The consultancy scope for an NABH
Allopathic Clinic (SHCO - Small Healthcare Organization) follows the Standards
for Clinics, designed specifically for outpatient settings, daycare centers,
and primary care facilities.
A specialized consultancy provides the
following scope of service:
1.
Gap Analysis & Infrastructure Advisory
Facility Review: Auditing the clinic
layout for patient privacy, accessibility (ramps/handrails), and infection
control (handwashing stations).
Safety Audit: Ensuring the clinic meets
basic safety standards for fire (extinguishers/signage) and electricity (earthing/concealed
wiring).
Consultation Room Standards: Verifying
that examination rooms are equipped with necessary basic diagnostic tools and
ensure acoustic privacy.
2.
Clinical Protocols & Documentation
Consultants draft simplified manuals and
SOPs tailored for clinic workflows:
Patient Assessment: Protocols for initial
screening, vital signs recording, and standardized prescription writing (e.g.,
using generic names and capital letters).
Daycare/Minor OT Protocols: (If
applicable) SOPs for local anesthesia, minor surgical procedures, and
post-procedure monitoring.
Medical Record Management: Implementing a
system for standardized patient files (either physical or EMR) that ensures
data retrieval and confidentiality.
3.
Infection Control & Sterilization
Instrument Processing: Establishing SOPs
for cleaning, disinfection, and sterilization (autoclave/chemical) of reusable
instruments.
Waste Management: Training staff on the
latest Biomedical Waste (BMW) rules, including segregation in color-coded bins
and tie-ups with authorized disposal vendors.
Hand Hygiene: Implementing the "WHO 5
Moments" and ensuring the availability of hand-rub/soap at all points of
care.
4.
Medication Safety
Storage SOPs: Protocols for storing
high-alert medications and ensuring that expired medicines are removed
immediately.
Emergency Kit: Designing and maintaining a
"Crash Cart" or emergency kit tailored for clinics (e.g., oxygen,
nebulizers, and emergency drugs like Adrenaline).
5.
Quality Indicators for Clinics (2026 Metrics)
Consultants set up systems to track at
least 5–10 mandatory indicators:
Patient Waiting Time: Monitoring the time
from registration to consultation.
Prescription Audits: Checking for
legibility, signatures, and completeness of advice.
Incident Reporting: Establishing a system
to record falls, medication errors, or needle-stick injuries.
Patient Satisfaction: Implementing a
feedback system to measure and improve service quality.
6. Desktop & Portal Management
NABH Portal Management: Handling the
application process for the "Allopathic Clinic" or
"Entry-Level" category.
Evidence Uploads: Organizing geotagged
photos of the registration desk, emergency kit, sterilization area, and public
display of the "Patient Rights & Responsibilities."
7.
Training & Readiness
Staff Sensitization: Training all staff
(receptionists, nursing assistants, and cleaning staff) on the NABH standards.
Mock Assessment: Conducting a walkthrough
audit to ensure staff can explain "Fire Safety Codes," "Patient
Privacy Protocols," and "Hand Hygiene Technique."
NC Closure: Assisting in resolving any
deficiencies (Non-Conformities) raised during the desktop or onsite NABH Clinic
Assessment.
Estimated
Timeline (2026)
Preparation Phase: 3–5 months.
Assessment Phase: 2–3 months.
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