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WELCOMEIMA HBI 2015
The story so far . . .
Dr Ravi WankhedkarNational Secretary IMA HBI
Envisioning IMA
Hospital Board of India
Political objective
To maintain the benign influence
of the medical profession on the
healthcare industry
PREAMBLE
The healthcare delivery system in India is in transition. In a country where large percentage of healthcare expenditure is outside the Government system it is important to have institutions to give direction to the growth and activity all players. Over the sixty plus years of independence, the leadership in healthcare delivery has been slowly and steadily passing into the hands of entrepreneurs of all backgrounds. It is important to moor the industry strongly on the ethics and dynamics of the medical profession. To achieve the political objective of maintaining the benign influence of the medical profession on the healthcare industry, IMA steps in with the initiative of Hospital Board of India. IMA will strive to improve quality of services and ensure better patient safety
AIMS & OBJECTIVES
• 1. To assist and equip all healthcare institutions to
provide quality healthcare to people by facilitating accreditation.
• 2. To facilitate all healthcare institutions to play their effective role in public health.
• 3. To represent and safeguard the interest of all health care institutions and their personnel irrespective of their affiliation.
Office Bearers of IMA HBI
• Dr Marthanda Pillai-National President• Dr. K K Aggarwal - Hon Sec General HQ• Dr. R N Tandon – Hon Finance Secretary HQ• Dr R V Asokan – Chairman IMA HBI• Dr. Ravi Wankhedkar- Hon Nat Secretary HBI• Dr Shivkumar Utture – Hon Treasurer HBI• Dr Anil Pachnekar – Hon Secretary HQ HBI
Board members of IMA HBI
• Dr Vinay Aggarwal-Delhi• Dr.V.Varadarajan-Tamilnadu• Dr.C. Srinivasa Raju-Andhra Pradesh• Dr Vinod C Shah - Gujarat• Dr. Vijay Aggarwal -Delhi• Dr Anand Kate -Maharashtra
Health :The Out of Pocket Nation
Source :National Sample Survey 2015
In Rural In Urban
The bottom Line
The unpredictability of illness requiring
substantial amounts of money at short
notice are impoverishing an estimated 3.3%
of India's population every year.
Source :Report of the National Commission on Macro Economics and
Health MOH, GOI 2005
Health Care CostThiruvananthapuram Medical College
and KSSP study
The average out-of-pocket expenditure
of a person in visiting OP (out-patient)
clinics in the Government sector was
Rs. 4,034 in an year. In the private
sector, this OP expense was not very
different at Rs. 4,739.
Thiruvananthapuram Medical College
and KSSP study• However, when it came to IP expenditure
(in-patient), the average annual out-of-
pocket expenditure was Rs. 6,267 against
the figure of Rs. 30,800 in the private sector.
Here again, this escalation in expenditure
was mostly due to tertiary care.
• When tertiary care is deducted the
expenditure in public and private sector are
the same
The silver Lining
“This would mean that the IP
expenditure in Government and
medium-level private hospitals are
quite comparable and that these
middle-level private hospitals are
actually holding the price line down,”
Small and Medium private
hospitals are an Asset and
not a liability
Point of no return ?Private Hospitals and hospital bed facilities in Kerala1986,1995 and 2004
Healthcare institutions in
India
OAE (own account enterprises) : 10,77, 347
Establishments : 2,30,304
13,07,651
Source : 57th round NSS 2001-02
Healthcare institutions in India
• Modern Medicine doctors : 721553
• Nurses ,Physiotherapists : 163502
• Ayurveda : 160166
• Unani : 24941
• Homeopathy : 145536
• Others : 91953
13,07,651
Source : 57th round NSS 2001-02
IMA –NABH INITIATIVE(a project of IMA HBI)
HOSPITAL ACCREDITATION
NEED OF HOUR
Objectives• To assist hospitals to achieve
international standards in patient care and safety.
• To assist hospitals to countenance CEA .
• To increase the viability of small and medium hospitals by value addition.
• To provide hospitals an affordable access to accreditation.
SHCOs (Less than 50 beds)
• Pre Accreditation Entry Level standards:
No of Standards :41
No of Objective Elements:149• Full Accreditation Standards
No of Standards : 61
No of Objective elements : 289
Hospitals(More than 50 beds)
• Pre Accreditation Entry Level standards:
No of Standards :45
No of Objective Elements:167• Full Accreditation Standards
No of Standards : 102
No of Objective elements : 636
Copy NABH Pre Accreditation Entry Level Standards for hospital : Rs. 1500/-
OrganizationAssessment Criteria Certification Fee (Rs.)
AssessmentApplication
FeeCertificatio
nFee
Hospital One man-day Rs. 2,000/- Rs. 25,000/-
Note : The man days given above for assessment are indicative and may change depending on the facilities and size of the hospital.
Service Tax applicable from time to time (currently @ 12.36%) will be charged on all the above fees.
NABHFinancial Terms and Conditions
NABH Financial Terms and Conditions
Organization
Assessment Criteria
Certification Fee (Rs)
Assessment
Application Fee
Certification Fee
SHCO
One Man day
Rs 1000/-
Rs 10,000/-
Copy of NABH Pre Accreditation Entry Level Standards for SHCO : Rs. 1000/-
Note: The man days given above for assessment are indicative and may change depending on the facilities and size of the SHCO.
Service Tax applicable from time to time (currently @ 12.36%) will be charged on all the above fees. You are requested to please include the service tax in the fees accordingly while sending to NABH.
Expenses of IMA HBI (Entry level accreditation)
Hospital
Size/Category
Sharing of IMA’s
expenses
SHCO (1-25 Beds) Rs 30,000/-
SHCO(26-49 Beds) Rs 40,000/-
50-100 Beds Rs 65,000/-
100+Beds Rs 1,30,000/-
Services
1. Baseline assessment
2. Training of Nodal Person
3. Technical assistance in formulating
SOPs etc
4. Onsite training
5. Hand holding
6. Mock assessment
IMA NABH InitiativePreliminary discussion
28.01.15,New Delhi
Directors Board Meeting05.07.15,Delhi
Parley with Delhi Nursing Home Board,Chairman
1st Training ProgrammeIMA NABH Initiative,
Thrissur,02.08.15
THANK YOU WE SEEK YOUR KIND SUPPORT TO START
STATE & BRANCH HBI CHAPTERS.
For any queries feel free to contact- [email protected]
