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 Sr No 1 2 3 4 5 6 7 8
Rating draft standards for RGJAY Category of Standard % weightage HR Quality 18 Facilities Management 15 Infection Control Measures 12 Monitoring Medication 8 Maintenance of Patient Medical Records 7 Patient Satisfaction Indices 8 Standard Operating Protocols 5 Transparency In pricing 7 Total Weightages 80
2. Criteria based on scores of 8 sheets: NABH scoring and grading criterion is as follows
A. B. C. D.
Grades Criteria 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 Marks more than 50% in 6 sheets i.e. HR,FAC,MED,EMR,ICM,TIP Marks more than 50% in 4 sheets i.e. HR,FAC,MED,TIP 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 scores
further divided into sub grades based on the percentage A-A1 and A2 B-B1 and B2 C-C1 and C2 Criterion to decide sub grades:
2.
Sr. No. 1 2 3 4 5 6
Grade A1 A2 B1 B2 C1 C2
7
D
SCORING AS PER NABH % >= 86% < 86 % >=81% < 81 % >=76 % < 76 % >=50 % <50 %
Package rate % 100 90 85 80 75 70 60 NE
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 Sr No 1 2 3 4 5 6 7 8 9
Rating draft standards for RGJAY Category of Standard % weightage HR Quality 18 Facilities Management 15 Infection Control Measures 12 Monitoring Medication 8 Maintenance of Patient Medical Records 7 Patient Satisfaction Indices 8 Standard Operating Protocols 5 Transparency In pricing 7 Quality Patient Care 20 Total Weightages 100
2. Criteria based on scores of 9 sheets: NABH scoring and grading criterion is as follows
A. B. C. D.
Grades Criteria 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 Marks more than 50% in 6 sheets i.e. HR,FAC,MED,EMR,ICM,TIP Marks more than 50% in 4 sheets i.e. HR,FAC,MED,TIP 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. 1 2 3 4 5 6
Grade A1 A2 B1 B2 C1 C2
7
D
SCORING AS PER NABH % >= 86% < 86 % >=81% < 81 % >=76 % < 76 % >=50 % <50 %
Package rate % 100 90 85 80 75 70 60 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 Sr No 1 2 3 4 5 6 7 8 9 10
Rating draft standards for RGJAY Category of Standard % weightage HR Quality 18 Facilities Management 15 Infection Control Measures 12 Monitoring Medication 8 Maintenance of Patient Medical Records 7 Patient Satisfaction Indices 8 Standard Operating Protocols 5 Transparency In pricing 7 Quality Patient Care 20 Performance of Scheme Indicator 10 Total Weightages 110
2. Criteria based on scores of 10 sheets: NABH scoring and grading criterion is as follows
A. B. C. D.
Grades Criteria 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 Marks more than 50% in 6 sheets i.e. HR, FAC, MED, EMR, ICM,TIP Marks more than 50% in 4 sheets i.e. HR,FAC,MED,TIP 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. 1 2 3 4 5 6
Grade A1 A2 B1 B2 C1 C2
7
D
SCORING AS PER NABH % >= 86% < 86 % >=81% < 81 % >=76 % < 76 % >=50 % <50 %
Package rate % 100 90 85 80 75 70 60 NE
