The mandatory documents required for Entry Level Accreditation for Hospital

Pre Accreditation Entry Level for Hospital Documentation

By Global Manager Group

What is Pre Accreditation Entry Level for Hospital?

The National Accreditation Board of Hospital and Healthcare provider has launched new entry level standards for hospital accreditation. The standard developed for hospitals who

have facilities of above 50 beds for patients and wish to start the quality certification process.

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Documentation for Pre Accreditation Entry Level for Hospital When hospitals are going for Pre Accreditation Entry Level NABH Certification, there are specific NABH documentation requirements that need to be fulfill which provides better control

over implemented system. List of such requirements for better system as per Pre Accreditation Entry Level are as below: • • • • • •

Hospital Manual Department Manual System Procedures Standard Operating Procedures Forms & Templates Audit Checklist www.Globalmanagergroup.com

Hospital Manual Pre Accreditation Entry Level standard based Hospital Manual covers details on how system is implemented. It also covers the introduction, scope of service, hospital policy,

vision and mission, applicable laws and regulations, quality policy and organization structure.

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Department Manual The different department–wise manual is given in this department manual as listed below.

• • • • •

Central Sterility Supply Department (CSSD) manual Emergency Preparedness Infection Control Medical Record Human Resource Management

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System Procedures System Procedures help the organization to make the best system and quick process improvements. All procedures are divided in 08 system procedures as listed below.

• • • • • • •

•

Procedure for control of non–conforming services Procedure for management review Procedure for document and data control Procedure for corrective and preventive action Procedure for control of quality records Procedure for internal audit Procedure for control of monitoring and measuring equipment Procedure for training www.Globalmanagergroup.com

Standard Operating Procedures Standard

Operating

Procedures

document

covers

a

guideline to establish system as per NABH pre entry level standards requirements. covering access, Assessment and

Continuity Care (AAC), Care of Patient (COP), Continuous Quality Improvement (CQI), management of medicine and patient rights and education department

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Forms & Templates The templates covered sample blank forms that required to maintain records as well as establish control and make system in the Hospital. The samples given are a guide for

the user to follow. The hospitals are free to change the same to suit their own requirements.

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Audit Checklist NABH Audit Checklist covers audit questions to be used for hospital system auditing for objectively evaluate the adherence of system by functional heads to establish

processes. It also includes audit questions as a quick reference for all related work areas of the hospital

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Pre Accreditation Entry Level Documentation Kit Global Manager Group provides Pre Accreditation Entry Level for Hospital Documentation Kit that having sample documents required for NABH Certification. It contains all

documents that covers all such requirements standard. The Hospital manual to NABH audit checklist are provided in editable format that serves as the primary source of

documentation.

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Global Manager Group Global Manager Group is the first company that introduces Online

Consultancy

by

offering

International

System

Certification Documentation and Auditor Training Packages available on website www.globalmanagergroup.com

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