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Thursday, August 19, 2010

RE: Comments

Please find the responses against each query.

 

  • How can we implement NABH works in old (structural problem )hospital ? we provide services based on FMS chapter but not satisfactory due to the lack of fund h w can we rectify that problem ?

        

 

The fundamental for any organisation be it accredited or not is to have a 'safe and secure' working environment which meets necessary regulatory requirements and that is the essence of FMS chapter.        

 

If you feel this fundamental aspect is there and there are certain interpretations related aspects which you need to clarify kindly send in few examples of your bottlenecks and I shall try and respond to it.

 

In case the basic fundamental aspect is not adhered to as stated above, then the same should be addressed immediately as it should have been done in the first place itself and the costs now must be felt therefore.

 

 

  • Sir, we wish to open up a hospital with NABH norms. Where can I get details of norms?

 

You should visit the website of NABH section of the Quality Council of India on http://www.qcin.org/nabh

You are advised to purchase the NABH standards (large/small hospital as appropriate) along with the guidebook for interpretation purpose.

You may also contact the NABH secretariat at adnabh@qcin.org for further details.

 

 

  • I am a pursuing my masters in hospital management. I wana do my desertation on gap analysis between "NABH STANDARD AND BIO-MEDICAL WASTE MANAGEMENT FOLLOWED BY A HOSPITAL".So can you please help me in this aspect and told me how to proceed.

 

You would have refer to relevant sections in the NABH standards and also refer to the guidebook for appropriate interpretation. You may request the same from the hospital management. You may also purchase on your own from the NABH secretariat. Please refer to my earlier response on the same.

 

You would have to refer to the organisations SOPs on the said subject and compare it to the requirements of NABH. Mind you that BIO WASTE needs to follow appropriate regulations as per the pollution control board and you would need to access the licence and terms which the hospital would have and also kindly refer to the National guidelines on hospital waste management Rules ( http://envfor.nic.in/legis/hsm/biomed.html )

 

Published by Govt. of India, under Section 6 & 25 of Environmental Protection Act 1986 on 20/7/98 and appeared in official gazette of India on 27/7/98.

Deals with the generation/handling/treatment/disposal of Bio Medical Waste.

These rules apply to all persons who generate, collect, receive, store, transport, treat, dispose or handle bio-medical waste in any form.

 

 

  • Requirements of an ICU of a NABH accredited hospital in India.

 

You may kindly refer to You may also refer to the Indian Journal of Critical Care Medicine, issue dated June 2010.

It has a very good article on Indicators for Intensive Care areas. You may refer to international standards design books , CDC or WHO websitez or refer to http://www.isccm.org (Indian Society of Critical Care Medicine) which has good knowledge base for the same. 


You can refer to references like the IPHS (http://mohfw.nic.in/nrhm/Documents/IPHS%20for%20201%20to%20300%20bedded%20with%20Comments%20of%20Sub-group.doc) or even a good management / design book/resource/hire a reputed hospital design consultant. Methods of manpower planning, criteria used and references cited (as referred above) would be appreciated by the assessor.

 

 

Sincerely,

Dr Akash Rajpal

 


From: Ashwini Ranade [mailto:ashwini.ranade@completewellbeing.com]
Sent: 20 August 2010 10:14
To: Dr.Akash S Rajpal; 'Akash Rajpal'
Subject: Comments

Dear Dr Akash,

 

Here are some more comments on your NABH article.

 

Can you please answer them and send it to me.

 

  • How can we implement NABH works in old (structural problem )hospital ? we provide services based on FMS chapter but not satisfactory due to the lack of fund h w can we rectify that problem ?

 

  • Sir, we wish to open up a hospital with NABH norms. Where can I get details of norms?

 

  • I am a pursuing my masters in hospital management. I wana do my desertation on gap analysis between "NABH STANDARD AND BIO-MEDICAL WASTE MANAGEMENT FOLLOWED BY A HOSPITAL".So can you please help me in this aspect and told me how to proceed.

 

  • Requirements of an ICU of a NABH accredited hospital in India.

 

 

Stay Well
Ashwini