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National Accreditation Board for Hospitals and Healthcare Providers

B.K. Rana

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Ten steps to accreditation:

  • Step 1 Obtain copy of NABH standards
  • Step 2 Carry out self assessment on status of compliance with the NABH standards.
  • Step 3 Identify gap areas and prepare action plan to bridge the gaps.
  • Step 4 Ensure that NABH standards are implemented and integrated with hospital functioning.
  • Step 5 Obtain copy and submit application form for assessment.
  • Step 6 Pay the accreditation fee.
  • Step 7 Receive from NABH the assessment programme including dates and names of assessors.
  • Step 8 Facilitate the assessment.
  • Step 9 Receive recommendation on accreditation.
  • Step 10 Maintain quality improvement programme based on continuous monitoring of patient care services.

NABH has on its panel, qualified and trained assessors for objective evaluation of hospitals. The assessment team will include two or more healthcare professionals. The team will comprise of clinicians, healthcare administrators, nursing supervisors, specialists (where required) depending on the size and scope of services being rendered by hospitals. For example in a team having two assessors, one will be clinician and one hospital administrator. The team of three or more assessors will comprise amongst clinicians, administrators, nursing supervisors, specialists (where required).

Criteria for NABH Assessors:

1) 1.1) For clinician: MBBS with 10 years of experience of which 5 years should be in a hospital
1.2) For administrator: PG in Management or Hospital Administration with minimum of 10 years of experience of which 5- years being in the hospital administration.
1.3) For Nursing assessor: B. Sc. / M. Sc. Nursing with 10 years of experience or diploma in general nursing and midwifery with 15 years of experience. In both the cases, minimum of 5 years experience should be in supervisory capacity in a hospital.
2) 2.1) The persons having credentials, as above would need to qualify in 5 days NABH assessors training programme. NABH would conduct these programmes as per schedule published from time to time
2.2) The successful candidates from the training programme would be formally empanelled with NABH as per criteria of registration.



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