The NABH
workshops on various topics and modules at the FOHBS Auditorium and
Vishwabhavan Auditorium at Symbiosis Institute of Health Science, S B Road, Pune.
Day 1 – 30th November 2015
Session 1
Speaker – Dr. B. Krishnamurthy
Topic – Hospitals
Dr(Brig) Pandit, welcomed the Guest Speaker
and gave a brief outline of the NABH workshop. He also emphasised on the
importance of knowing about Grading, Rating, Accreditation, Certification &
Evaluation of Hospitals & Healthcare Delivery systems. He advised us, to be
more interactive with the speakers and learn about Quality Improvement &
Patient Safety.
The workshop began with a
session on the introduction to the healthcare sector regarding the key issues
and possible solutions which was delivered by Dr.B.Krishnamurthy, Director of
Acute Patient Care Services, Kaveri Hospital, Chennai as well as Principal
Accessor & Technical Advisor NABH.
His talk began with the emphasis on the "Four Wheels" of a successful hospital i.e doctors, nurses, technical staff and administrator.
He stressed on the necessity
of teamwork and leadership in a hospital and also spoke of how important
"value of money" in healthcare industry is, so that patient care
attains a satisfactory level.
He gave an overview of the
U.S health records and statistics which showed the difference between the state
of awareness with respect to India and explained how these records are
essential to know the medical errors and the state of health in a country. The
prevalence of lifestyle diseases due to contamination and also the concern of
delivering the right: drug, dose, route, time, patient and documentation was
discussed.
"High Reliability Organisations" was the next point of discussion where he gave the examples of submarines, nuclear industry and aviation industry which focus on "crew resource training" and are more reliable than the accreditation and standards.
The patient point of view was spoken of next where we were asked to think of what we as a patient would want in a hospital. Various views from students were expressed and each of the points were discussed elaborately which helped us understand what our priorities should be when we look at running a successful hospital.
The four basic criteria for NABH towards a hospital were spoken of i.e quality, safety, ethics and legal perspectives; and the other qualities like affordability, efficiency, effectiveness were also emphasised.
The factors on which quality depends i.e., structure, process
and outcome were discussed.
The standard "P's" which form a part of any system were introduced to us which are: process, plan, procedure, protocol, program and policy.
The standard "P's" which form a part of any system were introduced to us which are: process, plan, procedure, protocol, program and policy.
The talk was concluded with
a brief Q&A session. It was indeed a great start to the workshop and
inculcated a sense of importance of accreditation.
Session 2
Speaker – Dr. S. K. M. Rao
Topic – Hospitals
The workshop was
conducted by Dr S.K.M Rao, GM, Columbia Asia hospital, Kharadi, Pune who is
also one of the Principal Accessor, NABH on its accreditation board.
The lecture in the
afternoon session was conducted by Dr S.K,M. Rao. He introduced us to the
concept of NABH and how it’s a part of Quality council of India. He explained
how NABH standards for hospitals.
He distributed the class
in various groups and assigned topics such as
1) Access, Assessment
and Continuity of care (AAC)
2) Care of patient (COP)
3) Management of
Medications (MOM)
4) Hospital infection
control (HIC)
5) Continuous quality
improvement (CQI)
and asked groups about
their understanding of NABH standards.
This hands on exercise helped us understand
the internal structure and the elements of each module much better.
Day 2 – 1st December 2015
Session 1
Speaker – Dr B Krishnamurthy
Topic – Hospitals
Dr B Krishnamurthy is presently directing the
London Hospital’s Trust in Chennai, He is a principal assessor and Trainer, NABH
and Honorary Adviser to AHPI and is an MD in anaesthesiology and an adult
intensivist.
Dr Krishnamurthy has conducted workshop on
CONTINUAL QUALITY IMPROVEMENT, which has 64 indicators. He has mentioned some
of KEY PERFORMANCE INDICATORS like clinical indicators, managerial indicators
and other indicators basis on safety, quality, structure, process, outcome etc.
He gave insight about UHID, International patient safety goal and quality
improving programmes.
According to him in NABH there are 3 ways to
express statistical indicators and that are number/month, percentage and rate. He
also mentioned some sentinel events which might occur due to compromised
quality indicators.
He also acknowledged us with the various
discoveries of techniques such as hand washing, asepsis, sterilization etc.
He shared his work life experiences, enlightening
us with various issues and problems related to quality control in a hospital; further
describing in detail the solutions and implication of improvement in quality
control measures
As an overall delineation of his session, he
briefed us thoroughly about all the standards, regulations of CONTINUAL QUALITY
IMPROVEMENT thereby having a consistent interactive interaction with students
throughout.
Session
2
Speaker –
Dr. S. K. M. Rao
Topic – Hospitals
Shortage of human resources in the healthcare
industry is India’s worst kept secret, stated Dr S K M Rao, General Manager of
Columbia Asia, Pune, during the session on NABH directed Human Resource and
Information Management Service Guidelines. The session provided an insight into
the Indian healthcare industry and a rare chance to glimpse the healthcare
system from inside.
While Human Resource Management is a crucial
aspect of every field of work. The healthcare industry is among the few which
relies almost exclusively on the human resources. For the same reason, Dr Rao
reasoned human resource planning, verification and sourcing is fundamental to
healthcare institutions. Technology today, is advancing at a mind numbingly
rapid pace so much so, that manual labour is quickly being eased. However no
amount of technology could replace the cognitive effort mandatory for the
functioning of a healthcare institution, which is why human resource management
will continue to be a central part of healthcare.
Budgeting is a central part of every
financially conscious organisation. In a world, with constantly expanding
markets, changing inflation rates and vast economic uncertainty, planning is
key to survival. NABH directs intensive planning and documentation of human
resources, which includes guidelines for recruitment, HR policies and
authentication professional qualification. No length is too far when human life
is at stake, suggested Dr Rao. He went on to delve into the increasingly
worrying shortage of qualified healthcare professionals.
Orientation is generally part of the standard
practises of an organisation’s HR. NABH extends orientation to acquainting
employees with hand hygiene, hospital infection control methods, BLS, and so
on. Orientation to measurable service standards is also suggested. Having being
classified in the red category of hazardous areas, safety training is important
in hospitals. Occupational safety practises such as using protective gear,
handling Hepatitis B vaccines, blood and other body fluids that can transmit
infections etc. should also be a part of training. In addition, Dr Rao
suggested that professional development and feedback mechanisms can be used to
improve training. Areas of human resource management such as performance
appraisal, grievance redressal, disciplinary procedures, and health needs of
the employees, personal files, and credentialing, privileging medical and
nursing professional were also briefly discussed.
The second half of the session dealt with
Information Management Service guidelines with emphasis on the importance of
data privacy and information needs. Policies and procedures have to be in
conformance with prevailing laws and documentation of even simple procedures
such as daily census reports is mandatory. The PCPNDT Act and MTP Act with
regard to privacy was also delved into.
The Indian Government has made it compulsory
for all hospitals to have a standardised discharge summary in accordance with
the IRDA. Internationally movements to standardize EMR has also been initiated
and is in its conception stage. Effective data management requires standardised
formats a concept which is still gaining hesitant acceptance in India. Though
it is the way ahead, with a large majority of doctors being hesitant India
still has a long way to go. The advantages of a complete, up-to-date, and
chronological account of patient care, the 24hr availability are yet to be
experienced in the Indian healthcare industry. On a more positive note Dr Rao
suggested that the Indian industry’s data management pivots around the
maintenance of confidentiality, integrity and security of data, record and
information for paper record. Medical records are regularly reviewed, with
focus on timeliness, legibility, and completeness and both the live and
discharged records are reviewed by hospitals and appropriate corrective action
is taken for the errors found.
The session ended with the platform being
opened for questions. The students were able to clear their doubts regarding
the governing body of NABH, the implications and credibility of an
accreditation status, the difference between suspension and black listing and
the challenges of standardizing a subjective concept quality.
The session left us with the status quo of
the Indian healthcare industry. Dr Rao not only cleared doubts and answered
questions but also introduced the class to aspects of the healthcare industry
previously overlooked and raised new questions. The session acquainted the
class with the NABH, its functions and its guidelines in the areas of human
resource management and data management.
Day 3 – 2nd
December
Session
1
Speaker –
Dr. Naveen Chug
Topic – Dental
The speaker for the training session was Dr. Naveen
Chugh from Bangalore, General Manager, Head of Quality, Healthcare Global
Enterprises Ltd, NABH Qualified and Empanelled Assessor and Faculty, Member
Appeals Committee NABH 2014-2016. He is also an Orthodontist and the Legal
advisor. Obtained M.Phil. in Hospital and Healthcare Management from BITS
Pilani.
The session was started by Brig (Dr).Anil Pandit (Retd.),
who welcomed the guest speaker Dr. Naveen Chugh and gave an introduction on him
to the audience.
The speaker gave us the knowledge about NABH Accreditation
Standards for Dental Healthcare Service Provider (DHSP). He started with
briefing on the various chapters, standards and its objective elements. In
total there are 10 Chapters, 85 Standards and 403 Objectives elements
recognized by NABH. He spoke on standards for setting up the Dental facilities.
He started to teach us about each and every chapter and
its various standards in detail and also in addition about various acts and
compliances like Indian Contract Act, Indian Dentist Act, Cosmetics Act, NACO
Guidelines on blood transfusion and donation, CDC Guidelines Atlanta for
infection control, WHO Guidelines, etc.
He also briefed on how the NABH Standards on the Dental
facilities is different from the other NABH standards on hospitals, MIS, blood
bank, etc. like there is the provision for the prisoner in the dental standards
and the Day Care facilities.
During the whole session Brig
(Dr).Anil Pandit (Retd.), Mr.Abdus Farooqui, Ms. Sarika Deshmukh were present
along with the students of MBA-HHM 2015-17 batch.
In the end Dr. Zuwaina Kadri, Member, Academic Committee,
SIHS gives the vote of thanks and felicitate Dr. Naveen Chugh for giving their
time and dedication to acknowledge the audience.
Session
2
Speaker –
Dr. Atul Kulkarni
Topic – Blood
Bank
NABH for
Blood Bank was taken none other than Dr. Atul Kulkarni Director Incharge-
Janakalyan Blood Bank. He is Principal Assess NABH for blood bank. He has done
U.G and P.G from B.J.Medical College, Pune. He is Member State Blood
transfusion Council.
Blood is
essential component of human body. The main technical functions of Blood bank
are Blood collection, blood testing, component separation, blood storage and
issuing. The social function includes Donor motivation, donor and patient
counselling, setting camps. The lecture was very informative included various
guidelines needed for setting up blood bank such as rules and regulations,
license and eleven clauses.
Clause 1.
Legality, management, policies and procedures.
Clause 2.
Accommodation and Environment.
For camps
also various guidelines such as personal, equipment, adequate lighting,
environmental control such as biological, chemical and radioactive safety.
Clause 3.
Record keeping and Personal requirement according to qualifications and training.
Clause 4.
Equipment requirement, selection validation, use and its maintenance is
explained.
Clause 5.
External Services and Supplies procurement of Material.
Clause 6.
Process Control is the important part. It includes donor selection, process of
collection, donor reaction management and handling of blood samples.
Clause 7.
Identification of deviation and adverse events.
Clause 8.
Performance improvement.
Clause
10. Quality and technical records.
Clause
11. Internal audit and management review.
There are
various quality indicators such as TTI%, adverse transfusion rate%, Wastage
rate, component of QC failure, adverse donor reaction rate.
The
various doubts and queries of enthusiastic students were solved by the speaker.
Session
3
Speaker –
Dr. Uday Patil
Topic – MIS
Dr.Uday
Patil sir is MD also a Radiologist. He is on the technical committee of NABH which drafts,
modifies and implement all the standards.
He
furthered explained how NABH works-
NABH is
an institutional member of international society of Quality Assurance.
Accreditation-motive
of NABH
Achievement
of accreditation standards by a healthcare organization, demonstrated through
an intendent external assessment of the organizational level of performance in
the relation to the standards.
Quality:
Appropriate for the purpose.
Sir,
explained about difference between Regulation and Accreditation.
Regulation:
it is mandatory
Accreditation:
it is voluntary, promoted by way of incentives and market forces, in order to achieve
best of the worlds regulating in time to come can simply rely on accreditation
and to provide appropriate care at proper time leads to automatic dividend.
·
Purpose
of accreditation:
·
Improve
yourself
·
Force
to actually what you are doing
·
It
benefits to staff
PROCESS:
1. Conventional
radiation based diagnostic radiology
2. Ultrasound
scans and Doppler studies
3. Bone
densitometry
4. CT,MRI,PET-CT,SPE
CT, Radionuclide imaging and therapy
5. Interventional
procedures
Sir, explains
how to prepare for NABH accreditation procedure.
·
-purpose
of documentation
·
-transparent
open process
·
-legal
and statutory requirement must.
Sir
explains about MIS in 6 chapters. Every chapter gives standards about
how it works.
Chapter
1:
Controls
of services – The intent here is to work collaboratively with colleagues to
agree and deliver appropriate service pathways to ensure diagnosis. Service
delivery is patient focused and respectful. Provision of appropriate
information. Actively promote patient privacy.
*PROTOCOLS:
Who, What When and How to control patient information, identification, activity
and Consent.
*SEDATION:
Is it required, What type, who?
CHAPTER
2-
Intent
here is agreed protocol, competent staff
*control
of imaging processes
*Implementation
and monitoring
*error
assessment
*amendment
to report
Diagnostic
and therapeutic interventional procedures, government HIV and testing policy
and proper management of drugs, isotopes, contrast media and radio
pharmaceuticals and most importantly inventory control
CHAPTER
3-
Control
of personnel - Individual documentation records, benefits, grievances.
CHAPER 4-
Control
of equipment – services, safe and to prevent obsolescence and inappropriate
use, Equipment inventory, ultrasound, check and calibration, maintenance and
repair, correction and preventive action, downtime
STANDARDS-
CE1-procrurment
and instalment
CE2-operation
and working
CE3-maintainance
and repair
CE4-replacement
and new equipment procurement
CHAPTER
5:
CONTROL
OF DOCUMENTS AND RECORDS
Intent
here is Essential documentation, Ethics manual, Apex manual, Cross reference of
all documents
CHAPTER
6:
Protective
measures, minimise the risks, risk control and safety:
Day 4 – 3rd
December 2015
Session
1
Speaker –
Dr. Sanjeev Gupta
Topic –
CQI
Dr(Brig)
Pandit, welcomed the guest speaker and spoke in brief about the changing
dynamics of “Quality” and how to keep upgrading the levels of standards. He
made a note that CQI is a 24X7 and year long process, aligning self with the
changing environment & technology.
Day 4,
Thursday morning session of the NABH workshop was taken up by Dr. Sanjeev.
Gupta sir. He is currently working as Additional General Manager at Jaypee
Hospital, Noida. At the same time managing two of the group hospitals in HP (at
Palampur) & MP (at Raghogarh, Guna) as a project head, responsible for BD,
P & L, Consultants Management & Operations.
He started with what does quality means to us?
Followed by the pioneers in quality like, Walter Shewhart who was a
statistician, Edward Deming and Joseph M. Juran who gave us the total quality
management. He also talked about the fish bone diagram which is also called the
cause and effect diagram given by Kaoru Ishikawa. This was followed by history
of medicine, where he talked about Hippocrates and Florence Nightingale who
introduced prevention of infection control during the Crimean war. Sir asked
various questions to the audience and gave away flowers to the people who
answered them correct, this encouraged us and brought interest to his lecture.
Sir also talked about Kaizen used in CQI, which is the technology which
involves every employee. He informed us about some pioneers in this namely,
ASQ, ISO, NABH, and ISQua.
Sir also spoke
about the quality tools namely the flow chart, cause and effect diagram, Pareto
chart, check sheet. He also mentioned about other tools like the control chart,
the histogram, the scatter diagram, affinity diagram, interrelationship
diagram, tree diagram, etc. Sir talked briefly on PDCA, which was created in
the 1950’s to be rebuilt by the Japanese
economy ravaged by World War 2 and its purpose was to use PDCA with a
continuous improvement process. It is a 4 step process which includes plan, do,
check and act. He further went on to talk about the problem solving tools and
non-productive time in O.T. this was followed by the FMEA i.e. Failure Modes
and Effect Analysis. This consisted the 6 steps of FMEA, namely, Define topic,
form a committed team, develop a process map, conduct a risk or hazard analysis
for each sub process, develop and implement an action plan and redesign process
and lastly, monitor(sustain share and re-evaluate the improvement) this is the
most difficult step. He went on to talk about the challenges of FMEA and then
talked about Root cause analysis. He ended his talk with Lean 6 sigma which was
developed by Motorola in the 1980’s. Lean is decrease in waste by streaming
process and six sigma is decrease defects by effectively solving problems.
Session
2
Speaker –
Dr. Sanjeev Gupta
Topic – Clinical
Audit
The post
lunch session was an interactive session on clinical audit by Dr. Sanjeev Gupta
in SIHS Auditorium. He is currently now working as Additional General Manager
at Jaypee Hospital, Noida. He was a part of the
start up team in commissioning of this green field hospital, actively involved
in Strategy Planning, Budgeting, Operations, Consultant acquisitions, Quality
& Accreditation and at the same time managing two of the group hospitals in
HP (at Palampur) & MP (at Raghogarh, Guna) as a project head, responsible
for BD, P & L, Consultants Management & Operations.
He
commenced his talk with a brief, concise and very understandable definition of
clinical audit as “a quality improvement process that seeks to improve patient
care and outcome through systematic review of care against explicit criteria at
the implementation of change”. Clinical audit cannot be accomplished unless and
until we have preset standards. It was followed by the types of audits: standard based audits,
adverse/ critical incident, peer reviews, patient surveys.
He gave
flowers to the students who answered his questions. Later he briefly discussed
about the process of clinical audit which is a continuous cycle and it includes
5 stages i.e identifying the problem, selecting criteria or standards, observe
practice/ data collection, making improvements and finally sustaining
improvements.
He
initiated the discussion by asking the audience which stage of the clinical
audit would be difficult and easy?
Although many of them voted for sustaining improvements as the most difficult stage and selecting
criteria and standards as the easiest stage compared to all, he said that at
the end of this brainstorming session we will get to know what would be the
answer and yes as he said at the end of the session we were able to
understand all the basics of clinical
audit just like what is the difference between
clinical research, clinical audit , medical audit and medical records
audits, pre-requisites of clinical audit, criteria required for clinical audit
and also benefits of clinical audit to hospitals, healthcare providers and also to patients.
He even
conducted a quiz type exercise on whether the situation or topic that can be
audited is structure, process or outcome. He motivated each and everyone in the
lecture to participate in the exercise.
He even
said that in today’s competitive generation, skill sets are required compared
to education levels and these skills can be acquired only if we have the hunger
to acquire. He threw some light on words like top line, bottom line, standard,
criterion, target, clinical performance indicators etc. and explained why it is
essential to pick a topic for clinical audit that would be relevant to the
organisation. He finally discussed about
the barriers to successful audit.
He
concluded the session with the difference in views of U.K and U.S on Clinical
audit. His knowledge of clinical audit aroused a feeling of becoming a part of
the audit team during our tenure of administration.
Day 5 – 4th
December 2015
Session
1
Speaker –
Dr. S.K.M Rao
Topic – Medical
Device Safety.
Dr(Brig)
Pandit, once again welcomed the speaker and spoke briefly on safety of medical
equipment & medication errors.
The points discussed in the lecture are as below:
“Medical device” means any instrument, apparatus,
implement, machine, appliance, implant, in vitro reagent or calibrator,
software, material or other similar or related article, intended by the
manufacturer to be used, alone or in combination, for human beings for one or
more of the specific purposes of:
•
diagnosis,
prevention, monitoring, treatment or alleviation of disease
•
diagnosis,
monitoring, treatment, alleviation of or compensation for an injury
•
investigation,
replacement, modification, or support of the anatomy or
of a physiological process
•
supporting or
sustaining life
•
control of conception
•
disinfection of
medical devices
•
providing information
for medical purposes
Safety can only be considered in relative terms. All
devices carry a certain degree of risk and could cause problems in specific
circumstances. Many medical device problems cannot be detected until extensive
market experience is gained. For example, an implantable device may fail in a
manner that was not predictable at the time of implantation; the failure may
reflect conditions unique to certain patients.
Global Medical Device Nomenclature (GMDN) is a system
of internationally agreed generic descriptors used to identify all medical
device products. Such products include those used in the diagnosis, prevention,
monitoring, treatment or alleviation of disease or injury in humans
STANDARDS
•
ISO: The
international quality system standards for medical devices by ISO is 13485:2003
and includes all the elements of ISO9001:1994 plus a set of minimum
supplementary requirements for medical devices.
•
FDA
•
CE
CLASSES OF MEDICAL DEVICE
Classification Level of Risk
•
Class I
Low
•
class II a Low – medium (supplied
unsterile)
•
Class II b Medium - high (supplied sterile)
•
Class III High - Active implantable
medical devices (AIMD)
HEALTH TECHNOLOGY
ASSESMENT (HTA)
•
Safety
•
Legal and human
rights perspective
•
Clinical
effectiveness- methods and ways
•
Cost effectiveness-
its not just the MRP
•
Impact assessment –
efficacy measurement
COST EFFECTIVENESS
•
Cost
Effectiveness (natural units)
•
Cost
Utility (DALY/QALY)
•
Cost
Benefit (Rs. or $)
WHO –CHOICE : The CHOICE (CHOosing Interventions that
are Cost-Effective) project is a WHO initiative developed in 1998 with the
objective of providing policy makers with the evidence for deciding on the
interventions and programme which maximize health for the available resources.
HEALTH TECHNOLOGY MANAGEMENT
•
Needs assessment
•
Procurement (special
procurements/donations)
•
Installation
•
Maintenance
•
Disposal
PERFORMANCE
AUDIT
•
Utility of
performance audits
•
Components of
performance audits
Calculating
indices of medical devices maintenance
·
- Downtime Index = Downtime hours x
100
§ Service Hours
·
-Breakdown
maintenance = Total hours spent on
breakdown x 100
o Total man hours available
·
- Maintenance cost
Index =
Maintenance cost x 100
o Capital cost
INPUTS FOR PLANNING
•
UN procurement manual
•
DG S&D
procurement manual
•
MOHFW procurement manual
EQUIPMENT MANAGEMENT
The following aspects are covered in Equipment
Management.
·
New equipment
acquisition, replacement of old technology, new services introduction based
on strategic plan which covers new construction or renovation. (FMS 4a,4g)
·
Control & monitor
equipment performance (FMS 4e,f)
·
Monitoring maintenance
cost
·
Training program for users & Biomedical Engineers(HRM 3a,c)
·
Quality assurance
program ( AAC 7d,AAC 10d)
·
Risk Management related to technology.( ROM 6a,FMS 1a,CQI 8a)
MEDICAL DEVICES: LEGAL ISSUES IN
INDIA
•
No regulations
existed for medical devices in India till 2005.
•
After 2005 medical
devices were bought under the ambit of the Drugs and Cosmetics Act and
subsequent rules.
The
Central Licensing Approval Authority (CLAA)……. In INDIA
•
The CLAA, is a branch
of the CDSCO.
Serves as the main regulatory body for medical devices in India.
•
For Class A devices
Manufacturers may perform their own conformity assessment procedures.
•
For Class B, C and
D devices.
The CLAA, in consultation with the BIS,
will publish a list of notified bodies authorized to perform conformity
assessment.
Medical device manufacturers must submit
an application for assessment to one of these notified bodies.
The necessary application materials will
include technical documentation, corrective and preventative action procedures,
as well as information about the organization and goals of the business.
·
In the case of Class
C and D devices.
Further information and clinical investigation may be required.
Legal documents with
regards to medical devices in India
•
Drugs and Cosmetics
Act and Rules
• Specific Guidance Documents Clarification on Import
and Manufacture of Medical Devices
•
General Guidance
Documents
• Guidance Document on common submission format for
registration of medical devices in India
•
Cosmetics Regulation
in India
•
List of Notified
Medical Devices (List of Devices in the
Gazette)
Session
2
Speaker –
Dr. S. K. M. Rao
Topic – MOM
4th
dec,2015 marked the last day of the NABH workshop. It was held at Symbiosis
Vishwabhawan auditorium. It ended with the session on management of
medication(MOM) which was delivered post lunch by Mr.S.K.M.Rao.
Under the
session the following points were covered:
.Medication
error
.Patient
safety a global issue
.Focus on
medication errors with respect to incidents and errors like sentinel events and
near misses
.Reasons
for medication errors with respect to swiss cheese model”
.Root
causes of sentinel events
.Occurence
of errors with respect to errors during ordering and administering
.Polypharmacy
as the largest risk factor
.Type of
medical errors: human and system
.Critical
steps to meaningful improvement in patient safety: need for root cause analysis
and its characteristics
.Phonological
errors and surgery related errors
.Disclosing
errors
.Formulary
.Inventory
control mechanism
Narcotics
administration
After
explaining these the MOM objective elements were discussed.
It was a
very educative session and a session which would help us to deal with all such
situations in practical life when we enter into these domains.
It was an
immense pleasure for everyone to be a part of this workshop. It was also
followed by a question and answer session which further helped to clarify
everyone’s doubt and generate an interest in everyone to work for these domains
in near future.
At the end of this session, the
students of MBA-HHM 2015-17 has knowledge on how the NABH accreditation, its
various parameters, standards, checklist and other criterion on the dental
facilities work in In-patient, Out-patient and private clinic set-ups. Students
are also thankful for giving an extra views on the various acts and guidelines
necessary to be checked before running the set-ups.
Outcomes of the
Training Workshop-
At the end of these sessions, the students of MBA-HHM 2015-17 have
expanded their knowledge on how the NABH accreditation, its various parameters,
standards, checklist and other criterion related to various facilities work in In-patient,
Out-patient and private clinic set-ups. Students are also thankful for giving
an extra views on the various acts and guidelines necessary to be checked
before running the set-ups.
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