Accreditation must for hospitals in State Insurance Scheme

Source: The Hindu

In an attempt to establish standards of care for patients and safety in healthcare institutions in Tamil Nadu, the Chief Minister’s Comprehensive Health Insurance Scheme (CMCHIS) is contemplating making accreditation mandatory for hospitals seeking empanelment as part of the scheme.

A couple of protocols, pre-accreditation entry-level standards for hospitals and the other for smaller healthcare organisations have already been readied and issued as a circular, besides being hosted on the CMCHIS website.

“The idea is that even if the patients are not paying for the treatment, the government is. It is not charity that the hospitals are doing, and patients need to get the best,” a Health Department official said.

This is seen as the first move to bring both private and public healthcare institutions within the ambit of quality regulation, something that is achieved merely by self-motivation currently.

The standards have been evolved in consultation with the National Accreditation Board for Hospitals (NABH), and are in fact inspired by their entry-level accreditation standards that make it easier for hospitals to imbibe quality control culture.

“Earlier, hospitals which could not afford the process of quality control would just stay away. But, we are now offering them a foot in the door,” K.K. Kalra, CEO, NABH, had told The Hindu earlier.

The CMCHIS staff will first seek to orient hospitals on these standards before beginning the process of pre-accreditation, according to officials.

It is expected that at a certain point, accreditation for a hospital will become a pre-condition for empanelment in the government insurance scheme.

Existing hospitals that do not have accreditation will also be eased into the process, officials said.

United India Insurance, the insurance partner for the State government in this venture, seems equally enthused by this move.

Asha Nair, director and general manager, United India Insurance, said, “I would be very happy if this can be implemented. It means we are ensuring a minimum quality of service for all healthcare consumers across the board.”

The ideal would be to make it qualifying criteria for new hospitals that apply for empanelment.

Hospitals that have already been empanelled can be given time and a deadline to get accreditation, she said.

Tamilnadu mulls accreditation for hospitals offering health insurance

Source: The Hindu Business Line

Tamil Nadu plans to get hospitals offering healthcare services under the State-sponsored health insurance accredited for quality. The move is expected to help healthcare providers adopt standard operating procedures and free patients from needless expenditure necessitated by infection, wrong diagnosis and surgical errors.

The National Accreditation Board For Hospitals and Healthcare Providers will look at 149 objective parameters for entry-level acceptance for small hospitals. For hospitals with bed strength above 50, the board has set over 600 standards. Infection control, pharmacy management, care of patients and patient rights are among key benchmarks. Health centres need pay Rs.10,000 as certification fees, and State health officials are keen to get a good portion of the 834 government and private hospitals offering the insurance scheme.

J Radhakrishnan, Tamil Nadu Health Secretary, said smaller health centres should play a proactive role in getting their facilities accredited so that the scheme could expand further.

C Vijayabaskar, Health Minister, Tamil Nadu, said a meeting to discuss modalities of getting these hospitals accredited and estimate the associated expenditure will take place soon.

He added that the State health scheme has touched over seven lakh lives so far, spending close to Rs.1,509 crore since its inception in January 2012. Over 2.74 lakh patients have received life-saving surgeries at Government hospitals. The scheme has expanded its coverage to 1,016 diseases now, and is looking at including heart transplants.

Improved quality reduces large needless costs for all stakeholders – the insurer, the hospital and the State, said Somil Nagpal, a World Bank health specialist analysing Government health schemes in the country. He co-authored a report “Government-sponsored Health Insurance in India-Are you Covered?” It concluded saying a fourth of India’s population by 2010 was benefited by different ways from Government health schemes.

“Costs of excessive healthcare due to wrong diagnoses and mistakes during surgeries touched $41.5 billion in 2006, a number equal to total healthcare expenditure in India during the year,” he said, adding that the NABH has only 250 hospitals accredited in a country of over one lakh health centres.

National Accreditation Board for Hospitals & Healthcare Providers Note for Applicant HCO (Health care organizations)

Greetings everyone,

Please note all HCO (Health care organizations) applications for NABH Accreditation, applied for various programmes on or before December 31, 2011 and have not undergone Pre assessment till date stands CLOSED.

Henceforth they will have to re-apply for NABH Accreditation and will be considered as a FRESH APPLICATION.

– Dr. K K KalraCEO, NABH

(Date : February 14, 2014)

Clarification on Fire Safety Requirements for Hospitals

This was posted by NABH

Clarification on Fire Safety Requirements for Hospitals

1. The Approved registration of the hospital by the applicable competent authority of the State Health Department (such as Nursing Home Act etc)/Alternate Department (such as Shops and Establishment acts) is the overarching regulatory requirement.

Workshop on Communication Skills in Healthcare by NABH

NABH (National Accreditation Board for Hospitals & Healthcare Providers) is organising a 2 day workshop on Communication Skills in Healthcare in partnership with Bangalore Baptist Hospital, Mudra Institute of Communication, Ahmedabad & Consortium of Accredited Healthcare Organisations (CAHO) in Newdelhi on the 31st of July & 1st August 2013.

The details of the program and the registration form are attached as below.


Organizing Partners:

  • Course Development and Faculty:   Bangalore Baptist Hospital & Mudra Institute of Communication Ahmedabad
  • Administered and Supported by:  Consortium of Accredited Healthcare Organizations (CAHO)


  • 2 day program
  • Expert faculty – dedicated to didactic sessions and role plays
  • Class size – limited to 25-30 only
  • Certificate – provided on completion, with option to join the second course +  Correspondence course on communication skills (required for becoming National Faculty on rolls of CAHO)
  • Full Training Pack will be provided: CD with all Presentations and Role-plays, Handbook of presentations,  1 copy of the Book: Communicate .Care. Cure


  • Explain the Importance of Communications in healthcare settings
  • Impart tools and techniques to develop expertise in Inter and Intra communication skills with particular emphasis on patient

Ideally Suited for:

  • Middle to Senior Level Doctors
  • Hospital Managers
  • Middle to Senior Level Nursing Staff

Date, Time and Venue

  • Dates : 31st July & 1st August 2013  
  • Venue : India International Centre (IIC), 40, Max Mueller Marg, New Delhi – 110003
  • Time : 9.00 to 5.00 pm

Course Fee/Payment :

  • Rs. 7,500/- Per candidate
  • Payment shell be made in form of Cheques/DD/Pay order in the favour of: “Consortium of Accredited Healthcare Organizations” and mail it alongwith filled registration form to : A-150,New Friends Colony, New Delhi.110025

Click here for RegistrationForm

Registration Help & More Details

  • Please send nominations to: Mr. Samson:
  • Mobile number: 09582055783

Ministry of Tourism is organizing Road Shows in the Kingdom of Saudi Arabia – May 2013

The Ministry of Tourism is organizing Road Shows in the Kingdom of Saudi Arabia in May 2013. The Schedule for the road Shows is as given below :

  • 19/5/13                 –         Jeddah
  • 21/5/13                 –         Riyadh
  • 22/5/13                 –         Dammam


  • The focus during the road show would be on Wellness & Medical Tourism.
  • NABH & JCI accredited Hospitals would be eligible for the Market Development  Assistance from the Ministry of Tourism which would cover the International Airfare for two participants from each organization.

The details of this scheme is available  at the following link :

Market Development Assistance Scheme for NABH Accredited Hospitals – Ministry of Tourism

NABH endorses DMAI's 'Patient Charter' on rights & responsibilities of patients

NABH endorses DMAI’s ‘Patient Charter’ on rights & responsibilities of patients

November 23, 2012, 0800 IST – Pharmabiz News

Understanding the need to protect the interest of the patients across the country, the National Board for Accreditation of Healthcare (NABH) recently endorsed and supported a unique programme called ‘Patient Charter’ initiated by the Disease Management Association of India (DMAI). This patient-centric programme is a first of its kind initiative propagated to facilitate the needs of the patients so as to keep them and their family informed about their rights and responsibilities while using healthcare facilities.

The Charter was drafted by DMAI in consultation with experts from the healthcare community making India the only country in Asia Pacific to have such a detailed yet crisp patient charter. Under the said charter the doctors and other healthcare providers are expected to display the charter in their reception area prominently in local, Hindi and English languages.

The Charter will basically work as a guideline for the healthcare providers to ensure that the patients are duly updated on all the healthcare needs. Most importantly it stresses on the need for adopting patient friendly environment through documented procedure for obtaining patient or family’s consent for informed decision making while availing healthcare needs so as to involve the patient and family in decision making processes.

According to Rajendra Pratap Gupta, president DMAI, even though healthcare is all about helping the patients they are seldom taken into consideration in any decision making process. He insisted that it is high time for all to come together and work for the upliftment of the patient community so that they are also given a fair chance to express their concerns, issues and doubts to the concerned authority.

“Patient Charter is one such initiative that is not just a document that outlines the doctor’s role, responsibilities and code of practice but also the patient’s rights and his duties. Most of the medical failures happen due to either ignorance of patients or negligence of practitioners or providers of healthcare and we wish to caution both the patient and the providers on the seriousness and the outcomes of not working together,” Gupta stated.

He further stressed that communication should become the first line of treatment’ and that patient charter will play a significant role in empowering the patient through this initiative. Agreeing with him Dr Gayatri Vyas Mahendroo, director, NABH said that the it is important to educate patient and family members about the basic healthcare proceedings and risks so enable them to make informed decisions and involve them in the care planning and delivery process.

“Patient and families have a right to information and education about their healthcare needs and on the expected costs. Thus to empower the consumer on these issues, NABH along with DMAI fully support the patient charter and believe that it should be promoted with all healthcare providers in India, be it individual doctors or small clinics or large hospital chains, on the lines of ‘Jago Grahak Jago’ campaign,” Mahendroo insisted.

Essential Standards for Medical Laboratories in India – Program by QCI & NABH in Hyderabad on 15th July 2012

Program Schedule for Quality Control Cum Awareness Program for Private Medical Laboratories

QCI & NABH are jointly conducting an awareness program for lab professionals in Hyderabad , Andhra Pradesh along with BIORAD about Essential Standards for Medical Laboratories Program launched by QCI & NABH recently.

Please click on the following link to know more about the program details :

QCI Program on NABH Med Lab Program in Hyderabad – 15 july 2012

Please contact the following representative of QCI @ Trivandrum for more information :

Sujeeth B Nair, State Programme Coordinator .

QCI Med Lab Programme; Kerala

+91.999.530.1034 Mobile


QCI Med Lab Programme

C/O Quality Council of India

A-3,TC :26/2127

Apoos Serene,Tutors Lane



India 695-001



QCI urges hospital managements not to compromise with patients safety

QCI urges hospital managements not to compromise with patients safety
December 30, 2011, 0800 IST – Source : Pharmabiz News

Quality Council of India (QCI) has urged all the healthcare providers in the country to ensure that they follow all quality standard guidelines recommended by the government to avoid any complications that may compromise patients safety in the hospitals. This demand comes in the wake of the devastating fire at Amri Hospital that claimed lives of 190 people due negligence on the part of the hospital.

With a view to ensure that all the hospitals in the country are sensitised about the importance of following all the quality and safety regulations, QCI had recently organised its first national quality conclave for the healthcare sector in Bangalore. The conclave focused on enhancing the quality in healthcare system of the country and deliberate on the issues that hinder in deliverance of quality service.

According to Rajendra Pratap Gupta, member, Healthcare-Quality Council of India, “It is not possible to provide accreditation to all the hospitals at once since its takes a lot of time as well as man power to do that. However it does not mean that the hospitals that are not under National Accreditation Board for Hospitals and Healthcare Providers (NABH) should fall behind. We want the healthcare providers to understand that accreditation is important but at the same time it is not beyond quality. We want to ensure and change the way things are perceived today by stressing on keeping up with our motto to ensure quality healthcare in the country.”

He informed that as on date NABH, which is a constituent board of QCI has accredited nearly 140 hospitals and another 500 plus hospitals are preparing for accreditation in the country. The accreditation programme by NABH covers all the facets of patient safety including surgical safety, medication management, hospital infection and patient communication. The primary goal of accreditation is to ensure that the hospitals not only perform evidence based practices but also give importance to access, affordability, efficiency, quality and effectiveness of healthcare. However, he stressed that though approval is essential steps must be taken to look beyond accreditation to address and deal with quality issues in the present healthcare system.

The conclave that was co-organised by Bronze Certification of Lean by Simpler UK at M S Ramaiah Medical College & Hospital in Bangalore provided critical inputs pertaining to various facets of quality in healthcare.

“Quality in healthcare is of paramount importance as it directly impacts human lives and unlike quality in other sectors, quality in healthcare relates to a hospital monitoring and measuring clinical outcome on a continuous basis. Through this conclave, which will be a quarterly event, we want to bring in all the healthcare providers under the same roof so that we can exchange new ideas and deliberate on issues and challenges that will have a far reaching effect on the way healthcare system is dealt in the country,” Gupta said.

He further informed that looking at the quality issues in the East zone, QCI has decided to organise the second conclave in Kolkata in March next year followed by west and north zones respectively.

Hospital-acquired infection norms to be made stringent in India

Source : Business Line – Mumbai, Aug. 28: 

For about 500 hospital applicants seeking accreditation from the National Accreditation Board for Hospitals and Healthcare Providers (NABH), they would have to comply with additional guidelines on controlling hospital-acquired infections.

The NABH has formalised an agreement with medical-devices company Becton Dickinson (BD) to tackle hospital infections, even as it processes two more tie-ups with healthcare companies Johnson and Johnson and 3M, Dr Giridhar J. Gyani, NABH Chief Executive and Secretary-General of Quality Council of India (QCI), told Business Line.

The tie-ups

The J&J tie-up is to train new surgeons, before they get into their jobs, on aspects including controlling infection, he said. The 3M tie-up is to tackle medication errors, he added. A quasi-government organisation, the NABH is part of QCI, and covers healthcare organisations.

With the World Health Organisation pegging the rate of hospital acquired infections at between 15 and 40 per cent in developing countries, Dr Gyani said hospitals needed to be educated on such infections. Over 100 hospitals in the country are NABH accredited, he said, and it is expected that they keep a check on infections in hospitals.

NABH guidelines

Though the guidelines are voluntary, it will be applicable for the 500 applicants seeking accreditation, he added. The guidelines include features such as safe injection practices, waste management and infusion safety, and optimising/ minimising the stay of patients in hospitals, so that it benefits and is economical to both hospital and patient, he said.

The country is estimated to have about 40,000 healthcare organisations of all hues, and about half this number is institutions with over 20 beds, he said.

Private alliance

Responding to whether healthcare organisations would trust guidelines evolved with other private companies (BD, J&J and 3M, in this case), Dr Gyani said, the alliance with firms like BD and J&J were because they have large workforces for training. Their guidelines would be aligned with NABH, and “we will keep an eye that they do not promote their own products in the training programmes,” he said.

Emphasising that the process was above board, he said the guidelines took about six months to design, and they focus on the “national cause and not a company’s cause”.

The Memorandum of Understanding signed with BD is for two years and similar agreements will be signed with the other two companies, he said.

The NABH’s efforts to tackle the problem of hospital-acquired infections assumes significance given the prevalence of the problem, besides emerging concern over drug-resistant “super-bug” strains of bacteria originating from the country.