Our Quality Policy

Yashoda Super Specialty Hospital is a tertiary care hospital with focus on providing world class and holistic healthcare services with excellence in multi specialties to treat patients with respect, compassion, dignity and ensuring their safety by complying with all legal requirements and significant environmental aspects to maintain adherence with NABH standards through continuous quality improvement.

QUALITY OBJECTIVES with SERVICE STANDARDS

  • To focus on Quality of patient care.
  • To improve the performance of all professionals in patient care
  • To monitor, measure, assess and improve performance and to enhance patient satisfaction.
  • To guard, measure and improve patient safety
  • To inculcate an excellent hygienic treatment process
  • To involve all employees to participate in improving Quality
  • To search for pattern of non-compliance with goals, objectives and standards through:
    • Problem identification
    • Problem assessment
    • Finding the root cause
    • Solution Generation
    • Plan for the solution implementation
    • Implementation of corrective action
    • Monitoring


Quality Assurance and Accreditation of Hospitals

Quality assurance is maintained within the hospital with help of standards which are prepared according to the hospital design, culture and other requirements. Standard Operating Procedures are set up and are strictly followed to achieve the set standards.

Regular audits are conducted in the hospital to monitor quality of functioning of various departments. Both internal and external audits are conducted within the hospital. Internal Quality Audits is a powerful tool for any business to measure the effectiveness of the Quality Management System. It is also a good management tool that can be used to review processes and identify any weaknesses, risks and areas of improvement.

The Need for Accreditation:- The practice of medicine is changing and patients are not just seeking for health remedies but seeking ‘good health’. The dynamics of the industry in which we operate are changing very rapidly and it is not enough to attain ‘quality’ but to sustain to make ‘continuous quality improvement’ as an integral part of our day to day life. Whether it be at work or anywhere else for that matter. To become a quality conscious and quality oriented person is the mantra of success for us as a person and as an organization.

What Does Accreditation Mean? Accreditation usually involves measuring one healthcare unit against another equivalent one, which proves to be a great motivator as it encourages healthy competition. It also involves providing feedback to the accredited organization on its progress towards quality goals and areas requiring attention and improvement. There are different models of accreditation, which are broadly classified as follows:

  • The first model of quality assessment gives priority to standards related to available facilities in clinical units.
  • The second model lays stress on quality assurance i.e. process indicators and sets standards for those institutions striving to arrive or improve quality of care.
  • The third model is based on the citizen’s charter. This model emphasizes the fact that health systems should be accessible and acceptable to health seekers.

The Ministry of Health and Family Welfare, Government of India, established the National Accreditation Board for Hospital and Health Care Providers (NABH) under flagship of Quality Council of India (QCI) for accreditation of hospitals in the country. This has also been accredited by International Society for Quality Assurance in Health Care (ISQua) which is the Accrediting body for accrediting organizations through out the world.

The National Accreditation Board for Hospital and Healthcare Providers (NABH) is accreditation body, which sets and addresses standards for the healthcare provider’s ‘level of performance’ in key functional areas such as patient rights, patient treatment, and infection control. NABH standards lead us to improved patient care, safety and continuous quality improvement. This also strengthens the confidence of patients, third party and insurance agencies, providing us a competitive edge.

NABH is the accepted standard proposed by QCI for hospitals as it reflects provision of the highest levels of patient care and patient safety. The accreditation standards are listed in the NABH Manual and are functionally divided into 10 chapters.