RGJAY Empanelment Process and NABH Scoring and Grading Criteria

1. NABH Scoring & Grading Parameter for New hospital

The Empanelment process for hospital under Rajiv Gandhi Jeevandayee Arogya Yojana is as follows:

Steps for empanelment:

STEP I: Complete Online application form STEP II: NABH audit (by Officials from Directorate of Health services & Society)

STEP III: Infrastructure Audit (by TPA and District Coordinator) STEP IV: Grading and scoring by (TPA, Society & NIC representative) STEP V: Presenting the hospitals in Empanelment committee (EC) STEP VI: in Empanelment committee (EC) decision based on all the reports by

field team and application form STEP VII: If hospital is cleared, then Communication to hospital regarding score

and grades

Aspects regarding NABH Audit:

1. Parameters of NABH audit 8 sheets

Rating draft standards for RGJAY

Sr No Category of Standard % weightage

1 HR Quality 18

2 Facilities Management 15

3 Infection Control Measures 12

4 Monitoring Medication 8

5 Maintenance of Patient Medical Records 7

6 Patient Satisfaction Indices 8

7 Standard Operating Protocols 5

8 Transparency In pricing 7

Total Weightages 80

2. Criteria based on scores of 8 sheets:

NABH scoring and grading criterion is as follows

Grades Criteria

A. Minimum mandatory fulfilled in all 8 (HR, FAC, ICM, MED, EMR, TIP, SOP, PSI) sheets and marks more than 50% in each sheet. Please check the attached sheet to know the mandatory parameters

B. Marks more than 50% in 6 sheets i.e. HR,FAC,MED,EMR,ICM,TIP C. Marks more than 50% in 4 sheets i.e. HR,FAC,MED,TIP D. Marks more than 50% in 2 sheets i.e. HR,FAC

NE If hospital scores less than 50 % marks in HR & FAC

NOTE: Total marks obtained in 8 sheets (HR, FAC, ICM, MED, EMR, TIP, SOP, PSI) /80 * 100

A, B & C grades are further divided into sub grades based on the percentage scores

A-A1 and A2 B-B1 and B2 C-C1 and C2

Criterion to decide sub grades:

Sr. No. Grade SCORING AS PER NABH % Package rate %

1 A1 >= 86% 100

2 A2 < 86 % 90

3 B1 >=81% 85

4 B2 < 81 % 80

5 C1 >=76 % 75

6 C2 < 76 % 70

7 D

>=50 % 60

<50 % NE

2. NABH Scoring & Grading Parameter for 1stReassessment hospital

The Empanelment process for hospital under Rajiv Gandhi Jeevandayee Arogya Yojana is as follows:

Steps for empanelment:

STEP I: Complete Online application form STEP II: NABH audit (by Officials from Directorate of Health services & Society)

STEP III: Infrastructure Audit (by TPA and District Coordinator) STEP IV: Grading and scoring by (TPA, Society & NIC representative) STEP V: Presenting the hospitals in Empanelment committee (EC) STEP VI: in Empanelment committee (EC) decision based on all the reports by

field team and application form STEP VII: If hospital is cleared, then Communication to hospital regarding score

and grades

Aspects regarding NABH Audit:

1. Parameters of NABH audit 9 sheets

Rating draft standards for RGJAY

Sr No Category of Standard % weightage

1 HR Quality 18

2 Facilities Management 15

3 Infection Control Measures 12

4 Monitoring Medication 8

5 Maintenance of Patient Medical Records 7

6 Patient Satisfaction Indices 8

7 Standard Operating Protocols 5

8 Transparency In pricing 7

9 Quality Patient Care 20

Total Weightages 100

2. Criteria based on scores of 9 sheets:

NABH scoring and grading criterion is as follows

Grades Criteria

A. Minimum mandatory fulfilled in all 8 (HR, FAC, ICM, MED, EMR, TIP, SOP, PSI, QPC) sheets and marks more than 50% in each sheet. Please check the attached sheet to know the mandatory parameters

B. Marks more than 50% in 6 sheets i.e. HR,FAC,MED,EMR,ICM,TIP C. Marks more than 50% in 4 sheets i.e. HR,FAC,MED,TIP D. Marks more than 50% in 2 sheets i.e. HR,FAC

NE If hospital scores less than 50 % marks in HR & FAC

NOTE: Total marks obtained in 9 sheets (HR, FAC, ICM, MED, EMR, TIP, SOP, PSI, QPC) /80+Applicable parameter in QPC * 100 A, B & C grades are further divided into sub grades based on the percentage scores

A-A1 and A2 B-B1 and B2 C-C1 and C2

Criterion to decide sub grades:

Sr. No. Grade SCORING AS PER NABH % Package rate %

1 A1 >= 86% 100

2 A2 < 86 % 90

3 B1 >=81% 85

4 B2 < 81 % 80

5 C1 >=76 % 75

6 C2 < 76 % 70

7 D

>=50 % 60

<50 % NE

3. NABH Scoring & Grading Parameter for 2nd Reassessment hospital

The Empanelment process for hospital under Rajiv Gandhi Jeevandayee Arogya Yojana is as follows:

Steps for empanelment:

STEP I: Complete Online application form STEP II: NABH audit (by Officials from Directorate of Health services & Society)

STEP III: Infrastructure Audit (by TPA and District Coordinator) STEP IV: Grading and scoring by (TPA, Society & NIC representative) STEP V: Presenting the hospitals in Empanelment committee (EC) STEP VI: in Empanelment committee (EC) decision based on all the reports by

field team and application form STEP VII: If hospital is cleared, then Communication to hospital regarding score

and grades

Aspects regarding NABH Audit:

1. Parameters of NABH audit 10 sheets

Rating draft standards for RGJAY

Sr No Category of Standard % weightage

1 HR Quality 18

2 Facilities Management 15

3 Infection Control Measures 12

4 Monitoring Medication 8

5 Maintenance of Patient Medical Records 7

6 Patient Satisfaction Indices 8

7 Standard Operating Protocols 5

8 Transparency In pricing 7

9 Quality Patient Care 20

10 Performance of Scheme Indicator 10

Total Weightages 110

2. Criteria based on scores of 10 sheets:

NABH scoring and grading criterion is as follows

Grades Criteria

A. Minimum mandatory fulfilled in all 8 (HR, FAC, ICM, MED, EMR, TIP, SOP, PSI, QPC) sheets and marks more than 50% in each sheet. Please check the attached sheet to know the mandatory parameters

B. Marks more than 50% in 6 sheets i.e. HR, FAC, MED, EMR, ICM,TIP C. Marks more than 50% in 4 sheets i.e. HR,FAC,MED,TIP D. Marks more than 50% in 2 sheets i.e. HR,FAC

NE If hospital scores less than 50 % marks in HR & FAC

NOTE: Total marks obtained in 9 sheets (HR, FAC, ICM, MED, EMR, TIP, SOP, PSI, QPC) /80+Applicable parameter in QPC * 100

A, B & C grades are further divided into sub grades based on the percentage scores

A-A1 and A2 B-B1 and B2 C-C1 and C2

Criterion to decide sub grades:

Sr. No. Grade SCORING AS PER NABH % Package rate %

1 A1 >= 86% 100

2 A2 < 86 % 90

3 B1 >=81% 85

4 B2 < 81 % 80

5 C1 >=76 % 75

6 C2 < 76 % 70

7 D

>=50 % 60

<50 % NE