NABH Allopathic Clinic Accreditation Program


 

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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