NABH accreditation

NABH accreditation, chapter by chapter.

Entry-level and full NABH for hospitals, clinics, dental, AYUSH and blood banks. We implement, document, train and mock-audit, then sit beside you on assessment day.

Which level

Two tracks, the same rigour.

Many smaller hospitals start with Entry-Level and move to Full as they grow.

Track 1

NABH Entry-Level

For nursing homes, smaller hospitals and clinics. A focused set of standards and a faster route to recognised quality.

Suits: nursing homes, small hospitals, clinics
Track 2

NABH Full

For multi-specialty and tertiary hospitals and chains. Full compliance across all ten chapters.

Suits: multi-specialty, tertiary care, hospital chains
What we cover

All ten chapters.

The full NABH scope. Entry-Level covers a focused subset.

AAC

Access, assessment and continuity of care

Registration to discharge: patient flow, triage and handovers.

COP

Care of patients

Clinical protocols, ICU, OT, anaesthesia and end-of-life care.

MOM

Management of medication

Procurement, storage, prescribing, dispensing and reconciliation.

PRE

Patient rights and education

Informed consent, grievances and patient education material.

HIC

Hospital infection control

Surveillance, antibiotic stewardship and sterilisation audits.

PSQ

Patient safety and quality improvement

Quality indicators, sentinel events and root-cause analysis.

ROM

Responsibilities of management

Governance, leadership, ethics and scope of services.

FMS

Facility management and safety

Fire safety, electrical, biomedical waste and hazardous materials.

HRM

Human resource management

Credentialing, privileging, training records and appraisal.

IMS

Information management system

Records, confidentiality, ICD coding and retention.

How we get there

Every phase, fully supported.

  1. Phase 1

    Gap analysis

    A walk-through of every department and a detailed gap report against the standard.

  2. Phase 2

    Plan and quality team

    Set up the quality committee, name a coordinator and agree the timeline.

  3. Phase 3

    Documentation

    SOPs, manuals and policies written for your hospital, not copied from a template.

  4. Phase 4

    Training and rollout

    Department-wise training that builds quality practice into daily work.

  5. Phase 5

    Mock audit

    A full dry run with a gap report and fix list before the real assessment.

  6. Phase 6

    Assessment day

    Our team is on site for the assessor’s visit: pre-brief, support and debrief.

  7. Phase 7

    Sustain

    Periodic check-ins, surveillance-audit readiness and re-accreditation prep.

  8. Add-on

    Digital KPI dashboard

    Live NABH indicators from our custom software practice, instead of spreadsheets.

Wherever you are in the journey, we can step in.

Whether you are starting out or your assessment is weeks away.