What is NABH Entry Level Program?

NABH is a constituent board of the Quality Council of India, set up to establish and operate accreditation programme for healthcare organizations. Formed in 2005, it is the principal accreditation for hospitals in India. National Accreditation Board for Hospitals & Healthcare Providers (NABH) is a constituent board of the Quality Council of India (QCI), set up to establish and operate accreditation programme for healthcare organizations. The board while being supported by all stakeholders including industry, consumers, government, have full functional autonomy in its operation. Accreditation to a health care organization stimulates continuous improvement. It enables the organization in demonstrating a commitment to quality care. It raises community confidence in the services provided by the health care organization. It also provides an opportunity for the healthcare unit to benchmark with the best.

Benefits of NABH Entry Level Program

Improve Quality of Your Healthcare

Customer Satisfaction

Improve the Hospital Management System

Clinical Benefits

Legal Benefits

Enhance Sustainable Growth

NABH Entery Levely Video

Who can be Accredited?

This Accreditation is available for Healthcare and Hospital facilities that provide allopathic services. It includes clinics, polyclinics, or dispensaries.

Entry Level Hospitals

Entry Level SHCO

Entry Level Ayush Centre

Entry Level SHCO

Entry Level Ayush Centre

Entry Level Ayush Hospital

Document required for NABH Entry Level Program

  • System Manual
  • System Procedure
  • Policy
  • Objectives
  • Mission & Vision
  • Standard Operating Procedure (SOP)
  • Checklist
  • Forms
  • Formats
  • Records

The extent of Documented Information differs as per:

  • Organization’s size
  • Activities performed by the organization
  • Processes undertaken by the Organization
  • Products and services offered by the organization
  • The complexity of processes undertaken
  • Competence of persons involved

Role of Shamkris and Process of NABH Entry Level Program

Shamkris adopts a results-oriented approach to compliance product certification, A simple & practical method of product certification organization in timely compliance and fulfills the product certification requirement. Shamkris support 100% on documentation required to comply with product certification either by self-certification or notify body certification to depend on directives.

The implementation process is described below:

Day 1

GAP Analysis, Cost Estimates, Application to Accreditation Body

• Finding the GAP between existing system related to Accreditation Body requirements
• Application to Accreditation Body
• Based on the scope of your business & Accreditation Body you choose

Week 1

Developing Documents

• Management System Manual, Management System Procedures, Policy, Objectives, Forms etc.
• Review of Standard Operating Procedures (SOP)

Week 4

Implementing Management System

• Awareness training for the top management and staff
• Implementing a well-documented management system throughout the organization>

Week 8

Internal Audit, MRM, CAPA

• Internal audits identifying nonconformities related to Accreditation Body requirements. Management Review Meetings. Corrective and Preventive Action plan for nonconformities

Week 10

Accreditation Body, Audit, N-C Closing

• Shamkris acts on your behalf and assists you in the third-party audit
• Closing of any nonconformities identified by the Accreditation Body

Year on Year

Yearly Compliance

• Support of Monthly & Quarterly Basis

National Accreditation Board for Hospitals & Healthcare Providers (NABH) is a constituent board of Quality Council of India (QCI), set up to establish and operate accreditation programme for healthcare organizations. The board while being supported by all stakeholders including industry, consumers, government, have full functional autonomy in its operation.

A public recognition of the achievement of accreditation standards by a healthcare organization, demonstrated through an independent external peer assessment of that organization’s level of performance in relation to the standards.

• Commitment to create a culture of quality, patient safety, efficiency and accountability towards patient care.
• Establishment of protocols and policies as per National/International Standards for patient care, medication management, consent process, patient safety, clinical outcomes, medical records, infection control and staffing.
• Patients are treated with respect, dignity and courtesy at all times.
• Patients are involved in care planning and decision making.
• Patients are treated by qualified and trained staff.
• Feedback from patients is sought and complaints (if any) are addressed.
• Transparency in billing and availability of tariff list.
• Continuous monitoring of its services for improvement.
• Commitment to prevent adverse events that may occur.

• Accreditation benefits all Stake Holders. Patients are the biggest beneficiaries. Accreditation results in high quality of care and patient safety. The patients get services by credential medical staff. Rights of patients are respected and protected. Patient satisfaction is regularly evaluated.
• Accreditation to a Hospital stimulates continuous improvement. It enables hospital in demonstrating commitment to quality care. It raises community confidence in the services provided by the hospital. It also provides opportunity to healthcare unit to benchmark with the best.
• The Staff in an accredited hospital are satisfied lot 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 Paramedical staff and provides leadership for quality improvement within medicine and nursing.
• 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.