dr. sujit chatterjee_hiranandini hospital

7/31/2019 Dr. Sujit Chatterjee_Hiranandini Hospital

1/22

A NABH Accredited HospitalA NABH Accredited Hospital

Dr L H Hiranandani HospitalDr L H Hiranandani HospitalYour family hospital TM Your family hospital TM

To be the preferred choice for healing and good health To be the preferred choice for healing and good health


2/22


Making accreditation a tool forMaking accreditation a tool for continuous quality improvementcontinuous quality improvement

May 27, 2011May 27, 2011


3/22


IntroductionIntroduction

Accreditation & QualityAccreditation & Quality

e mpace mpac


4/22


IntroductionIntroduction

DrDr LL HH HiranandaniHiranandani

waswas serviceservice andand qualityquality

erv ceerv ce == ra n ngra n ngincludingincluding softsoft skillsskills

QualityQuality ToTo renderrender thisthismoremore elaborateelaboratearrangementsarrangements

necessarynecessaryProcessesProcessesTraininTrainin onon thethe rocessrocess

TestingTesting


5/22


OurOur QualityQuality policypolicy WeWe areare committedcommitted toto renderingrendering thethebestbest availableavailable medicalmedical treatmenttreatment to to ourour patientspatients. . TherapyTherapywillwill bebe evidenceevidence basedbased andand willwill emulateemulate globalglobal standardsstandardsinin everyevery spheresphere. . WeWe willwill strivestrive toto improveimprove thethe qualityquality of of carecare atat everever iveniven timetime thusthus ensurinensurin atientatientsatisfactionsatisfaction

AccreditationAccreditation AuthorizationAuthorization


6/22


Accreditation & ualitAccreditation & ualit

TestingTesting needneed toto bebe phasephase implementedimplemented

ISOISO certificationcertification PracticePractice whatwhat youyou preachpreachHelpedHelped cleanclean upup ourour actactGaveGave thethe organizationorganization processesprocesses toto followfollow

Staff Staff werewere nownow gettinggetting usedused toto processesprocessesInIn 1212 monthsmonths wewe werewere readyready forfor thethe nextnext stepstep


7/22


TestinTestin timetime hadhad comecome

NABHNABH v/sv/s JCIJCI

asas ee unan mousunan mous c o cec o ce n aaan aaa .... n an a ..

AccreditationAccreditation importantimportant to to havehave thethe organizationorganization willingwilling toto


8/22


ImpactImpact - - MilestonesMilestones

ISOISO CertificationCertification andand NABCBNABCB AccreditationAccreditation NovemberNovember 2929,, 20062006


9/22


10/22


ImpactImpact -- MilestonesMilestones

NABLNABL January 05, 2011January 05, 2011


11/22


ImpactImpact -- MilestonesMilestonesNABH ReaccreditationNABH Reaccreditation September 14, 2010September 14, 2010

NABHNABHreaccreditationreaccreditation DateDate picturepicture of of bothboth


12/22


--

epe veepe ve na urena ure oo comp a n scomp a n s ecreaseecrease

ManMan rocessesrocesses inin thethe hos italhos ital otot u datedu datedNursingNursingCriticalCritical carecare

TrainingTraining sessionssessions increasedincreased

HospitalHospital occupancyoccupancy increasedincreased


13/22


--

n can ca parame ersparame ers werewere es a s ees a s e

..uponupon

NutritionNutrition assessmentassessment protocolsprotocols werewere establishedestablished

DrugDrug safetysafety focusfocus increasedincreased manifoldmanifold

n ec onn ec on con rocon ro pro oco spro oco s werewere re e nere e ne


14/22


15/22


--

organizationorganization

ItIt triggerstriggers thethe needneed forfor aa mindmind setset changechange ToTo

understandunderstand andand followfollow thethe processprocess

ItIt ensuresensures thatthat aa mechanismmechanism is is inin placeplace thatthat cancan helphelpickick uu mistakesmistakes andand helhel taketake correctivecorrective actionaction

AA reportingreporting mechanismmechanism getsgets setset andand thethe escalationescalation of of issuesissues isis defineddefined


16/22


17/22


--

nn-- ouseouse serv cesserv ces

PreventivePreventive maintenancemaintenance schedulesschedules areare adheredadhered toto thatthate pse ps nn equ pmentequ pment e c encye c ency

OptimalOptimal supplysupply chainchain

GoodGood inventoryinventory controlcontrol

constantconstant checkschecks (Fire(Fire fightingfighting equipment,equipment, DGDG setssetswaterwater qualityquality fromfrom supplysupply source)source)

TheThe needneed forfor constantconstant trainingtraining


18/22


ImpactImpact - - Support ServicesSupport Services

OutOut sourcedsourced servicesservices

EnhancedEnhanced knowledgeknowledge basebase (customized(customized training)training)

EnhancedEnhanced pridepride especiallyespecially inin househouse keepingkeeping andand

CreationCreation of of aa specializedspecialized tasktask forceforce ee..gg SecuritySecurity

AuditAudit of of agencyagency facilityfacility toto ensureensure theythey maintainmaintainstandardsstandards asas prescribedprescribed

SystemsSystems andand processesprocesses havehave helpedhelped systemizedsystemized workworkcultureculture eveneven withwith thethe outsourcedoutsourced agenciesagencies


19/22


--


20/22


--


21/22


--


22/22

dr. sujit chatterjee_hiranandini hospital

Documents