roadmap to attaining quality in public healthcare centers through accreditation
TRANSCRIPT
CoHCoH
11www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme(Toward Excellence Health center for the Community)
“Roadmap to attaining Quality in Public Healthcare Centers through Accreditation"
Dr. J. L. MeenaState Quality Assurance Officer
Commissionerate of Health & FWGovernment of Gujarat
Email:- [email protected] Web:- www.gujhealth.gov.in/quality-assurance-program.htm
Dr. J. L. Meena
CoHCoH
22www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme
Quality is very Sweet for speak, but difficult to implement.
because
Quality is Never Improved without accepting facts.
Dr. J. L. Meena
CoHCoH
33www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Old Scenario of Health Centers.
Building maintenance was extremely unsatisfactory – Leaking roof, eroded floors, over flowing toilets, broken doors, No patient safety, No safe drinking water facilities. no employee safety, poor lighting and no ventilation sign.
Dr. J. L. Meena
CoHCoH
44www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Old Scenario of Health Centers.
• Poor sanitation and cleanliness.
• Very poor Drainage facility.• Poor housekeeping service.• Very poor Biomedical
waste & infection control practice.
• No cattle guard.
Dr. J. L. Meena
CoHCoH
55www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
• Non sterile suction tube & oxygen mask?
• Empty Oxygen Cylinders.
• Instrument with rust & Non sterile.
Old Scenario of Health Centers.
Dr. J. L. Meena
HOW TO ACHIEVE EXCELLENCE IN HEALTH IN TRIBAL AREA
TQM-NABH…………
8
CoHCoH
99www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Health centers is committed to provide quality healthcare services. To provide the treatment as per the national and international standards.To provide treatment with the latest technology.To conduct trainings and workshops on regular intervals for skill development of the staffs.To improve the quality on continuous basis.To improve the quality of treatment as per the patient satisfaction survey.
Quality Policy
Dr. J. L. Meena
CoHCoH
1010www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality ObjectivesTo achieve standards as per IPHS & NABH.To provide 24X7 quality services to the community.To implement and monitor all the national programs
running in the district.To provide right treatment through latest technology.To ensure safety of employee.To ensure safety of patient.To manage Human Resources for enhancing
productivity.
Dr. J. L. Meena
CoHCoH
1111www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
A Case Study JOURNEY TOWARDS QUALITY
Cont….
CoHCoH
1212www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
A Case Study JOURNEY TOWARDS QUALITY
Dr. J. L. Meena
CoHCoH
1313www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Outcomes…..
Dr. J. L. Meena
CoHCoH
1414www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
5 Years Back TodayLack of standards NABH Standards for Health Centers
No Gap analysis report in standard format. Gaps identified and addressed.
Lack of Statutory requirements (e.g. Licenses, Acts, Rules & Certificates).
Statutory requirements fulfilled
Absence of written policies & procedures. Written policies & procedures available.
Poor sanitation, cleanliness & infection control practices.
Hygienic, Clean & Green Hospital environment with infection control audit.
Staff shortage so very poor specialist service. Recruitment of staff as per workload through RKS and take specialist service outsource.
Lack of trained health care staff for emergency (resuscitation) services and patient care service.
Staff trained in Basic Life Support and Advanced Cardiac Life Support
No concept of internal audits (medical audit, clinical audit & death audit etc).
Staff trained as internal auditors, audits conducted to find out non conformances, corrective & preventive measures taken to rectify it
Journey of Quality Improvement (Cont)…
Dr. J. L. Meena
CoHCoH
1515www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Journey of Quality Improvement (Cont)…
5 Years Back TodayInadequate infrastructure for handling biomedical waste and infection control safety practices
All required practices in place
No Blood storage, CSSD, no separate OT for Eye & Gynec., Patients attendant launch facilities.
Blood storage, CSSD, separate OT for Eye & Gynec, Patients attendant launch facilities are available.
Damaged and poor condition of building & Staff Quarters.
Repairing & renovation done gynecology
No Calibration system of Instruments for Quality check.
Calibration system of Instruments for Quality check are available.
Shortage of equipments and proper ambulances (transport vehicle) .
Sufficient equipments and ambulances with regular monitoring by a responsible person.
Lack of accountability & planning. Policy and processes for care of the patients in place
Absence of quality standards. Quality standards e.g. medical audit, management of medication, care of patients etc practiced
No participation in EQAS/ inter laboratory comparisons
Participation in EQAS / inter laboratory comparison and achieving good scores in it.
Dr. J. L. Meena
CoHCoH
1616www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Journey of Quality Improvement (Cont)…
5 Years Back TodayPoor signage system. Well developed signage and displays for patient
information.
Absence of Patient & Employees’ satisfaction. Established.
No measurable parameter for patient safety. Measurable parameters for patient safety are available.
No realization of problems and weaknesses. A clear understanding of what is lacking and what needs to be done.
No monitoring or reporting of adverse events, needle stick injury, Sentinel events etc.
These are being reported and are monitored.
Practically non-existent security arrangement Availability of well trained security guards
Non Implementation of Different Codes in the facilities.
RED for FIRE,
YELLOW for EXTERNAL CALAMITIES,
BLUE for CARDIAC ARREST,
BLACK for BOMB THREAT,
PINK for CHILD ABDUCTION
Dr. J. L. Meena
CoHCoH
1717www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Journey of Quality Improvement (Cont)…
5 Years Back TodayNo team work, only Individual approach rather then team . Unidentified role and responsibility of staffs.
Team work is available, role and responsibility of all staff is cleanly mention.
No Evaluation and monitoring system by PRI members (3rd party evaluation).
3rd Party evaluation & monitoring system by PRI members.
Poor publicity of available services in the villages and in the community.
All the service which are provide by the healthcare centre are display in the community and emergency contact number also display.
No monitoring of Up time & down time of the instruments.
Proper monitoring of Up time, down time & utilization of the instrument & equipment.
No responsibility of referred patients . Progress of the referred patient also monitoring by the health centre on regular basis.( Bi directional referral service).
No display of the Right and responsibly of the patients and employees in the facilities.
Proper display of Right and responsibly of the patients and employees in the facilities.
Dr. J. L. Meena
CoHCoH
1818www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Achievement: India’s 1st NABH / NABL Accredited Govt. Facilities:-•Dist. General Hospital Gandhinagar •Primary Health Centre Gadboriad, Dist: Vadodara •Medical College Hospital Labs Bhavanagar •Blood Bank (BJMC Ahmadabad)•Food & Drug laboratory Badodara •Mental Hospital BadodaraCommunity Health Center, Bardoli-Surat
Dr. J. L. Meena
CoHCoH
1919www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
India’s 1st & 2nd NABH Accredited PHC
Dr. J. L. Meena
CoHCoH
2020www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
India’s 1st NABH Accredited CHC
Dr. J. L. Meena
CoHCoH
2121www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
A Success StoryQuality Improvement Programme:- Gujarat
Name of the Facility Total Facility Under
NABH /NABL
Total Facility Under NABH /NABL which
catering Tribal population
Total Accredited facilities
Total Accredited facilities which catering tribal
population
District Hospitals 23 11 2 0
Medical college Hospitals 6 2 0 0
Medical college, Blood banks 6 2 5 2
Medical college, Laboratories 6 2 4 2
Mental Hospitals 2 1 2 1
Dental Hospitals 2 0 0 0
Paraplegia Hospital, Ahmedabad
1 1 0 0
Primary Health Centers (PHCs) 29 14 12 6
Community Health Centers (CHCs)
26 11 1 1
NABL Food & Drug Laboratories 2 1 2 1
Total 103 45 28 13Dr. J. L. Meena
CoHCoH
2222www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Benefits to PatientsBenefits to PatientsAvailability of Health services with High quality of care.Dedicated and sincere medical staffAccess to a quality focused organizationRights respected and protectedPatient Satisfaction evaluatedInvolvement in care processPatient safetyPain managementSafe transportContinuity of care
Dr. J. L. Meena
CoHCoH
2323www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Availability of Services at PHC level
Sr Name of service Day Time1 OPD Services Daily ( Except
holidays) Morning: 9.00 to 13.00Evening: 16.00 to 18.00
2 Certificates of age, fitness and sickness ,, ,,3 Lab services ,, ,,4 Homeopathic treatment ,, ,,5 Indoor services Daily 24 hours6 Delivery ,, ,,7 Emergency services ,, ,,8 Vehicle for referral ,, ,,9 Medico legal services ,, ,,
10 MAMTA Clinic ( Immunization, medical checkup, treatment, IEC & Family planning services for expectant mothers, children & adolescent)
Monday 9.00 to 14.00
11 NSV, Abdominal tubectomy , MTP & Hydrocele operatipon
Tuesday & Friday 9.00 to 16.00
12 All National Programme Daily ( Except holidays)
Morning: 9AM to 1 PMEvening: 4 to 6 PM
Dr. J. L. Meena
CoHCoH
2424www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
List of Laboratory Services Available at PHC
Sr No Name of test Availability1 Hb Yes2 Blood Group Yes3 Sickeling Test Yes4 H.I.V. Yes5 Leptospirosis strip test Yes6 Pregnancy test Yes7 Blood Malaria Parasite (BMP) Yes8 AFB Yes9 Urine Sugar /Alb. Yes
10 Routine urine Yes11 Bleeding Time/ Clotting Time Yes12 TC,DC,ESR Yes13 Syphilis Yes14 Typhoid Yes15 Water quality Yes16 Hb Electrophoresis YesDr. J. L. Meena
CoHCoH
2525www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
List of services Outsourced at PHC
Proper Net working of ambulances with 108 for safe referral service.X -RAYSonographyGynaecologist services on call.Pediatric Services on call.
Dr. J. L. Meena
CoHCoH
2626www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme High Quality of Care cont…High Quality of Care cont…
Dr. J. L. Meena
CoHCoH
2727www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Provided baby kits to new born for prevent Infection & hypothermia
Dr. J. L. Meena
CoHCoH
2828www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme High Quality of Care cont…High Quality of Care cont…
Dr. J. L. Meena
CoHCoH
2929www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme High Quality of Care cont…High Quality of Care cont…
Dr. J. L. Meena
CoHCoH
3030www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme High Quality of Care cont…High Quality of Care cont…
CoHCoH
3131www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme Qualitative Laboratory services…Qualitative Laboratory services…
Dr. J. L. Meena
CoHCoH
3232www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme Management of Medicine…Management of Medicine…
CoHCoH
3333www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Change the Scenario……. Safety of patients & employees…
Before After
Dr. J. L. Meena
CoHCoH
3434www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Before After
Change the Scenario…. Biomedical waste practice…
Dr. J. L. Meena
CoHCoH
3535www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Change the Scenario…… Safe drinking water……Before After
RO plant provided by TSP Grant
Dr. J. L. Meena
CoHCoH
3636www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme Quality food services to patients & attendantsQuality food services to patients & attendants……
CHC Bardoli, which catering Tribal Population
CoHCoH
3737www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Recreational & skill development
Dr. J. L. Meena
CoHCoH
3838www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Recreational & skill development
Dr. J. L. Meena
CoHCoH
3939www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Recreational & skill development
Dr. J. L. Meena
CoHCoH
4040www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Recreational & skill development
Dr. J. L. Meena
CoHCoH
4141www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Recreational & skill development
Dr. J. L. Meena
CoHCoH
4242www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Recreational & skill development
Dr. J. L. Meena
CoHCoH
4343www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Occupational Therapy Unit
Behavior modification training.
Social skill training.
Vocational Training.
Day care services
Job placement wherever possible.
Dr. J. L. Meena
CoHCoH
4444www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Occupational Therapy Unit
Dr. J. L. Meena
CoHCoH
4545www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Occupational Therapy Unit
Dr. J. L. Meena
CoHCoH
4646www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Vocational therapy
Dr. J. L. Meena
CoHCoH
4747www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
NO. OF DELIVERY AT PHC
PHC:- Salun, Dist:- Kheda
CoHCoH
4848www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Adverse Donor Reaction
Blood Bank:- Civil Hospital Ahmedabad
CoHCoH
4949www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Issue of Components
Blood Bank:- Civil Hospital Ahmedabad
CoHCoH
5050www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Specimen Analysis
Biochemistry Lab:- Sir T Bhavnagar
CoHCoH
5151www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Critical value reporting
Biochemistry Lab:- Sir T Bhavnagar
CoHCoH
5252www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Surgical Site Infection (SSI)
Dist Hospital:- Gandhinagar
CoHCoH
5353www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Benefits to StaffProfessional staff developmentProvides education on laid down standardsProvides leadership for quality
improvement within medicine and nursingIncreases satisfaction with continuous
learning, good working environment, leadership and ownership
Dr. J. L. Meena
CoHCoH
5454www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
% of film wasted in radiology department
Dist Hospital:- Gandhinagar
CoHCoH
5555www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Professional staff development
Managerial / Administrative training to MO / Head.
Dr. J. L. Meena
CoHCoH
5656www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Induction training to staff at all levels. Job based skills training.
Professional staff development
Dr. J. L. Meena
CoHCoH
5757www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Special clinical skill training on minor surgical procedure, obstetrics care, new
born care, basic life support and local anesthesia block.
Professional staff development
Dr. J. L. Meena
CoHCoH
5858www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
NABH ACCREDITATION AWARD FUNCTION BY GOVT. OF GUJARAT & QCI, NEW DELHI
Dr. J. L. Meena
Award for NABH Accredited PHC :- Primary Health Center - Kandolpada, Navsari-Gujarat, Govt of Gujarat given by Shri Jaynarayan Vyas, Hon’ble Health Minister, Government of Gujarat
Award for NABH Accredited PHC :- Primary Health Center - Tankal, Navsari-Gujarat, Govt of Gujarat given by Shri Jaynarayan Vyas, Hon’ble Health Minister, Government of Gujarat
CoHCoH
6262www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Improves care Brings in Corporate GovernanceStimulates continuous improvementDemonstrates commitment to quality careRaises community confidenceOpportunity to benchmark with the best
Benefits to Hospital
Dr. J. L. Meena
CoHCoH
6363www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Main entrance should be easily identifiable, welcoming, well lit and with mattress.
PHC Mahuwas, Tribal area PHC
Dr. J. L. Meena
CoHCoH
6464www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme Welcoming infrastructure……
CHC Bardoli, which catering Tribal Population
Dr. J. L. Meena
CHC Bardoli, which catering Tribal Population
CoHCoH
6666www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement ProgrammeDistrict Hospital Godhara (Tribal area)
DH Godhara, which catering Tribal Population
Dr. J. L. Meena
CoHCoH
6767www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
FICCI Healthcare Excellence Award to India’s 1st NABH PHC:- Gadboriayad
Dr. J. L. Meena
CoHCoH
6868www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality revolutionDisaster preparedness
- Epidemics- Physical
Access to comparative database
Benefits to Community
Dr. J. L. Meena
CoHCoH
6969www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
All the Services provided by PHC Gadboriad are displayed in all the villages & roadside
Dr. J. L. Meena
CoHCoH
7070www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Mock drill and training for disaster management
Ambulance provided by TSP Grant
Dr. J. L. Meena
CoHCoH
7171www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Mock drill and training for disaster management
PHC Tankal, Kandolpada & Mahuwas, Navsari
Dr. J. L. Meena
CoHCoH
7272www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Mock drill and training for disaster management
PHC Tankal, Kandolpada & Mahuwas, Navsari
Dr. J. L. Meena
CoHCoH
7373www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme Involvement in National Programme…Involvement in National Programme…
Dr. J. L. Meena
CoHCoH
7474www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme Involvement in National Programme…Involvement in National Programme…
CoHCoH
7575www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme Malnutrition awareness…Malnutrition awareness…
CoHCoH
7676www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme AIDS awareness programme…AIDS awareness programme…
Dr. J. L. Meena
CoHCoH
7777www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
PRI Monitoring & Evaluation of CHC
Dr. J. L. Meena
CoHCoH
7878www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Healthcare Service to Poorest of the Poor.
Dr. J. L. Meena
CoHCoH
7979www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Efficiency of Government hospitals as key contributors for building trust and confidence for the hospitals in the hearts of the citizens of the State through actively pursuing quality improvement programme in various facilities.
Given a sense of pride to the government for ensuring quality services to the poorest of the poor.Confidence has been restored of the community in Govt hospitals
Benefits to the Government
Dr. J. L. Meena
CoHCoH
8080www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Award received by Government of Gujarat for Quality Improvement
Appreciation awarded by QCI to Ministry of Health and Family Welfare Governmentof Gujarat for establishing Quality Assurance framework in providing quality healthcare to the people of Gujarat in 5th National Quality Conclave, New Delhi. Appreciation 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
FICCI Health care Excellence Award to Dist Hospital Gandhinagar & PHC Gadboriad, Govt of Gujarat in FICCI Heal 2010, New Delhi Date: 6th Sept 2010
FICCI Health care Excellence Award to Dist Hospital Gandhinagar, Govt of Gujarat in FICCI Heal 2011, New Delhi Date: 8th Sept 2011
Dr. J. L. Meena
CoHCoH
8282www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Strategies Adopted for sustainability:
•Appointment of Quality Assurance officers at State level, District level, Assistant Hospital Administrator (AHA) at facility level. We are designated NABH Coordinators & NABL Directors at Facility level. •NABH lead assessor training (Total trained persons 290 for hospitals & PHC / CHC) & NABL Internal audit training (Total trained persons221) to administrators, clinicians, paramedical & staff nurses etc. •Post Graduation Certificate Course in Quality Management and Accreditation of Health care Organization (PGQM & AHO) to the Additional Directors, Superintendents, Chief District Medical Officers, Clinicians and District Quality Assurance Officers (Total trained persons186) etc. •Other training as per requirement of NABH / NABL standards and mock drills are being conducted.•New posts of clinicians, paramedical and other are sanction by Government of Gujarat as per requirement. •Extra budget as per requirement of NABH / NABL are sanction from 13th finance commission, Government of Gujarat and NRHM. •Formation of the state level review committee under the Chairmanship of Commissioner of Health, Medical Service & Medical Education and Member secretary is State Quality Assurance Officer.
Dr. J. L. Meena
CoHCoH
8383www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Challenges & Solution Challenges Solution done by Govt. of GujaratInfrastructure Separate Project Implementation Unit (PIU) formed
under the Commissioner of Health.
Manpower :- lack of Section posts Regular New posts (About 2200) are sanction by Govt. of Gujarat
Manpower:- Vacant posts Campus Interview started in surrounding state e.g. Rajasthan, MP, Maharashtra etc.
6 New Medical College start.
Fund Section through Govt. of Gujarat, TSP, NRHM & Public private partner though donation etc.
Behavior & Motivation of the staffs
Regular skill development training & Award ceremony
Monitoring & Evaluation Regular Video conference, Meeting & Hospital Information Management System (HIMS)
Medical college Try to accredited Blood bank, laboratories & Radiology Dept. first for there motivation & confidence.
Dr. J. L. Meena
CoHCoH
8484www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Road Ahead
To create a Quality culture based on various standards which is sustainable, affordable, equitable & reliable having state of art technology and which can be easy to follow and replicate.
Dr. J. L. Meena
CoHCoH
8585www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
It has been a quality revolution which is a “rewarding experience”.
The National delegates (Teams from Rajasthan, Bihar, Delhi, MadhyaPradesh, Kerala, Maharashtra, Chhattishghadh, Andhra Pradesh,
Orissa, Karnataka etc) and International delegates(Nigeria, WHO, Ireland etc ) visited the organizations, observedtremendous changes and have commendable remarks “which were thought to be unattainable in public sector. thus setting up anexample for Health Care Organizations to deliver best health careservices to masses”.
CoHCoH
8686www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
Quality Improvement Programme:- Gujarat
Dr. J. L. Meena
CoHCoH
8787www.gujhealth.gov.in Health & Family Welfare, Govt of Gujarat
www.gujhealth.gov.inQuality Improvement Programme
Email:- [email protected] No:- 09099075162
Dr. J. L. Meena