NABH AYUSH Hospitals Accreditation Program


 

The consultancy scope for NABH AYUSH Accreditation is based on the 3rd Edition Standards (for Ayurveda, Yoga & Naturopathy, Unani, Siddha, and Homeopathy). This accreditation focuses on integrating traditional clinical protocols with modern safety standards.

A specialized AYUSH consultancy provides the following scope of service:

1. Gap Analysis & Infrastructure Alignment

Infrastructure Audit: Evaluating the facility for AYUSH-specific requirements, such as specialized therapy rooms (e.g., Panchakarma theaters, Shastrakarma rooms) and medicinal plant gardens.

Safety Integration: Ensuring fire safety, ramps, and grab bars are integrated without compromising the traditional healing environment.

Pharmacy & Medicine Storage: Verifying that the Aushadh-shala (pharmacy) complies with Ayush-GMP (Good Manufacturing Practices) and maintains proper temperature controls.

2. Traditional Clinical Protocols & SOPs

Consultants assist in documenting specialized procedures that are often unique to AYUSH:

Therapy SOPs: Drafting step-by-step protocols for procedures like Abhyanga, Shirodhara, Bastis, or Leech therapy, including pre- and post-procedure care.

Dietary Management: Establishing SOPs for Pathya-apathya (prescribed diet) and ensuring the hospital kitchen meets hygiene standards for therapeutic diets.

Panchakarma Safety: Implementing safety checks for thermal therapies and ensuring the prevention of burns or falls during oil-based treatments.

3. AYUSH-Specific Quality Indicators

Consultants set up systems to track metrics required by the NABH AYUSH Standards:

Therapy Success Rates: Monitoring outcomes for specific chronic conditions (e.g., skin disorders or musculoskeletal pain).

Adverse Drug Reactions (ADR): Establishing a "Pharmacovigilance" system to report any adverse effects of traditional medicines.

Patient Experience: Tracking satisfaction levels specific to the long-term nature of AYUSH treatments.

4. Statutory & Regulatory Compliance

License Management: Ensuring the hospital has a valid Form 25-D (for in-house medicine manufacturing), Fire NOC, and BMW (Biomedical Waste) authorization.

Practitioner Credentialing: Verifying the registration of all AYUSH doctors with the National Commission for Indian System of Medicine (NCISM) or the National Commission for Homoeopathy.

5. Staff Training & Awareness

Sensitization: Training therapists and traditional practitioners on the importance of "Informed Consent" and "Evidence-based Documentation."

Emergency Management: Training staff on handling medical emergencies (e.g., sudden hypoglycemia or fainting) and maintaining a "Crash Cart" with essential life-saving equipment.

Infection Control: Implementing sterilization protocols for reusable therapy equipment (like wooden droni or metallic instruments).

6. Desktop & Final Assessment Support

NABH Portal Management: Managing the digital upload of the Self-Assessment Toolkit (SAT) tailored for AYUSH.

Documentation Evidence: Uploading geotagged photos of therapy rooms, medicine preparation areas, and patient counseling zones.

NC Resolution: Guiding the hospital through the 15-day window to close any Non-Conformities (NCs) raised during the NABH AYUSH Assessment.

2026 Key Focus: Digital Integration

For 2026, consultants emphasize the use of AYUSH-specific Electronic Medical Records (EMR) to track long-term patient outcomes and standardized clinical terminology, which is a major focus of the latest standards.


For Quote :8838051686