Accreditations
JCIA
Why JCI accreditation?
Joint Commission International (JCI) works to improve patient safety and quality of health care in the international community by offering education, publications, advisory services, and international accreditation and certification. JCI partners with hospitals, clinics, and academic medical centers, health systems and agencies, government ministries, academia, and international advocates to promote rigorous standards of care and to provide solutions for achieving peak performance.
Organizations that achieve and maintain JCI accreditation are dedicated to providing their patients the best level of care possible. JCI accreditation focuses on building a culture of patient safety. Developed by health care experts from around the world and tested in every world region.
Our scope of service
Pre-Survey
- Hospital Wide Gap Analysis as per the JCIA standard requirements
- Project planning & timelines
- Training Program for hospital staffs- Train the trainers
- Support in Documentation- Developing policies, plans & Manuals
- Developing Key Performing Indicators & Analysis (Development of KPI Profiles, Data collection Tools, dashboards, trend analysis)
- Design of KPI data validation and analysis
- JCIA Library of measures
- Designing the quality and patient safety programme.
- Support in Implementing Quality improvement projects (Clinical & Non clinical), using Quality tools (FOCUS PDCA, DMAIC, RCA, FMEA, HVA, 5S, etc)
- Support in Identifying, monitoring and analysing the Clinical pathway & Clinical Practice guidelines compliance.
- Designing the Ongoing Physician Performance Evaluation for clinicians
- Conducting periodic Mock Audits for onsite preparedness
- Conducting audits for facility, infection control and medical records related compliance- Fire safety, emergency preparedness (non-clinical), hazard safety compliance check, waste management, medical record Deficiency audit, IT down time planning etc
- Training & Support in planning the Clinical Audit and analysis, with one real time case study.
- Design of hospital committees and performance evaluation
- Conducting Tracers – Patient safety & facility
- Support in JCIA application submission
- Safety Culture survey and analysis
- Training on Incident reporting & Root cause analysis
- Arranging JCIA mock Survey by external Surveyor (if required) and daily briefing on the observations/action plans.
During Onsite JCIA survey
- Full time onsite availability to support the team
- Support in Management of onsite Survey Command centre
- Daily briefing to the team and next day planning
Post Onsite JCIA survey
- Discussions, analysis and planning of actions for ‘Partial Mets” and “Not Mets
- Support in Submission of ‘Strategy into Plan” (SIP) to JCIA
NABH
Why NABH?
- Patients are the biggest beneficiary as implementation of accreditation standards ensures Patient safety, commitment to quality care resulting in good clinical outcomes
- Improves patient satisfaction and increases community confidence as services are provided by credentialed medical staff
- Accreditation status provides good marketing advantage in the competitive healthcare.
- The HCO standards has been accredited by ISQua giving the accreditation an international recognition which will boost medical tourism
- Accreditation provides an objective system of empanelment by insurance and other third parties
Our scope of service
- Hospital Wide Gap Analysis as per the NABH (Current) standard requirements
- Project planning & timelines.
- Train the trainers - on NABH implementation of the standards (All 10 Chapters)
- Support in Documentation- Preparation/ updating policies, plans & Manuals
- Assist in designing the Quality Assurance programme
- Developing Key Performing Indicators & Analysis (Development of KPI Profiles, Data collection Tools, dashboards, trend analysis)
- Support in Implementing Quality improvement Projects (Clinical & Nonclinical), using Quality tools (FOCUS PDCA, DMAIC, RCA, FMEA, HVA, 5S, etc). (Explained with real time example)
- Support in developing safety culture survey, training of staff, rolling out of survey, analysis of results and final making a final report. (Explained with real time example)
- Training & Support in planning the Clinical Audit and analysis, with one real time case study.
- Internal Assessment and NABH Mock Audit
- Support in Filing NABH Application
- Doubt clearing sessions, as and when required.
- Arranging NABH mock Survey by external Surveyor (if required)
- Support during onsite Assessment (All days)
- Action plan on Report of NABH
NABL-ISO15189:2022 for Medical Laboratories
Why NABL?
NABL is an accreditation body, with its accreditation system established in accordance with ISO/ IEC 17011. NABL provides voluntary accreditation services To Medical testing laboratories in accordance with ISO 15189 ‘Medical laboratories -Requirements for quality and competence’. Laboratories implementing ISO 15189 strive to:
- Create systems that are as failure resistant as possible, will catch mistakes before they become a problem and reduce errors by getting things right the first time
- Identify opportunities for improvement at all times
- Involve and empower their staff by involving them in the solving of problems and the implementation of solutions
Our scope of service
- Gap Analysis as per ISO 15189:2022 (Current) standard requirements
- Project planning & timelines.
- Train the trainers - on ISO 15189:2022 implementation of the document (Technical & Management requirements)
- Support in Documentation & Implementation - Preparation of policies, forms & formats , lab safety manual & Quality Manual.
- Conducting Internal Audits
- Support in conducting Management review meeting
- Doubt clearing sessions, as and when required.
- support in updating the application
- NABL pre assessment audit
- Full time support during onsite NABL certification days