The hospitals preparing for NABH Entry level certification shall undergo various phases starting from preparing for the certification to receiving the certification. Medigence shall guide you and handhold your hospital at each and every stage of your NABH journey.
Preparing for NABH Certification:
The stepping stone for preparing for the certification is to sensitize your entire staff as well as stakeholders and understand the importance of the program. Our NABH experts will guide you through the entire procedure assisting you and your staff with all the required training programs, developing checklists and registers, providing forms and formats for implementation, formulating policies and procedures and conducting mock drills.
Registration & filling up the application form:
Once the hospital is ready, we shall help you to register on the HOPE portal according to the new guidelines. Once you fill the basic details and register your hospital, you will receive a temporary registration number. Our NABH consultant shall then help you in filling up the entire application form.
The application form is highly exhaustive and contains a very comprehensive sectioned questionnaire which requires plenty of details to be filled accurately, that too within a stipulated time. Once the application form is completely filled, the link for payment is activated and the hospital has to pay the annual fees online only. After the payment is successful, the hospital receives a permanent number.
Once the application form is successfully filled, the form will be reviewed and assessed by NABH online. Incase there is any non-compliance, the hospital is required to submit the closure report on the portal itself within a period of 7 days. The hospital only gets 2 such chances and still if the hospital fails to submit the closure report, the entire form is rejected and the hospital has to again start with the registration process and make fresh payment.
Our experienced team of NABH consultants ensures that the desktop assessment is successfully completed in a single attempt only.
Implementation, Monitoring & Mock assessment:
After desktop assessment, the hospital shall have around 2-3 months before they receive the on-site assessment dates. During this phase, our NABH experts shall ensure that all the training and implementation is an ongoing process, quality indicators are regularly monitored and mock drills are conducted as scheduled.
Just after receiving the assessment date, we shall conduct a mock assessment from another NABH expert in order to sensitize the staff as to what to expect during the actual assessment. Non-conformities shall be raised just the way it is expected in the on-site assessment and closure report will also be furnished. This exercise shall help the hospital to prepare itself fully and shall act as a grand rehearsal.
We shall also guide you about liaising with the assessor and plan the assessment schedule. Our consultant shall also guide you in preparing any pre-assessment documentation as requested by the assessor.
On-site Assessment / Physical Assessment:
On-site assessment will be done by the NABH assessor appointed by NABH. During the on-site assessment our NABH consultant shall remotely assist you from the back-end. Post assessment briefing session will be conducted immediately so as to take a note of the non-compliances raised (if any) and prepare the closure report.
Preparing & submitting the non-compliance closure report:
The hospital will have a defined time (7 days) to close all the non-compliances raised by the NABH assessor. Medigence will help you prepare and submit the closure report well within the timeline.
Committee Review & Certification
On successful acceptance of the closure report submitted, the hospital application will be sent to the certification committee for review. The committee may ask to furnish certain details after reviewing the application. Medigence shall also assist you during this final stage of your process and assist you in submission of the query reply. Final decisions taken by the committee will be then communicated to the hospital and certification will be awarded.