Consultancy Services

Hospital

The main objective of this work is to provide comprehensive consultancy services and technical support for seeking Accreditation as per NABH Standards.

Timelines:

This project shall be for a period of six months starting from date of signing the agreement and be extended if so decided mutually by the parties to this agreement to be necessary. However the progress of the project will depend on the existing status of the facilities. In case civil construction work, deployment of manpower, compliance with regulatory requirements etc. take more time; the project would be extended accordingly on agreeable financial terms. The hospital shall have to accord high priority to comply with these requirements to meet the time limit.

Process:

The IHQA shall carry out all the activities specified as follows:-

  • understand the existing level of health care delivery by discussion with hospital authorities and senior staff;
  • review the secondary data available like bed occupancy rate, OPD Attendance, Number of Discharges, Average length of stay, number of samples etc.;
  • conduct a sensitization workshop for hospital authorities and senior staff;
  • suggest any basic minimal civil structural alteration, if required;
  • study the manpower deployment against any pre set norms appropriate to the needs as per the requirement of NABH;
  • indicate the gap in the terms of manpower, equipments and drugs
  • study the equipment and instrument functionality, maintenance and calibration of the same;
  • identify senior and potential trainers from within the facility;
  • conducts training of trainers (3 days program);
  • training needs assessment of all personnel in relation to achieving NABH standards;
  • prepare training modules based on Training Needs Assessment (TNA) and the Accreditation standards of NABH;
  • assist in organizing Training Program for all personnel;
  • observe and analyze the effectiveness of such training by carrying out patient satisfaction survey, employee satisfaction surveys and hospital utilization rates coupled with analyzing the health indicators;
  • assist to create signage, work instructions, manuals etc. necessary for the hospital;
  • assist in carrying out the internal audit / self assessment as per NABH standards;
  • assist in filling application for accreditation, and
  • assist in follow up action after pre-assessment and final assessment by Assessors.
Interested hospital for the above consultancy work is requested to contact Training Coordinator through email at info@ihqa.in

Medical Laboratory

 

 

 

 

 

Scope of Work

Based on the requirements of NABL accreditation procedure / process as per ISO 15189, following is the scope of the consultancy work which will enable the laboratory to prepare for NABL Accreditation.

  • Gap analysis to study the present system and identifying areas need to be modified wrt to ISO 15189 requirements
  • Training of laboratory personnel on ISO 15189 and other NABL requirements
  • Assistance in preparation of Quality manual, Quality system procedures, work instructions and complete system documentation
  • Assistance in implementation of system designed and developed to meet NABL requirements
  • Conduct internal audit to meet NABL requirements
  • Assistance in conduct of management review to meet NABL requirements
  • Assistance for participation in proficiency testing / inter laboratory comparison
  • Training of laboratory personnel on estimation of uncertainty of measurement
  • Training of laboratory personnel on inter-laboratory comparison
  • Assistance in preparation of application for NABL Accreditation
  • Assistance in clearing queries / clarifications at the time of Quality Manual adequacy
  • Assistance in clearing queries / clarifications/ non-conformities raised during pre-assessment
  • Conducting mock audits to prepare lab for NABL final assessment
  • Assistance in clearing queries / clarifications/ non-conformities raised during final assessment
  • Assistance in clearing queries / clarifications raised by NABL, if any,  after final assessment
The scope of work does not include training / consultancy related purely to technical matters of testing.

Time Plan

The time required for sl. No. 1 – 10 of the above scope of work is about four months. To meet this deadline, cooperation and commitment from laboratory management and personnel is essential. The time required for activities after submission of application to NABL depends on NABL. The approximate time will be about 4 months

Interested laboratory for the above consultancy work is requested to contact Training Coordinator through email at info@ihqa.in

Blood Bank

Scope of Work

Based on the requirements of NABH accreditation procedure / process as per accreditation standards for blood banks, following is the scope of the consultancy work which will enable the blood bank to prepare for NABH Accreditation.

  • Gap analysis to study the present system and identifying areas need to be modified wrt to accreditation requirements
  • Training of blood bank personnel on NABH requirements
  • Assistance in preparation of Quality Manual, Quality system procedures, work instructions and complete system documentation
  • Assistance in implementation of system designed and developed to meet NABH requirements
  • Conduct internal audit to meet NABH requirements
  • Assistance in conduct of management review to meet NABH requirements
  • Assistance for participation in proficiency testing
  • Assistance in preparation of application for NABH Accreditation
  • Assistance in clearing queries / clarifications at the time of Quality Manual adequacy
  • Assistance in clearing queries / clarifications/ non-conformities raised during pre-assessment
  • Conducting mock audits to prepare blood bank for NABH assessment
  • Assistance in clearing queries / clarifications/ non-conformities raised during final assessment
  • Assistance in clearing queries / clarifications raised by NABH, if any,  after final assessment
The scope of work does not include training / consultancy related purely to technical matters of testing.

Time Plan

The time required for sl. No. 1 – 8 of the above scope of work is about four months. To meet this deadline cooperation and commitment from blood bank personnel is essential.

The time required for activities after submission of application to NABH depends on NABH. The approximate time will be about 3 months.

Interested blood bank for the above consultancy work is requested to contact Training Coordinator through email at info@ihqa.in

Blood Storage Centre

Scope of Work

Based on the requirements of NABH accreditation procedure / process as per accreditation standards for blood storage centre, following is the scope of the consultancy work which will enable the blood storage centre to prepare for NABH Accreditation.

  • Gap analysis to study the present system and identifying areas need to be modified wrt to accreditation requirements
  • Training of blood storage centre personnel on NABH requirements
  • Assistance in preparation of Quality Manual, Quality system procedures, work instructions and complete system documentation
  • Assistance in implementation of system designed and developed to meet NABH requirements
  • Conduct internal audit to meet NABH requirements
  • Assistance in conduct of management review to meet NABH requirements
  • Assistance for participation in proficiency testing
  • Assistance in preparation of application for NABH Accreditation
  • Assistance in clearing queries / clarifications at the time of Quality Manual adequacy
  • Assistance in clearing queries / clarifications/ non-conformities raised during pre-assessment
  • Conducting mock audits to prepare blood storage centre for NABH assessment
  • Assistance in clearing queries / clarifications/ non-conformities raised during final assessment
  • Assistance in clearing queries / clarifications raised by NABH, if any,  after final assessment
The scope of work does not include training / consultancy related purely to technical matters of testing.

Time Plan

The time required for sl. No. 1 – 8 of the above scope of work is about three months. To meet this deadline cooperation and commitment from blood storage centre personnel is essential.

The time required for activities after submission of application to NABH depends on NABH. The approximate time will be about 3 months.

Interested blood storage centre for the above consultancy work is requested to contact Training Coordinator through email at info@ihqa.in

Planning and Designing

Scope of Work

Based on the client requirement, the following is the scope of the consultancy work which enable planning and designing the hospital as per standard requirement including NABH and/ or JCI accreditation.

  1. Preparing the Detailed Project Report (DPR) which can be used for multiple purposes like project guidance, planning and designing (including architect, investors and bank loan purpose etc).
  2. Assistance in Medical Planning and Designing of
    • Single speciality hospital
    • Multi-speciality hospital
    • Super speciality hospital
    • Day care centre
    • Clinics
    • Diagnostics centres
  3. Assistance in design review of the hospital
  4. Conducting an infrastructure audits to meet the NABH requirement. 
  5. Assistance in clearing queries / clarification / modification of civil work or infrastructure related non - conformities raised during the NABH assessment. 
  6. Gap analysis related to infrastructure of hospital including various department like OT, CSSD. Kitchen to maintain unidirectional flow to prevent / minimise the infection. 
  7. Assistance in planning and designing of infection free (minimise/control the infection to maximum extent) hospital in regards to civil design and material usage. 
  8. Assistance in way finding and designing of signage
  9. Manpower planning / requirement of the hospital. 
The scope of work does not include training / consultancy related purely to technical matters of testing.
Interested blood storage centre for the above consultancy work is requested to contact Training Coordinator through email at info@ihqa.in

Other Consultancies

Interested Dental Hospital & Centre, Medical Imaging Centre, AYUSH Hospital, Allopathic Clinic and Wellness/ Spa Centre may please contact Training Coordinator through email at info@ihqa.in for NABH consultancy work.
 

 

 

 

Invitation for consultants

Applications are invited from interested professionals/ experts interested in empanelment with IHQA as consultants for various accreditation programs of NABH and Medical Laboratory accreditation program of NABL. A suitable candidate for such empanelment would be either of the following:

  • Qualified Assessor of NABH/NABL (ISO 15189)
  • A person attended 3 days Internal Counsellor program of NABH and has experience of implementing NABH accreditation standards.
  • A person attended 4 days Internal Auditor program based on ISO 15189:2012 and has experience of implementing these standards in a laboratory.
Interested expert meting above mentioned requirements may please send his/her detailed CV to Training Coordinator at info@ihqa.in.