National Quality Assurance Standards

MANDATORY REQUIREMENTS

PHC/CHC

QUALITY IS A CONTINUOUS PROCESS………

 Process Requirements
Quality Team – Office order
Committee – Minutes Frequency
Facility Quality team Committee Monthly Once
BMW management Committee Monthly Once
Infection Control Committee Monthly Once
Hospital Safety 2 Months Once
Disaster Management 4 Months Once
VISHAKA 6 Months Once
Audit – Pres, Med, Death audit Monthly Once
PSS / Grievance Handling Committee
Monthly Once
Patient Satisfaction Survey – IPD, OPD, Labour room, RBSK
Time Motion Study Monthly
Cleaning Checklist Daily
 IEC requirements
Citizen Charter – Key Process Area timings
Schemes – JSSK, JSY, MRMBS, FP,
Departmental Signages – Dual Lang, Pictorial / Numbered
Numbers – Complaint box, Cemonc, 108, ILR, Fire, Police, JDHS, DDHS, All PHC
staffs
Requisite Protocols in selected Areas-
Casualty - Head and RTA Injury, Snake, Scorpion, Dog bites,
Labour Room – Resuscitation, PPH, AMSTL, APH, New MgSo4 Regimen, PIH, neonatal
dosages etc
OPD – Male – NCD, Cancer, RNTCP protocols; Female – ANC protocols etc.,
NCD – Foot examination, NCD protocols; Viavilli - Breast examination, Cervical
Examination
Breast feeding Corner – KMC, Breast feeding IEC, Importance, Nutrion of Mother
IPD – Mother Nutrition, Danger signs of Mother and Child, FP,
OT – Zoning, Paediatric dosages,
Dirty Utility Area – BMW areas
STGs
 Process Requirements - OPD
Male and Female Registration Counter
Waiting area – Registration, OPD and Injection OP
Male and Female OPD separate
Examination Table and Screen for Privacy
Calling Bell System for OPD
 Registers- OPD
OPD Registration Ophthalmic OPD Register
ANC Register / OBG OPD Register
Skin & VD OPD Register
ICTC Register TB/DOT OPD Register
Immunization Register ENT OPD Register
Medicine OPD Register Psychiatric OPD Register
Surgery OPD Register AYUSH OPD Register
Paediatric OPD Register Record of Patient Feedbacks
Dental OPD Register Time motion study
 Process Requirements - Lab
Waiting Area
Sample collection area
Testing Area
Liquid Waste Management
Calibration
EQAS
 Registers- Lab
Equipment Maintenance Register MP / MF register
Lab Register IDSP data
Lab reporting register ICTC lab register
Adverse event reporting data RNTCP lab register
Audit and feedback record
Lab Register
Stock Register
 Process Requirements - OT
Zoning of OT
Pre anesthesia Checklist – PAC
Surgical Safety Checklist
Calibration
Audit of Surgical Case Sheet
 Registers- OT
OT Register
CSSD/TSSU Register
Equipment Maintenance Register
Surgery note
HR Record
Infection control monitoring report
Adverse event form/Register & Admission register
Death Register
OT Surveillance register
 Process Requirements - Labour
Waiting Area
Sample collection area
Testing Area
Liquid Waste Management
Calibration
EQAS
 Process Requirements –
Accident and Emergency / Casualty
Waiting Area
Sample collection area
Testing Area
Liquid Waste Management
Calibration
EQAS
 Process Requirements - General Admin
Waiting Area
Sample collection area
Testing Area
Liquid Waste Management
Calibration
EQAS
 Process Requirements - IPD
Waiting Area - Common
Dressing and Emergency Trolley
BMW bins with covers
 Process Requirements - NHP
Waiting Area
Sample collection area
Testing Area
Liquid Waste Management
Calibration
EQAS