Q&E Consultancy Services (OPC) Pvt. Ltd.

Sanganer, Jaipur, Rajasthan

Entry-Level NABH accreditation has become a necessity for hospitals aiming to offer cashless treatment and enhance their credibility. It plays a crucial role in securing better reimbursement rates under various government healthcare schemes. While infrastructure compliance is not mandatory at this level, achieving Entry-Level NABH requires expert guidance to ensure adherence to quality standards and successful assessment outcomes.

What is Entry Level NABH?The Entry-Level NABH Certification serves as a stepping stone for small and mid-sized hospitals that find full NABH accreditation challenging. It is designed to

• Introduce a quality and patient safety culture in hospitals.
• Serve as a precursor to full NABH accreditation
• Require fewer objective elements (approximately one-fourth of full NABH).
• Demand minimal infrastructural modifications.

Understanding HOPE in Entry-Level NABH Accreditation

• Unlike previous processes, the HOPE (Healthcare Organizations’ Platform for Entry-Level Certification) framework involves two stages:
• Desktop Assessment – Initial evaluation through document submission.
• Physical Assessment – On-site inspection post successful desktop evaluation.

HOPE is managed directly by the Quality Council of India (QCI), ensuring transparency and standardization. Hospitals must be well-prepared to navigate both assessments efficiently.

Who Can Apply?Any hospital looking to enhance quality standards and get empaneled for cashless treatments under insurance schemes should apply. NABH Entry-Level Certification is mandatory for empanelment with public and private insurers, as per IRDA regulations.

Applicable schemes include:

• PMJAY (Pradhan Mantri Jan Arogya Yojana)
• Ayushman Bharat
• MAA Yojana

Advantages of Entry-Level NABH Certification

• Empanelment with insurance companies for cashless treatment.
• Higher reimbursement rates under government healthcare schemes
• Improved patient safety and service quality.
• Enhanced hospital reputation, leading to better community trust.
• Competitive advantage over non-certified hospitals, boosting medical tourism opportunities.

Process of Entry-Level NABH Certification

• Preparation Phase : Staff training, policy formulation, documentation, and mock drills.
• HOPE Registration & Application Submission : Includes exhaustive questionnaire and fee payment
• Desktop Assessment : Online review of documentation and compliance.
• Implementation & Monitoring : Continuous quality checks and mock assessments.
• Physical Assessment : Conducted by NABH-appointed assessors.
• Non-Conformity Closure : Addressing feedback and resubmitting corrective actions.
• Final Certification Review : Evaluation by the NABH accreditation committee.

Q&E Consultancy services provide services for half-yearly compliance reports to projects as a part of the post environmental clearance monitoring process. It is mandatory for project management to submit a half-yearly compliance report in respect of the prior environmental clearance terms and conditions in hard & soft copies to the concerned regulatory authority on 1st June and 1st December of each calendar year.
All the half-yearly compliance reports submitted by the project management will be public documents. Copies of the compliance reports shall be provided to any person on application to the concerned authority. The latest half-yearly compliance reports will also be displayed on the website of the concerned regulatory authority.