NABH readiness

Hospital 6th Edition (Jan 2025) — sample catalog · as of 05-08-2026

OE counts and chapter weights are illustrative for design — verify against the official NABH 6th Edition book before production scoring. Same sample catalog is shown per facility for this prototype.

Readiness index

74.5%

Facility-wide (all sample OEs)

Status

Not ready

1 Core OE(s) non-compliant — accreditation blocked

Compliant

9

Partial / NC

5 / 1

AAC · Access, Assessment & Continuity of Care

Traffic: amber · adjust status to demo Core gate

  • AAC.1.aCoreCompliant

    Unique patient identification across the continuum

    Owner: Front desk · Verified 05-08-2026

    UHID registry + duplicate check on registration

    Open evidence surface
  • AAC.2.cCommitmentPartial

    OPD waiting time and token process documented

    Owner: OPD nurse · Verified 04-08-2026

    Department tokens + waiting-room display (timestamps stub)

    Open evidence surface

COP · Care of Patients

Traffic: amber · adjust status to demo Core gate

  • COP.3.bCorePartial

    Initial assessment within defined timeframe

    Owner: Duty doctor · Verified 03-08-2026

    Encounter start from queue — full KPI wiring pending

    Open evidence surface
  • COP.8.aAchievementCompliant

    ABHA / ABDM linkage offered at registration

    Owner: Front desk · Verified 05-08-2026

    ABHA OTP paths + link-later on patient 360

    Open evidence surface

MOM · Management of Medication

Traffic: green · adjust status to demo Core gate

  • MOM.2.aCoreCompliant

    Formulary-based prescribing with high-alert flags

    Owner: Clinical pharmacy · Verified 05-08-2026

    Encounter Rx formulary + high-alert warnings

    Open evidence surface
  • MOM.4.dCommitmentCompliant

    FEFO dispense and expiry control

    Owner: Pharmacist · Verified 05-08-2026

    Pharmacy FEFO + expiry alerts + write-offs

    Open evidence surface

PRE · Patient Rights & Education

Traffic: green · adjust status to demo Core gate

  • PRE.1.cCoreCompliant

    Informed consent for treatment and sharing

    Owner: Front desk · Verified 05-08-2026

    Treatment / ABDM / marketing consent toggles with timestamps

    Open evidence surface

IPC · Infection Prevention & Control

Traffic: red · adjust status to demo Core gate

  • IPC.5.aCoreNon-compliant

    Hand-hygiene compliance monitoring

    Owner: IPC nurse · Verified 01-07-2026

    No automated capture yet — gap for survey

PSQ · Continuous Quality Improvement

Traffic: amber · adjust status to demo Core gate

  • PSQ.2.bCommitmentPartial

    Incident reporting with CAPA linkage

    Owner: Quality · Verified 20-07-2026

    Dashboard approvals stub only

    Open evidence surface

ROM · Responsibilities of Management

Traffic: green · adjust status to demo Core gate

  • ROM.1.aCommitmentCompliant

    Defined organogram and accountability

    Owner: Facility admin · Verified 02-08-2026

    Staff directory with roles

    Open evidence surface

FMS · Facility Management & Safety

Traffic: amber · adjust status to demo Core gate

  • FMS.3.cAchievementCompliant

    Bed occupancy and turnaround monitoring

    Owner: Housekeeping · Verified 05-08-2026

    Bed board Mark ready / cleaning timestamps (prototype)

    Open evidence surface
  • FMS.7.aCorePartial

    Fire safety drills and NOC currency

    Owner: Safety officer · Verified 15-07-2026

    Dashboard fire-safety warning card — drill log not yet in HMS

    Open evidence surface

HRM · Human Resource Management

Traffic: green · adjust status to demo Core gate

  • HRM.4.aCoreCompliant

    Credentialling and license expiry alerts

    Owner: HR · Verified 05-08-2026

    Staff license expiry chips + deactivate flow

    Open evidence surface

IMS · Information Management System

Traffic: amber · adjust status to demo Core gate

  • IMS.2.dCorePartial

    Confidentiality and access control for records

    Owner: IT / compliance · Verified 28-07-2026

    Auth present; server RBAC still Phase-1 engineering debt

    Open evidence surface
  • IMS.5.bCommitmentCompliant

    GST-compliant billing records retained

    Owner: Billing · Verified 05-08-2026

    Billing draft + GST classification + payments

    Open evidence surface