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  • Certification in NABH Entry-Level Standards Training

    Designed by Skillversity
    Duration: 6 Months
    Mode: Online / Hybrid

    Program Overview

    The Certification in NABH Entry-Level Standards Training is a 6-month comprehensive program designed to help hospitals and healthcare institutions implement the Entry-Level Accreditation Standards issued by the National Accreditation Board for Hospitals & Healthcare Providers (NABH). The course prepares healthcare professionals, quality managers, and administrators to build a foundation for quality care, patient safety, and regulatory compliance. With in-depth training, documentation templates, case studies, and audit preparation strategies, participants will be equipped to lead their institutions through successful accreditation.

    Who Can Enroll?

    • Hospital administrators and department heads

    • Quality assurance & compliance officers

    • Doctors, nurses & paramedical staff involved in patient care

    • Hospital accreditation coordinators

    • Healthcare consultants, assessors, and auditors

    Course Breakdown (Monthly Modules)

    Month 1: Introduction to NABH & Entry-Level Accreditation

    • Purpose and scope of NABH accreditation

    • Difference between entry-level and full NABH accreditation

    • Key components of the entry-level standards

    • Accreditation benefits and implementation timelines

    • Formation of Hospital Quality Council and Steering Committees

    Month 2: Patient Rights, Consent & Clinical Processes

    • Detailed study of Patient Rights and Education (PRE)

    • Informed consent processes and documentation

    • Patient feedback and grievance redressal mechanisms

    • Continuity of care and referral protocols

    • Communication protocols for vulnerable patients

    Month 3: Hospital Governance, Leadership & Human Resources

    • NABH requirements for hospital governance structures

    • Roles of top management in quality and safety

    • Human Resource Management (HRM) as per NABH standards

    • Credentialing, privileging, and staff training matrix

    • Staff orientation and performance review systems

    Month 4: Facility Management, Infection Control & Safety

    • Hospital Infrastructure safety (electrical, fire, water, etc.)

    • Infection Prevention and Control (IPC) protocols

    • Waste segregation and biomedical waste management (BMWM)

    • Disaster preparedness and emergency response planning

    • Routine maintenance, checklists, and incident reporting

    Month 5: Quality Management System (QMS) & Documentation

    • Establishing a Quality Management System (QMS)

    • Writing SOPs, manuals, and compliance records

    • Internal audits, non-conformance, and root cause analysis (RCA)

    • Continual Quality Improvement (CQI) tools: PDCA, 5 Whys, FMEA

    • Patient safety indicators and clinical audits

    Month 6: NABH Implementation, Assessment & Final Project

    • NABH documentation file structure and filing systems

    • Mock audits, self-assessment checklists, and scoring

    • Common gaps found in NABH entry-level assessments

    • Preparing for external evaluation by NABH assessors

    • Capstone Project: Drafting a NABH compliance roadmap for a healthcare facility

    Key Benefits of the Course

    • Gain expert-level knowledge of NABH entry-level accreditation standards

    • Build the capacity to lead hospital quality and accreditation teams

    • Learn to implement SOPs, infection control, safety, and HR practices

    • Understand how to prepare for NABH assessments and avoid common pitfalls

    • Receive a Skillversity Certificate of Completion to validate your expertise in healthcare quality and compliance