A proven pathway to NABH Accreditation
Conduct gap analysis and build action plan
1.Perform a baseline assessment of your hospital performance
against NABH Standard
2. An action plan outlines a hospital's intended actions
towards performance improvement. The plan can be used to respond to a minor
shortfall in standards compliance after the baseline assessment or as a part of
a root cause analysis of a more significant underperformance.
Update policies and procedures
3. Assess
your hospitals policy and procedures
4. Develop a
process to create NABH Complaint policy
Target improvements where needed
5. Examine
the Challenges
6. Assess
your hospitals Risk and Adverse Events
7. Remedy
Challenges without delay
Work with staff to overcome obstacles
8. Explain how
to achieve a culture of safety
9. Train
staff in new procedures
10. Involve
Physician Leaders
Assess your readiness at the medpoint
11. Prepare
your staff for mock audit
12. Conduct
patient tracers
12 involve
your staff
Continue training for sustainable changes
13. Keep
your staff educated and motivated about improving procedures.
14Complete
your mock audit planning
Evaluate and refine processes
15. Use your
accreditation team to SPOT deficiencies
16.
Encourage staff to make corrections
17. Build a
Cohesive Spirit
Use a mock survey to assess your readiness
18. Conduct
our final mock audit
19. Spot
necessary improvements
20. Plan
Corrections
Make final modifications
21. Make
final preparation for Pre and Final assessment
22. NC-
Closures Support