| A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z | |
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1 | NQAS SCORE CARD-DISTRICT HOSPITAL | Version : DH/ 02/19-Rev -02 | ||||||||||||||||||||||||
2 | ||||||||||||||||||||||||||
3 | Hospital Score Card (Deparatment wise) | |||||||||||||||||||||||||
4 | Accident & Emergency | OPD | Labour Room (LaQshya) | Maternity Ward | Paediateric OPD (MusQan) | Hospital Score (Including LaQshya & MusQan) | ||||||||||||||||||||
5 | 100% | 100% | 100% | 100% | 100% | |||||||||||||||||||||
6 | Paediateric Ward (MusQan) | SNCU | NRC | OT | M- OT (LaQshya) | 100% | ||||||||||||||||||||
7 | 100% | 100% | 100% | 100% | 100% | |||||||||||||||||||||
8 | PP Unit | ICU | IPD | Blood Bank | Lab | LaQshya Score | MusQan Score | |||||||||||||||||||
9 | 100% | 100% | 100% | 100% | 100% | |||||||||||||||||||||
10 | Radiology | Pharmacy | Auxillary | Mortuary | General Admin | 100% | 100% | |||||||||||||||||||
11 | 100% | 100% | 100% | 100% | 100% | |||||||||||||||||||||
12 | ||||||||||||||||||||||||||
13 | ||||||||||||||||||||||||||
14 | ||||||||||||||||||||||||||
17 | HOSPITAL QUALITY SCORE CARD AREA OF CONCERN WISE | MUSQAN QUALITY SCORE CARD AREA OF CONCERN WISE | ||||||||||||||||||||||||
18 | Service Provision | Patient Rights | Inputs | Support Services | Service Provision | Patient Rights | Inputs | Support Services | ||||||||||||||||||
19 | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | ||||||||||||||||||
20 | Hosital Score | Hosital Score | ||||||||||||||||||||||||
21 | 100% | 100% | ||||||||||||||||||||||||
22 | Clinical Services | Infection Control | Quality Management | Outcome | Clinical Services | Infection Control | Quality Management | Outcome | ||||||||||||||||||
23 | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% | ||||||||||||||||||
24 | ||||||||||||||||||||||||||
25 | ||||||||||||||||||||||||||
26 | ||||||||||||||||||||||||||
27 | ||||||||||||||||||||||||||
28 | Reference No | Area of Concern & Standards | NQAS Score | LaQshya Score | MusQan Score | |||||||||||||||||||||
29 | Area of Concern A- Service Provision | |||||||||||||||||||||||||
30 | Standard A1. | Facility Provides Curative Services | 100% | 100% | 100% | |||||||||||||||||||||
31 | Standard A2 | Facility provides RMNCHA Services | 100% | 100% | 100% | |||||||||||||||||||||
32 | Standard A3. | Facility Provides diagnostic Services | 100% | 100% | 100% | |||||||||||||||||||||
33 | Standard A4 | Facility provides services as mandated in national Health Programs/ state scheme | 100% | NA | 100% | |||||||||||||||||||||
34 | Standard A5. | Facility provides support services | 100% | NA | 100% | |||||||||||||||||||||
35 | Standard A6. | Health services provided at the facility are appropriate to community needs. | 100% | NA | 100% | |||||||||||||||||||||
36 | Area of Concern B- Patient Rights | |||||||||||||||||||||||||
37 | Standard B1. | Facility provides the information to care seekers, attendants & community about the available services and their modalities | 100% | 100% | 100% | |||||||||||||||||||||
38 | Standard B2. | Services 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 reasons. | 100% | 100% | 100% | |||||||||||||||||||||
39 | Standard B3. | Facility maintains the privacy, confidentiality & Dignity of patient and related information. | 100% | 100% | 100% | |||||||||||||||||||||
40 | Standard B4. | Facility has defined and established procedures for informing and involving patient and their families about treatment and obtaining informed consent wherever it is required. | 100% | 100% | 100% | |||||||||||||||||||||
41 | Standard B5. | Facility ensures that there are no financial barrier to access and that there is financial protection given from cost of care. | 100% | 100% | 100% | |||||||||||||||||||||
42 | Standard B6 | Facility has defined framework for ethical management including dilemmas confronted during delivery of services at public health facilities | 100% | NA | 100% | |||||||||||||||||||||
43 | Area of Concern C - Inputs | |||||||||||||||||||||||||
44 | Standard C1. | The facility has infrastructure for delivery of assured services, and available infrastructure meets the prevalent norms | 100% | 100% | 100% | |||||||||||||||||||||
45 | Standard C2. | The facility ensures the physical safety of the infrastructure. | 100% | 100% | 100% | |||||||||||||||||||||
46 | Standard C3. | The facility has established Programme for fire safety and other disaster | 100% | 100% | 100% | |||||||||||||||||||||
47 | Standard C4. | The facility has adequate qualified and trained staff, required for providing the assured services to the current case load | 100% | 100% | 100% | |||||||||||||||||||||
48 | Standard C5. | Facility provides drugs and consumables required for assured list of services. | 100% | 100% | 100% | |||||||||||||||||||||
49 | Standard C6. | The facility has equipment & instruments required for assured list of services. | 100% | 100% | 100% | |||||||||||||||||||||
50 | Standard C7 | Facility has a defined and established procedure for effective utilization, evaluation and augmentation of competence and performance of staff | 100% | 100% | 100% | |||||||||||||||||||||
51 | Area of Concern D- Support Services | |||||||||||||||||||||||||
52 | Standard D1. | The facility has established Programme for inspection, testing and maintenance and calibration of Equipment. | 100% | 100% | 100% | |||||||||||||||||||||
53 | Standard D2. | The facility has defined procedures for storage, inventory management and dispensing of drugs in pharmacy and patient care areas | 100% | 100% | 100% | |||||||||||||||||||||
54 | Standard D3. | The facility provides safe, secure and comfortable environment to staff, patients and visitors. | 100% | 100% | 100% | |||||||||||||||||||||
55 | Standard D4. | The facility has established Programme for maintenance and upkeep of the facility | 100% | 100% | 100% | |||||||||||||||||||||
56 | Standard D5. | The facility ensures 24X7 water and power backup as per requirement of service delivery, and support services norms | 100% | 100% | 100% | |||||||||||||||||||||
57 | StandardD6 | Dietary services are available as per service provision and nutritional requirement of the patients. | 100% | NA | 100% | |||||||||||||||||||||
58 | Standard D7. | The facility ensures clean linen to the patients | 100% | 100% | 100% | |||||||||||||||||||||
59 | Standard D8 | The facility has defined and established procedures for promoting public participation in management of hospital transparency and accountability. | 100% | NA | NA | |||||||||||||||||||||
60 | Standard D9 | Hospital has defined and established procedures for Financial Management | 100% | NA | NA | |||||||||||||||||||||
61 | Standard D10. | Facility is compliant with all statutory and regulatory requirement imposed by local, state or central government | 100% | NA | 100% | |||||||||||||||||||||
62 | Standard D11. | Roles & Responsibilities of administrative and clinical staff are determined as per govt. regulations and standards operating procedures. | 100% | 100% | 100% | |||||||||||||||||||||
63 | Standard D12 | Facility has established procedure for monitoring the quality of outsourced services and adheres to contractual obligations | 100% | NA | 100% | |||||||||||||||||||||
64 | Area of Concern E- Clinical Services | |||||||||||||||||||||||||
65 | Standard E1. | The facility has defined procedures for registration, consultation and admission of patients. | 100% | 100% | 100% | |||||||||||||||||||||
66 | Standard E2. | The facility has defined and established procedures for clinical assessment and reassessment of the patients. | 100% | 100% | 100% | |||||||||||||||||||||
67 | Standard E3. | Facility has defined and established procedures for continuity of care of patient and referral | 100% | 100% | 100% | |||||||||||||||||||||
68 | Standard E4. | The facility has defined and established procedures for nursing care | 100% | 100% | 100% | |||||||||||||||||||||
69 | Standard E5. | Facility has a procedure to identify high risk and vulnerable patients. | 100% | 100% | 100% | |||||||||||||||||||||
70 | Standard E6. | Facility follows standard treatment guidelines defined by state/Central government for prescribing the generic drugs & their rational use. | 100% | 100% | 100% | |||||||||||||||||||||
71 | Standard E7. | Facility has defined procedures for safe drug administration | 100% | 100% | 100% | |||||||||||||||||||||
72 | Standard E8. | Facility has defined and established procedures for maintaining, updating of patients’ clinical records and their storage | 100% | 100% | 100% | |||||||||||||||||||||
73 | Standard E9. | The facility has defined and established procedures for discharge of patient. | 100% | NA | 100% | |||||||||||||||||||||
74 | Standard E10. | The facility has defined and established procedures for intensive care. | 100% | NA | 100% | |||||||||||||||||||||
75 | Standard E11. | The facility has defined and established procedures for Emergency Services and Disaster Management | 100% | 100% | 100% | |||||||||||||||||||||
76 | Standard E12. | The facility has defined and established procedures of diagnostic services | 100% | 100% | 100% | |||||||||||||||||||||
77 | Standard E13. | The facility has defined and established procedures for Blood Bank/Storage Management and Transfusion. | 100% | 100% | 100% | |||||||||||||||||||||
78 | Standard E14 | Facility has established procedures for Anaesthetic Services | 100% | 100% | NA | |||||||||||||||||||||
79 | Standard E15. | Facility has defined and established procedures of Surgical Services | 100% | 100% | 100% | |||||||||||||||||||||
80 | Standard E16. | The facility has defined and established procedures for end of life care and death | 100% | 100% | 100% | |||||||||||||||||||||
81 | Standard E17 | Facility has established procedures for Antenatal care as per guidelines | 100% | NA | NA | |||||||||||||||||||||
82 | Standard E18 | Facility has established procedures for Intranatal care as per guidelines | 100% | 100% | NA | |||||||||||||||||||||
83 | Standard E19 | Facility has established procedures for postnatal care as per guidelines | 100% | 100% | NA | |||||||||||||||||||||
84 | Standard E20 | The facility has established procedures for care of new born, infant and child as per guidelines | 100% | NA | 100% | |||||||||||||||||||||
85 | Standard E21 | Facility has established procedures for abortion and family planning as per government guidelines and law | 100% | NA | NA | |||||||||||||||||||||
86 | Standard E22 | Facility provides Adolescent Reproductive and Sexual Health services as per guidelines | 100% | NA | NA | |||||||||||||||||||||
87 | Standard E23 | Facility provides National health program as per operational/Clinical Guidelines | 100% | NA | 100% | |||||||||||||||||||||
88 | Area of Concern F- Infection Control | |||||||||||||||||||||||||
89 | Standard F1. | Facility has infection control program and procedures in place for prevention and measurement of hospital associated infection | 100% | 100% | 100% | |||||||||||||||||||||
90 | Standard F2. | Facility has defined and Implemented procedures for ensuring hand hygiene practices and antisepsis | 100% | 100% | 100% | |||||||||||||||||||||
91 | Standard F3. | Facility ensures standard practices and materials for Personal protection | 100% | 100% | 100% | |||||||||||||||||||||
92 | Standard F4. | Facility has standard Procedures for processing of equipments and instruments | 100% | 100% | 100% | |||||||||||||||||||||
93 | Standard F5. | Physical layout and environmental control of the patient care areas ensures infection prevention | 100% | 100% | 100% | |||||||||||||||||||||
94 | Standard F6. | Facility has defined and established procedures for segregation, collection, treatment and disposal of Bio Medical and hazardous Waste. | 100% | 100% | 100% | |||||||||||||||||||||
95 | Area of Concern G- Quality Control | |||||||||||||||||||||||||
96 | Standard G1 | The facility has established organizational framework for quality improvement | 100% | 100% | 100% | |||||||||||||||||||||
97 | Standard G2 | Facility has established system for patient and employee satisfaction | 100% | 100% | 100% | |||||||||||||||||||||
98 | Standard G3. | Facility have established internal and external quality assurance programs wherever it is critical to quality. | 100% | 100% | 100% | |||||||||||||||||||||
99 | Standard G4. | Facility has established, documented implemented and maintained Standard Operating Procedures for all key processes and support services. | 100% | 100% | 100% | |||||||||||||||||||||
100 | Standard G5. | Facility maps its key processes and seeks to make them more efficient by reducing non value adding activities and wastages | 100% | 100% | 100% | |||||||||||||||||||||
101 | Standard G6. | The facility has established system of periodic review as internal assessment , medical & death audit and prescription audit | 100% | 100% | 100% | |||||||||||||||||||||
102 | Standard G7. | The facility has defined Mission, values, Quality policy and objectives, and prepares a strategic plan to achieve them | 100% | 100% | 100% | |||||||||||||||||||||