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HOSPITAL QUALITY SCORE CARD DEPARTMENT WISE
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EmergencyNBSURadiology
General/Admin
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100.0100.0100.0100.0
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OPDOperation TheaterPharmacy & StoreHospital Score
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100.0100.0100.0
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Labour RoomLaboratoryBlood Storage Unit100.00
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100.0100.0100.0
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IPDAuxiliary PP Unit
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100.0100.0100.0
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HOSPITAL QUALITY SCORE CARD
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 AREA OF CONCERN WISE
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Service ProvisionPatient RightsInputsSupport Services
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100%100%100%100%
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HOSPITAL SCORE
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100%
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Clinical ServicesInfection Control
Quality Management
Outcome
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100%100%100%100%
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Area of Concern & Standards for CHCStandard wise Score
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Area of Concern - A: Service Provision
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Standard A1The facility provides Curative Services100%
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Standard A2The facility provides RMNCHA Services. 100%
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Standard A3The facility Provides diagnostic Services 100%
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Standard A4The facility provides services as mandated in the National Health Programmes /State scheme(s).100%
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Standard A5Facility provides support srvices and Administrative services.100%
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Standard A6Health services provided at the facility are appropriate to community needs.100%
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Area of Concern - B: Patients' Rights
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Standard B1The facility provides information to care-seekers, attendants & community about available services, and their modalities 100%
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Standard B2Services are delivered in a manner that is sensitive to gender, religious and cultural needs, and there are no barrier on account of physical, economic, cultural or social status. 100%
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Standard B3The facility maintains privacy, confidentiality & dignity of patients, and has a system for guarding patient related information.100%
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Standard B4The facility has defined and established procedures for informing patients about the medical condition, and involving them in treatment planning, and facilitates informed decision making 100%
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Standard B5The facility ensures that there are no financial barrier to access, and that there is financial protection given from the cost of hospital services.100%
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Area of Concern - C: Inputs
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Standard C1The facility has infrastructure for delivery of assured services, and available infrastructure meets the prevalent norms100%
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Standard C2The facility ensures physical safety including fire safety of the infrastructure. 100%
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Standard C3The facility has adequate qualified and trained staff, required for providing the assured services at the current case load 100%
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Standard C4The facility provides drugs and consumables required for assured services.100%
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Standard C5The facility has equipment & instruments required for assured list of services.100%
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Area of Concern - D: Support Services
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Standard D1The facility has established Programme for inspection, testing and maintenance and calibration of Equipment. 100%
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Standard D2The facility has defined procedures for storage of drugs, inventory management and dispensing of drugs in pharmacy and patient care areas100%
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Standard D3The facility has established Program for mainntenance and upkeeto of the faciity to provide safe, secure and comfortable environment to staff, patients and visitors. 100%
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Standard D4The facility ensures 24X7 water and power backup as per requirement of service delivery, and support services norms100%
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Standard D5The facility ensures avaialblity of Diet as per nutritional requirement and clean Linen to all admitted patients.100%
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Standard D6The facility has defined and established procedures for promoting public participation in management of hospital transparency and accountability. 100%
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Standard D7Hospital has defined and established procedures for Financial Management 100%
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Standard D8The facility is compliant with all statutory and regulatory requirement imposed by local, state or central government 100%
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Standard D9Roles & Responsibilities of administrative and clinical staff are determined as per govt. regulations and standards operating procedures. 100%
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Standard D10
The facility has established procedure for monitoring the quality of outsourced services and adheres to contractual obligations100%
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Area of Concern - E: Clinical Services
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Standard E1The facility has defined procedures for registration, consultation and admission of patients. 100%
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Standard E2The facility has defined and established procedures for clinical assessment and reassessment of the patients. 100%
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Standard E3The facility has defined and established procedures for continuity of care of patient and referral100%
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Standard E4The facility has defined and established procedures for nursing care100%
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Standard E5The facility has a procedure to identify high risk and vulnerable patients. 100%
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Standard E6 The facility follows standard treatment guidelines defined by state/Central government for prescribing the generic drugs & their rational use. 100%
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Standard E7The facility has defined procedures for safe drug administration100%
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Standard E8The facility has defined and established procedures for maintaining, updating of patients’ clinical records and their storage100%
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Standard E9The facility has defined and established procedures for discharge of patient.100%
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Standard E10
The facility has defined and established procedures for Emergency Services and Disaster Management 100%
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Standard E11
The facility has defined and established procedures of diagnostic services 100%
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Standard E12
The facility has defined and established procedures for Blood Storage Management and Transfusion.100%
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Standard E13
The facility has established procedures for Anaesthetic Services 100%
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Standard E14
The facility has defined and established procedures of Operation theatre.100%
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Standard E15
The facility has defined and established procedures for end of life care and death100%
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Maternal & Child Health Services
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Standard E16
The facility has established procedures for Antenatal care as per guidelines 100%
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Standard E17
The facility has established procedures for Intranatal care as per guidelines 100%
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Standard E18
The facility has established procedures for postnatal care as per guidelines 100%
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Standard E19
The facility has established procedures for care of new born, infant and child as per guidelines 100%
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Standard E20
The facility has established procedures for abortion and family planning as per government guidelines and law100%
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Standard E21
The facility provides Adolescent Reproductive and Sexual Health services as per guidelines 100%
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National Health Programmes
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Standard E22
The facility provides services as per National Health Programmes' Operational/ Clinical Guidelines 100%
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Area of Concern - F: Infection Control
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Standard F1The facility has Infection Control Programme, and there are procedures in place for prevention and measurement of Hospital Associated Infections100%
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Standard F2The facility has defined and Implemented procedures for ensuring hand hygiene practices and antisepsis100%
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Standard F3The facility ensures availability of material for personal protection, and facility staff follow standard precaution for personal protection. 100%
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Standard F4The facility has standard procedures for processing of equipment and instruments 100%
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Standard F5Physical layout and environmental control of the patient care areas ensure infection prevention 100%
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Standard F6The facility has defined and established procedures for segregation, collection, treatment and disposal of Bio-medical and hazardous Waste. 100%
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Area of Concern - G: Quality Management
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Standard G1The facility has established organizational framework for quality improvement 100%
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Standard G2The facility has established system for patient and employee satisfaction100%
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Standard G3The facility have established internal and external quality assurance Programmes wherever it is critical to quality. 100%
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Standard G4The facility has established, documented implemented and maintained Standard Operating Procedures for all key processes. 100%
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Standard G5The facility has established system of periodic review as internal assessment , medical & death audit and prescription audit100%
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Standard G6The facility has defined and established Quality Policy & Quality Objectives 100%
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standard G7The facility seeks continual improvement by practicing Quality tool and method.100%
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Area of Concern - H: Outcomes
100
Standard H1
The facility measures Productivity Indicators and ensures compliance with State/National benchmarks 100%