GAP Analysis & Readiness Assessment: A detailed assessment of existing processes and practices within the SHCO against NABH standards. This step identifies operational and clinical gaps, creating a roadmap for achieving accreditation in an efficient and cost-effective manner.

Patient Safety & Quality of Care: Implementation of practical patient safety measures tailored to the resource availability of smaller facilities. Emphasis on training staff in core areas such as infection control, medication safety, and emergency preparedness to maintain high-quality care standards.

Documentation and Records Management: Simplifying the documentation process to meet NABH requirements, including creating easy-to-follow policies and procedures. Guidance is provided to ensure all patient care activities and operational protocols are well-documented for audits.

Clinical Governance and Audits: Introducing a streamlined clinical governance model suitable for smaller setups. Conducting regular internal audits to ensure compliance with NABH standards while preparing the SHCO for external audits with minimal disruptions.

Infection Control & Safety Protocols: Designing and implementing practical infection control measures to suit smaller hospital environments. Training staff on maintaining hygiene and waste management practices to minimize risks and improve safety.

Medical and Nursing Care Standards: Developing simple yet effective protocols for nursing and medical staff that comply with NABH standards. Enhancing care delivery and ensuring respect for patient rights within the limited resources of SHCOs.

Facility and Infrastructure Management: Ensuring the physical infrastructure of SHCOs aligns with NABH safety standards, including assessment of basic equipment and facilities. Guidance on cost-effective upgrades and emergency preparedness protocols is also provided.

Staff Training and Development: Customizing training programs for SHCO staff to meet NABH standards. These programs focus on quality management, patient care, and fostering a culture of continuous improvement while accommodating the time constraints of smaller teams.

Patient Rights and Responsibilities: Establishing clear protocols to safeguard patient rights, confidentiality, and informed consent. Training staff in effective patient communication to build trust and satisfaction.

Continuous Quality Improvement (CQI): Creating a CQI framework tailored for SHCOs, focusing on simple data collection methods and practical performance improvement initiatives that can be sustained within limited resources.

Audit Preparation & Mock Assessments: Conducting mock audits and internal assessments to prepare the SHCO for the NABH accreditation audit. This step helps identify gaps and implement necessary corrective actions in a timely manner.

Post-Accreditation Support & Monitoring: Providing ongoing support to ensure SHCOs maintain compliance with NABH standards. This includes regular reviews, training updates, and assistance with re-accreditation processes to sustain the accreditation status.