dr. sujit chatterjee_hiranandini hospital
TRANSCRIPT
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A NABH Accredited HospitalA NABH Accredited Hospital
Dr L H Hiranandani HospitalDr L H Hiranandani HospitalYour family hospital TM Your family hospital TM
To be the preferred choice for healing and good health To be the preferred choice for healing and good health
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A NABH Accredited HospitalA NABH Accredited Hospital
Making accreditation a tool forMaking accreditation a tool for continuous quality improvementcontinuous quality improvement
May 27, 2011May 27, 2011
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A NABH Accredited HospitalA NABH Accredited Hospital
IntroductionIntroduction
Accreditation & QualityAccreditation & Quality
e mpace mpac
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A NABH Accredited HospitalA NABH Accredited Hospital
IntroductionIntroduction
DrDr LL HH HiranandaniHiranandani
waswas serviceservice andand qualityquality
erv ceerv ce == ra n ngra n ngincludingincluding softsoft skillsskills
QualityQuality ToTo renderrender thisthismoremore elaborateelaboratearrangementsarrangements
necessarynecessaryProcessesProcessesTraininTrainin onon thethe rocessrocess
TestingTesting
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A NABH Accredited HospitalA NABH Accredited Hospital
OurOur QualityQuality policypolicy WeWe areare committedcommitted toto renderingrendering thethebestbest availableavailable medicalmedical treatmenttreatment to to ourour patientspatients. . TherapyTherapywillwill bebe evidenceevidence basedbased andand willwill emulateemulate globalglobal standardsstandardsinin everyevery spheresphere. . WeWe willwill strivestrive toto improveimprove thethe qualityquality of of carecare atat everever iveniven timetime thusthus ensurinensurin atientatientsatisfactionsatisfaction
AccreditationAccreditation AuthorizationAuthorization
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A NABH Accredited HospitalA NABH Accredited Hospital
Accreditation & ualitAccreditation & ualit
TestingTesting needneed toto bebe phasephase implementedimplemented
ISOISO certificationcertification PracticePractice whatwhat youyou preachpreachHelpedHelped cleanclean upup ourour actactGaveGave thethe organizationorganization processesprocesses toto followfollow
Staff Staff werewere nownow gettinggetting usedused toto processesprocessesInIn 1212 monthsmonths wewe werewere readyready forfor thethe nextnext stepstep
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A NABH Accredited HospitalA NABH Accredited Hospital
TestinTestin timetime hadhad comecome
NABHNABH v/sv/s JCIJCI
asas ee unan mousunan mous c o cec o ce n aaan aaa .... n an a ..
AccreditationAccreditation importantimportant to to havehave thethe organizationorganization willingwilling toto
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A NABH Accredited HospitalA NABH Accredited Hospital
ImpactImpact - - MilestonesMilestones
ISOISO CertificationCertification andand NABCBNABCB AccreditationAccreditation NovemberNovember 2929,, 20062006
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A NABH Accredited HospitalA NABH Accredited Hospital
ImpactImpact -- MilestonesMilestones
NABLNABL January 05, 2011January 05, 2011
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A NABH Accredited HospitalA NABH Accredited Hospital
ImpactImpact -- MilestonesMilestonesNABH ReaccreditationNABH Reaccreditation September 14, 2010September 14, 2010
NABHNABHreaccreditationreaccreditation DateDate picturepicture of of bothboth
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epe veepe ve na urena ure oo comp a n scomp a n s ecreaseecrease
ManMan rocessesrocesses inin thethe hos italhos ital otot u datedu datedNursingNursingCriticalCritical carecare
TrainingTraining sessionssessions increasedincreased
HospitalHospital occupancyoccupancy increasedincreased
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n can ca parame ersparame ers werewere es a s ees a s e
..uponupon
NutritionNutrition assessmentassessment protocolsprotocols werewere establishedestablished
DrugDrug safetysafety focusfocus increasedincreased manifoldmanifold
n ec onn ec on con rocon ro pro oco spro oco s werewere re e nere e ne
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A NABH Accredited HospitalA NABH Accredited Hospital
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organizationorganization
ItIt triggerstriggers thethe needneed forfor aa mindmind setset changechange ToTo
understandunderstand andand followfollow thethe processprocess
ItIt ensuresensures thatthat aa mechanismmechanism is is inin placeplace thatthat cancan helphelpickick uu mistakesmistakes andand helhel taketake correctivecorrective actionaction
AA reportingreporting mechanismmechanism getsgets setset andand thethe escalationescalation of of issuesissues isis defineddefined
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nn-- ouseouse serv cesserv ces
PreventivePreventive maintenancemaintenance schedulesschedules areare adheredadhered toto thatthate pse ps nn equ pmentequ pment e c encye c ency
OptimalOptimal supplysupply chainchain
GoodGood inventoryinventory controlcontrol
constantconstant checkschecks (Fire(Fire fightingfighting equipment,equipment, DGDG setssetswaterwater qualityquality fromfrom supplysupply source)source)
TheThe needneed forfor constantconstant trainingtraining
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A NABH Accredited HospitalA NABH Accredited Hospital
ImpactImpact - - Support ServicesSupport Services
OutOut sourcedsourced servicesservices
EnhancedEnhanced knowledgeknowledge basebase (customized(customized training)training)
EnhancedEnhanced pridepride especiallyespecially inin househouse keepingkeeping andand
CreationCreation of of aa specializedspecialized tasktask forceforce ee..gg SecuritySecurity
AuditAudit of of agencyagency facilityfacility toto ensureensure theythey maintainmaintainstandardsstandards asas prescribedprescribed
SystemsSystems andand processesprocesses havehave helpedhelped systemizedsystemized workworkcultureculture eveneven withwith thethe outsourcedoutsourced agenciesagencies
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A NABH Accredited HospitalA NABH Accredited Hospital
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