Centre for Innovations in Public Systems (CIPS), Hyderabad

In Collaboration With

National Accreditation Board for Hospitals & Healthcare Providers (NABH), Quality Council of India (QCI), New Delhi

And Mahatma Gandhi Institute of Medical Sciences (MGIMS), Sevagram,

Maharashtra

Three day Workshop on

“Programme on Implementation of NABH Hospital Standards”

From 25-27 October, 2013 at Sarojini Naidu Hall, MGIMS, Sevagram, Maharashtra

DAY – 1 25th October, 2013 Friday TIME TOPIC SPEAKER

08:30 a.m. to 09:00 a.m. Registration & Pre test

09:00 a.m. to 09:15 a.m. Inauguration

09:15 a.m. to 10:00 a.m.

Introduction to the Programme and Orientation about NABH • Structure • Programmes & Activities • National & International

recognition • Accreditation & Certification • Benefits of Accreditation

Dr. Nitin Raithatha

10:00 a.m. to 11:00 a.m. NABH Standards: Chapter 1 (AAC) Dr. Nitin Raithatha

11:00 a.m. to 11:15 a.m. TEA BREAK 11:15 a.m. to 12:00 p.m.

NABH Standards: Chapter 1 (AAC)-Contd….Exercise 1 Dr. Nitin Raithatha

12:00 p.m. to 01:15 p.m. NABH Standards: Chapter 2 (COP) Dr. Reena Kumar 01:15 p.m. to 02:00 p.m. LUNCH 02: 00 p.m. to 03:15 p.m.

NABH Standards: Chapter 2 (COP)-Contd. .. Exercise 2

Dr. Reena Kumar

03:15 p.m. to 03:30 p.m. TEA BREAK 03:30 p.m. to 05:00 p.m.

NABH Standards: Chapter 3 (MOM) Exercise 3 Dr. Nitin Raithatha

05:00 p.m. to 05:30 p.m.

NABH Standards: Chapter 4 (PRE) Exercise 4

Dr. Nitin Raithatha

DAY - 2 26th October, 2013 Saturday

08:00 a.m. to 09:00 a.m. Journey Towards Quality: Government General Hospital Ernakulam, Kerala Dr. Haneesh Meerasa

09:00 a.m. to 10:30 a.m. NABH Standards: Chapter 5 (HIC) Exercise 5 Dr. Nitin Raithatha

10:30 a.m. to 11:00 a.m. NABH Standards: Chapter 6 (CQI) Dr. Reena Kumar 11:00 a.m. to 11:15 a.m. TEA BREAK

11:15 a.m. to 12:15 p.m. NABH Standards: Chapter 6 (CQI)-Contd….Exercise 6 Dr. Reena Kumar

12:15 p.m. to 1:15 p.m. NABH Standards: Chapter 7 (ROM) Exercise 7 Dr. Nitin Raithatha

01:15 p.m. to 02:00 p.m. LUNCH

02: 00 p.m. to 03:15 p.m. NABH Standards: Chapter 8 (FMS) Exercise 8 Dr. Reena Kumar

03:15 p.m. to 03:30 p.m. TEA BREAK 03:30 p.m. to 04:30 p.m.

NABH Standards: Chapter 9 (HRM) Exercise 9 Dr. Reena Kumar

04:30 p.m. to 05:30 p.m. NABH Standards: Chapter 10 (IMS) Exercise 10 Dr. Nitin Raithatha

DAY - 3 27th October, 2013 Sunday

09:00 a.m. to 9:45 a.m. Implementation of Standards: Broad guidelines for implementation and filling the application form

Dr. Reena Kumar

9:45 a.m. to 11:15 a.m. Implementation of Standards: How to document? Exercise 11

Dr. Reena Kumar

11:15 a.m. to 11:30 a.m. TEA BREAK

11:30 a.m. to 12:45 p.m.

Implementation of Standards: How to do an internal assessment? Exercise 12

Dr. Nitin Raithatha

12:45 p.m. to 1:15 p.m. Preparing for Assessments (Pre & final) Exercise 13 Dr. Nitin Raithatha

01:15 p.m. to 02:00 p.m. LUNCH 02:00 p.m. to 02:45 p.m. Accreditation Process and levels Dr. Nitin Raithatha

02:45 p.m. to 03:15 p.m. Sharing of success story Participants

03:15 p.m. to 03:30 p.m. TEA BREAK 03:30 p.m. to 4:00 p.m. Open House 04:00 p.m. to 5:00 p.m. Post Test 05:00 p.m. to 5:30 p.m. Valedictory Session