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1 PRESENT STATUS OF AYURVEDA Grey areas: Lack of effort to - PDF document

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.


  1. 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

  2. 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

  3. 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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