A proven pathway to NABH Accreditation
Conduct gap analysis and build action plan
1.Perform a baseline assessment of your hospital performance against NABH Standard
2. An action plan outlines a hospital's intended actions towards performance improvement. The plan can be used to respond to a minor shortfall in standards compliance after the baseline assessment or as a part of a root cause analysis of a more significant underperformance.
Update policies and procedures
3. Assess your hospitals policy and procedures
4. Develop a process to create NABH Complaint policy
Target improvements where needed
5. Examine the Challenges
6. Assess your hospitals Risk and Adverse Events
7. Remedy Challenges without delay
Work with staff to overcome obstacles
8. Explain how to achieve a culture of safety
9. Train staff in new procedures
10. Involve Physician Leaders
Assess your readiness at the medpoint
11. Prepare your staff for mock audit
12. Conduct patient tracers
12 involve your staff
Continue training for sustainable changes
13. Keep your staff educated and motivated about improving procedures.
14Complete your mock audit planning
Evaluate and refine processes
15. Use your accreditation team to SPOT deficiencies
16. Encourage staff to make corrections
17. Build a Cohesive Spirit
Use a mock survey to assess your readiness
18. Conduct our final mock audit
19. Spot necessary improvements
20. Plan Corrections
Make final modifications
21. Make final preparation for Pre and Final assessment
22. NC- Closures Support
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