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National Level Workshop on NABH Accreditation

Workshop Overview

The International Institute of Quality Accreditation & Rankings (IIQA) presents a practical and experience-driven NABH Accreditation Workshop designed to help hospitals and healthcare organisations understand, prepare for and strengthen their NABH accreditation journey.

The workshop focuses on the practical implementation of NABH standards, quality systems, patient safety practices, documentation, evidence management, process implementation, internal monitoring, gap identification, corrective actions and assessment-visit readiness.

Participants will gain a structured understanding of how to move from initial preparation to systematic implementation and sustained compliance with applicable NABH requirements.

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Dr. T. Ravinder Reddy
Dr. T. Ravinder ReddyCEO, IIQA
Keynote Speaker

Dr. T. Ravinder Reddy

CEO, International Institute of Quality Accreditation & Rankings (IIQA)

L.L.B. (O.U)L.L.M. – Constitutional Law (O.U)Ph.D. (K.U)Alumnus – I.I.M. Ahmedabad
President of India Medal Awardee
Accreditation, Rankings and Institutional Establishment Expert

Dr. T. Ravinder Reddy is an expert in Accreditation, Rankings and Institutional Establishment, with professional expertise supporting Universities, Engineering, Medical and other Higher Educational Institutions.

This workshop provides practical perspectives on NABH accreditation preparation, standards implementation, documentation systems, quality processes, evidence management, gap analysis and assessment preparedness.

Areas of Expertise: Accreditation · Quality Assurance · Healthcare Quality · Institutional Excellence · Documentation · Compliance · Performance Analysis · Continuous Improvement

Why Attend the NABH Workshop?

NABH accreditation preparation requires coordinated effort across clinical, administrative, support and quality functions.

Applicable StandardsUnderstand relevant NABH standards and accreditation preparation stages.
Department ImplementationTranslate requirements into department-wise responsibilities and working processes.
Policies & SOPsPrepare controlled policies, procedures, formats, registers and records.
Quality & Patient SafetyStrengthen quality systems, indicators, risk management and patient-safety practices.
Evidence & MonitoringOrganise records, evidence mapping, audits and compliance monitoring.
Assessment ReadinessClose gaps, conduct mock assessments and prepare staff and departments for the visit.
STANDARDS → GAP ASSESSMENT → ACTION PLAN → IMPLEMENTATION → EVIDENCE → ASSESSMENT READINESSTurn accreditation requirements into implemented, measurable and sustainable hospital systems.

NABH Accreditation Framework

Understand applicable requirements and convert them into operational processes, responsibilities, records and measurable evidence.

Core Areas

  • NABH accreditation requirements
  • Organisation-wide quality systems
  • Patient safety and care processes
  • Medication management
  • Infection prevention and control
  • Facility management and safety
  • Human resource management
  • Information management
  • Quality improvement
  • Documentation and evidence
  • Internal monitoring
  • Continuous improvement

Preparation Journey

Begin with an institutional baseline, identify gaps, establish controlled documentation, implement requirements, monitor internally, close gaps and prepare for assessment.

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Applicable requirements vary by healthcare organisation, NABH programme and accreditation scope.

What Will the Workshop Cover?

01

NABH Framework & Accreditation Process

  • Purpose, scope and applicable standards
  • Preparation stages and responsibilities
  • Planning and implementation approach
  • Assessment and post-assessment improvement
02

Standards Interpretation & Mapping

  • Standards and objective elements
  • Department-wise applicability
  • Requirement-to-process mapping
  • Responsibilities and compliance monitoring
03

Preparation & Gap Assessment

  • Baseline and current-status evaluation
  • Documentation, implementation and evidence gaps
  • Infrastructure and resource gaps
  • Prioritisation and closure planning
04

Documentation & SOP Preparation

  • Policies, manuals, SOPs and protocols
  • Forms, formats, registers and records
  • Document and version control
  • Approval, review and department documentation
05

Implementation of NABH Standards

  • Translate standards into practice
  • Department responsibilities and coordination
  • Staff awareness and process standardisation
  • Records, evidence and management review
06

Quality & Patient Safety Systems

  • Quality and patient-safety programmes
  • Indicators and performance monitoring
  • Incident, near-miss and risk reporting
  • RCA, CAPA, clinical audit and improvement
07

Data, Records & Evidence Management

  • Required evidence and department records
  • Evidence mapping and data validation
  • Completeness, currency and traceability
  • Assessment-evidence organisation
08

Internal Assessment & Monitoring

  • Internal audit and department assessment
  • Tracer methodology
  • Document, record and staff verification
  • Non-conformity tracking and reassessment
09

Corrective Action & Gap Closure

  • Gap classification and root-cause analysis
  • Action planning, ownership and timelines
  • Corrective-action evidence
  • Effectiveness and recurrence prevention
10

Assessment Visit Readiness

  • Department, staff and facility readiness
  • Documents, records and evidence
  • Tracer and patient-care readiness
  • Assessor interaction and mock assessment
11

Leadership, Governance & Staff

  • Hospital and quality leadership
  • Committee and department responsibilities
  • Staff awareness, training and competency
  • Management review and accountability
12

Action Plan & Sustainable Implementation

  • Consolidate and prioritise gaps
  • Department action plans and ownership
  • Monitoring and effectiveness review
  • Sustained compliance and improvement roadmap

What Will You Gain?

1NABH requirements, standards interpretation and accreditation planning
2Baseline assessment and department-wise gap identification
3Policies, SOPs and controlled documentation systems
4Department implementation and staff-awareness planning
5Quality, patient safety, indicators and clinical audit systems
6Data, records, evidence and internal assessment management
7Corrective action, gap closure and mock assessment
8Assessment-visit readiness and sustainable NABH implementation
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Who Can Participate?

Hospital Leadership

  • Chairpersons, Directors and CEOs
  • Medical Superintendents
  • Hospital Administrators and Senior Management

Quality & Accreditation Teams

  • Quality Managers and NABH Coordinators
  • Accreditation and Quality Assurance Teams
  • Patient Safety Teams

Clinical Teams

  • Doctors, Nurses and Department Heads
  • Infection Control Professionals
  • Pharmacy and Laboratory Professionals

Administrative & Support Teams

  • HR, Administration and Medical Records
  • Biomedical, Facility, Housekeeping and CSSD
  • Dietary, Security and IT Teams

Designed for: Hospitals · Medical Colleges · Multispecialty Hospitals · Specialty Hospitals · Healthcare Organisations · NABH Applicant Hospitals · NABH Accredited Hospitals

Workshop Details

DateTo Be Announced
Time10:00 AM to 5:00 PM
ModeOnline

For Indian Healthcare Institutions

Workshop Focus: NABH · Accreditation Preparation · Standards Implementation · Documentation · Quality Systems · Patient Safety · Evidence Management · Gap Analysis · Internal Assessment · Assessment Readiness · Continuous Improvement

Certificate of Participation

All registered participants will receive an IIQA E-Certificate of Participation upon successful completion of the workshop.

The certificate will recognise participation in the professional workshop focused on NABH accreditation preparation, implementation and assessment readiness.

IIQA
INTERNATIONAL INSTITUTE OF QUALITY
ACCREDITATION & RANKINGS

E-Certificate of Participation

NABH Accreditation: From Preparation to Successful Implementation

Participation Fee

Institutional Registration
1 Institutional Coordinator + 3 Participants
Workshop participation and certificates included
₹12,000/-
Additional Participant
₹3,000/-

Register Your Institution Today

Strengthen THE preparedness · Improve institutional performance · Pursue ranking excellence

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Dr. Toodi Ravinder Reddy, CEO., IIQA.

Dr. Toodi Ravinder Reddy , CEO ., IIQA.

CEO, International Institute of Quality Accreditation & Rankings (IIQA)
L.L.B. (O.U.) | L.L.M. – Constitutional Law (O.U.) | Ph.D. (K.U.) | Alumnus – IIM Ahmedabad | President of India Medal Awardee Accreditation & Ranking Expert

CEO - IIQA- USA H.E VISITS( AUG-2025)

OFFICES (OFFLINE/ONLINE):

Hyderabad, Vishakapatnam, Guntur, Chennai, Coimbotore, Bangalore, Mumbai, Bhopal , Chandigarh, New Delhi, California, New York, and Boston

Contact Details: toodi.ravi@gmail.com,
+91 99590 26392