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MusQan NQAS Score Card - DH
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Hospital Score Card (Department Wise)
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OPDPaediatrics WardHospital Score
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100%100%100%
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SNCUNRC
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100%100%
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MUSQAN QUALITY SCORE CARD 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 ControlQuality ManagementOutcome
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100%100%100%100%
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Reference NoArea of Concern & Standards
NQAS Score
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Area of Concern - A Service Provision
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Standard A1Facility Provides Curative Services100%
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Standard A2Facility provides RMNCHA Services 100%
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Standard A3Facility Provides diagnostic Services100%
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Standard A4Facility provides services as mandated in national Health Programs/ state scheme100%
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Standard A5Facility provides support services services100%
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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 Patient Rights
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Standard B1Facility provides the information to care seekers, attendants & community about the 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 access, social, economic, cultural or social status. 100%
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Standard B3The facility maintains privacy, confidentiality & dignity of patient, and has a system for guarding patient related information.100%
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Standard B4Facility has defined and established procedures for informing and involving patient and their families about treatment and obtaining informed consent wherever it is required. 100%
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Standard B5Facility ensures that there are no financial barrier to access and that there is financial protection given from cost of hospital services.100%
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Standard B6Facility has defined framework for ethical management including dilemmas confronted during delivery of services at public health facilities100%
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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 the physical safety of the infrastructure. 100%
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Standard C3The facility has established Programme for fire safety and other disaster 100%
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Standard C4The facility has adequate qualified and trained staff, required for providing the assured services to the current case load 100%
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Standard C5Facility provides drugs and consumables required for assured list of services.100%
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Standard C6The facility has equipment & instruments required for assured list of services.100%
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Standard C7Facility has a defined and established procedure for effective utilization, evaluation and augmentation of competence and performance of staff100%
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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, inventory management and dispensing of drugs in pharmacy and patient care areas100%
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Standard D3The facility provides safe, secure and comfortable environment to staff, patients and visitors. 100%
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Standard D4The facility has established Programme for maintenance and upkeep of the facility 100%
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Standard D5The facility ensures 24X7 water and power backup as per requirement of service delivery, and support services norms100%
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Standard D6Dietary services are available as per service provision and nutritional requirement of the patients. 100%
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Standard D7The facility ensures clean linen to the patients 100%
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Standard D10Facility is compliant with all statutory and regulatory requirement imposed by local, state or central government 100%
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Standard D11Roles & Responsibilities of administrative and clinical staff are determined as per govt. regulations and standards operating procedures.100%
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Standard D12Facility 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 E3Facility 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 E5Facility has a procedure to identify high risk and vulnerable patients. 100%
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Standard E6Facility follows standard treatment guidelines defined by state/Central government for prescribing the generic drugs & their rational use. 100%
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Standard E7Facility has defined procedures for safe drug administration100%
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Standard E8Facility 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 E10The facility has defined and established procedures for intensive care.100%
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Standard E11The facility has defined and established procedures for Emergency Services and Disaster Management 100%
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Standard E12The facility has defined and established procedures of diagnostic services 100%
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Standard E13The facility has defined and established procedures for Blood Bank/Storage Management and Transfusion.100%
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Standard E15The facility has defined and established procedures of Operation theatre services 100%
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Standard E16The facility has defined and established procedures for end of life care and death100%
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Standard E20The facility has established procedures for care of new born, infant and child as per guidelines 100%
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Standard E23The facility provides National health Programme as per operational/Clinical Guidelines 100%
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Area of Concern - F Infection Control
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Standard F1Facility has infection control program and procedures in place for prevention and measurement of hospital associated infection100%
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Standard F2Facility has defined and Implemented procedures for ensuring hand hygiene practices and antisepsis100%
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Standard F3Facility ensures standard practices and materials for Personal protection 100%
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Standard F4Facility 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 ensures infection prevention 100%
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Standard F6Facility 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 G2Facility has established system for patient and employee satisfaction100%
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Standard G3Facility have established internal and external quality assurance programs wherever it is critical to quality. 100%
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Standard G4Facility has established, documented implemented and maintained Standard Operating Procedures for all key processes. 100%
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Standard G5The facility maps its key processes and seeks to make them more efficient by reducing non value adding activities and wastages 100%
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Standard G6The facility has established system of periodic review as internal assessment , medical & death audit and prescription audit100%
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Standard G7The facility has defined mission, values, Quality policy & objectives & prepared a strategic plan to achieve them100%
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Standard G8Facility seeks continually improvement by practicing Quality method and tools.100%
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Standard G10Facility has established procedures for assessing, reporting, evaluating and managing risk as per Risk Management Plan100%
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Area of Concern - H Outcome
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Standard H1The facility measures Productivity Indicators and ensures compliance with State/National benchmarks 100%
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Standard H2The facility measures Efficiency Indicators and ensure to reach State/National Benchmark100%
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Standard H3The facility measures Clinical Care & Safety Indicators and tries to reach State/National benchmark100%
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Standard H4The facility measures Service Quality Indicators and endeavours to reach State/National benchmark 100%
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