NSQF QUALIFICATION FILE

NSQF QUALIFICATION FILE Approved in 23rd NSQC meeting dated: 22nd August, 2019

NSQC APPROVED 1

CONTACT DETAILS OF THE BODY SUBMITTING THE QUALIFICATION FILE Name and address of submitting body:

Healthcare Sector Skill Council

Office No. 520-521, 5th Floor, DLF Tower A, Jasola, New Delhi - 110025, India

Name and contact details of individual dealing with the submission

Name: Mr. Ashish Jain

Position in the organisation: Chief Executive Officer

Address if different from above: NA

Tel number(s): 011-40505850, 011 41017346

E-mail address: [email protected]

List of documents submitted in support of the Qualifications File

1. Qualification Pack- Annexure1

2. Occupational Mapping Report-Annexure 2

3. Industry Validations- Annexure 3

4. Model Curriculum – Annexure 4

Model Curriculum to be added which will include the following:

• Indicative list of tools/equipment to conduct the training

• Trainers qualification

• Lesson Plan

• Distribution of training duration into theory/practical/OJT component

SUMMARY

mailto:[email protected]


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1 Qualification Title: Healthcare Quality Assurance Manager

2 Qualification Code, if any: HSS/Q6106

3 NCO code and occupation : Nearest Mapping to NCO-2015/2263.9900

and Healthcare Administration

4 Nature and purpose of the qualification (Please specify whether qualification is short term or long term)

This is a short term up-skilling course in which individuals would ensure that healthcare organization gets the right guidance to implement quality accreditation/ certification standards and healthcare personnel are guided to follow quality parameters at all times.

-

5 Body/bodies which will award the qualification Healthcare Sector Skill Council

6 Body which will accredit providers to offer courses leading to the qualification

National Skill Development Corporation (NSDC) and Healthcare Sector Skill Council

7 Whether accreditation/affiliation norms are already in place or not , if applicable (if yes, attach a copy)

Follow SMART Process of NSDC for affiliation and accreditation. Theory and Practical in Class Room and OJT in Hospital setting

8 Occupation(s) to which the qualification gives access Healthcare Quality Assurance Manager work either as consultant or within the Quality Department of hospitals and healthcare organizations. This could also be the additional role given to the existing healthcare professionals heading towards quality accreditation. These professionals could also usually be absorbed in tertiary/large hospitals or secondary hospitals, single specialty hospitals, nursing homes as well as standalone healthcare providers as consultants or within quality department.

9 Job description of the occupation A Healthcare Quality Assurance Manager’s main job is to ensure that healthcare organization gets the right guidance to implement quality accreditation/ certification standards and healthcare personnel are guided to follow quality parameters at all times

10 Licensing requirements NA

11 Statutory and Regulatory requirement of the relevant sector (documentary evidence to be provided) NA

12 Level of the qualification in the NSQF Level 6

13 Anticipated volume of training/learning required to complete the qualification 500 Hrs

14 Indicative list of training tools required to deliver this qualification; 1. Case studies and flowcharts describing classification of the hospitals (5

copies) 2. Case studies describing all modules (5 copies for each module)


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3. Sample training modules for training quality aspects (3) 4. Sample formats of reports and hospital quality documents (5 copies) 5. Sample standard hospital protocols (5 copies) 6. Current Guidelines on handling of biomedical wastes (5 copies) 7. Hand washing equipment and hand rubs (10) 8. Spill kit (2) 9. Case studies and role play videos for portraying effective networking

amongst the team members (5 copies) 10. Different colour coded bins (2 each) 11. Guidelines of BMWM (5 copies) 12. First aid kit (2 kits) 13. Computer with internet facility and latest MS office (5) 14. NABH standards latest edition (5 copies) 15. Policies & Procedures for Assessment, Surveillance and Re Assessment

of HCO (5 copies)

15 Entry requirements and/or recommendations and minimum age Medical Graduate (MBBS/ BHMS/ BAMS/ BUMS) with 3 years’ experience in the related field Or Graduate (Nursing/ Allied Health Professionals/ NSQF Certification in Assistant Duty Manager-Patient Relation Services) with 5 years’ experience in the related field. In case of Masters (Nursing/ Allied Health Professional) & BDS, 3 years’ experience in the related field Or Post Graduate (Masters/ PG Diploma in healthcare administration) with 3 years’ experience in the related field Minimum Age: 25 years

16 Progression from the qualification (Please show Professional and academic progression) Progression will be possible in both academic as well as professional area after relevant years of working experience or through bridge module training ; Level 6- Assistant Duty Manager - Patient Relations Services or Level7- Quality Healthcare Auditor/ Assessor

17 Arrangements for the Recognition of Prior learning (RPL) HSSC has developed RPL policy to conduct pre assessment of students for gap analysis as per NOS, sharing the gap & final assessments of students and certification. It is explained in section 1 under Assessment, Point 2

18 International comparability where known (research evidence to be provided) While writing the NOSs the UK & Australia NOSs were also referred to and an effort was taken to maintain comparability in the technical part of the NOSs.

19 Date of Planned Review of the Qualification

After 3 years

20 Formal Structure of the Qualification Mandatory Components

Title of Component and Identification code/NOS’s/Learning Outcome

Estimated Size (Learning Hours)

Level


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HSS/N6123: Study the healthcare organization, plan and develop quality processes accordingly

COMPULSORY NOS: Total Duration 500:00 Theory Duration 120:00 Practical Duration 80:00 OJT Duration 300:00

6

HSS/N6124: Perform gap analysis of healthcare quality procedures and implement improvement strategy

6

HSS/N6125: Identify training needs

and organize training interventions to meet healthcare quality standards

6

HSS/N6126: Carry out internal audits

and review the audit findings with management at all stages of healthcare organization

6

HSS/N6127: Prepare and support

healthcare organization before, during and after external audits for achieving quality accreditation/ certification

6

HSS/N6128: Promote Institutionalizing continuous quality improvement in healthcare organization

6

HSS/N6129: Apply NABH standards for

accreditation of healthcare organization

HSS/N9615: Maintain interpersonal

relationship with colleagues, patients and others

4

HSS/N9616: Maintain professional &

medico-legal conduct

4

HSS/N9617: Maintain a safe, healthy

and secure working environment

4

HSS/N9618: Follow biomedical waste disposal and infection control policies and procedures

4

Sub Total A 500 Hrs

Elective Components

Title of Component and Identification code/NOS’s/Learning Outcome

Estimated Size (Learning Hours)

Level

NA NA NA

Sub Total B NA

Total (A+B)

500 Hrs 6


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SECTION 1

ASSESSMENT

21 Body/Bodies which will carry out assessment:

HSSC Accredited Assessing Bodies

22 How will RPL assessment be managed and who will carry it out? Give details of how RPL assessment for the qualification will be carried out and quality assured. HSSC conducts QP-NOS based direct three-way assessment for each and every candidate applied for recognition of prior learning (vis. Certifying the un-certified but skilled workforce who acquired skills through experience of years). Here, the candidates may undergo short-term training of gaps identified. The assessment is conducted via HSSC certified assessor. The assessment pattern is as follows: REGISTRATION The candidates need to submit registration form online along with uploading of scanned copies of some mandatory documents. Based on screening of the form, the candidates would be registered on conforming following eligibility criteria.

PRE-ASSESSMENT: The purpose of Pre-assessment is to shortlist candidates as per prescribed limit, and also to notify gaps NOS wise to each candidate for their own self-training or opting for short-term training module before final assessment. The pre-assessment also informs about the reliability of information provided by candidates that they have experience working in the given job role. The pre-assessment is Online, Objective type, NOS based, with Each NOS compulsory each carrying 100 marks, No negative marking for incorrect answers, Test venue is kept as may be home/cyber café/institution/HSSC assessment center if the system have google chrome (Version 41.0.2272.101) and a web camera. Timed test link which expires after 90 minutes from the time of starting / writing the test is used for the same. Result is presented with no. of questions allotted and answered correctly for each NOS along with marks scored for each NOS out of 100.

PORTFOLIO SCREENING

Each registered candidate has to prepare and submit the portfolio as per formats given by HSSC. The portfolio may be verified by HSSC/nominated assessor during pre-assessment and scoring card is given for each


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portfolio.

FINAL ASSESSMENT: The candidates conforming to RPL guidelines based on both pre-assessment and portfolio screening are finally selected for final assessment. Final assessment is conducted through HSSC accredited Assessing body as per HSSC defined assessment criteria and NOS used for assessment of fresh entrants as described above. Final Assessment is conducted at the training site or at working place in case number of enrolled candidate from the site is more than 15. If needed, Assessment centers is arranged for assessment of candidates in cluster

23 Describe the overall assessment strategy and specific arrangements which have been put in place to ensure that assessment is always valid, reliable and fair and show that these are in line with the requirements of the NSQF.

QA regarding accreditation of Assessing Body:

The HSSC Accreditation process is divided into two steps: 1) Pre-accreditation process:

Apply for Accreditation: Application form with desired documents in prescribed format to be sent.

Document Compliance Check: to be done for ensuring the compliance and adherence of applied assessing body according to criteria laid down by HSSC.

Presentation on Quality Assurance: to be given by Assessing body highlighting the quality assurance process laid down by AB at the process points

Once the assessing body clears the due diligence process, the accreditation is given along with terms and conditions.

2) Post-accreditation process: Post accreditation, the accredited assessing bodies needs to fulfill following minimum eligibility criteria or requisites for implementation:

All Empanelled Assessors would have to undergo “Train the Assessor” Program conducted by HSSC for each job role

time to time.

Accredited Assessing Body would have to abide with requisite time-lines, policies and regulations declared by HSSC.

Accredited Assessing Body with times would have to contribute in expansion of the questionnaire.

QA Regarding Assessment Criteria & papers:

The emphasis is on ‘learning-by-doing' and practical demonstration of skills and knowledge based on the performance criteria. Accordingly, assessment criteria for each job role is set and made available in qualification pack.

The assessment papers for both theory and practical are developed by Subject Matter Experts (SME) hired by Healthcare Sector Skill Council or with the HSSC accredited Assessment Agency as per the performance and assessment criteria mentioned in the Qualification Pack. The assessments papers are also checked for the various outcome based parameters such as quality, time taken, precision, tools & equipment requirement etc.


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The assessment sets as well as assessment criteria are then reviewed by panel of experts from Industry as well as HSSC official for consistency and suitability. The assessments are designed so as to assess maximum parts during the practical hands on work. The technical limitations at the training centres are taken care in theory and viva.

All HSSC accredited Assessment Agency follow the "HSSC process of Assessment Framework" and HSSC approved assessment papers. The assessment by assessment agency will be completely based on the assessment criteria as mentioned in the Qualification Pack developed by HSSC.

Each NOS in the Qualification Pack (QP) will be assigned a relative weightage for assessment based on the criticality of the NOS. Therein each Performance Criteria in the NOS will be assigned marks for or practical based on relative importance, criticality of function and training infrastructure.

The following tools are proposed to be used for final assessment:

1 Practical Assessment: This will comprise of a creation of mock

environment in the skill lab which is equipped with all equipment’s required for the qualification pack. Candidate's soft skills, communication, aptitude, safety consciousness, quality consciousness etc. will be ascertained by observation and will be marked in observation checklist. The end product will be measured against the specified dimensions and standards to gauge the level of his skill achievements. 2 Viva/Structured Interview: This tool will be used to assess the

conceptual understanding and the behavioural aspects as regards the job role and the specific task at hand. It will also include questions on safety, quality, environment and equipment's etc. 3 Written Test: Under this test few key items which cannot be assessed

practically will be assessed. The written assessment will comprise of i. True / False Statements ii Multiple Choice Questions iii Matching Type Questions. iv) Fill in the blanks

QA Regarding Assessors:

Assessors are selected as per the “eligibility criteria” laid down by HSSC for assessors for each job role. The assessors selected by Assessment Agencies are scrutinized and made to undergo training and introduction to HSSC Assessment Framework, competency based assessments, assessors guide etc. HSSC conducts “Training of Assessors” program time to time for each job role and sensitize assessors regarding assessment process and strategy which is outlined on following mandatory parameters:

1) Guidance regarding NSQF 2) Qualification Pack Structure 3) Guidance for the assessor to conduct theory, practical and viva

assessments 4) Guidance for trainees to be given by assessor before the start of


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the assessments. 5) Guidance on assessments process, practical brief with steps of

operations practical observation checklist and mark sheet 6) Viva guidance for uniformity and consistency across the batch. 7) MOCK assessments 8) Sample question paper and practical demonstration

HSSC also conduct telephonic orientation of the assessors before each assessment for the given job role to assure quality, fairness and timely conduct of assessment.

The assessment agencies are instructed to hire assessors with integrity, reliability and fairness. Each assessor shall sign a document with its assessment agency by which they commit themselves to comply with the rules of confidentiality and conflict of interest, independence from commercial and other interests that would compromise impartiality of the assessments.

QA before, during and after Assessments:

HSSC ensures pre-requisites of Assessment needed by training institute regarding ARTICLES like Mannequins, Mock Ward Infrastructure, Transferring Equipment, Job role related equipment; INFRASTRUCTURE like Class rooms, Skill Lab, Aids like board/marker/logistics, Furniture like display tables, chairs; STAFF like Co-ordinator from training institute, Peon, Some additional members(for simulated situations, if required); DOCUMENTS like Admit Card, Govt. validated ID proof, Record Books like attendance, log book, internal evaluation sheets, Student Enrollment details; for CO-ORDINATION one full time co-ordination point for co-ordination with assessment coordinator before, during and after assessment.

HSSC ensures the three Phases of Assessment to be assured by assessing body and assessor for fair, consistent and quality assessment. The three phases of assessment is enlisted below:

PREPARATORY PHASE: Documents ensured to be packed, sent and received: Seal Pack of Sets of Papers, Invigilation Sheet/Covering letter, OMR/Answer sheet; Well Co-ordination needs to be assured between

Assessment Co-ordinator of assessing body, HSSC official, Co-ordinator from skill center and assessor.

PHASE OF CONDUCT:

1) Written Examination:

O Assessor should reach the VTP 30 minutes before the assessment and ensure that all the arrangements are as per the HSSC rules and regulation

O He should make seating arrangement to students leaving minimum 3 feet space between candidates.

O He should make the students sit in the order of seating arrangements.

O The enrolment numbers are to be written on the desks before the arrival of students.

O The details to be filled like assessor name , date and Qualification


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name should be written on the board O Learners should keep all their belongings outside the classroom.

All mobiles should be switched off and kept on the desk in front of the invigilator

O The seal of the assessment materials is opened in front of the students.

O OMR sheets to be distributed to all learners O Assessors should instruct the learners on the rules and regulation

of the assessment No. of questions Duration of paper Disciplinary rules Administrative rules

2) Attendance:

O The assessor/assessment co-ordinator needs to get signature of all candidates while theory as well as practical examination on invigilation sheet. The sheets are signed and stamped by the In-charge /Head of the Training Centre.

O The assessor/assessment co-ordinator needs to verify the authenticity of the candidate by checking the photo ID card issued by the institute as well as any one Photo ID card issued by the Central/Government. The same needs to be mentioned in the attendance sheet. In case of suspicion, the assessor should authenticate and cross verify trainee's credentials in the enrolment form.

O The assessor/assessment co-ordinator needs to punch the trainee's roll number on all the test pieces.

O The assessor/assessment co-ordinator needs to take a photograph of all the students along with the assessor standing in the middle and with the centre name/banner at the back as evidence.

O The assessor/assessment co-ordinator needs to carry a camera to click photograph of the trainees working on the job and giving theory exam as evidence.

O The assessor/assessment co-ordinator also needs to carry a photo ID card.

O The assessor/assessment co-ordinator also needs to take the photographs as evidence from appropriate angels/sides of the final work piece/job submitted by the trainee. This evidence is signed by the trainee at the time of submission of the job piece.

O The assessor/assessment co-ordinator needs to measure the dimensions and finish of the submitted job piece as per the tolerance or standards mentioned in the assessment guide.

3) Segregate learners into batches:

O Assign combination of one critical and one elementary NOS along with the soft skill NOS

O Allocate time to learner O Ask learners to be present 5 minutes earlier than the time allotted

at the lab


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4) Conduct Practical Assessments:

O Assign practical task to the learners O Ask the learner to collect articles and be ready for assessments O Observe learner conducting the assigned task O Evaluate and Record observations and marks and in the

recording sheets O You may ask learners question on the task being done

5) Conduct Viva:

O Ask questions from the learners on the assigned task O Ask questions prescribed in the assessment guide on non-

prescribed tasks to ensure that the learners have complete knowledge on the assessment

6) Collate Results:

O Check written answer scripts O Sum up the practical NOS marks O Sum up the viva marks O Remember to sign off on all sheets where scores are mentioned O Submit the collated result to assessment body

representative/project manager 7) Surprise Visits/Surveillance check is kept to ensure the quality

and fair assessments.

POST-ASSESSMENT PHASE

1) Verify Result

O Check for accuracy of names and date of birth O Check for accuracy of marks against each learner O Ensure that the pass percentage is correctly applied to the

result O Ensure that the learner has cleared all sections of the

assessments in line with the HSSC assessment strategy O Check if the excel sheet for each learner is accurately filled

and is available for cross referencing with the covering result sheet

O Each and every result has to get cross-verified by HSSC official

2) Upload/Sharing of Results

O Once the results are ready it is uploaded on the SDMS website/portal and verified on the same

O Or the results are shared to Training institute only by HSSC. O In case of any query or issue raised for assessment, the

assessments are subjected to re-evaluation as per protocol laid down by HSSC.

3) Documentation

O Question papers are kept in secure cupboard with limited and controlled access.

O Used OMR sheets are to be stored for the next ten years


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QP should be always current version

Please attach most relevant and recent documents giving further information about

assessment and/or RPL.

Give the titles and other relevant details of the document(s) here. Include page

references showing where to find the relevant information.

ASSESSMENT EVIDENCE

Complete a grid for each component as listed in “Formal structure of the

qualification” in the Summary.

NOTE: this grid can be replaced by any part of the qualification documentation which

shows the same information – ie Learning Outcomes to be assessed, assessment

criteria and the means of assessment.

24. Assessment evidences

Title of Component:

Job Role Healthcare Quality Assurance Manager

Qualification Pack Code HSS/Q6106

Sector Skill Council Healthcare Sector Skill Council

Guidelines for Assessment 1. Criteria for assessment for each Qualification Pack will be created by the Sector Skill Council. Either each element/Performance Criteria (PC) will be assigned marks proportional to its importance in NOS. SSC will also lay down proportion of marks for Theory, viva and Skills Practical for each element/PC. 2. The assessment for the theory part will be based on knowledge bank of questions approved by the SSC. 3. Individual assessment agencies will create unique question papers for theory part for each candidate/batch at each examination/training center (as per assessment criteria below). 4. Individual assessment agencies will create unique evaluations for skill practical & viva for every student at each examination/ training center based on these criteria. 5. In case of successfully passing as per passing percentage of the job role, the trainee is certified for the Qualification Pack. 6. In case of unsuccessful completion, the trainee may seek reassessment on the Qualification Pack.


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National Occupational Standards (NOS)

Element Performance Criteria (PC) Total Marks

Marks Allocation

Theory Viva Project Skills Practical

Total

HSS/N6123: Study the healthcare organization, plan and develop quality processes accordingly

Promote the adoption of quality standards within healthcare organization

PC1. encourage the management to undertake quality accreditation/certification and feel their professional responsibility towards upgrading and maintaining quality in healthcare organization

75 10 5 15

PC2. develop promotional plan and tools regarding benefits of adherence to quality standards in healthcare organization for its social, economic and clinical growth

PC3. organize promotional sessions with staff of healthcare organization

PC4. develop self-evaluation mechanisms on quality parameters for healthcare personnel and ensure its proper usage

PC5. promote leadership and coordination in the field of technology assessment and quality assurance

PC6. promote the development of strategic quality indicators by the individual specialties

Study the current processes, procedures and protocols of all departments of healthcare organization

PC1. take an informed/written consent from healthcare management for studying the healthcare organization and obtaining the relevant documents, if applicable

15 5 20

PC2. obtain and review current standards, protocols, manuals and policies available in healthcare organization

PC3. plan and visit all departments of the healthcare organization for surface observation

PC4. plan and organize meetings with personnel of each department of healthcare organization for deeper understanding


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PC5. plan and meet patients at different departments at different times for collecting relevant feedback

PC6. study the scope of services of the healthcare organization and type of populace served by the healthcare organization

PC7. study the organizational structure, various committees and the stakeholders of the healthcare organization

PC8. study the current resources of the healthcare organization emphasizing on human and financial resources

PC9. study the mission, vision and business plan of the healthcare organization

PC10. maintain confidentiality of obtained documents and the recorded findings

PC11. plan and meet patients at different departments at different times for collecting relevant feedback PC12. study the scope of services of the healthcare organization and type of populace served by the healthcare organization

PC13. study the organizational structure, various committees and the stakeholders of the healthcare organization

PC14. study the current resources of the healthcare organization emphasizing on human and financial resources

PC15. study the mission, vision and business plan of the healthcare organization

PC16. maintain confidentiality of obtained documents and the recorded findings

PC17. maintain the integrity of the documents and protocols intact

PC18. exhibit calm, polite and patient behaviour with healthcare personnel and patients at all times

PC19. avoid mis-interpreting yourself as investigating officer and a faultfinder, yet keep a critical eye during visit and meetings


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Plan the work sequence with management to meet desired quality standards

PC20. Identify the best suited quality standards for the healthcare organization from the various types of available quality standards

15 5 20

PC21. Study the standards and objective elements of the identified quality standards and identify the objective elements that will be applicable to units of the healthcare organization

PC22. Plan the broader steps and complete work sequence as per accreditation/certification process to meet the identified quality standards

PC23. Set the milestones, targets, resources and timelines in the work sequence

PC24. Constitute working group from within the healthcare organization who could work as per the work plan effectively for compliance, performance management systems and targets.

PC25. Discuss the work plan with management and department heads of healthcare organization and take their consensus

Develop and document the processes, procedures and Standard operational manuals as per agreed quality standards

PC26. Prepare briefings and development activities of documents like processes, procedures, protocols and standard operating manuals that allows the application of a best- quality practice approach across the healthcare organization.

15 5 20

PC27. orient and monitor the working groups for each developmental activity

PC28. Set key elements to be captured in each developmental activity

PC29. Conduct periodic review with each working group for the status of developmental activity against set timelines, resources and target in the work plan

PC30. Ensure completeness, accuracy, comprehensiveness and adherence to agreed quality standards of all documents developed each working group.


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PC31. Facilitate supporting documents and organise meetings with experts for each working group

PC32. collaborate with carers to ensure that quality improvement interventions are specific, measurable, achievable, relevant and timely

PC33. Develop the missing elements in the document and discuss it with the respective working groups & management

HSS/N6124: Perform gap analysis of healthcare quality procedures and implement improvement strategy

Constitute steering and departmental committees depending upon the size of the healthcare organization

PC1. prevail upon the authority to constitute the steering committee comprising of key stakeholders and experts well-represented across all departments, management, governance and decision makers

57 12 5 17

PC2. prevail upon the authority to constitute departmental committees depending on various kinds of departments in the healthcare organization comprising of departmental head and key experts of each of the various roles and responsibilities of department

PC3. define the aim, objectives and measurable outcomes of the committees

PC4. set up the terms of reference of the committees along with timelines, target and resources to meet the desired outcome

PC5. agree the periodicity and nature of meetings of the committees with committee members

Perform gaps analysis in healthcare organizations

PC6. orient committees regarding agreed adoption of quality accreditation/ certification standards by the healthcare organization and its objective elements/different sections

15 5 20

PC7. discuss the work plan set for achievement of the agreed standards and the documents developed for the various processes, procedures, protocols and standard operating manuals adhering to standards with the respective committees


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PC8. compare current standards in healthcare organization with the agreed quality accreditation/certification standards

PC9. compare the vision, mission and business plan of healthcare organization with the agreed quality standards

PC10. identify the gaps and strengths based on comparative analysis PC11. identify zero tolerance gaps to be bridged based on agreed quality standards

PC12. brainstorm all possible or potential contributing causes and their interrelationships with the identified gaps

PC13. summarize the agreed points and present it to management

PC14. derive on final action plan based on discussions and recommendations of management/steering committee on identified gap analysis

Apply the objective elements/ different sections of agreed quality accreditation/ certification standards to bridge the identified gaps

PC15. map the identified gaps with objective elements/ different sections of agreed quality standards

15 5 20

PC16. devise mechanism to monitor the improvement strategy adopted to bridge the gaps for each department based on action plan with measurable outcomes

PC17. implement the improvement strategy in each department and assess the progress periodically

PC18. establish a way to communicate progress to management and highlight the issues faced while implementation and its possible solutions or interventions

PC19. bridge all identified and agreed gaps, eliminate all root causes and complete the improvement strategy in defined timelines, resources and targets

PC20. exhibit professional behaviour and interpersonal relationships at all times


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PC21. organize departmental and steering committee meetings periodically to review the status of implementation of improvement strategy till closure

PC22. submit the final report of improvement strategy adopted with its achieved outcomes

HSS/N6125: Identify training needs and organize training interventions to meet healthcare quality standards

Identify training objectives for employees of healthcare organization

PC1. Organize meeting with the healthcare management, department and personnel to identify the training need based on agreed quality accreditation/ certification standards

48 10 5 15

PC2. Map the identified training needs with objective elements and different sections of agreed quality accreditation/certification standards

PC3. Set the training objectives and outcomes for all employees/ different categories of the employees working in the healthcare organization

PC4. Divide the training objectives into common and specific for whole organization and its departments, respectively

PC5. Create the roadmap of the training program differentiating the content to deliver at the time of induction or over a period of time or around quality audits

PC6. Encourage participants for undertaking training interventions for better professional outcomes as well as patient care

Design, create and implement the program

PC7. Design the training program involving relevant information and/or instructions about infection control; biomedical equipment routine use, trouble shooting, cleaning, and maintenance; patient centric clinical protocols; feedback and grievance mechanism; professional and interpersonal behaviour etc.

13 5 18

PC8. Create identified learning outcome based training modules using appropriate training delivery methods appropriate to the learning environment


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PC9. Organize training programs periodically considering the gaps analysis and improvement strategy drawn to address the gaps

PC10. Develop training aids and use various facilitation techniques for demonstrating hands-on-skills based training and interactive learning environment

PC11. Facilitate organizing regular campaign for reinforcing behavioural change in employees of healthcare organization esp. for infection control practices

PC12. document all training and communication in the healthcare providers record, including the date, time, and signature of the person delivering the training

PC13. ensure participant sign-in sheet verified by departmental head

PC14. involve the department heads as well for continuous training impact in the respective departments

Assess the outcome of the training program

PC15. document all participant’s feedback received during training sessions

10 5 15

PC16. Conduct pre-training, formative and post-training assessment of the participants & document the findings

PC17. Implement the documented improvement plan, review and adjust as required

PC18. Conduct KAP (Knowledge, Attitude and Practices) study periodically

HSS/N6126: Carry out internal audits and review the audit findings with management at all stages of healthcare organization

Create a mechanism for carrying out internal audit of healthcare organization

PC1. identify the processes, procedures and documents to be audited and define its periodicity as per priority and focus

85 15 10 25

PC2. create an internal audit schedule and share with respective departments and relevant healthcare personnel

PC3. develop the process of internal audit in consultation with departmental committees

PC4. prepare the checklist for objectivizing the internal audit mapping to external audit process adopted by agreed quality accreditation/certification body


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PC5. devise mechanism to include internal audit as an accepted policy for the department

PC6. encourage adoption of audit checklist by each stakeholder for carrying out their own periodic audits

PC7. conduct the internal audit based on the checklist or processes laid down for the respective department

PC8. record the audit findings in the prescribed checklist for discussion with the stakeholders and analyse the trend over period of time

PC9. Create culture of carrying out both intra-departmental and interdepartmental audits in a friendly manner

Review the finding of internal audit with relevant stakeholders

15 5 20

PC10. Prepare summary of audit findings gathered from both intra and inter departmental audits periodically and provide recommendations on improvements to be undertaken for bridging the gaps

PC11. Present the audit summary to departmental committees as per defined periodicity

PC12. Present the audit summary to management and discuss the identified gaps, its causative factors, recommendations for improvement and readiness of the healthcare organization for applying to agreed quality accreditation/certification

PC13. Build follow up & corrective action plan based on management review in consultation with departmental committees

Devise the mechanism to improve the healthcare systems for compliance to agreed quality standards

PC14. Apply the objective elements/different sections of agreed quality standards to bridge the identified gaps

15 5 20

PC15. Collaborate with carers to ensure that quality improvement interventions taken are specific, measurable, achievable, relevant and timely.

PC16. provide consistent services for random / surprise effective checking of works and ensure execution of good quality practices by healthcare personnel which


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would ultimately lead to patient satisfaction and improve effectiveness and efficiency of the organization

PC17. Review the status of corrective/preventive actions taken within the QA cell periodically

PC18. Ensure protection of patients and family rights during care

PC19. structure quality assurance and continuous monitoring programme in the organization

PC20. identify key indicators to monitor the clinical & managerial structures, processes and outcomes

PC21. Establish system for continuous monitoring of patient care services

Devise the mechanism to improve the healthcare systems for regulatory and statutory compliance

PC22. Give special emphasis on pending regulatory and statutory compliance of the healthcare organization during internal audit & define its periodic review

15 5 20

PC23. Prepare a calendar of actionable points to meet the requirements of statutory compliances

PC24. Implement suitable redressal mechanism for deviations in the policy, objectives, rules, regulations, applicable legal requirements

PC25. Record each document required for regulatory and statutory compliances with a keen eye

HSS/N6127: Prepare and support healthcare organization before, during and after external audits for achieving quality accreditation/ certification

Complete documents and related evidences for application process of agreed quality accreditation/ certification body

PC1. prepare the list of documents necessary to apply for the accreditation/certification process

78 15 6 21

PC2. gather all documents and related evidences from respective departments required for accreditation and review for any missing or irrelevant document/s

PC3. resolve all the queries pertaining to documents and reports from relevant personnel

PC4. fill in the required details in given application process


NSQC APPROVED 21

PC5. channelize financial and manpower resources for due completion of application for accreditation/certification

PC6. ensure review of the application file from management/steering committees before applying to the body

PC7. ensure receipt of final application file by the agreed quality accreditation/ certification body

Support healthcare organization before external audit

PC8. decipher the external audit process adopted by accreditation/certification body

15 5 20

PC9. map the measures taken by accredited/certified healthcare organizations for readiness for external audits

PC10. train healthcare personnel for external audits

PC11. assess readiness of the organization at the midpoint

PC12. organize a mock survey/audit to assess the readiness

PC13. implement final modifications, if any

PC14. liaison with accreditation/certification body for any corrective measures to be taken in documentation

PC15. organise pre-audit trainings and sessions by personnel from the body for preparing organization for external audit

PC16. check for schedule of the external audit and communicate to all relevant personnel in the healthcare organization

Support healthcare organization during external audit

PC17. provide the necessary documents during the external audit

12 5 17

PC18. support and maintain the patency of documents being asked by the external auditor

PC19. accompany the external auditor during the audit rounds

PC20. answer queries or concerns being raised by the external auditors


NSQC APPROVED 22

PC21. review the report given by external auditor before getting it cross-signed by authorized personnel of the healthcare organization

PC22. gather feedback of external auditors regarding the quality processes of healthcare organization

Support healthcare organization after external audit

PC23. study the corrective action and summary report given by the accreditation/ certification body after external audit

15 5 20

PC24. identify gaps raised in the report and prepare an improvement plan to eliminate the discrepancies found in the report and non-compliance of rules and regulations, if any

PC25. organize meetings with the steering and departmental committees to discuss the identified gaps and improvement plan post-external audit

PC26. evaluate and refine processes, procedures, protocols and relevant documents based on the post-audit report and subsequent improvement plan

PC27. liaison with accreditation/certification body for final checks, once the corrective action has taken place

PC28. ensure compliance to each concern raised by the body till the grant of provisional/final accreditation/certification

HSS/N6128: Promote institutionalizing continuous quality improvement in healthcare organization

Institutionalize the quality processes within the healthcare organization and its team as a convention/norm for lasting impact

PC1. Introduce new quality standards, concepts and tools into the organization

40 15 5 20

PC2. Encourage stakeholders to introduce quality improvement based changes in the organization

PC3. Implement small-scale QA activities or experiments regularly

PC4. Develop mechanisms for diffusion of QA results and learnings across healthcare organization

PC5. Develop strategy for QA expansion like defining priorities, setting goals, planning implementation, etc.


NSQC APPROVED 23

PC6. Build capacity and develop leadership for QA expansion

PC7. Share innovation and best national/ international practices regarding quality concepts among healthcare personnel

PC8. Identify missing essential elements or lagging QA activities and take corrective actions regularly

PC9. Enhance coordination of QA strategy and activities

PC10. Support establishment of a learning environment towards quality control, monitoring and assurance

PC11. Motivate the management and team of healthcare organization towards habituation of adopting quality standards based processes, procedures, protocols and standard operating manual in each and every step

PC12. Cultivate the culture of inherent assessments of each step or activity undertaken against measurable quality outcomes

PC13. Organize short-term and long-term training sessions for healthcare personnel

PC14. Create positive competitive environment and introduce recognitions to personnel following quality, regulatory and statutory standards

PC15. explore new areas beyond the quality standards and take them as project

Maintain sustainability of healthcare quality systems for

PC16. assess the periodic status of compliance with latest version of regulatory, statutory and quality standards

15 5 20

PC17. create mechanism of periodic internal audits as a norm


NSQC APPROVED 24

achieved accreditation/certification

PC18. inform the management of changes in the latest version of standards that may affect the scope of accreditation of the healthcare organization

PC19. maintain the technical competence of healthcare personnel regarding quality control and quality assurance by organizing recognized training courses PC20. retain all quality related and technical records throughout the period between periodic assessments

PC21. support healthcare organization during surveillance and monitoring of the sustainability of accreditation/certification

PC22. keep liaison with accreditation/ certification body for better interpersonal relationships

PC23. keep organizing periodic departmental and steering committee meetings for reviewing the current status and improvement plan

HSS/N6129: Apply NABH standards for accreditation of healthcare organization

Interpret NABH Accreditation standards & assessment criteria

PC1. Obtain the official copy of latest NABH Standards as per the size and type of services offered in the healthcare organization

81 21 10 31

PC2. Decipher the NABH standards and get accustomed for implementation in the healthcare organization

PC3. Seek clarification from NABH regarding standards, if any

PC4. Comprehend the assessment criteria and procedure of NABH and prepare healthcare organization for NABH accreditation

PC5. Ensure the NABH standards are implemented across the healthcare organization, not any part of service or facility

Apply for NABH accreditation and support during NABH

PC6. Fill the application form and submit it to NABH along with all supporting documents and requisite fees for further process by NABH

20 10 30

PC7. Liaison with NABH for further corrective action, if any


NSQC APPROVED 25

assessment

PC8. Conduct and fill self-assessment checklist of NABH before applying to NABH as per prescribed time period

PC9. Ensure self-assessment is conducted meticulously keeping in mind that the same would be cross-checked during pre-assessment by NABH

PC10. Support NABH assessment team during pre-assessment and final assessment

Prepare organization for next level accreditation as per given time frame

PC11. Check the validity and type of accreditation awarded to the healthcare organization

15 5 20

PC12. Use the appropriate logo of NABH on the permissible documents as per type of accreditation

PC13. Fulfill gaps as per assessment report and apply for final accreditation as per schedule, if final accreditation has not been awarded

HSS/N9615 Maintain a professional relationship with patients, colleagues and others

Communicate and maintain professional behavior with co-workers and patients and their families

PC1. communicate effectively with all individuals regardless of age, caste, gender, community or other characteristics without using terminology unfamiliar to them

13 5 5

PC2. utilize all training and information at one’s disposal to provide relevant information to the individual

PC3. confirm that the needs of the individual have been met

PC4. respond to queries and information needs of all individuals

PC5. adhere to guidelines provided by one’s organization or regulatory body relating to confidentiality

PC6. respect the individual’s need for privacy

PC7. maintain any records required at the end of the interaction

Work with other people to meet requirements

PC8. integrate one’s work with another people’s work effectively

5 5

PC9. utilize time effectively and pass on essential information to other people on timely basis

PC10. work in a way that shows respect for other people

PC11. carry out any commitments made to other people


NSQC APPROVED 26

PC12. reason out the failure to fulfill commitment PC13. identify any problems with team members and other people and take the initiative to solve these problems

Establish and manage requirements, planning and organizing work, ensuring accomplishment of the requirements

PC14. establish, agree, and record the work requirements clearly

3 3

PC15. ensure his/her work meets the agreed requirements

PC16. treat confidential information correctly

PC17. work in line with the organization’s procedures and policies and within the limits of his/ her job role

HSS/N9616 Maintain professional & medico-legal conduct

Maintain professional behavior

PC1. respect patient’s individual values and needs

19 5 5

PC2. maintain patient’s confidentiality

PC3. meet timelines for each assigned task PC4. respect patient’s dignity and use polite language to communicate

PC5. maintain professional environment

Act within the limit of one’s competence and authority

PC6. work within organizational systems and requirements as appropriate to one’s role

7 7

PC7. adhere to legislation, protocols and guidelines relevant to one’s role and field of practice

PC8. maintain competence within one’s role and field of practice

PC9. evaluate and reflect on the quality of one’s work and make continuing improvements

PC10. use relevant research-based protocols and guidelines as evidence to inform one’s practice

Follow the code of conduct and demonstrate best practices in the field

PC11. recognize the boundary of one’s role and responsibility and seek supervision when situations are beyond one’s competence and authority

7 7

PC12. promote and demonstrate good practice as an individual and as a team member at all times

PC13. identify and manage potential and actual risks to the quality and safety of practice


NSQC APPROVED 27

PC14. maintain personal hygiene and contribute actively to the healthcare ecosystem

PC15. maintain a practice environment that is conducive to the provision of medico-legal healthcare

HSS/N9617 Maintain a safe, healthy and secure working environment

Comply the health, safety and security requirements and procedures for workplace

PC1. identify individual responsibilities in relation to maintaining workplace health safety and security requirements

59 7 10 2 19

PC2. comply with health, safety and security procedures for the workplace

PC3. comply with health, safety and security procedures and protocols for environmental safety

Handle any hazardous situation with safely, competently and within the limits of authority

PC4. identify potential hazards and breaches of safe work practices

8 10 5 23

PC5. identify and interpret various hospital codes for emergency situations

PC6. correct any hazards that individual can deal with safely, competently and within the limits of authority

PC7. provide basic life support (BLS) and first aid in hazardous situations, whenever applicable

PC8. follow the organization’s emergency procedures promptly, calmly, and efficiently

PC9. identify and recommend opportunities for improving health, safety, and security to the designated person

PC10. complete any health and safety records legibly and accurately

Report any hazardous situation and breach in procedures to ensure a safe, healthy, secure working environment

PC11. report any identified breaches in health, safety, and security procedures to the designated person

5 10 2 17

PC12. report the hazards that individual is not allowed to deal with to the relevant person and warn other people who may get affected promptly and accurately


NSQC APPROVED 28

HSS/N9618 Follow biomedical waste disposal and infection control policies and procedures

Classification of the waste generated, segregation of biomedical waste, proper collection and storage of waste

PC1. handle, package, label, store, transport and dispose of waste appropriately to minimize potential for contact with the waste and to reduce the risk to the environment from accidental release

64 5 10 3 18

PC2. store clinical or related waste in an area that is accessible only to authorized persons

PC3. minimize contamination of materials, equipment and instruments by aerosols and splatter

Complying with effective infection control protocols that ensures the safety of the patient(or end‐user of health‐related products/services)

PC4. apply appropriate health and safety measures following appropriate personal clothing & protective equipment for infection prevention and control

8 10 5 23

PC5. identify infection risks and implement an appropriate response within own role and responsibility in accordance with the policies and procedures of the organization

PC6. follow procedures for risk control and risk containment for specific risks. Use signs when and where appropriate

PC7. follow protocols for care following exposure to blood or other body fluids as required

PC8. remove spills in accordance with the policies and procedures of the organization PC9. clean and dry all work surfaces with a neutral detergent and warm water solution before and after each session or when visibly soiled

PC10. demarcate and maintain clean and contaminated zones in all aspects of health care work

PC11. confine records, materials and medicaments to a well‐designated clean zone

PC12. confine contaminated instruments and equipment to a well‐designated contaminated zone

PC13. decontaminate equipment requiring special processing in accordance with quality management systems to ensure full compliance with cleaning, disinfection and sterilization protocols


NSQC APPROVED 29

PC14. replace surface covers where applicable PC15. maintain and store cleaning equipment

PC16. report and deal with spillages and contamination in accordance with current legislation and procedures

Maintaining personal protection and preventing the transmission of infection from person to person

PC17. maintain hand hygiene following hand washing procedures before and after patient contact and/or after any activity likely to cause contamination

8 10 5 23

PC18. cover cuts and abrasions with water‐proof dressings and change as necessary

PC19. change protective clothing and gowns/aprons daily, more frequently if soiled and where appropriate, after each patient contact

PC20. perform additional precautions when standard precautions alone may not be sufficient to prevent transmission of infection

NSQF QUALIFICATION FILE

SECTION 2

25. EVIDENCE OF LEVEL

Title/Name of the Qualification/Component: Healthcare Quality Assurance Manager Level : 6

NSQF Domain Outcomes of the Qualification/Component How the Outcomes are related to NSQF

Level Descriptors

NSQF Level

Process

A Healthcare Quality Assurance Manager’s main job is to ensure that healthcare organization gets the right guidance to implement quality accreditation/ certification standards and healthcare personnel are guided to follow quality parameters at all times. They need to work. The individual needs to acquire the required knowledge and skills about studying the current system and scope of services of healthcare organization and then selecting the quality standards to further develop standard processes and procedures manual for upgrading the quality of the healthcare organization; performing gap analysis in healthcare organization as per agreed quality accreditation/certification standards and accordingly implement the quality procedures with healthcare personnel for compliance and adherence to the standards; identifying training needs and organizing training interventions for employees of healthcare organization to meet healthcare quality standards; creating mechanism of carrying out internal audits and review the audit findings with management for quality, regulatory and statutory compliances at all stages of healthcare organization for devising mechanism of improvement; preparing healthcare organization for applying to agreed accreditation/certification body and supporting before, during and after external audit

Healthcare Quality Assurance Manager

require well developed skill, with clear

choice of procedures in familiar

context. demands wide range of

specialised technical skill, clarity of

knowledge and practice in broad range

of activity involving standard & non-

standard practices

6


process of achieving the accreditation/certification; institutionalizing continuous quality improvement within healthcare organization and supporting healthcare organization during surveillance and monitoring of quality post-accreditation/certification. Having acquired above knowledge and skills; the Healthcare Quality Assurance Manager needs to decipher NABH standards and apply for NABH accreditation and support the healthcare organization till achievement of final NABH accreditation

Professional

knowledge

The individual in this job should possess the knowledge

of the best industry practices, the knowledge about

statistical tools to collect and analyze various data,

should be dynamic in upcoming trends of quality

management tools and sound knowledge of National

and International guidelines on patient safety as

appropriate. They needs to know and understand the

background of the organizational structure and staff of

the healthcare organization; basics of critical functioning

of the healthcare organization; the various departments

in the healthcare organization and its interdependency;

the critical outcomes expected from each department of

the organization; basics of quality concepts, quality

terminology, quality control, quality assurance, quality

management, quality audits, quality tools and root cause

analysis; dimensions of quality management- safety,

respect and caring, timeliness, efficacy, effectiveness,

efficiency, continuity, availability and appropriateness/

equity; regulatory and statutory rules as appropriate


must have knowledge of facts, principles,

processes and general concepts, in order

to perform activities correctly.

6


applicable for workplace and healthcare organization;

quality frameworks including workplace specific

frameworks and the relevant standards laid down by

national &/or international accrediting bodies ;

standards related to occupational safety and hazards &

medical device data systems, maintenance management

systems as per organization and national agencies

Professional skill

The individual in this job should possess a good command over communication, good auditing skills, skills to use the best industry practices, the statistical tools to collect and analyze various data, good interpersonal skills including teamwork. They needs to know and understand how to draft memos, requests and e-mail to stakeholders, co-workers, and vendors to provide them with work updates and to request appropriate information without appropriate language errors regarding grammar or sentence construct; prepare checklist, document findings and observations, status and progress reports; keep abreast with the latest knowledge by reading relevant materials; discuss task lists, schedules, and work-plan with management, colleagues and subordinates; question stakeholders appropriately in order to understand the nature of the problem and make a diagnosis; keep stakeholders informed about progress; make decisions pertaining to the concerned area of work; prepare action plan and roadmap for fulfilling the identified gaps in the healthcare organization in terms of quality standards; manage relationships with colleagues and stakeholders who may be stressed, frustrated, confused, or angry ; build relationships with stakeholders and use patient and safety centric approach; think through the problem, evaluate the possible solution(s) and suggest an optimum


are required to demonstrate a range of

cognitive and practical skill, required to

accomplish tasks and solve problems by

selecting and applying basic methods,

tools, materials and information.

6


/best possible solution(s); deal with clients lacking the technical background to solve the problem on their own; identify immediate or temporary solutions to resolve delays; identify resources or behavioral change required to accomplish the roadmap and action plan; prioritize the task within the roadmap and action plan. The job requires individuals to possess key qualities such as patience, confidence, maturity, compassion, patient centricity, good listening. They must be skilled to interact with a wide range of personality types in both pleasant and difficult circumstances. It is also important for the individual to have a good level of physical fitness and healthy body with well-maintained hygiene circumstances. They should be able to exhibit fine motor skills, Analytical skills, Detail oriented, Integrity, Interpersonal skills, Technical skills, Computer Skills.

Core skill

The individual needs to acquire the required knowledge and skills about studying the current system and scope of services of healthcare organization and then selecting the quality standards to further develop standard processes and procedures manual for upgrading the quality of the healthcare organization; performing gap analysis in healthcare organization as per agreed quality accreditation/certification standards and accordingly implement the quality procedures with healthcare personnel for compliance and adherence to the standards; identifying training needs and organizing training interventions for employees of healthcare organization to meet healthcare quality standards; creating mechanism of carrying out internal audits and review the audit findings with management for quality, regulatory and statutory compliances at all stages of healthcare organization for devising mechanism of

Healthcare Quality Assurance Manager requires desired mathematical skill, understanding of social, political and natural environment; collecting and organising information and communication.

6


improvement; preparing healthcare organization for applying to agreed accreditation/certification body and supporting before, during and after external audit process of achieving the accreditation/certification; institutionalizing continuous quality improvement within healthcare organization and supporting healthcare organization during surveillance and monitoring of quality post-accreditation/certification. They should have the ability to understand and follow complex technical instructions, ability to pay close attention to detail, ability to effectively use computer applications such as spreadsheets, word processing, ability to read, write, speak, understand, and communicate in English sufficiently to perform the essential duties of the position, familiarity with the techniques of maintaining a filing system, accuracy, good dexterity, dependability, initiative, good judgment, physical condition commensurate with the demands of the position. Keep abreast of the latest knowledge by reading internal communications and legal framework changes related to roles and responsibilities.

Responsibility

Healthcare Quality Assurance Manager is responsible to study

the healthcare organization, plan and develop quality

processes accordingly; Perform gap analysis and implement

the healthcare quality procedures adhering to quality

accreditation/certification standards; Identify training needs

and organize training interventions to meet healthcare quality

standards; Carry out internal audits and review the audit

findings with management for quality, regulatory and statutory

compliances at all stages of healthcare organization; Prepare

and support healthcare organization before, during and after

external audits for achieving quality accreditation/certification.

They needs to decipher NABH standards and apply for NABH

Healthcare Quality Assurance Manager is

responsible to carry out the job not only

in familiar situations, but also where

problems may arise as they are dealing

with clients with varied type of issues

such as management,

accreditation/certification body

secretariat; departmental heads, irate

clients, VIP’s, officials, etc. This is critical

as it indicates that the person is

responsible for his own work and

learning. Healthcare Quality Assurance

6


accreditation and support the healthcare organization till

achievement of final NABH accreditation. They also needs to

promote Institutionalizing continuous quality improvement in

healthcare organization

Individuals must always perform their duties in a calm, reassuring empathetic and efficient manner.

Manager would also have full

responsibility for works and learning of

employees of healthcare organization to

meet healthcare quality standards as

well as for creating mechanism of

carrying out internal audits and review the audit findings with

management, departmental heads and

staff of healthcare organization for

quality, regulatory and statutory compliances at all stages of

healthcare organization for devising mechanism of improvement and

institutionalizing continuous quality improvement within healthcare

organization.


36

SECTION 3

EVIDENCE OF NEED

26 estimated uptake of

estimate?

Basis

What evidence is there that the qualification is

needed? What is the this qualification and what

is the basis of this

In case of SSC

Need of qualification

While collecting data from the companies for the occupational map & functional analysis, we also took feedback from industry, which was collected with respect to roles for which qualification packs development, was to be prioritized. This was largely based on volume of people required, quantitative and qualitative shortfall which the Industry feels they face. Governing council of HSSC gave final approval and endorsement for the same.

Industry Relevance The industry validation is submitted along with its summary sheet for reference.

Usage of qualification

The SSC would submit details of the employment generated (wherever applicable) and realised

Estimated uptake The workforce in allied healthcare sector need expected to around 74 lac by 2022 double the workforce employed in 2013 as envisaged in Skills Gap analysis Reports for industry demand and secondary research data, though these do not lend to accurate demand projection as per the draft report of NSDC Human Resource & Skills Requirement in Healthcare Sector.

27 Recommendation from the concerned Line Ministry of the

Government/Regulatory Body. To be supported by documentary evidences Submitted to Ministry of Health & Family Welfare in June, 2019

28 What steps were taken to ensure that the qualification(s) does (do) not duplicate already existing or planned qualifications in the NSQF? Give justification for presenting a duplicate qualification

NSDC list of Approved and Under-Development QPs was checked prior to commissioning the work

The qualification is approved through NSDC QRC (Qualification Review Committee)

The qualification is made available at NSDC/HSSC website for public consultation


37

29 What arrangements are in place to monitor and review the qualification(s)? What data will be used and at what point will the qualification(s) be revised or updated? Specify the review process here

Agencies/personnel would be appointed by the HSSC to interact with training providers, employers, assessors to gather feedback in implementation.

Monitoring of results of assessments, training delivery

Employer feedback will be sought post-placement

A formal review is scheduled in three years time


any of the topics above.



SECTION 4

EVIDENCE OF PROGRESSION

30 What steps have been taken in the design of this or other qualifications to

ensure that there is a clear path to other qualifications in this sector?

Show the career map here to reflect the clear progression Horizontal and vertical mobility options have been articulated.


38


any of the topics above.



Sample Template

NSQF Level

Level 10

Level 9

Level 8

Level 7

Duty Manager -

Patient

Relation

Services

(Healthcare

Administration)

Quality Healthcare

Assessor/Auditor

(Healthcare

Administration)

Level 6

Assistant Duty

Manager -

Patient

Relation

Services

(Healthcare

Administration)

Healthcare Quality

Assurance

Manager

(Healthcare

Administration)

Lead Trainer

(Healthcare

Administration)

Lead Assessor

(Healthcare

Administration)

Level 5

Patient

Relations

Associate

(Healthcare

Administration)

Trainer

(Healthcare

Administration)

Assessor

(Healthcare

Administration)

Level 4

Hospital Front

Desk Coordinator

(Healthcare

Administration)

Level 3

Level 2

Level 1

The horizontal/vertical progression of job roles are plotted for high demand jobs or wherever there is a need. The progression path can be within the sector/sub-

sector or across the sectors/sub-sectors.