The need of NABH Entry Level Accreditation!

Nowadays, most of the Healthcare Organisations are becoming very prominent about Patient safety. Almost every hospital is striving for quality improvement in actual patient care and patient safety; however, there is no universal rule to estimate the right method of quality evaluation.
Generally, quality measures fall into four broad categories:

1) Structure

2) Process

3) Outcome

4) Patient Experience.

In order to attain the required quality level, a standard construct should be in place  which can take care of the main objective of patient safety and quality of care.

Value of Standardisation

The standardisation ensures improvement in  hospital’s performance.The standardisation consists of a framework based process-driven approach which  is required to bring improvement in the quality .Nevertheless, standardisation also provides option for initiative development in service delivery processes ,resulted into  the expansion of the comprehensiveness of services . The establishment of a quality system in a healthcare organisation facilitates the standardisation of the systems and processes (both clinical and administrative).  The quality system thus acts as a rider for healthcare organisations to focus on needs and expectations of both patient and provider.

NABH Objective

NABH Objective is to avail accreditation and allied program aiming to improve patient safety and quality of healthcare in India. Very few hospitals in the country have passed through the accreditation exercise so far even though the standards were developed  in 2006. A significant chunk of hospitals has been facing challenges and difficulties in the proper implementation of the standards.
In order to make those hospitals pass the ongoing hurdle, NABH has developed Pre Accreditation Entry Level certification standards.

Frequently Asked Question

What will be the next step of Entry Level Certification?


Post getting Pre Accreditation Entry Level Certification, the HCO/SHCO can then prepare and move to the next stage – “Progressive” or “Standard” Level and finally to “Full Accreditation” status.


What is the type of Methodology used?


The Methodology will not be a one-step process instead of a step by step and staged approach will be used, which is practical for the Hospitals.

Is it Entry Level Accreditation mandatory for Full Accreditation?

Based on the readiness, Hospitals can apply for any stage of Accreditation, e.g. an HCO can directly apply for Full Accreditation or can take this step by step approach.

The Methodology will not be a one-step process instead of a step by step and staged approach will be used, which is practical for the Hospitals.


How to identify readiness status?
A baseline assessment can help the Hospitals to understand whether they should apply for Entry level or Full Accreditation.

Is NABH only for hospitals having more staff and excellent infrastructure?

Small healthcare organisation entry-level requirements focus only on the minimum critical elements essential for patient safety.

Does highly skilled personnel required to become NABH coordinator?
The hospital can identify anyone from their existing set-up (including doctor/owner) and train him/her for implementing the standards.

What kind of infrastructural changes would be required to get NABH certification?
Entry level standards do not demand any infrastructural changes in their standards

Is it tough is to implement and follow NABH standards?
With proper guidance from experts. The implementation becomes pretty smooth

Is NABH create an unnecessary burden of an additional expense for doctors and hospitals
NABH is an investment, which helps hospitals in improved revenue, patient experience and overall quality

Is there any value of NABH accreditation, is it essential?
Governing bodies like IRDA, CGHS, ECHS etc., have been instrumental in spreading awareness about NABH

Are standards for large hospitals and small hospitals the same?
NABH Standards are entirely different for large and small hospitals.

Will regular hospital staff be able to implement and follow NABH standards?
If provided with proper guidance, the staff can easily follow and implement standards.

Can NABH certification be achieved just by reading the standards available
Proper implementation techniques and guidance from experts would be required