Consultants work with department staff and quality team members for gap assessment, review of existing documentations and organization’s current adherence to the standards and each measurable element of hospital accreditation standards.
The assessment takes places via a combination of on-site visit(s), information gathering, and interviews. This assessment will support our consultants to prepare the project plan detailing timelines and responsibilities.
On the basis of gap assessment our consultants & trainers will design project plan detailing documentation requirements, timelines and responsibilities.
This project plan will help us in designing , development & modification of all the procedures, sops, work instruction, formats, checklists, manuals and other related documents as per standard requirements.
Partners senior trainers conduct on site trainings to create awareness related to standard requirements to all concerned staff.
Clearly define the intent & application of the requirements to the current to standards and ascertain the required accomplishment of implementation hospital wide.
In this phase, our consultants & trainers will work on adequate designing, development & modification of all the procedures, sops, work instructions, formats, checklists, manuals and other related documents as per standard requirements. Partners consultants international will completely be responsible for designing of documentation as per requirement and training of the employees.
Organization is completely responsible or timely implementation of the accreditation requirements and patient care process in accordance with the advice of partners consultants international; also arrangement of necessary resources and facilitation of consultants about the current activities and working methodology. The implementation process will include complete implementation, record keeping and running of what is written in the procedures and related formats throughout the organization.
Throughout the project period, a quality link team is selected from different departments and a comprehensive training is given by partners consultants qualified trainers & auditors. Training will consist of exercises, group workshops, tracers and other exercise, hospital personnel are practically trained on the survey concepts and methodologies.
Once the requirements have been fully implemented, our auditors will conduct a mock survey to determine whether organization is ready for the formal audit. Below is very visible benefit of such exercise at this stage survey team consist of 3 surveyors representing same combination of official surveyors (Physician, Nurse & Admin) hospital staff get a hands-on experience with sessions and tracers as survey simulation.
Consultants will work with facility staff to close the gaps identified from mock survey, key staff members will undergo repeated tracer methodology practise.
This phase involves preparation of survey logistics, document folders, last minute updates etc, and consultants will be available to assist staff members.
