Structure of QCI
The society is governed by a Council comprising of 38 members, and has an equal representation of Government, Industry and other stakeholders. The Council is the apex level body responsible for formulating the strategy, general policy, constitution and monitoring of various components of QCI including the accreditation boards with objective to ensure transparent and credible accreditation system. The Council through a Governing Body monitors the progress of activities and appeal mechanisms set by the respective boards. QCI functions through the executive bodies (boards/committees) that implement the strategy, policy and operational guidance set by the Quality Council of India with a view to achieve international acceptance and recognition of various programs offered by the Boards. Each Board has a Chairman nominated by the Chairman, QCI and comprises of representatives volunteer group of stakeholders who guide and monitor the activities and progress of the respective Boards.
* NABL continues to be a separate legal entity. NABL is also registered as a Society under the Societies Registration Act XXI of 1860. Each Board offers services that are needed by the market place and also those services that have been specifically designed for certain Ministries and government departments. Each Board is expected to be financially viable and also contribute to the quality promotion efforts of QCI.
National Accreditation Board for Hospitals and Healthcare (NABH) began its journey in the year 2005 with a vision of developing a system in India to ensure quality and safety of health care services. The process got initiated with a question in Parliament addressed to Ministry of Tourism, asking if there was any accreditation programme for hospitals in place. This was in relation to seek assurance for patients travelling to India (Medical Tourism) that whether hospitals follow evidence based medical treatment and have processes and systems in place to ensure patient safety related aspects. The question was routed through MOHFW to Quality Council of India (QCI) with a request to design/develop appropriate accreditation programme with global acceptance.
NABH, a constituent board of QCI, was set up with cooperation of Ministry of Health and Family Welfare, Government of India and Indian Health Industry. The board was structured to cater to the needs of the consumers and setting standards for progress of the industry and to provide a boost to medical tourism. NABH is supported by all stakeholders including industry, consumers, government, have full functional autonomy in its operation.
NABH Board was constituted and the first meeting of the Board for developing blueprint of NABH was held on 19th January, 2006 under the Chairmanship of Dr. P K Dave. In this meeting, first edition of hospital accreditation standards and accreditation program was approved to be launched from 1st February, 2006. Since then, NABH has developed and started several other accreditation standards and programs as mentioned elsewhere in this document.
As on 11th February, 2015, there are 267 hospitals and 68 blood banks accredited.
Scope of activities of NABH covers the following:
- Accreditation of healthcare facilities
- Quality promotion: initiating Safe-I, Nursing Excellence, Laboratory certification programs
- IEC activities: public lecture, advertisement, workshops/ seminars
- Education and Training for Quality & Patient Safety
- Recognition. Endorsement of various quality courses/ workshops
2.1 Accreditation Programs:
- Hospital Accreditation Program (started in 2006)
- Blood Bank Accreditation Program (started in 2007)
- Small Healthcare Organization (SHCO) Accreditation Program (started in 2008)
- Community Health Centre (CHC)/ Primary Health Centre (PHC) Accreditation Program (started in 2008)
- Opioid Substitution Therapy (OST) Accreditation Program (started in 2009)
- AYUSH Hospital Accreditation Program (started in 2009)
- Wellness Centre Accreditation Program (started in 2009)
- Medical Imaging Services Accreditation Program (started in 2010)
- Dental Health Service Provider (DHSP) Accreditation Program (started in 2011)
- Allopathic Clinics Accreditation Program (started in 2011)
- Blood Storage Accreditation Program (started in 2013)
- Clinical Trial (Ethics Committee, Investigator and Trial Site) Accreditation Program (Expected to be launched in February 2015)
2.2 Certification Programs:
- Medical Laboratory Certification Program (started in 2007)
- Safe-I Certification Program (started in 2011)
- Pre Accreditation Entry Level Certification Program for Hospital (started in 2014)
- Pre Accreditation Entry Level Certification Program for SHCO (started in 2014)
- Nursing Excellence Certification Program (started in 2014)
2.3 Education and Training:
NABH conducts various education and training programs including one day awareness, three days program on implementation, workshop on clinical audit, medication safety, infection control, legal compliance and continuous quality improvement.
2.4 Empanelment Activity:
NABH also conduct inspection of private hospitals for empanelment under Ex-Servicemen Contributory Health Scheme (ECHS)/ Central Government Health Scheme (CGHS).
2.5 NABH Journal:
Journal of NABH is published biannually.
2.6 Support to Government:
NABH support different activities initiated by Government of India and State Governments. NABH has drafted various standards to be used in Central Clinical Establishment Act. NABH undertake projects for capacity building and quality improvement in government healthcare facilities (hospitals/ PHCs/CHCs) of different States through NABET registered consulting organizations.
2.7 NABH International:
In July 2010, NABH has extended its accreditation activities outside India under NABH International (NABHI). The reason for such initiative was primarily to support SAARC countries, however services are available to healthcare organizations from all over the globe.
3. Board Structure, Composition and Chairpersons
3.1 Board Structure
3.2 Board Composition
- Immediate Past Chairperson
- Secretary General-Quality Council of India
- Indian Medical Association
- Consumer Co-ordination Council
- Insurance Regulatory & Development Authority (IRDA)
- Indian Nursing Council
- Secretary, Ministry of AYUSH (erstwhile Department of AYUSH)
- Director General, Armed Forces Medical Services
- Directorate General of Health Services (DGHS), MOHFW
- Dean, Maulana Azad Medical College, New Delhi
- Secretary, Ministry of Tourism
- Drugs Controller General of India
- Chair, Health Committee â€“ CII
- Chair, Health Committee - ASSOCHAM
- Chair, Health Committee - FICCI
- Academy of Hospital Administration (AHA)
- President, State Medical Council (currently Delhi State)
- Consortium of Accredited Healthcare Organizations (CAHO)
- Chair, Accreditation Committee â€“ NABH
- Chair, Hospital Technical Committee â€“ NABH
- Chair, Appeals Committee â€“ NABH
- CEO NABH â€“ Member Secretary
3.3 Previous Chairpersons:
|Dr. P.K. Dave
Ex-Director AIIMS and Chairman,
Advisory Board, Rockland Hospital B-33-34,
Qutab Institutional Area New Delhi
|January 2006||July 2010|
|Dr. Narottam Puri
Advisor - Medical Fortis
Healthcare Ltd. Okhla Road New Delhi
|July 2010||July 2014|
|Dr. Nandakumar Jairam
Chairman & Group Medical Director
Columbia Asia Hospitals
India Pvt. Ltd. Bangalore
4. International Linkages and Activities
NABH is an institutional member of International Society for Quality in Health Care (ISQua), an apex organization with a mission to â€˜Inspire, promote and support continuous improvement in the safety and quality of health care worldwideâ€™. NABH as an organization and its standards for hospital accreditation are accredited under its International Accreditation Program. NABH has been a member of ISQua Board and Accreditation Council since 2007. Currently, NABH provides Chairman- ISQua Accreditation Council and plays a key role in governance and technical matters.
NABH is also a founder member of Asian Society for Quality in Health Care (ASQua). NABH provided President of ASQua in the year 2011 & 2012 and also hosted its Secretariat. NABH plays key role in governance and technical matters of ASQua.
In addition, NABH participates in various international forums on healthcare quality and safety organized by World Health Organization (WHO), The World Bank, Organization for Economic Cooperation and Development (OECD), International Hospital Federation (IHF) etc. for exchange of expertise.
5. Accreditation Mark of Excellence
The accreditation Mark shown here is for the use by accredited healthcare organizations. This mark indicate clear distinction between accredited and non-accredited organizations. The use of this Mark by accredited healthcare organizations is govern by guidelines issued by NABH.
6. Contact us
NABH can be contacted at the following address:
5th Floor, ITPI Building, 4A, Ring Road, IP Estate
New Delhi 110 002, India
Tel: +91-11-23323416-20; Fax: +91 11 23323415
National Board for Quality Promotion (NBQP) as constituent board of Quality Council of India has primarily been assigned task to promote quality in all walks of life. NBQP receives nominal support by way of Plan Funds from Government to carry out National Quality Campaign. It has so far been doing this through two basic components i.e. promote application of quality management standards and statistical quality tools, enabling industry to improve quality competitiveness of industry in general and SME sector in particular. Second component has been focused on empowering the consumers so as to demand quality and creating pressure on suppliers. Campaign is carried out basically by organizing awareness programs for industry through QCI member organizations including apex industry associations i.e. ASSOCHAM, CII, FICCI and sometimes with district industry associations. These programs are conducted in different domains of industry and across all geographical locations.
Quality Council of India has adapted resolution to play role of a national quality facilitating body by promoting quality and building capacity to meet expectations of consumers in all sectors i.e. manufacturing, infrastructure, education, health, government, social etc. It needs to become an organization which will unite quality professionals with the common cause of promoting quality across sectors. This is envisaged through launching of Professional Membership Scheme. NBQP will spearhead these initiatives.
Launching of Professional Membership scheme of QCI is going to take National Quality Campaign at the grass root level of society. Membership of QCI would be aimed at building sense of pride among professionals as torch bearers in spreading quality under overall mission: Quality for National Well Being. Chapter (comprising 50 members in one location) will act as empowered center of QCI/NBQP in carrying out campaign on regular basis, through talk show, seminars, competitions etc in cross functional sectors. For example experts from auto sector can help hospital to implement lean tools and likewise hospital doctors can help same auto industry on occupational health. One of the organizational members of QCI will be requested to provide secretariat/venue for the chapter activities. In order to provide guidance to the chapters, NBQP will form divisions in different sectors like manufacturing, education, health, government, where some of the best brains will be invited to be on the panels of sector based divisions of QCI, to advise chapters in carrying out activities including giving expert talks.
- To spread the awareness on quality through various media
- To organise specialised training/ workshop by national and international experts
- To promote business excellence through quality promotion schemes, awards etc.
- To sponsor seminars and conferences aimed towards promoting good business practices
- To encourage research in the field of quality
- To develop programmes for building competitiveness of SMEs.
The revised role of NBQP would include (not limited to) following:
- Promote awareness of quality in all spheres throughout the country
- Hold education programs through experts in cutting edge fields of quality
- Hold conventions & exhibitions in co-operation with QCI members.
- Build capacity of quality professional in all sectors to support quality improvement
- Pursue/enable research as well as academic activities related to quality.
- Publish magazine, journals, research papers & books/booklets
- Form joint ventures to promote quality
- Design & create uniquely Indian quality awards
- Make periodic report cards to the nation on the status of quality.
- Representing India on various international forums and establish formal alliance, where possible.
QCI had received a corpus of Rs 75 lakhs from the government and an equal contribution was to be made by the industry represented by 3 industry associations - CII, FICCi and ASSOCHAM. The contribution from the industry came in installments.
QCI was intended to be established as an independent organization away from the government and hence was expected to generate enough revenue through its services to manage itself. QCI over the years has managed to achieve this objectives and has neither gone back to the government nor the industry for any finance to run its day to day operations.