About Ayurveda

Ayurveda has been recognized internationally and is gaining popularity lately. Ayurveda offers solutions for certain conditions where no other ailment is available in modern medicine.

NABH AYUSH Hospital Accreditation Program was started in 2009 in association with the Ministry of AYUSH, Govt. of India. There are comprehensive quality assurance standards for Ayurveda, Yoga & Naturopathy, Unani, Siddha and Homoeopathy Hospitals. There are separate standards for Panchakarma clinics which have been detailed in the section https://themedigence.com/nabh-for-panchkarma-clinic/.

What are NABH Ayurveda standards?

The accreditation standards help in improving the quality of patient care by improving the quality of standards of the Ayurveda Hospitals. Accreditation standards are based on three components- structure, process and outcome. These standards measure the quality and safety aspects of the care delivered to the patients.

For Ayurveda Hospitals there are separate standards for NABH accreditation. NABH standards for Ayurveda hospitals are different from other modalities Yoga & Naturopathy, Unani, Siddha, Homoeopathy and Panchkarma clinics. All the Ayurveda hospitals with at least 10 in-patient beds strength, standalone or otherwise, established for inpatient care and day care therapeutic procedures/interventions for diseases or disorders with indicated procedures are eligible to go for the accreditation.

NABH Standards for Ayurveda hospitals prepared by a technical committee contains a complete set of standards for evaluation of Ayurveda hospitals for grant of accreditation. The standards provide a framework for quality of care for patients and quality improvement for Ayurveda hospitals. The standards help to build a quality culture at all levels and across all the functions of Ayurveda hospital. 

There are two kinds of standards – Accreditation Standards and Structural Standards. Accreditation standards are based on three components- structure, process and outcome. These standards measure the quality and safety aspects of the care delivered to the patients. Structural standards are those which basically deals with infrastructural requirements to help the organisations to deliver quality of care. 

NABH Accreditation Standards for Ayurveda Hospitals in its latest 2nd Edition has 10 chapters incorporating 94 standards and 489 objective elements. 

NABH Chapters are divided into the following categories.

Patient Centric Standards

Chapter 1 – Access, Assessment & Continuity of Care (AAC)

Chapter 2 – Care of Patients (COP)

Chapter 3 – Management of Medication (MOM)

Chapter 4 – Patient Rights & Education (PRE)

Chapter 5 – Hospital Infection Control (HIC)

Organization Centric Standards


Chapter 6 – Continuous Quality Improvement (CQI)

Chapter 7 – Responsibility of Management (ROM)

Chapter 8 – Facility Management & Safety (FMS)

Chapter 9 – Human Resource Management (HRM)
Chapter 10 – Information Management System (IMS)

A copy of the NABH standards can be availed from the NABH website: 

https://www.nabh.co/NABHStandards.aspx

Who can apply for NABH Accreditation for Ayurveda Hospitals?

As stated earlier, all the Ayurveda hospitals with at least 10 in-patient beds strength, standalone or otherwise, established for inpatient care and day care therapeutic procedures/interventions for diseases or disorders with indicated procedures are eligible to go for the accreditation.

Further, as per the new IRDA guidelines, NABH accredited Ayurveda Hospitals can now avail insurance benefits for their patients. Also the hospitals can pass the benefits of the improved quality and procedures to their patients. Hence, the Ayurveda hospitals aspiring to provide cashless benefits to their patients can apply for the NABH accreditation of Ayurveda Hospitals.

What are the advantages of NABH Accreditation for Ayurveda Hospitals?

The NABH accreditation in an Ayurveda Hospital ensures that it meets nationally recognized standards. The standards are endorsed by the Ministry of AYUSH.

Confidence in accreditation is obtained by a transparent system of control over the accredited hospital and an assurance given by the accreditation body that the accredited hospital constantly fulfills the accreditation criteria.

Benefits for Patients

Patients are the biggest beneficiary among all the stakeholders. Accreditation results in high quality of care and patient safety. The patients are serviced by credential medical staff. Rights of patients are respected and protected. Patients satisfaction is regularly evaluated. Also, the patient can avail the benefit of a cashless facility to some extent if your Ayurveda Hospital is NABH accredited. This will attract the patients to your hospital over other non accredited Ayurveda Hospitals. For more information you can visit the following link: https://www.policybazaar.com/health-insurance/individual-health-insurance/articles/health-insurance-covers-traditional-treatments/

Benefits for Ayurveda Hospitals

Accreditation to an Ayurveda hospital stimulates continuous improvement. It enables hospitals to demonstrate commitment to quality care. It raises community confidence in the services provided by the Ayurveda hospital. It also provides opportunity to healthcare unit to benchmark with the best.

Benefits for Hospital Staff

The staff in an accredited Ayurveda hospital is satisfied as it provides for continuous learning, good working environment, leadership and above all ownership of clinical processes. It improves overall professional development of Clinicians and Para Medical Staff and provides leadership for quality improvement with medicine and nursing.

Benefits to paying and regulatory bodies

Finally, accreditation provides an objective system of empanelment by insurance and other third parties. Accreditation provides access to reliable and certified information on facilities, infrastructure and level of care.

What is the duration of NABH Accreditation for Ayurveda Hospitals?

Just like other accreditation programs, the duration of the entire process of NABH Ayurveda Accreditation is dependent upon various phases that need to be accomplished. It may take from 10-12 months for the entire process till your hospital receives the accreditation.

  • Preparing the Ayurveda Hospital, Self Assessment & filling up the NABH Application form – 3 months
  • Pre Assessment – Pre assessment generally happens 3 months after the NABH application form is filled. 
  • Final Assessment – After Pre assessment, the final assessment may be planned within 3 months of successful acceptance of the closure report
  • NABH Accreditation committee review meeting & awarding accreditation: This phase will take generally 1-2 months’ time while the case is being reviewed by the NABH Accreditation committee.

What is the process of NABH Accreditation for Ayurveda Hospitals?

There are various stages involved in the entire process of NABH accreditation. Medigence shall assist you and hand hold you in each and every step in order to successfully get your Ayurveda Hospital NABH accredited.

The Ayurveda Hospital participating in accreditation will be expected to provide the following evidence and Medigence shall help you with furnishing the details accurately just as required by NABH.

  • Approved documents that identify relevant service policy, protocols and/or strategies and set out how the clinic plans to deliver each standard and objective element therein.  
  • Evidence that demonstrates that the Ayurveda hospital is implementing these policies, protocols and/or strategies.
  • Evidence that demonstrates that the Ayurveda Hospital is monitoring and evaluating its performance regularly in the implementation of its policies, protocols and strategies.

Preparing the Ayurveda Hospital for accreditation:

The Ayurveda should implement the NABH Accreditation standards for at least 3 months before applying for NABH. Medigence team of NABH experts shall guide your clinic in understanding the standards and implementing them.

Preparing your hospital shall involve the following activities

  • Performing Gap assessment of the hospital for infrastructure changes, equipment changes, licenses and regulatory requirements and human resources 
  • Sensitization of staff including the Vaidyas and Paricharaka (assistant/technician) related to all the Ayurveda NABH accreditation standards
  • Advisory support for the overall Ayurveda NABH Accreditation Process
  • Documentation of all required policies and SOPs related to various Ayurveda treatments and procedures
  • Guidelines and tools for implementation of policies and procedures
  • Guidelines for training programs
  • Assistance in conducting Internal Assessments
  • Guideline for Statutory Requirements and Licenses
  • Assistance for Quality Structure and Committee Functions

Filling up the NABH Application form

Once the Ayurveda Hospital is prepared, our NABH experts shall guide you in filling up the NABH application form and paying the application fees. 

Internal audit & Mock Assessment

NABH will scrutinize the application and plan for the pre assessment. In the meanwhile, our NABH consultants shall help you with various implementation processes, training programs, mock drills and internal audits. Once the pre assessment date is received, Medigence shall conduct a mock assessment. This shall ensure the readiness of the Ayurveda Hospital to face the actual assessment. 

Pre assessment

During the pre-assessment our NABH consultants shall support you from the back end. Post pre-assessments, all the non-compliances raised by the assessor shall be discussed in detail and a corrective and preventive action plan will be developed based on the nature of the non-compliance. The closure report shall then be submitted to NABH for further review. 

 

Final Assessment

Once the Pre-assessment closure report is successfully accepted by the assessor, the final assessment is planned. Our NABH experts shall extend continuous support from the back end similar to pre assessment. We shall also guide you in preparing and submitting the closure report in response to the non-compliances generated during the assessment. 

NABH Accreditation Committee Review & receiving Accreditation

Once the closure report is accepted by the assessor, the NABH accreditation committee will review our case and accreditation will be awarded.

Once received, the accreditation is valid for a period of 3 years.

Surveillance

In order to ensure that the Ayurveda Hospital is maintaining the standards and implementing them, surveillance assessment is planned every 16-18 months after the accreditation is granted. 

Renewal of accreditation

Renewal happens after 3 years of your first accreditation. The Ayurveda Hospital has to apply 6 months before the expiry of the accreditation in order to maintain the same.