QUALITY & ACCREDITATION
Survey Results
Why NABH session?
Background• Requests for help from MIs• Identified consultants; credibility unknown• CHAI not an expertSolution • Expertise in the network• Share Consultant feedback • Learn from each other
Online Club
• Fostering inter-dependence in the network• Connected through moderated site (platform) • NABH : First Area• Add other areas of expertise • CHAI Role?
• Match-maker
NABH survey
Methodology
• Snow ball sampling used:• Contacted National Steering Committee and few RUs • NSC and RUs shared data on NABH institutions• Survey shared with this database • And all NHC participants
NABH survey
Methodology
• Survey platform:• Online platform used (SurveyMonkey TM)• Open ended and closed ended questions
NABH Survey - Location
1
3
1 11
11
3
0
2
4
6
8
10
12
AndhraPradesh
Karnataka Kerala Maharashtra Punjab Tamil Nadu
Full AccreditationPre-Entry
NABH survey – Bed capacity
2
1
3
5
2
5
2
1
0
1
2
3
4
5
6
Less than 50 51 - 99 100 - 199 200 - 299 300 - 399 Above 500
NABH Survey –Duration to be accredited (months)
12
12
1
10
3
1
0
2
4
6
8
10
12
<1 1-12 13-24 25-36 49-60
Full AccreditationPre-Entry
NABH survey –Consultant used
2
45
10
0
2
4
6
8
10
12
No Yes
Full AccreditationPre-Entry
NABH survey –Was Consultant helpful?
12
3
1
5
9
0123456789
10
No Not applicable Yes
Full AccreditationPre-Entry
NABH survey –Gap areas
6
4
11
0
2
4
6
8
10
12
No Yes
Full AccreditationPre-Entry
NABH survey –Type of gap
1 1
4
3
1
3
1 1
2
4
00.5
11.5
22.5
33.5
44.5
Data
and
docu
men
tatio
n
Fire
& S
afet
y
Hosp
ital
infr
astr
uctu
re
HR D
epar
tmen
t
Labo
rato
ry
Mul
tiple
Are
as
Not
app
licab
le
Full AccreditationPre-Entry
NABH survey –Duration for corrective action
1
4
1
8
5
2
0
1
2
3
4
5
6
7
8
9
<1 month 1 - 6 month 6 months - 1 year Above 1 year
Full AccreditationPre-Entry
NABH survey –Cost for corrective action
4
1 1
10
2 21
02468
1012
0-99
9999
1000
000-
1999
999
2000
000-
2999
999
5000
000-
5999
999
9000
000-
1000
0000
Full AccreditationPre-Entry
NABH survey –Reasons for accreditation
Quality
Patient care
Improve hospitalstandardsStaff improvement
Insurance
NABH survey –Top Challenges
Lack of staffLack of doctorsLack of documentationLack of trainingImplementation
NABH survey –Benefits
5
12
12
1
0
2
4
6
8
10
12
14
Improveddocumentation
Improved quality ofservices
None Other (pleasespecify)
Full AccreditationPre-Entry
NABH survey –Willingness to help others
6
3
12
0
2
4
6
8
10
12
14
No Yes
Full AccreditationPre-Entry
NABH survey –Areas of Help
Out of 21
• Exposure Visit to the Hospital (16)
• Sharing formats and policies (5)
• Assign a staff member to guide (8)
• Contact details of Consultant (6)
NABH might feel like this…
Can feel like this..
NABH survey
Thank you