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Healthcare Facility Planning

&
Consultancy services
OUR EMPANELMENT ABOUT US
Integra Ventures is a health care consulting firm specialized in
NHM, ASSAM planning, designing, commissioning and Management of
health care facilities. The firm operates from its offices in

PWD  Guwahati
 Kolkata
CONFEDERATION OF INDIAN  Gurugram &
INDUSTRY  Chennai
Integra Ventures has been established by like-minded
ASSAM STATE DISASTER
professionals who hold experience in the entire gamut of
MANAGEMENT AUTHORITY
Healthcare Consultancy services.
The team has successfully planned and executed projects
Govt. OF MIZORAM
ranging from-
Feasibility Studies, Planning & Designing of Healthcare facilities,
APHC Project Management, Hospital Audits, Establishment of Systems &
Processes, Accreditation (NABH, NABL, ISO) of healthcare facilities,
Equipment Planning, Human Resource Planning & Training,
MES development & implementation of MIS to Management of Hospitals
OUR REACH

National client base

International client base


OUR TEAM

As Health Care Consultants, we apply


scientific methods in our consulting
approach. At the same time, we are
committed to the goals & objectives of
the health care organizations. Our
clients’ values are at the heart of
everything we do.
OUR SERVICE

1 2 3 4

H E A L T H C A R E M A N A G E M E N T P U B L I C H E A L T H T R A I N I N G &
F A C I L I T Y C O N S U L T I N G C O N S U L T I N G C A PA C I T Y
D E V E L O P M E N T B U I L D I N G
• Feasibility studies & DPR
• Expansion & Up- • Monitoring &
• Turnkey Design Development
• Hospital and Healthcare
Gradation Evaluation of
Consultancy (Architectural, Management
• Management Consulting Programmes
Structural & Engineering design) • Quality Management
• Quality and Accreditation • Ensuring Quality
• Equipment Planning & • Hospital Informatics
Improvement of Public
Procurement Assistance services • Bio Medical Equipment
• Manpower Planning & • Branding and Marketing health facilities
Repair and Maintenance
Recruitment Assistance
• Equipment repair & • Capacity Building and
• Development of Departmental training of staffs
SOPs maintenance
• Training of staff • Facility & Programme
• Commissioning Assistance
• Hospital IT Consulting
impacts surveys
DEFINING HEALTHCARE QUALITY

Consistent delivery of According to ISO 9000:- According to WHO:-


Quality is defined as „the Quality of care is the level
a product or service of attainment of health
degree to which a set of
according to expected inherent characteristics systems‟ intrinsic goals for
standards. fulfills requirements‟.
health improvement and
.
responsiveness to
legitimate expectations of
the population
QUALITY OF CARE
&
UNIVERSAL HEALTH COVERAGE

Quality of care in health services has


been identified as one of the key elements
on the path to Universal Health Coverage
(UHC), and fundamental towards
achieving the health related goals and
targets outlined under the Sustainable
Development Goals (SDGs).
IMPORTANCE OF ACCREDITATION

• One of the pathways to The idea behind an As countries like India use
improve QoC in any accreditation programme is to the insurance route towards
health system, is via evaluate a health care achieving universal
the accreditation route. organization via self and coverage, it offers an
• Accreditation has been external assessment, against opportunity to use
accepted globally as a predetermined optimal accreditation as a tool to set
regulatory intervention standards, to improve and set standards and monitor
to set standards, and standards of care. quality of care at the level of
monitor quality of care. service provision.
QUALITY OF CARE IS

Doing the right things (what)


1
STEP

2 To the right people (to whom)


STEP

At the right time (when) 3


STEP

4 And doing things right first time


STEP
WHAT IS HOSPITAL ACCREDITATION?

Act of granting recognition by an


external evaluation organisation of
the achievement of accreditation
standards, demonstrated through an
independent external peer
assessment of that organisation‘s
level of performance in relation to
the standards.
ACCREDITATION ORGANISATION (WORLD WIDE)
Joint Commission International - JCI California Health Kids Survey - CHKS Accreditation Unit, UK

Joint Commission of Taiwan – JCT Canadian Accreditation Council of Human Services – CAC

Council for Health Service Accreditation of Southern Africa - COHSASA Global-Mark Pty Ltd, Australia

Danish Institute for Quality and Accreditation in Health Care –IKAS Health and Disability Auditing New Zealand – HDANZ

Australian Aged Care Quality Agency – AACQA


Diagnostic Accreditation Programme, British Columbia
The Healthcare Accreditation Institute (Public Organization), Thailand
Health and Disability Auditing Australia Pty Ltd – HDAA – HAI
Australian General Practice Accreditation Ltd / Quality in Practice Pty Ltd –
Malaysian Society for Quality in Health –MSQH AGPAL/QIP
Japan Council for Quality Health Care – JCQHC
Quality Improvement Council, Australia – QIC
The Australian Council on Health Care Standards – ACHS
National Accreditation Board for Hospitals & Health Care Providers,
India – NABH Health Care Accreditation Council, Jordan – HCAC
Designated Auditing Agencies (DAA) Group Limited, New Zealand
DNV GL Business Assurance, Norway
American Association of Blood Banks (AABB), USA
Associacao Brasileira de Acreditacao De Sistemas e Servicos de Saude,
Netherlands Institute for Accreditation in Healthcare – NIAZ Brazil – CBA
Haute Autorité de Santé – DAQSS, France
Instituto Colombiano De Normas Tecnicas Y Certification (ICONTEC) Accreditation Canada International (ACI) Canada
Health Accreditation Service, Columbia
+ =
EVOLUTION OF QUALITY & ACCREDITATION

The American College of Surgeons


1917 established a set of minimum standards for
hospitals.

The American College of Surgeons


joined with several other professional
1951 associations to form the Joint
Commission on Accreditation of
Hospitals.

Thirty years later, this voluntary accrediting


body changed its name to the Joint
1981 Commission on Accreditation of Healthcare
Organizations to more accurately reflect its
scope of health services evaluation
EVOLUTION OF HEALTHCARE QUALITY & ACCREDITATION (NATIONAL)
The accreditation system
At the national level, the evaluates three The NABH accreditation
National Accreditation interrelated components: system is a graded one,
Board for Hospitals and structure, process and with progressive levels
Healthcare Providers outcome (Donabedian of accreditation starting
In India, international standards (NABH) was set up in 2005. framework) of the hospital f r o m p r e - e n t r y, t o f u l l
such as those set by the Joint services. accreditation.
Commission International (JCI) are
used by healthcare providers, in
parallel to national accreditation
systems.

It provides accreditation, programme,


for health care organizations, ranging The NABH accreditation is
from large (greater than 100 beds) to further accredited by the
small hospitals, imaging centres to International Society for
blood banks, CHC,PHC,OST and clinics Quality in Healthcare
across the country. (ISQua) – this implies that
NABH standards are at par
with global standards..
ACCREDITATION IN PUBLIC HEALTH
BENEFITS OF ACCREDITATION
PATIENTS HOSPITALS GOVERNMENT STAFF
• Improves care • Efficiency of
• High quality of • Professional staff
• Brings in Government hospitals
care as key contributors development
• Dedicated and Corporate • Provides education on
for building trust and
sincere medical Governance confidence for the laid down standards
staff • Stimulates hospitals in the • Provides leadership for
• Access to a continuous hearts of the citizens quality improvement
improvement of the State through
quality focused within medicine and
• Demonstrates actively pursuing
organization quality improvement nursing
• Rights respected commitment to • Increases satisfaction
programme in various
and protected quality care facilities. with continuous
• Patient • Raises community • Given a sense of pride learning, good working
Satisfaction confidence to the government for environment, leadership
evaluated • Opportunity to ensuring quality
and ownership
benchmark with services to the
• Involvement in p o o r e s t o f t h e p o o r.
care process the best
• Confidence has been
• Patient s Pain restored of the
management community in Govt
• Safe transport hospitals
QUALITY SYSTEM

INTERNAL QUALITY SYSTEM EXTERNAL QUALITY SYSTEM

ORGANISATIONAL STRUCTURAL SAFETY HOSPITAL ACCREDITATION


EFFECTIVENESS

EFFICIENCY ISO CERTIFICATION


TIMELINESS

PATIENT FOCUSSED EQUITY EXTERNAL MEDICAL AUDIT


COMPONENTS OF INTERNAL QUALITY SYSTEM

OUTCOME
STRUCTURE
03
PROCESS
 INVENTORY
 PATIENT METHODSType your  PATIENT

SUCCESS
 COORDINATION

WAY TO
detail text
 STAFF  PHYSICIANS
here, ORDER
type SATISFACTION
 EQUIPMENTS your
 NURSING detail
CARE  COST
 TRAINING text here.
 ANCILLARY STAFF
Ente text
 SUPPLIES  HOUSEKEEPING
here
 ENVIRONMENT  TRANSPORT
OUR APPROACH

0 02 03 04 05
1
INTERACTION WITH TOP
MANAGEMENT
• ONSITE VISIT BY INTEGRA TEAM OF
CONSULTANTS
WORK ORDER

• DISCUSSIONS WITH TOP


ROLLING THE PROJECT
• DETAILED DISCUSSIONS WITH
SENSITIZATION TRAINING
• SENSITIZATION OF ALL THE
WORKERS/ STAFF MEMBERS OF
FORMATION OF QUALITY
COMMITTEES
• FORMATION OF HOSPITAL
MANAGEMENT & REACHING AN TOP MANAGEMENT THE HOSPITAL TO NABH
• INTERACTION • CLARIFICATION OF CONSULTANT- QUALITY COMMITTEES
AGREED PLAN AND PERIOD STANDARD AND VOLUNTEER
• FEASIBILITY ROUND OF THE
• FINANCIALS OF CONSULTANCY CLIENT RELATIONSHIP ENROLMENT FOR DETAILED PROCESS
FACILITY
• MANPOWER AVAILABILITY WITH • ROLES OF INTEGRA VENTURES& • AGREEMENT ON THE TIME CHARTING AND SYSTEM
THE HOSPITAL FOR SUPPORTING CLIENT ORGANIZATION FRAME GAP ANALYSIS DEVELOPMENT AND
QUALITY PROGRAMME • SUPPORT DURING THE PROJECT • NOMINATION OF A • CONDUCTING GAP ANALYSIS IMPLEMENTATION
• ESTIMATES OF ONSITE & OFF SITE PERIOD MANAGEMENT REPRESENTATIVE • PREPARING & PRESENTING
PERIOD OF CONSULTANCY AND AND A QUALITY COORDINATOR DETAILED GAP ANALYSIS REPORT
MAN DAYS • ALLOCATION OF RESOURCES FOR
• MANPOWER REQUIRED FOR HOSPITAL QUALITY CELL .
CONSULTANCY

1st Phase, 3 Month 2nd Phase, 6 Month


OUR APPROACH Contd.

06 07 08 09 10
TRAINING OF QUALITY TRAINING ON COMPLETE QUALITY SYSTEM DEVELOPMENT KPI MONITORING TRAINING FACILITATING CLIENT DURING
COMMITTEES STANDARDS • ASSIST IN SYSTEM • IDENTIFICATION OF
• CONDUCT OF QUALITY PRE & FINAL NABH
DEVELOPMENT INDICATORS AND
COMMITTEES • TOP MANAGEMENT PREPARATION OF A DASH
ASSESSMENT
 POLICIES
• AREA OF WORK FOR EACH • QUALITY COORDINATOR AND BOARDFOR MONITORING THE
 PROCEDURES,
QUALITY COMMITTEE MANAGERS SYSTEM.
 SOPS, WORK
• ACTIVATION OF COMMITTEES • ADMINISTRATORS • DATA COLLECTION
INSTRUCTIONS
• COMMITTEE MEETINGS AND • ALL QUALITY COMMITTEES • DATA ENTRY
 CLINICAL GUIDELINES,
RECORDS • HODS AND ACTIVE HOSPITAL • DATA COMPILATION
 NEW FORMS
• IDENTIFICATION OF IN-HOUSE STAFF • INFORMATION GENERATION
(CLINICAL,
TRAINERS • NURSING • RCA
ADMINISTRATIVE)ETC.
• REGULAR COMMITTEE MEETINGS • PARAMEDICS • CAPA
AND RECORDS • SUPPORT STAFF
.

2nd Phase, 6 Month 3rd Phase, 6 Month


CURRENT ISSUES IN ACHIEVING QUALITY ACCREDITATION

• Inadequate manpower to achieve QA


• Timeline stretch due to overload & multitasking
• Lack of experience in implementing quality standards
• Constraints on the work of the quality improvement teams; and inconsistent support
systems
• Professional requirements: The accreditation standards will be implemented more
successfully when they are accepted by professionals of healthcare organizations
• Human resources: In this section there are three group of challenges as categorized as
follows:
 “Staff efficiency” due to the heavy workload of responsibilities that the personnel have for
documentation, recording and following up the activities
 “Creating motivation” for the personnel who participate in the implementation of accreditation
standards
 “Education and technical assistance” for the staff to increase their knowledge and skills regarding
how to implement accreditation standards
PROPOSED SOLUTION
HIRING EXTERNAL CONSULTANCY FIRM

Dedicated team experienced in quality implementation

Accountability

Stick to Timeline

Scheduling process to identify areas for focus and improvement

Periodic training & evaluation.

External punch
LIST OF NABH ACCREDIDATED PHC
S.N. Name 25 PHC-Takali Haji, Shirur, Pune, Maharashtra, India
1 PHC-Hol, Baramati, Pune, Maharashtra, India 26 PHC- Nimgaonsawa, Junnar, Pune, Maharashtra, India
2 PHC-Bhadson, Karnal, Haryana, India 27 PHC-Rajuri, Junnar, Pune, Maharashtra, India
3 PHC - Orna, Surat, Gujarat, India 28 PHC-Kunjirwadi, Khed, Pune, Maharashtra, India
4 PHC - Bhagal, Kaithal, Haryana, India 29 PHC-Karanjvihire, Khed, Pune, Maharashtra, India
5 PHC-Ispurli, Karveer, Kolhapur, Maharashtra, India 30 PHC-Belsar, Purander, Pune, Maharashtra, India
6 PHC-Sarawade, Radhanagari, Kolhapur, Maharashtra, India
31 PHC Sawargaon, Junnar, Pune, Maharashtra, India
7 PHC-Alate, Hatkananagale, Kolhapur, Maharashtra, India
32 PHC-Wadebolhai, Haveli, Pune, Maharashtra, India
8 PHC-Shiroli Dumala, Karveer, Kolhapur, Maharashtra, India
33 PHC-Karde, Shirur, Pune, Maharashtra, India
9 PHC- lonikalbhor, Haveli, Pune, Maharashtra, India
34 PHC-Amboli, Pune, Maharashtra, India
10 PHC-Niwade, Gaganbawada, Kolhapur, Maharashtra, India
35 PHC-Dehane, Khed, Pune, Maharashtra, India
11 PHC-Maan, Mulshi, Pune, Maharashtra, India
36 PHC- Ranjangaon, Shirur, Pune, Maharashtra, India
12 PHC- Daund, Kurkumbh, Pune, Maharashtra, India
37 PHC-Hupari, Kolhapur, Maharashtra, India
13 PHC- Khadkala, Maval, Pune, Maharashtra, India
14 PHC- Urlikanchan, Haveli, Pune, Maharashtra, India 38 PHC- Borpadale, Panhala, Kolhapur, Maharashtra, India
15 PHC- Khamgaon, Gadamodi, Pune, Maharashtra, India 39 PHC- Malbhag; Chikhali (Nanibai), Kolhapur, Maharashtra, India
16 PHC-Shelpimpalgaon, Khed, Pune, Maharashtra, India 40 PHC-Abdullat, Shirol, Pune, Maharashtra, India
17 PHC-Sangavi, Baramati, Pune, Maharashtra, India 41 PHC-Bijawadi, Pune, Maharashtra, India
18 PHC- Morgaon, Baramati, Pune, Maharashtra, India 42 PHC-Mahalunge Padwal, Pune, Maharashtra, India
19 PHC-Katewadi, Baramati, Pune, Maharashtra, India 43 PHC-Rahu, Daund, Pune, Maharashtra, India
20 PHC-Wagholi, Haveli, Pune, Maharashtra, India 44 PHC-Deulgaon Raje, Daund, Pune, Maharashtra, India
21 PHC - Pinjore, Panchkula, Haryana, India 45 PHC-Phursungi, Haveli, Pune, Maharashtra, India
22 PHC-Mohna, Ballabhgarh, Haryana, India
46 PHC-Aale, Junnar, Pune, Maharashtra, India
23 PHC- Karanjawane, Velha, Pune, Maharashtra, India
47 PHC-Aptale, Junnar, Pune, Maharashtra, India
24 PHC-Takve, Maval, Pune, Maharashtra, India
48 PHC-Palasdeo, Pune, Maharashtra, India
LIST OF NABH ACCREDIDATED PHC (Contd.)

49 PHC-Kendur, Shirur, Pune, Maharashtra, India


50 PHC-Pasali, Velhe, Pune, Maharashtra, India
51 PHC-Mutha, Mulshi, Pune, Maharashtra, India
52 PHC-Ambawade, Bhor, Pune, Maharashtra, India
53 PHC-Dorlewadi, Pune, Maharashtra, India
54 PHC-Karla, Maval, Pune, Maharashtra, India
55 PHC-Madh, Junnar, Pune, Maharashtra, India
56 PHC-Lasurne, Pune, Maharashtra, India
57 PHC-Pait, Khed, Pune, Maharashtra, India
58 PHC-Chitrasani, Palanpur, Banaskantha, Gujarat, India
59 PHC-Dimbhe, Ambegaon, Pune, Maharashtra, India
60 PHC-Walha, Purander, Pune, Maharashtra, India
61 PHC-Peth, Ambegaon, Pune, Maharashtra, India
62 PHC-Kadus, Khed, Pune, Maharashtra, India
63 PHC Khandwa Patta , Churu, Rajasthan, India
64 PHC - Bhadoti, Sawai Madhopur, Rajasthan, India
LIST OF NABH ACCREDIDATED DENTAL INSTITUTES
25 Dental Life, Faridabad, Haryana, India
1 Maulana Azad Inst of Dental Sciences, New Delhi, Delhi, India
26 Dental Life, Kalkaji , Delhi, Delhi, India
2 Air Force Institute of Dental Sciences, Bangalore, Karnataka 27 Dental Life, Gurgaon, Haryana, India
3 Dental Life , Srinivaspuri , New Delhi, Delhi, India 28 Dr. Futela's Dental Centre, Gurgaon, Haryana, India
4 Deshmukh Dental Clinic, Jabalpur, Madhya Pradesh, India 29 Leela Dental Clinic, New Delhi, Delhi, India
5 Goel's Multispeciality Dental Clinic & Implant Centre , New Delhi 30 Dr. Shweta's Dental Clinic, New Delhi, Delhi, India
6 Vaishali Dental Care, Jabalpur, Madhya Pradesh, India 31 My Dentist (Total Dental Care Pvt. Ltd.), Gokuldham, Mumbai,
Maharashtra, India
7 Crystal Dental Centre, Vasant Vihar, New Delhi, Delhi, India
32 Triveni Dental Clinic & Implant Centre, Bhiwani, Haryana, India
8 Dr. Gupta's Dental Specialties Centre, Chennai, Tamil Nadu
33 Dr. Ashok's Dentistree, Delhi, Delhi, India
9 Muskaan Dentals, Gurgaon, Haryana, India 34 Delhi Dental And Medical Centre, New Delhi, Delhi, India
10 Bhandari Dental Clinic, Pune, Maharashtra, India 35 Kotilingams Dental Clinic, Guntur, Andhra Pradesh, India
Bibhuti Bhusan Meorial Dental Hospital & Research Centre, 36 Khare Dental Clinic & Implant Centre, Nagpur, Maharashtra, India
11
Bhubneshwar, Orissa, India
37 Jain dental Centre, Delhi, Delhi, India
12 Dr. Kathuria Multispeciality Dental Clinic, New Delhi, Delhi, India
38 Dr. Sanjay Kalra's Multispeciality Dental Clinic, Panchkula, Haryana, India
13 Dr Ramani's Dental Practice, Jaipur, Rajasthan, India
14 Indus Hygiea, Mohali, Punjab, India 39 Dr. Bhim Sain's Family Dental Clinic, Gurgaon, Haryana, India
15 Jindal Rehablitation & Dental Centre , Meerut, Uttar Pradesh 40 Chhabaria's Oral Maxillo Facial Surgery and Dental Clinic, Ahmedabad,
Gujarat, India
16 Dental Life, Aliganj , New Delhi, Delhi, India 41 Aashu Dental & Multispeciality Clinic, Ahmedabad, Gujarat, India
17 Dental Life, Chitragupta , New Delhi, Delhi, India
42 Star Dental Clinic, Delhi, Delhi, India
18 Dental Life, Kalibari , New Delhi, Delhi, India
43 Max Multispeciality Centre, Panchsheel Park, Delhi, Delhi, India
19 Dental Life, Sadiq Nagar , New Delhi, Delhi, India
20 Dental Life, Pushp Vihar , New Delhi, Delhi, India 44 Sudarshan Poly Dental Centre , Gurgaon, Haryana, India
21 Dental Life, Zakir hussain , New Delhi, Delhi, India 45 Anu's Dental Clinic, Hyderabad, Telangana, India
22 Dental Life, RK Puram , New Delhi, Delhi, India 46 Singhvi Dental Care , Jodhpur, Rajasthan, India
23 Dental Life, Motibagh , New Delhi, Delhi, India 47 R.P.S Memorial Multispeciality Dental Clinic, Delhi, Delhi, India
24 Dental Life, Chanakyapuri , New Delhi, Delhi, India 48 Kakarla Multi Speciality Dental Hospital, Tirupati, Andhra Pradesh, India
LIST OF NABH ACCREDIDATED DENTAL INSTITUTES (Contd.)
49 Creative Smiles Dental solutions Multispecialty Dental Clininc, Thane, 68 Dr. Sachin Mittal's Advanced Dentistry, Hisar, Haryana, India
Maharashtra, India
50 Gupta Multispeciality Dental Clinic, Delhi, Delhi, India 69 Vijaya Super Speciality Dental & Maxillo facial Trauma Care Centre,
51 Facio Dental Super Speciality Clinic, Delhi, Delhi, India Rajahmundry, Andhra Pradesh, India
52 HealthySmile Dental Clinic And Orthodontic Centre, Jabalpur,
Madhya Pradesh, India 70 Urban Tooth Dental Clinic, Thane, Maharashtra, India
53 Shree Sai Samarth Dental Clinic & Implant Centre, Pune,
Maharashtra, India 71 Advanced Dental Clinic & Oral Surgical Center, Pune,
54 K K Hitech Dental Clinic, Piler, Chittor, Andhra Pradesh, India Maharashtra, India
72 FMS Dental, Hyderabad, Telangana, India
55 Dr. Rimo Multispeciality Dental Clinic, Chennai, Tamil Nadu, India
73 Sujay's Dental Care, Bangalore, Karnataka, India
56 Happysmiles Dental Clinic, Pune, Maharashtra, India
57 Grace Dental Clinic, Gurgaon, Haryana, India 74 Kommineni Super Specilaity Dental Clinic, Tirupati, Andhra
Pradesh, India
58 The Healing Touch Dental Care, Delhi, Delhi, India
59 Muskaan Dentals, Gurgaon, Haryana, India 75 Sri Sai Appolo Dental Hospital, Ananthapur, Andhra Pradesh,
India
60 Foundation , Ballabhgarh, Haryana, India
76 Nemaly Facial And Multispeciality Dental Hospital, Madanapalle,
61 Dr. Goyal's The Dental Solutions, Thane, Maharashtra, India
Chittor, Andhra Pradesh, India
62 Swastik Dental Care, Pune, Maharashtra, India
77 Pranu Dental Hospital, Tirupati, Andhra Pradesh, India
63 Devanshi Dental Centre, Nagpur, Maharashtra, India
78 Sanil Multispeciality Dental Clinic, Jabalpur, Madhya Pradesh, India
64 Sri Guru Harkrishan Sahib ( C ) Eye Hospital Trust- Sohana (
Dental Department), Sohana, Punjab, India 79 S N Dental Clinic, Balaramapuram, Trivandrum, Kerala, India
65 32 Pearls Multispeciality Dental Clinic & Implant Centre, 80 Confident Dental Care, Bangalore, Karnataka, India
Ahmedabad, Gujarat, India 81 Jyoti Dental Care Center, Ghaziabad, Uttar Pradesh, India
66 Oral Care Dental Health & Orthodontic Centre, Delhi, Delhi, India
82 Dental Folks, Delhi, Delhi, India
67 Sarada Dental Care, Challapalli, Andhra Pradesh, India 83 Therapeuo Dental and Multispeciality Clinic, Mumbai, Maharashtra, India
LIST OF NABH ACCREDIDATED CHC
.N. Acc. No. Name Valid From Valid Upto
1 CHC-2012- CHC-Bardoli, Surat, Gujarat, 26 Sep 2012 25 Sep 2015
0001 India (Renewal Under Process)
2 CHC-2015- CHC-Pandappilly, Ernakulam, Kerala, India 04 May 2015 03 May 2018
0002
THANK YOU

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