assessment-guide
Onsite Assessment Guidelines:
- Once the assessment is allocated on the portal both assessor and hospital should accept it on the HOPE portal prior to the scheduled day of assessment. If anyone fails to do it, the assessment cannot be started by the assessor on the mobile application of the assessor. Kindly ensure it before the day of assessment for the smooth conduct of the process.
- The hospital should submit the following documents to the assessor during the time of onsite assessment:
- Updated Registration license and BMW authorization and other relevant statutory documents.
- The scope excel sheet with the scanned signatures of the hospital should be submitted to the assessor
- The hospital should not submit any documents directly to NABH Secretariat
- The hospital is required to contact and coordinate with the assessors (Principal assessor/Co-assessor)for making necessary arrangements of their travelling, boarding, and local transport. Kindly book refundable tickets.
- Due to unavoidable circumstances the assessment cancellation/change in assessor should be acceptable to the hospital. The NABH secretariat will not refund the expenses incurred for the same.
Virtual assessment Guidelines:
- Once the assessment is allocated on the portal both assessor and hospital should accept it on the HOPE portal prior to the scheduled day of assessment. If anyone fails to do it, the assessment cannot be started by the assessor on the mobile application of the assessor. Kindly ensure it before the day of assessment for the smooth conduct of the process.
- The hospital authority should submit the documents folder to the assessor within 48 hours along with Scanned Signatures wherever required or mentioned once the hospital receives the guidelines mail from the NABH Secretariat. If the hospital fails to submit the said documents to the assessor within the stipulated time frame mentioned, the assessment will not be carried out by the NABH Secretariat.
- The hospital should submit the “documents folder” to the assessor once the hospital receives the guidelines mail from the NABH Secretariat. (before the Virtual assessment).
- After the Virtual Assessment the assessor should submit these documents folder to hopeteam@nabh.co.
- The hospital should not submit any documents directly to NABH Secretariat
- The hospital should share any Government issued ID (but not Hospital ID card) of Quality Manager/NABH coordinator who will be attending the virtual assessment with the assessor.
- The payment for virtual assessment should be done in the online portal after accepting the assessment and the date.
- The assessment should only be conducted through the Microsoft teams link provided by the NABH secretariat.
- For assessment related queries please call to 01142600612/619/620
- Regarding the Virtual assessment for the activation of room/testing contact Mr.Ravi Tyagi, NABH Secretariat: 9997546731
General Instructions to the Hospital:
- NABH has a strict ‘No Gift’ policy.
- Please do not give any bouquets, gifts, souvenirs or mementos to the team. This is applicable irrespective of the value.
- Please do not host or invite the team for any banquets. This holds true even after the assessment is over.
- Please do not offer any other form of inducement to the team.
- Please do not arrange for any extra days of stay/ sightseeing/ shopping trips etc.
- Please bring in to the notice of the NABH Secretariat (lekshmi@nabh.co, hope@qcin.org) immediately if any team member asks for/ requests/ demands any personal favours, for eg: any bookings for the family members/ friends/ acquaintance of the assessor.
- It is also intimated that hospitals shall not reimburse in cash/through any other payment mode, any bills towards expenditure incurred by the assessors on account of airport transfers and other miscellaneous expenditure (eg. Food bills during travel).
Travel arrangement guidelines:
- The itinerary should be arranged only for the assessor. Family members /friends / acquaintances are not allowed to travel with the assessor and the hospital should not do any bookings/entertain the stay of family members/friends in the accommodation arranged by the hospital.
- Travel should be arranged either by air, train, bus or car. The itinerary shall be finalised as mutually agreed between the HCO and assessor.
- The travel tickets and accommodation should be booked by the hospital only. The hospital should not reimburse any amount to the assessor in terms of itinerary.
- For air travel , assessors should be provided economy class tickets. In case of low-cost airlines, it is preferable that meal be pre-booked
- For travel by train , reservation should be done in second AC coach
- For travel by car , it should be arranged by the HCO
- For travel by bus , assessor should be provided with AC bus.
- For local travel , the hospital should arrange pick up, drop and travel to the hospital from the place of stay by AC vehicle. It is preferable that the team travels together in one vehicle and hence at times a vehicle with larger seating capacity may be used.
- The hospital should be responsible for communicating well in advance with team members residing locally, to coordinate their travel considering local traffic conditions and time of day.
Accommodation arrangement guidelines:
- The hospital should be responsible for arranging accommodation for members of the assessment team only and it is mandatory that the hospital has confirmed reservations before the arrival of the team
- At a minimum, single air-conditioned occupancy with attached bathroom should be arranged for the assessor’s requiring accommodation
- While choosing such accommodation, over-riding importance shall be placed on cleanliness, hygiene, sanitation and general upkeep. A good practice is to consider reviews of the hotel from independent websites
- It is also suggested that clear billing instructions be given, to avoid any type of embarrassment to NABH, its representatives or to the assessed hospital. The hospital should pay for the accommodation and food expenses
- The hospital is responsible only for providing accommodation check-in from one day prior and check-out on the next day of the assessment dates.
Documents folder for the Virtual Assessment:
- Guidelines for mandatory documents
- Consent form for virtual assessment
- Bed occupancy rate PPT
- List of Manpower
- Scope format with drop down
- Remote onsite summary (for assessor)
