action Plan for completing gaps
Freeze Responsibility/
Task Monitoring & Control Plans
Implement monitoring
& supervision plan
Closure of Gap
Assessment points
Develop
Policy & Procedure Manual
Identify all Policies
(Clinical, Administrative & Support Services)
Provide prototypes for
all policies listed to concerned/ responsible personnel/ teams
Frame rough draft of
mandatory Policies/ Protocols/ Guidelines/ Manuals/ Process Map
Get draft
counterchecked by relevant head of process. Amend changes if any
Finalize the all
documents
Distribute the copies
of relevant sections to stakeholders
Awareness
and Training
Initiate awareness program
& scale up the same
Identify training needs
Develop training time
table/ program
Identify potential
trainers
Training of trainers
Conduct (General)
trainings as per the schedule for staff at all levels
Conduct (Specific-
Policy & Procedures related) trainings as per the schedule for staff at all
levels
Outcome
& Performance Analysis Indicators
Discuss Quality
Indicators contents and collection protocols and formats with concerned
activity holder
Conduct a pilot QI data
collection test.
Freeze & Implement
QI data collection formats
Collection of Quality
Indicators
Internal
Audit
Self-Assessment toolkit
Closures of Gaps
observed
Applications,
Audits & Assessments
Application to NABH
Pre Assessment
Review of the
Pre-Assessment report
Correction of the deficiencies
Final review
Re-training of all
staff
Final Assessment
Consultancy
Support Content:
·
100 Standard Policies for all 10 NABH
Chapters
·
Form and Formats: Ex
-
Registration cum General Consent form
-
Initial Assessment form
-
OPD Form
-
Informed Consent (in Bilingual language)
etc
·
Training Presentations as per NABH
standards: Ex
-
Induction/ Orientation
-
Infection Control
-
Disaster Management in the HCP
-
BLS (Basic Life Support) etc
·
MOU templates
·
Clinic Scroller template for TV/ LCD
·
Clinic Signage
·
Formats and Checklists for Inventory
Management/ Sterilization protocols/ Quality Indicators
·
Legal Compliance Tracker
·
Healthcare Privileging Format
·
Training Need Competency Matrix template
·
Clinical Audit (minimum 2) & MRD
Audit template
·
Mock Audit Template and Checklists – Chapter
wise
·
NABH Application filing support
·
Audit Closure template and support