Nabh Work Plan

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GANTT CHART

PROPOSED CALENDAR OF ACTIVITIES


S. No Activities
Initiating the Project
1 Discussion with Spoke Person of Hospital Admistration
2 Formation of Core team for initiating the activities
3 Orienting the core team about the plan of action
4 Sensitization Workshop involving (lead) representatives of all stakeholders group by Octavo
Gap Analysis
6 Structural Gap/s identification
7 Processes Gap/s identification
8 Outcome Gap/s identification

9 Creation of Committees, writing their purpose (scope of work) and prepare meeting schedules

10 Provide (concern) sectional drafts to various committees to take up in their agenda


5 Assessment & Scoring (Baseline)
11 Prepare Gap Report
12 Present Gap Report before stakeholders
13 Incorporate suggestions in the report
14 Finalize Gap Report
Develop Policy & Procedure Manual
16 Identify all Policies (Clinical, Administrative & Support Services)
17 Provide prototypes for all policies to concern HODs
18 Process Mapping & Activity Listing- Clinical
19 Process Mapping & Activity Listing- Administrative & Support
20 Prepare draft Policy & Procedure Manual
21 Solicit Comments
22 Finalize the Manual
23 Distribute the copies of relevant sections to stakeholders (as identified)
Awareness and Training
24 Identify training needs
25 Develop training time table/ program
26 Identify potential trainers
27 Training of trainers
28 Conduct (General) trainings as per the schedule for staff at all levels
Conduct (Specific- Policy & Procedures related) trainings as per the schedule for staff at all
29
levels
Indicators Monitoring
33 Quality Indicators Monitoring
Applications, Audits & Assessments
35 Application to NABH
36 Internal Audit
37 Mock-drill & Rehearsals
40 Final Assessment
41 Gap closure of Final Assessment report
42 NABH Accreditation
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