Toll Free for Admission 1800-3010-5700

Internal Assessment of Hospital as per NABH Standards


  • Jyoti Ahuja
  • Agency : Operation Department, Time Utilization, OT, NABH Standards
  • Objective : The study was done to identify the gaps present in the hospital to achieve NABH through the reference book of standards given by NABH. An analysis tool have been developed which carries the relevance of standard to the departments present in the hospital. Later on grading was done according to NABH guidelines. The gaps were communicated in the recommendations. This assessment focuses on finding the gaps present in manpower available, equipments, structural designs and statutory requirements as per the IPHS Standards and NABH guidelines; and suggests the ways to fulfill the gaps
  • Background : Not Available
  • Methodology : Not Available
  • Findings : An internal assessment report is necessarily a document, which evolves as per circumstantial requirement of the organization and to know scope of activities required to meet standards to achieve NABH Accreditation status. It is necessary to review this report on regular basis. This assessment is important as it guides the organization to check the progress and success of the initiatives taken to fulfill these gaps. The hospital can further plan its proceedings within the time frame based on the analysis.
  • Recommendations : Government of Gujarat is very keen on getting the NABH accreditation for district hospitals and medical colleges, so it becomes necessary for the hospital to review its status on regular basis. The hospital can focus on the areas where the gaps are more in importance or in number and move ahead for the achieving the accreditation status.
to identify the gaps present in the hospital to achieve NABH through the reference book of standards given by NABH