NABH- HRM Guidelines

This is a presentation slides informing about NABH (National Accreditatio for Healthcare services and Hospitals) guidelines on HRM- Human Resources Management)

1. NABH- AN INTRODUCTION

2. In Brief- National Accreditation Board for Hospitals & Healthcare Providers (NABH) is a constituent board of Quality Council of India, set up to establish and operate accreditation programme for healthcare organisations.

3. Objectives of nabh- Accreditation of healthcare facilities; Quality promotion: initiatives like Safe-I, Nursing Excellence, Laboratory certification programs, etc. IEC(Information, Education, Communication) activities: public lecture, advertisement, workshops/ seminars; Education and Training for Quality & Patient Safety; Recognition: Endorsement of various healthcare quality courses/ workshops.

4. Why Accreditation? The increasing role of health Insurance. Rise in number of medico-legal cases. Awakening of patients about their rights. Medical tourism.

5. How nabh differs from iso standards- ISO is a certification and not an accreditation. ISO is generic and not specific to healthcare industry. ISO does not call for clinical audits , it centres only on systems. Accreditation focuses on competency in terms of its staff, equipment, premises, facilities etc with respect to the scope of services being rendered by the healthcare organisation.

6. Benefits of Accreditation- Accreditation provides high quality of care and patient safety . Staff Satisfaction/Employee satisfaction. Accreditation to a hospital stimulates continuous improvement . Accreditation provides an objective system of empanelment by insurance and other third parties.

7. Outline of nabh standard- There are total 10 chapters that define quality standards. They can be categorised based upon- Patient-centric functions. (Chapter 1-5 Organisation-centric functions. (Chapter 6-10)

8. Patient Centric Standards- 1. Access, Assessment and Continuity of Care (AAC). 2. Care of Patients (COP). 3. Management of Medication (MOM). 4. Patient Rights and Education (PRE). 5. Hospital Infection Control (HIC). Organisation Centric Standards- 6. Continuous Quality Improvement (CQI). 7. Responsibility of Management (ROM) 8. Facility Management and Safety (FMS). 9. Human Resource Management (HRM). 10. Information Management System (IMS).

9. HRM standards- The organization has a documented system of human resource planning. The staff joining the organization is socialized and oriented to the hospital environment . There is an ongoing programme for professional training and development of the staff. Staff members, students and volunteers are adequately trained on specific job duties or responsibilities related to safety. An appraisal system for evaluating the performance of an employee exists as an integral part of the human resource management process.

10. There is a process for authorization all medical professionals to admit and treat patients and provide other clinical services commensurate with their qualifications. There is a process for collecting, verifying and evaluating the credentials (education, registration, training and experience ) of nursing staff. There is a process to identify job responsibilities and make clinical work assignments to all nursing staff members commensurate with their qualifications and other regulatory requirements.

11. The organization has a well documented disciplinary procedure . A grievance handling mechanism exists in the organization. The organization addresses the health needs of the employees . There is a documented personal record for each staff member. There is a process for collecting, verifying and evaluating the credentials (education, registration, training and experience ) of medical professionals permitted to provide patient care without supervision.

12. Thank You.