| 1 |
Finalization of Committee Members |
Members of the Committee have been finalized as per list attached. |
Dr. Gunjan |
Not Applicable |
Complete |
| 2 |
Finalization of Committee
Scope & Frequency of Meeting |
Scope of Committee has been defined as document attached |
Dr. Gunjan |
Not Applicable |
Complete |
| 3 |
NABH Process Training |
Staff trained on NABH process. All staff is aware about rights & responsibilities of their roles. |
Dr. Gunjan |
Not Applicable |
Complete |
| 4 |
SOP, Policy & Manual of Clinic |
All policies/SOP, Manuals are revised; Training of concerned staff is completed. |
Dr. Gunjan |
Not Applicable |
Complete |
| 5 |
Vision and Mission of Clinic |
All staff aware for it |
Dr. Gunjan |
Not Applicable |
Complete |
| 6 |
Quality Indicator (Clinical) |
All quality indicators are within benchmark |
Dr. Gunjan |
Not Applicable |
Complete |
| 7 |
TAT Of Outsource Services |
TAT maintained and monitored in Excel sheet |
Shubham |
Not Applicable |
Complete |
| 8 |
Site-visits of Outsource Services |
Site-visits need to be done as per annual calendar and recorded as per format |
Dr. Harmi |
Not Applicable |
Complete |
| 9 |
Recall/amendment of reports of Outsource Services |
Reviewed and monitored |
Dr. Harmi |
Not Applicable |
Complete |
| 10 |
Organogram of Clinic and
each staff having their Job responsibilities |
All staff aware for it |
Dr. Gunjan |
Not Applicable |
Complete |
| 11 |
MOU / MOA, Agreement and Empanelment Review |
Brief MOU/MOA in standard format used for Outsource services / agency /Organization |
Dr. Gunjan |
Not Applicable |
Complete |
| 12 |
NABH Assessment Details |
28 NCs were addressed ,complied ,implemented with staff training |
Dr. Gunjan |
Not Applicable |
Complete |
| 13 |
NABH Assessment Details |
1 Re-Nc recived related to the x-ray usage in the clinic.it was addressed,complied,implemented with staff training |
Dr. Gunjan |
Not Applicable |
Complete |
| 14 |
Calibration of Equipments |
Equipment list for calibration prepared (in-process) |
Dr. Renu |
Not Applicable |
Complete |
| 15 |
International patients |
Declaration form for Int. Patients, Form-c details if require, Separate MRD storage, MOU with company
details, Estimate in std. format |
Mr. Bhima |
Not Applicable |
Complete |
| 16 |
Equipment wise file |
Each machines’ details prepared and reviewed in standard format |
Dr. Renu |
Not Applicable |
Complete |
| 17 |
Quality Budget |
Reviewed and Finalized |
Dr. Gunjan |
Not Applicable |
Complete |
| 18 |
Infection Control Budget |
Reviewed and Finalized |
Dr. Gunjan |
Not Applicable |
Complete |
| 19 |
Previous Quality Meeting’s pending Tasks |
Reviewed |
Dr. Gunjan |
Not Applicable |
Complete |
| 20 |
Quality of Dental Lab work |
Repeat work reported, proper instructions given to the lab technician |
Dr. Gunjan |
Not Applicable |
Complete |
| 21 |
Quality Survey |
From Staff &/or Patients |
Dr. Gunjan |
Not Applicable |
Complete |