Mandatory documents required for Entry Level Accreditation for Hospital

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• Pre Accreditation Entry Level for Hospital
  Documentation

By Global Manager Group
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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

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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 departmentwise 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 nonconforming 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

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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
Email us
Sales_at_globalmanagergroup.com