The consultancy scope of service for 2026
includes:
1.
GAP Analysis & HOPE Portal Registration
Initial Audit: Evaluating the clinic
against the core entry-level standards, focusing on patient safety and basic
infection control.
Portal Onboarding: Managing the
registration on the NABH HOPE Portal and ensuring the clinic is correctly
categorized based on chair count and services.
2.
Core Documentation & Standard Operating Procedures (SOPs)
Consultants develop a "Lean
Documentation" set specifically for dental workflows:
Essential SOPs: Drafting mandatory
protocols for patient registration, informed consent, prescription writing, and
medical record maintenance.
Emergency Protocols: Documenting
procedures for handling medical emergencies in the dental chair (e.g., syncope,
local anesthesia toxicity).
3.
Infection Control & Sterilization (Mandatory Focus)
This is the most critical area for dental
auditors. The consultant provides:
Sterilization Validation: Establishing
logs for autoclave cycles and training staff on the use of chemical and
biological indicators.
Instrument Processing: Standardizing the
workflow for cleaning, packaging, and storing dental instruments to prevent
cross-contamination.
BMW Management: Training staff on the 2026
Bio-Medical Waste Rules specific to dentistry (e.g., disposal of extracted
teeth, sharps, and mercury).
4.
Statutory Compliance & Safety
License Management: Verifying and organizing
the clinic's mandatory licenses:
AERB Registration: Ensuring X-ray units
are registered on the e-LORA portal.
Trade License & Fire Safety: Basic
fire extinguisher placement and signage.
PC PNDT: If the clinic performs any
relevant imaging, ensuring appropriate declarations.
Radiation Safety: Implementing the use of
TLD badges, lead aprons, and mandatory "X-Ray in Progress" signage.
5.
Quality Indicators (Simplified Tracking)
Consultants set up systems to track the
5–8 mandatory indicators required for entry-level centers:
Patient Satisfaction: Implementing a
feedback system.
Incidence of Needle-Stick Injuries:
Monitoring staff safety.
Medical Record Completion: Auditing
prescriptions for legibility and signature.
Hand Hygiene Compliance: Observational monitoring.
6.
Digital Desktop Assessment Support
Visual Evidence: Compiling and uploading
geotagged, timestamped photographs required by the HOPE portal, including:
Sterilization/Autoclave area.
X-ray room with lead lining/safety gear.
Emergency drug kit.
Patient rights and responsibilities
display.
Desktop Review: Assisting the clinic in
responding to queries or "Non-Conformities" (NCs) raised by the
virtual assessor within the 10-day portal window.
7.
Staff Training & Mock Drills
Emergency Response: Training dentists and
assistants on Basic Life Support (BLS) and the use of the emergency medical
kit.
Patient Communication: Training front-desk
staff on patient privacy, consent, and rights.
Internal Audit: Conducting a final
walkthrough to ensure the clinic is ready for the virtual or onsite audit.
Timeline
& Validity (2026)
Preparation Phase: 2–4 months.
Certification Validity: The Entry-Level
certificate is valid for 2 years. In 2026, centers are encouraged to transition
to "Full Accreditation" during their first renewal cycle.
For Quote :8838051686