initiatives for infection control prevention in public facilities gujarat

1Health amp Family Welfare Dept Govt of Gujarat wwwgujhealthgovin

Initiatives for Infection Control Prevention In Public Facilities - Gujarat

3rd National Conference on Safety and Risk

Management for Healthcare Professionals

Dr J L MeenaState Quality Assurance Medical Officer

Department of Health amp Family Welfare

Government of GujaratMember of NABH Accreditation Committee QCIMember of Quality Expert Group Govt of India

Email- drjlmeenagmailcom


Why is it an important area

Over 14 million people worldwide are reportedto be suffering from hospital acquired infections

Figures coming from India are alarming withhospital infections rate at over 25 per cent

One-third of all such episodes are potentiallypreventable


Causes of Neonatal deaths (SNCU data India 2015)

Causes of Maternal Deaths (MDR 2013-14 Dept HampFW GOG)

Causes of Neonatal and Maternal Deaths


bullIN OUR PROFESSION THERE IS NO SCOPE FOR ERROR

FOR ANY ERROR COMMITTED IS ALL THE DIFFERENCE

BETWEEN LIFE AND DEATH BETWEEN RELIEF AND

DISABILITY

bullTHERE IS NO SECOND CHANCE

Then


Quality Never without Truth


bull High risk certificate given by PWD on31st March 2004 for condemnation butstill Itrsquos functioning up to three years(on the risk of Pt and employeesafety )

bull No safe drinking water facilities

bull Very Poor condition of dressing table

bull Non sterile suction tube amp oxygenmask

bull Labour roomrsquos instrument with rust ampLack of Cleanliness


bull Patients amp employee safety

bull Open transformer with Parking facilities Invite fordisaster

bull Very poor Biomedical waste amp infection controlpractice

bull Poor sanitation and cleanliness

bull Poor housekeeping service

bull Very poor Drainage facility

bull No cattle guard

bull No responsible person for proper monitoring


Bio Medical Waste Management Issue amp Challenge


A report on the current status of BMW authorization had been submitted by Rajkot AG (ACCOUNTANT GENERAL) with the

following finding-


National Human Right Commission (NHRC ) Report ndash Year 1999

Mental Asylum was constructed in 1863 andhad retained prison like structure andambience building maintenance wasextremely unsatisfactory ndash Leaking rooferoded floors over flowing toilets brokendoors poor lighting and no ventilation signof gloom or morbidityNo emergency facility and staff burn out dueto unsecured environment and monotonouswork

D - Grade


Many patients had skin and dentalproblems due to poor hygienicconditionProblems in electricity and watersupply overcrowding of patientsmany patients slept on floor (Sentinelevents) Patient had to urinate anddefecate in cell it self

D - Grade


Request to all Kindly Handle with Care amp Care with Quality

ldquo Kyoki hum bhi Kabhi Insan Therdquo


Why should we careIs improvement possibleWhat seems to make a differenceWhy arenrsquot we doing a better jobWhose responsibility it is What is my role in this process


Quality Improvement Programme

Gujarat is the first state in India which initiated for activelypursuing quality improvements in the public healthcare facilitiesthrough the network of Primary Health Centers (PHCs)Community Health Centers (CHCs) District Hospitals BloodBanks Medical College Laboratories Food amp Drug LaboratoriesDental Colleges Mental Colleges Paraplegia Hospital amp Medical

Colleges In order to institutionalize Quality Assurance Gujarat is

the only state which has set up the District Quality Assurance cell

amp State Quality Assurance cell for implementation of Quality

Management System and Accreditation


Swachhata Mission (Cleanliness) Audit (Every Month) in all healthcare facilities Kayakalp Award (after Internal Peer and External Assessment) to Best Performing

Healthcare Facilities ndash 79 Award given in 2015-16 and 148 Award in 2016-17 NABH NABL NAQS Accreditation of Government Healthcare facilities ndash 158

Healthcare facilities are NQAS Accreditation at State level amp 37 NABH NABL Accredited Healthcare facilities

Implementation of Kaizen amp 5 S in all healthcare facilities - Under scrap disposal Total Rs 77185873 was generated after elimination of waste

Biomedical Waste Management - 1902 Healthcare facilities WASH Project - 172 Functional Delivery Points is undergoing in the WASH

assessments Capacity Building - 13336 participants were trained in Quality Improvement

Programme

Initiatives for Infection Control Prevention In Public Facilities ndash Gujarat


ldquoSwachh Bharat Abhiyanrdquo

Swachh Bharat Abhiyan

NABH NABL NQAS

Swachhta Guidelines

lsquoKAYAKALPrsquo

Clean Facility

Regular Swachhata Mission Audit by Padadhikari orAdhikari to Create Quality Culture ldquoClean Facilitiesrdquo

Appreciation of Best Performing Facilities forMotivation ldquoKayakalprdquo

Implementation of Area Specific Swachhata MissionGuideline for Prevent Healthcare Acquired Infection(HIC) ldquoSwachhta Mission Guidelinerdquo

Implementation of Minimum Quality Standards (NABH NABL NAQS) to Provide Quality Healthcare ServiceldquoNABH NABL NQASrdquo

Patient and Employee Satisfaction

Survey ldquoSwachh Bharat Abhiyanrdquo


Gujarat is the 1st State in India for Regular Swachhata Mission Audit



Implementation

Launch of state wide campaign of swachata

mission by Chief Minister of Gujarat on 6th

December 2014 at Civil Hospital - Ahmedabad

Various office orders

issued by

Commissionerate of

Health for activities to

implement action plan of

swachata mission

State Specific

Guidelines of Swachata

Mission in Public

Health Facilities and

area wise monitoring

checklist


Social Audit amp Free Online Reporting System


Use of Social Media

21


Grading As per - A= Score gt90 B= Score gt75-90 C= Score gt50-75 amp D= Score 0-50

Audit Report of Health Facilities (6th Dec 2014 amp 6th Dec 2016)


Question wise Swachhata Mission Visit Report Dt-6th January 2017

Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()

Condition of the Approach road to facility

248 542 94 22 07 86

Colour and appearance ofCompound wall

203 447 99 22 14 215

Colour and appearance outside of the building

232 526 118 28 11 85

Inside the building Colour amp Appearance

272 526 85 24 09 85

Repairing and Painting of Stools Beds and Closets etc

241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()

Repairing of Broken Window Doors And Glass

210 549 103 23 12 103

Cleanliness of Compound wall outside of Fencing

172 516 111 23 12 165

Cleanliness of Health facilityrsquos ground (eg Unnecessary stockpiling water weeds trash amp Kudoetc)

206 575 83 17 09 109

Cleaning of Building terraced porticos porch and terrace

180 578 93 19 11 119

Cleaning of Corridor staircase and lifts

113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()

Cleaning of Patient care area eg OPD Ward Labour Room Laboratory etc

271 536 36 08 07 143

Cleanliness of Post-mortem Room

41 84 23 06 05 841

Cleanliness of Toilets amp Bathroom

279 544 56 12 08 100

Cleanliness of Washbasin etc

288 535 44 10 05 119

Cleaning of Mattresses Pillow covers Beds sheets and curtain

269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()

Cleaning and functional of Bulbs such as electrical appliances fans switches and fever

269 565 64 11 09 83

Cleaning of Canteen Kitchen of Health organisation

31 47 06 00 01 913

Cleaning of commercial and non-profit organizations Shops etc with in the health organizations premises

19 38 06 00 02 935

Health organizations comply with the law for a ban on tobacco and related products

293 546 59 09 06 87

Suitable dustbins for dumping waste with in Campus

314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()

Wash compliance by staff 414 498 22 04 05 56

Use of uniforms hand gloves masks and aprons by Staffs

371 525 35 05 07 57

Adequate and clean water availability

295 522 64 22 11 86

Cleaning of the water tank and lid

239 542 64 14 09 133

Cleaning amp Functionality of Water Cooler and RO

102 122 15 03 04 755


Question wise Swachhata Mission Visit Report Proper Directional






Gujarat is the 1st State in India for Highest Kayakalp Award in India



એવોરડ માટના માપદરો આરોગય સસથા સવવધાનો વનભાવ (HospitalFacility Upkeep )

સવચછતા અન વયકતતગત સફાઇ (Sanitation and hygiene)

કચરાન વયવસથાપન (waste Management)

ચપ વનયતરણ (Infection control)

સહાયક સવાઓ (Support Services)

વયકતતગત સફાઇન ઉતતજન (Hygiene Promotion)


Assessment Method

OBSERVATION (OB) STAFF INTERVIEW (SI)

RECORD REVIEW (RR) PATIENT INTERVIEW (PI)


Compliance amp Scoring Rules

Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0

All Requirements in Checkpoint are Meeting

All Tracers given in Means of verification are available

Intent of check point is meeting

Some of the requirements in checkpoints are meeting

All Least 50 of tracers in Means of verification are

available

Intent of check point is partially meeting

Most of the requirements are not meeting

Less than 50 of tracers in Means of verification are

available

Intent of Check point is not meeting


Criteria for Assessment

Hospital upkeep Sanitation amp Hygiene

Support Services

Waste Management

Infection Control Hygiene promotions

100100 100

100 50 50

500PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal

Control Landscaping amp Gardening

Maintenance of open area

Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of

Furniture amp Fixtures

Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance

Clean Circulation area

Clean Wards

Clean procedure area

Clean Ambulatory area

Clean Toilets

Standard methods for

cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B

Clean Auxiliary areas

Standard material and

equipment for

cleaning

Segregation

Collection amp transportation

Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management

Statuary Compliances

Waste

Management

Theme

C

Disposal of BMW


Theme D Infection Control

D1 Hand Hygiene

D2 Personal Protective Equipment

D3 Personal Protective Practices

D4 Decontamination amp cleaning of instruments

D5 disinfection and sterilization of instruments


Theme-E Support Services

Laundry Water and Sanitation Kitchen and food Security outsource


Highest Kayakalp Award given in India by Govt of Gujarat

Sr

NoAwarded facilities Year 2015 - 2016 Year 2016 - 2017

1 Primary Health Center 33 99

2 Community Health Center 34 33

3 Urban Health Center 1 3

4 Sub-District Hospital 3 3

5 Super Speciality Hospitals 1 1

6 District Hospital 3 3

7 Medical College Hospital 1 1

8 Dental College 1 2

9 Mental College 1 2

10 Medical College(GMERS) 1 1

Total 79 148

Note- 3 Kayakalp Awards at National level (DH- Nadiyad Vyara amp PKG Rajkot) in Year 2015-16


Kayakalp Award amp gt70 scored facility Year 2016-2017

Kayakalp Progress - Gujarat 2016-2017

SNoName of Facilities

Total No of Healthcare Facilities

Total No Facilities completed External

Assessment

No of Facilities received Kayakalp Award

Total No Facilities received gt70 marks in External

Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554


Gujarat is the 1st State in India for Highest NABH NABL NQAS Accreditation of Healthcare facilities (Total 37 NABH amp

NABL and 158 NQAS State level Accreditation Certificate



NABH Standards

Section IPatient-Centered Standards

Std OE

Access Assessment and Continuity of Care (AAC)

14 96

Care of Patients (COP) 22 151

Management of Medications (MOM)

13 76

Patients Rights and Education (PRE) 8 54

Hospital Infection Control (HIC) 9 54

Section II Management Centered Standards

Std OE

Continuous Quality Improvement (CQI)

9 59

Responsibilities of Management (ROM)

6 39

Facility Management amp Safety (FMS)

7 56

Human Resource Management (HRM)

10 53

Information Management Systems (IMS)

7 45

Total 105 683


1 Indiarsquos 1st PHC NABH Accredited Primary Health Center Gadboriayad Dist- Vadodara

Gujarat

2 Indiarsquos 1st UHC NABH Accredited Urban Health Center Nana mauva Dist- Rajkot Gujarat

3 Indiarsquos 1st CHC NABH Accredited Community Health Center Bardoli Dist- Surat Gujarat

4 Indiarsquos 1st District hospital NABH Accredited District Hospital Gandhinagar ndash Gujarat

5 Indiarsquos 1st Govt Blood Bank NABH Accredited B J Medical College Blood Bank Ahmedabadndash

Gujarat

6 Indiarsquos 1st Govt Super specialist NABH Accredited Govt Spine Institute Ahmedabad ndash Gujarat

7 Indiarsquos 1st Govt Mental Hospital NABH Accredited Mental Hospital Vadodara - Gujarat

8 Indiarsquos 1st Govt Medical College Laboratory NABL Accredited Govt Sir T Medical College

Laboratory Bhavnagarndash Gujarat

9 Indiarsquos 1st Govt Food and Drug Laboratory NABL Accredited Govt Food and Drug Laboratory

Vadodarandash Gujarat

Quality Improvement Programme ndashGujarat

46Health amp Family Welfare Dept Govt of Gujarat wwwgujhealthgovin46

Quality Improvement Programme High Quality of Care conthellip

National Quality Assurance Standards (Areas of Concern)

Service Provision

Inputs Support Services

Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights


NQAS (Internal Peer amp Final External) Assessment of MCHs Dental Mental DHs SDHs CHCs amp PHCs for ldquoState level NQAS Accreditation Certificaterdquo

SN Name of DistrictTotal

Healthcare Facilities

Internal Assessment

Peer Assessment

Final External Assessment

1 Ahmedabad - Region 229 125 91 43

2 Bhavnagar ndash Region 223 122 50 25

3 Gandhinagar ndash Region 388 113 63 35

4 Rajkot ndash Region 226 123 48 25

5 Surat ndash Region 240 49 21 12

6 Vadodra ndash Region 390 106 38 15

State Total 1696 638 311 155


I Happy to share that Dist Hospital Vyara is the 1st

Hospital in The country that has met all the criteria for NQAS Certification


Biomedical Waste Management as per Rule 2016



Biomedical Waste Management

100 GPCB Authorization of Public Healthcare facilities

Biomedical Waste management by Common Biomedical Waste Treatment facilities-CBWTF) in all Healthcare facilities

Use Biomedical Waste Management Check list for regular Monitoring

Use Biomedical Waste Management Film for IEC amp Skill Development

Proper implementation of 5 S and Regular Swachhata Mission Audit

Focused on injection safety- Not used of multiple dose vials amp education to preventneedle stick injury

Regular Meeting of Biomedical Waste Management Task Force Infection ControlCommittee etc

The CBWTF has the function of collection transportation amp disposal of wastefollowing proper standard protocols and CBWTF also visited by our District QualityAssurance Committee (DQAC)


Available staff should be immunized and insured for health hospitalization


PERSONAL PROTECTION EQUIPMENT FOR LABORATORIES


SNo Detailed PHC CHC SDH DH MCH State Total

1 Total available Instrument 281845 120273 17572 30296 57551 507537

2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775

Reasons for not functioning

a EquipmentInstrument is not required 2550 1616 36 10 14 4226

b EquipmentInstrument is not installed 153 182 176 6 3 520

c Need repairing 2087 1376 206 401 971 5041

d Cant be repaired 10656 12090 613 830 1907 26096

e Necessary space is not available 112 462 7 4 2 587

f Necessary electrical arrangement is not available 31 15 14 8 0 68

g Trained manpower is not available 235 1168 68 11 3 1485

h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073

Total Non functional 18969 18067 1248 1504 2987 42775

Instrument and equipmentrsquos Audit


Capacity Building



Capacity Building for Healthcare Staffs for Quality Improvement in Health Care Organization

bull One day orientation training for Programme orientation (eg Swachhata Mission Kayakalp NABH NQAS NABL Biomedical Waste WASH Radiation Safety and Medical Audit to all staff

bull Two days amp three days Training for Internal amp Peer Assessor for continues Improvement (eg Kayakalp NABH NQAS and NABL etc) to Min 5 years experience staffs

bull Four days to Seven days training for External Assessor and Principal Assessor for Kayakalp NABH NQAS and NABL etc) to Min 5 years experience staffs (Administrator Clinician and Staff Nurse only)


Capacity Building for QIP

Sr No Name of the TraininigNo of Participants

Trained1 NABH Assessor Course for District Hospitals Medical Colleges CHCs amp PHCs 3272 NABL-ldquoLABORATORY MANAGEMENT amp INTERNAL AUDITrdquo as per ISO 151892007 3053 Post Graduation Certification in Quality Management amp Accreditation of Health care Organization 6794 QIP for (NABH BMW Kaizen HOPE Fire amp Non Fire Emergency Radiation Safety Cleanliness) Training 1115 National Quality Assurance Standards (NQAS) orientation workshop by NHSRC 296 ldquoQuality Improvement initiative Training of Trainers on CQI in healthcare services amp housekeeping services through 5S amp kaizenrdquo 3540

7ldquoQuality Improvement initiative Training of Trainers on CQI in healthcare services amp housekeeping services through 5S amp kaizenrdquo 5 S Training Special Batches For Commissioner of Health

112

8 Infection Control Training (IMEP) 7429 4 days Extended Internal Counsellor Training Program Ahemdabad of NABH Hospital Standards 21

10 Training on Management of Bio-Medical Waste in the State of Gujarat 126911 Internal Assessors Training 206512 National Quality Assurance Standards (NQAS) External Assessors Training 11013 QIP Orientation One day Workshop 15514 Swachhata Mission amp Kayakalp Workshop 361615 National Conference on Bio Medical Waste Management 12616 ATP International Workshop (DQAMO Infection Control Nurse amp Physiotherapist) 2017 NABH Pre Accreditation Entry Level Standards Course 21218 NABH Standard for Nursing Excellence Course 14019 POI for Medical Imaging Services (MIS) Stantdard Implementation for Radiologist 2720 Post Graduation in Health and Law 3021 Internal Audit and QMS Training 30

Total no of Participants - 13666


Change the scenario after Quality Management System


Change Scenario after Quality Management System

Past Present

Lack of standards

NABH Standards for Hospitals Blood bank Imaging service Nursing Excellence amp CHC PHC) National Quality Standards for (Dist Hospital Community Heath Centre Primary Health Centre amp Urban Health Centre etc) ISO 151892007 for lab in place

No Gap analysis report in standard format Gaps identified and addressed as per standards

Lack of Statutory requirements (egLicenses Acts Rules amp Certificates)

Statutory requirements fulfilled

Absence of written policies proceduresforms amp formats

Written policies Standard Operation Procedures (SOPs) forms ampformats available

Poor sanitation and cleanliness Hygienic Hospital environment

Staff shortage Recruitment of staff as per workload through RKS

Lack of trained health care staffs Staff trained and its on ongoing



Past Present

No concept of internal auditStaff trained as internal auditors audits conducted to find out nonconformances corrective amp preventive measures taken to rectify it

No Management meeting9 amp Meeting withclinicians conducted

Regular Management meeting amp clinical meetings conducted whichfacilitates the important decisions affecting the quality of care henceachieving the total quality management

Inadequate infrastructure for handlingbiomedical waste and infection controlsafety practices

All required practices in place

Damaged and poor condition of building Repairing amp renovation done

No Calibration system of Instruments forQuality check amp Regular AMC

Calibration system of Instruments for Quality check are available



Past Present

Shortage of equipments no proper utilisation andno proper ambulances (Transport vehicle)

Sufficient equipments properly utilized and proper ambulancesservices

Lack of accountability amp planning Policy and processes for care of the patients in place

Absence of quality standardsQuality standards eg medical audit management ofmedication care of patients etc practiced

No participation in EQAS inter laboratorycomparisons

Participation in EQAS inter laboratory comparison andachieving good scores in it

No feedbacks from patients amp cliniciansFeedback of patients amp clinician is used to monitor the continualimprovement

Poor signage system Well developed signage and displays for patient information



Past Present

Only some Major Equipments covered under AMCNo monitoring of downtime of equipment

AMC for all sophisticated equipments is done with theirrespective companiesamp others are maintained by biomedicalworkshop CHA Downtime of equipment monitoring regularly

Absence of Patient amp Employeesrsquo satisfaction Established

No measurable parameter for patient safety Measurable parameters for patient safety are available

No realization of problems and weaknessesA clear understanding of what is lacking and what needs to bedone

No monitoring or reporting of adverse eventsneedle stick injury Sentinel events etc

These are being reported and are monitored



Past Present

Sub optimal team efforts performance was individual based rather then team base illdefined roles and responsibility of staffs

Team work is available role and responsibility of all staff is clearly mentioned and made known to all

No Evaluation and monitoring system by PRI members (3rd party evaluation)

3rd Party evaluation amp monitoring system by PRI members available

inadequate publicity of available services in thevillages and in the community Poor social marketing

All the service which are provided by the healthcare centre are displayed in the community and emergency contact number also displayed

No monitoring of Up time amp down time of the instruments and equipments

Proper monitoring of Up time down time amp utilization of the instrument amp equipment

Progress of referred patients were not followed up the Hospital

Progress of the referred patient also monitored by the health centre on regular basis( Bi directional referral service)

No display of the Rights and responsibly of the patients and employees in the facilities

Proper display of Right and responsibly of the patients and employees in the facilities



Past Present

Practically non-existentsecurity arrangement

Availability of well trained security guards

Non Implementation ofDifferent Codes in thefacilities

RED for FIRE

YELLOW for EXTERNAL CALAMITIES

BLUE for CARDIAC ARREST

BLACK for BOMB THREAT

PINK for CHILD ABDUCTION


Change the ScenariohellipInfrastructure helliphelliphelliphelliphellip

Changing


Change the ScenariohellipSafety of patients amp employeeshellip

Before After



Before After

Crush Card trolley contained-Comb Toothpaste Oil Glass

etc for save the pt

Crush Card trolley contained- all life saving

drugs for save the pt


Change the Scenario of OThellipSafety of patients amp employeeshellip

Before After



Before After


Change the Scenario of employee Safety working environmenthelliphellip

Before After


Before After

Change the ScenariohelliphellipUnused to proper usedhelliphellip








Quality Improvement Programme Management of Medicine

(stored in well lit and well ventilated rooms )hellip


Quality Improvement Programme A unified formulary based on workload essential drug list as specified by

State Government to be maintained and display with expiry date


Quality Improvement Programme Provide guidance or basic information to the patients and their families


Citizen charter and rights of the patients displayed


Centre should have in use feedback mechanism like use of suggestion complaint boxes Visit book PRI Monitoring amp

evaluation


Change the Scenariohelliphellip Recreational amp skill development in Mental Hospital


Change the Scenariohelliphellip Occupational Therapy Unit in Mental Hospital


All the Services provided by Healthcare facility are displayed in all the villages amp roadside


Well Maintain PM Room

Change the Scenario of PM RoomEnd of life carehelliphelliphelliphelliphelliphellip


Remarks of representative of National Human Right Commission (NHRC) nowhellip

Community services programme run on anappreciable scale and with exemplaryefficiency is another significant feature ofinstitute

HMH Ahmedabad presents an excellentexample of effective functioning of Boards ofvisitors and active involvement of NGO sectorin patients Care Capacity building amprehabilitation and has the potential tobecome a good center of education andresearch in Mental Health Field

A - Grade


Awards received by Government of Gujarat for QIP

bullAppreciation awarded by QCI to Ministry of Health and Family Welfare Government of Gujarat for establishing QualityAssurance framework in providing quality healthcare to the people of Gujarat in 5th National Quality Conclave New DelhibullAppreciation awarded to Department of Health and Family Welfare Government of Gujarat for their pioneering effort tospearhead the Quality and Accreditation Programme in health care organization In 3rd International Health Care QualityConclave on ldquoRole of Quality in Globalization of Indian Healthcarerdquo Place - Gurgaon Haryana Date 30th August 2010bullFICCI Health care Excellence Award to Dist Hospital Gandhinagar amp PHC Gadboriad Govt of Gujarat in FICCI Heal 2010 NewDelhi Date 6th Sept 2010bullFICCI Health care Excellence Award to Dist Hospital Gandhinagar Govt of Gujarat in FICCI Heal 2011 New Delhi Date 8th Sept2011bullFICCI Health care Excellence Award to Community Health Centre Bardoli Govt of Gujarat in FICCI Heal 2013 New Delhi Date2nd Sept 2013bullOperational excellence award in IndiZen 2014 to Govt of Gujarat-department of health and family welfare was achievedbullFICCI Health care Excellence Award to Community Health Centre Bardoli Govt of Gujarat in FICCI Heal 2014 New DelhiDate 1st Sept 2014bullFICCI Health care Excellence Award to Paraplegia Hospital- Ahmedabad Govt of Gujarat in FICCI Heal 2014 New DelhiDate 1st Sept 2014bullFICCI Healthcare Excellence Award to Laboratory Information System B J Medical College ndash Ahmedabad Govt ofGujarat in FICCI Heal 2016 New Delhi Date 31st August 2016

bullCertificate of Appreciation awarded to Ministry of Health

and Family Welfare Government of Gujarat for

establishing Quality Assurance framework in providing

quality healthcare to the people of Gujarat in 5th National

Quality Conclave New Delhi

bullAppreciation awarded to Department of Health and

Family Welfare Government of Gujarat for their

pioneering effort to spearhead the Quality and

Accreditation Programme in health care organization

In 3rd International Health Care Quality Conclave

bullFICCI Health care Excellence Award to

Dist Hospital Gandhinagar amp PHC

Gadboriad Govt of Gujarat

Award Ceremony


ThanksWeb-1 wwwgujhealthgovinquality-assurance-programhtm2 httpwwwfacebookcomdrjitulalref=tn_tnmn3 httpswwwyoutubecomuserdrjlmeenaEmail-drjlmeenagmailcom sqipgujaratgmailcomMobile No- 09099075162


Why is it an important area

Over 14 million people worldwide are reportedto be suffering from hospital acquired infections

Figures coming from India are alarming withhospital infections rate at over 25 per cent

One-third of all such episodes are potentiallypreventable









DISABILITY


Then






















following finding-




D - Grade



D - Grade




















Programme





NABH NABL NQAS

Swachhta Guidelines

lsquoKAYAKALPrsquo

Clean Facility











Implementation





issued by

Commissionerate of



swachata mission

State Specific


Mission in Public



checklist




Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony











DISABILITY


Then






















following finding-




D - Grade



D - Grade




















Programme





NABH NABL NQAS

Swachhta Guidelines

lsquoKAYAKALPrsquo

Clean Facility











Implementation





issued by

Commissionerate of



swachata mission

State Specific


Mission in Public



checklist




Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony
























following finding-




D - Grade



D - Grade




















Programme





NABH NABL NQAS

Swachhta Guidelines

lsquoKAYAKALPrsquo

Clean Facility











Implementation





issued by

Commissionerate of



swachata mission

State Specific


Mission in Public



checklist




Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony






D - Grade



D - Grade




















Programme





NABH NABL NQAS

Swachhta Guidelines

lsquoKAYAKALPrsquo

Clean Facility











Implementation





issued by

Commissionerate of



swachata mission

State Specific


Mission in Public



checklist




Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





D - Grade




















Programme





NABH NABL NQAS

Swachhta Guidelines

lsquoKAYAKALPrsquo

Clean Facility











Implementation





issued by

Commissionerate of



swachata mission

State Specific


Mission in Public



checklist




Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony






















Programme





NABH NABL NQAS

Swachhta Guidelines

lsquoKAYAKALPrsquo

Clean Facility











Implementation





issued by

Commissionerate of



swachata mission

State Specific


Mission in Public



checklist




Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony






NABH NABL NQAS

Swachhta Guidelines

lsquoKAYAKALPrsquo

Clean Facility











Implementation





issued by

Commissionerate of



swachata mission

State Specific


Mission in Public



checklist




Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony







Implementation





issued by

Commissionerate of



swachata mission

State Specific


Mission in Public



checklist




Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony






Use of Social Media

21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony



21






Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony








Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


248 542 94 22 07 86


203 447 99 22 14 215


232 526 118 28 11 85


272 526 85 24 09 85


241 575 76 14 04 91



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


210 549 103 23 12 103


172 516 111 23 12 165


206 575 83 17 09 109


180 578 93 19 11 119


113 288 44 07 06 542



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


271 536 36 08 07 143


41 84 23 06 05 841


279 544 56 12 08 100


288 535 44 10 05 119


269 577 48 08 04 93



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()


269 565 64 11 09 83


31 47 06 00 01 913


19 38 06 00 02 935


293 546 59 09 06 87


314 555 39 10 08 75



Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Question

Very

Satisfied

()

Satisfied

()

Neither Satisfied

nor

Dissatisfied ()

Dissatisfied

()

Very

Dissatisfied

()

Not

applicable

()



371 525 35 05 07 57


295 522 64 22 11 86


239 542 64 14 09 133


102 122 15 03 04 755


















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony




















Assessment Method





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Full

Compliance

Partial

Compliance

Non

Compliance

2

1

0






available




available





Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony






Support Services

Waste Management


100100 100

100 50 50


PHC ndash 60UPHC-40

PHC ndash 60UPHC-40

PHC ndash 30UPHC-20

PHC ndash 30UPHC-20

PHC ndash 60UPHC-40

PHC 300UPHC 200

Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony



Pest amp Animal



Hospital Appearance

Illumination

Removal of Junk

Material

Water

Conservation

Maintenance of


Work Place

Management

Hospital Upkeep

Theme

A

Infrastructure

Maintenance


Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony




Clean Wards



Clean Toilets


cleaning

Monitoring of

cleanliness

activities

Drainage and sewage

management

Sanitation amp

Hygiene

Theme

B



equipment for

cleaning

Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony



Segregation


Sharp Management

Storage of BMW

Management of

hazardous waste

Liquid waste

management

Equipment amp

supplies of BMW

Solid general waste

management


Waste

Management

Theme

C

Disposal of BMW



D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





D1 Hand Hygiene










Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony








Sr












Total 79 148








Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony









Assessment



Assessment

1 MCH (Govt) 6 5 1 5

2 MCH (GMERS) 7 6 1 6

3 Mental 4 2 2 2

4 Dental 2 2 3 2

5 Super 3 1 1 1

6 DH 22 19 3 16

7 SDH 33 8 3 15

8 CHC 351 231 33 124

9 PHC 1393 518 99 370

10 UPHC 81 12 3 13

Total 1902 804 146 554






NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony








NABH Standards


Std OE


14 96



13 76




Std OE


9 59


6 39


7 56


10 53


7 45

Total 105 683



Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Gujarat





Gujarat











Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony






Service Provision


Clinical Care

Infection Control

Quality Management

Outcome

Patient Rights





Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony







Internal Assessment

Peer Assessment








State Total 1696 638 311 155
























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony


























2 Functional 262876 102206 15844 28762 54564 464252

3 Non functional 18969 18067 1248 1504 2987 42775




c Need repairing 2087 1376 206 401 971 5041





h Extra qty 2778 751 96 31 23 3679

i Others 367 407 32 203 64 1073




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony




Capacity Building












112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony













112








Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony







Past Present

Lack of standards












Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Past Present











Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Past Present











Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Past Present










Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Past Present















Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Past Present




RED for FIRE







Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Changing



Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Before After



Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Before After


etc for save the pt





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Before After



Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Before After



Before After


Before After




















evaluation














A - Grade

















Award Ceremony





Before After


Before After




















evaluation














A - Grade

















Award Ceremony




Before After




















evaluation














A - Grade

















Award Ceremony





















evaluation














A - Grade

















Award Ceremony
















A - Grade

















Award Ceremony



















Award Ceremony

