NABH Accreditation for AYUSH system of medical practices in meeting the challenges of 21 st century. Sincere thanks to � Dr. Vikram Kashyap, Neurosurgeon, Bangalore Dr. NIRANJANA MURTHY. M.D.(Ayu.) � Dr. Malati, Manipal Hospital, Bangalore. M.D.- PENTACARE AYURPHARMA , Bangalore. � Dr.Bhawna Gulati, Asst. Director, NABH. PATIENT CENTRIC MEDICAL SYSTEM AYUSH Medical success = Physician, Drug, Nurse & Patient A yurveda, Y oga, U nani, S idda & H omeopathy. Good physician: Ref.: Charaka, Su, 29-6,7 & 8. Roots of Ayurveda: Well read, good practical experience, skillful, pure, whose medical prescriptions & surgical operations are infallible, with healthy sense From sages with intuition, meticulous observation of rich bio- organs & character, with excellent knowledge of anatomy, diversity & compassion for human life. physiology, pathology, signs & symptoms, good prognostic knowledge, in-depth knowledge of pharmaceutics ……….. � Detailed, documented & scientific system evolved. Source of Medicines: (Eight branches with detailed description of Dosha, Dhatu, Malas, Agni, Ama, It should be examined with respect to Nature, qualities, specific action, Srotas, Drugs, Preventive & Curative medical care etc.) place of growth, season of collection, mode of collection, method of � Part of Vedic tradition & sub-branch of Atharvaveda. preservation, method of processing, dosage in which employed, its curative strength in various patients for the same disorder ……………. “It is only for the sake of Dharma & not for fulfilling personal Strict regulatory procedures led to quackery desires & lusts that the science of Ayurveda was brought to the light by sages” Quacks: Like thorns they torture people ………….and are traitors and they may thrive Charaka, Sutra, 1 st Chapter . due to lack of vigilance on the part of the rulers. Department of AYUSH : PRESENT STATUS OF AYURVEDA Research councils [4] � Central Council for Research in Ayurveda and Siddha (CCRAS) � Central Council for Research in Unani Medicine (CCRUM) � � Central Council for Research in Homoeopathy (CCRH) � Central Council for Research in Yoga and Naturopathy (CCRYN) Bright areas: National Institutes (Education in Indian Medicine)[5]: � National Institute of Ayurveda, Jaipur (NIA) � National Institute of Siddha, Chennai (NIS) � � Renewed interest among young practitioners in the National Institute of Homoeopathy, Kolkata (NIH) � National Institute of Naturopathy, Pune (NIN) � private sector. � National Institute of Unani Medicine, Bangalore (NIUM) � Institute of Post Graduate Teaching and Research in Ayurveda, Jamnagar, Gujarat (IPGTR) � Great demand for quality medicines and therapy across Rashtriya Ayurveda Vidyapeeth, New Delhi (RAV) � Morarji Desai National Institute of Yoga, New Delhi (MDNIY) � the globe. Indian Medicine Pharmaceutical Corporation Limited (IMPCL), Mohan, Uttaranchal (a public sector � undertaking) Professional councils � Safe & effective management of chronic & life style � Central Council of Homoeopathy (CCH) � disorders. Central Council of Indian Medicine (CCIM) � Pharmacopoeia Commission � � Unique methods of medical management with equal � Indian Pharmacopoeia Commission Pharmacopoeia Commission for Indian System of Medicine � Traditional Knowledge Digital Library (TKDL) emphasis on internal cleansing & preventive care. � 1
PRESENT STATUS OF AYURVEDA Grey areas: � Lack of effort to understand & apply the true spirit behind the time tested science. � Majority public still unaware of the relevance of Ayurveda for their health care. � Lack of confidence in the youngsters to invest in clinical establishments. due to scarcity of role models. � Much of the activities are confined to government institutions & negligible support for upcoming young physicians. Present Challenges Present Challenges Who will bell the cat ???? � Re-establish the glory of patient centric approach as taught by Acharyas � Is there any certification body, with no commercial like Charaka, Sushruta, Vagbhata & others . interest & who accredits purely on merit ? � Is there any system to validate the claims made by an AYUSH center � To bridge the wide gulf between quality of medical care the community in order to safeguard the interest of patients ? expects & deserves and what AYUSH actually delivering. � Is there any organization with well qualified & well groomed medical � To establish AYUSH centers which ensures critical patient benefits; professionals as assessors ? primarily � Is there any organization which defines & validates different aspects 1. efficacy, of HCO ? 2. informed care, � Is there any organization whose stamp of approval is recognized & 3. safety. respected across the globe ? � To galvanize the preparedness of AYUSH systems to meet the demand � Is there any organization which believes that the of surging affluent class seeking alternative medical care in the era of quality system is quite adoptable even by internet & pro-active communication media. AYUSH systems & is making sincere effort for the same ? Overview of STANDARDS for HOSPITALS Quality Council of India Requirements that define a patient’s expectation with respect to • Structures • Processes National National Accreditation National Accreditation Board Board for Testing and Accreditation Board • Outcomes for Certification Calibration for Education & Bodies (NABCB) Laboratories (NABL) Training (NABET) that must be substantially in place to improve safety and quality of patient care National Accreditation National Board for Quality Information Board for Hospitals & Quality Promotion and Enquiry Service (NBQP) Health Care Providers 10 Chapters , 98 Standards & 489 Objective elements (NABH) 2
Structural Standards 1.Structural Standards � Basic structure of the hospital � Resources required N A B H Stds � Equipment 2.Clinical Standards � Manpower � Space 3.Managerial Standards Management Centred Stds. Patient-Centred Standards Continuous Quality Improvement -CQI 1. Access, Assessment & Continuity of Care-AAC 1. Responsibilities of Management-ROM 2. Care of patients-COP 2. Facility Management & Safety -FMS 3. Management of medication-MOM 3. Human Resources Management -HRM 4. Patient (& Family) rights & education-PRE 4. Information Management System (Medical 5. Hospital Infection Control-HIC 5. records, Statistics) - IMS WHY N A B H Std ? Benefits of NABH accreditation to PATIENTS � Applicable to all Hospitals in India, regardless of system. � Creates common minimum standards across the system to provide unified & std. care of pts. � Pts are the primary beneficiaries. � Periodic surveillance & monitoring. � High quality care and patient safety. � Brings in discipline & ensures documentation. � Pts cared through credentialed staff. � Specific AYUSH standards. � Rights of patient; respected & protected. � Clinically oriented & practical. � Pts satisfaction; regularly evaluated. � Ensures patient safety and quality of care. � Evidence based medicine. � Makes the system legally compliant. 3
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