quality & accreditation survey resultschainhc.org/docs/pdf/chai_nhc_nabh_survey_rosemary.pdf ·...

QUALITY & ACCREDITATION

Survey Results

Why NABH session?

Background• Requests for help from MIs• Identified consultants; credibility unknown• CHAI not an expertSolution • Expertise in the network• Share Consultant feedback • Learn from each other

Online Club

• Fostering inter-dependence in the network• Connected through moderated site (platform) • NABH : First Area• Add other areas of expertise • CHAI Role?

• Match-maker

NABH survey

Methodology

• Snow ball sampling used:• Contacted National Steering Committee and few RUs • NSC and RUs shared data on NABH institutions• Survey shared with this database • And all NHC participants

NABH survey

Methodology

• Survey platform:• Online platform used (SurveyMonkey TM)• Open ended and closed ended questions

NABH Survey - Location

1

3

1 11

11

3

0

2

4

6

8

10

12

AndhraPradesh

Karnataka Kerala Maharashtra Punjab Tamil Nadu

Full AccreditationPre-Entry

NABH survey – Bed capacity

2

1

3

5

2

5

2

1

0

1

2

3

4

5

6

Less than 50 51 - 99 100 - 199 200 - 299 300 - 399 Above 500

NABH Survey –Duration to be accredited (months)

12

12

1

10

3

1

0

2

4

6

8

10

12

<1 1-12 13-24 25-36 49-60

Full AccreditationPre-Entry

NABH survey –Consultant used

2

45

10

0

2

4

6

8

10

12

No Yes

Full AccreditationPre-Entry

NABH survey –Was Consultant helpful?

12

3

1

5

9

0123456789

10

No Not applicable Yes

Full AccreditationPre-Entry

NABH survey –Gap areas

6

4

11

0

2

4

6

8

10

12

No Yes

Full AccreditationPre-Entry

NABH survey –Type of gap

1 1

4

3

1

3

1 1

2

4

00.5

11.5

22.5

33.5

44.5

Data

and

docu

men

tatio

n

Fire

& S

afet

y

Hosp

ital

infr

astr

uctu

re

HR D

epar

tmen

t

Labo

rato

ry

Mul

tiple

Are

as

Not

app

licab

le

Full AccreditationPre-Entry

NABH survey –Duration for corrective action

1

4

1

8

5

2

0

1

2

3

4

5

6

7

8

9

<1 month 1 - 6 month 6 months - 1 year Above 1 year

Full AccreditationPre-Entry

NABH survey –Cost for corrective action

4

1 1

10

2 21

02468

1012

0-99

9999

1000

000-

1999

999

2000

000-

2999

999

5000

000-

5999

999

9000

000-

1000

0000

Full AccreditationPre-Entry

NABH survey –Reasons for accreditation

Quality

Patient care

Improve hospitalstandardsStaff improvement

Insurance

NABH survey –Top Challenges

Lack of staffLack of doctorsLack of documentationLack of trainingImplementation

NABH survey –Benefits

5

12

12

1

0

2

4

6

8

10

12

14

Improveddocumentation

Improved quality ofservices

None Other (pleasespecify)

Full AccreditationPre-Entry

NABH survey –Willingness to help others

6

3

12

0

2

4

6

8

10

12

14

No Yes

Full AccreditationPre-Entry

NABH survey –Areas of Help

Out of 21

• Exposure Visit to the Hospital (16)

• Sharing formats and policies (5)

• Assign a staff member to guide (8)

• Contact details of Consultant (6)

NABH might feel like this…

Can feel like this..

NABH survey

Thank you