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National Accreditation Board for Hospital and Health care (NABH) in Gujarat Quality Improvement Programme in Public Health Sector. Department of Health & FW Govt. of Gujarat , Gandhinagar Email: sqipgujarat@yahoo.com. VISION STATEMENT.
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National Accreditation Board for Hospital and Health care (NABH) in GujaratQuality Improvement Programme in Public Health Sector Department of Health & FW Govt. of Gujarat , Gandhinagar Email: sqipgujarat@yahoo.com
VISION STATEMENT To be the network of finest public healthcare institutions in the state of Gujarat, providing quality medical care services with the state of art technology with easy accessibility, affordability & equity to the people of Gujarat & beyond.
Implementation of safety and quality practices Incorporation of management tools PROJECT OBJECTIVES Building sustainability Benchmark the indicators Set hospital on the path of Continuous Quality Improvement
Patient satisfaction survey Employee satisfaction survey PRACTICES IMPLEMENTED Clinical protocols Codes alert RED forFIRE, YELLOW for EXTERNAL CALAMITIES, BLUE for CARDIAC ARREST, BLACK for BOMB THREAT, PINK for CHILD ABDUCTION Quality Indicators
Disaster preparedness plan Basic infection control practices PRACTICES IMPLEMENTED Cont… Implementation of patient rights & Responsibilities Facility management practices Management of Medication
Benefits to Patients: • High quality of care • Credentialed and privileged medical staff • Access to a quality focused organization • Rights are respected and protected • Understandable education and communication • Patient Satisfaction is evaluated • Involvement in care decisions and care process • Focus on patient safety • Pain management • Vulnerable patient • Safe transport • Continuity of care
Benefits to Staff • Improves professional staff development • Provides education on consensus standards • Provides leadership for quality improvement within medicine and nursing • Increases satisfaction with continuous learning, good working environment, leadership and ownership
Employees Satisfaction Note: This Indicator was not monitored before NABH
Benefits to Hospital • Improves care • Brings in Corporate Governance • Stimulates continuous improvement • Demonstrates commitment to quality care • Raises community confidence • Opportunity to benchmark with the best
Road Ahead • To get all the Medical Colleges, District Hospitals, Blood Banks, Laboratories, PHCs & CHCs across the state accredited by NABH/ NABL.
Challenges • Financial Management.(Average Additional Expenditure for NABH about Rs. 3 to 4 Crores per District Hospital) • Human resource Management.(e.g. in Gandhinagar requirement of staff nurses as per workload (120) against sanction post (only 57).) • Acceptance specially in Doctors e.g. Medical Audit, Clinical audit etc. • Old and heritage building of the hospitals. • Up gradation of the hospitals from small facility to large facility. • Increase workload so that increase bed occupancy rate (150).
Challenges Cont… Reluctance to understand the NABH Standards and its implementation Staff orientation to Policies and Procedures at Departmental level. Repeated Training to contractual staff (Due to Highly Attrition Rate) L 1 policy of Government High consumption of power after central A/C. (5-10 times) Lack of proper monitoring system and team building.
Connecting Further…. Health & Family Welfare Department, Govt. of Gujarat http://www.gujhealth.gov.in Mukesh Puri IAS – Mission Director, National Rural Health, Govt. of Gujarat , Gandhinagar purimukesh@hotmail.com Mob: +919978408088 Thanks Quality is a journey, not a destination….
