Dental NABH Accreditation

Taskar Group is a group of experienced dedicated enthusiasts, committed to excel in

Dental Consultancy and solutions. Being established and managed by Dental and
Management experts; supported by a network of subject-matter experts, we deliver to the
best of existing norms, practices and facts.

We help our clients create value and architect change through our unique spectrum of
Dental Consulting Services. With our ongoing in- house research and quality
improvement efforts, we always strive to be up-to-date and able to provide the client
qualitative, cost effective and comprehensive solutions.

Our Approach:

Project
Completion
Actively Engage
with deadlines &
Form a team with Craft Solutions
our esteemed
Work out clients
Parameters &
Goals for
engagement
Dentistry & Dental Accreditation:

In India, Heath System currently operates within an environment of rapid social,

economic and technical changes. Such changes raise the concern for the quality of health
care and same is true for dental care. Accreditation would be the single most important
approach for improving the quality of Dental Facility. Accreditation is an incentive to
improve patient option of choosing Dental Facility. Accreditation system ensures that
Dental Facility, whether public or private, national or expatriate, play their expected roles
in national health system.

Confidence in accreditation is
obtained by a transparent system of
control over the accredited Dental
Facility and an assurance given by the
accreditation body that the accredited
Dental Facility constantly
fulfills the accreditation criteria.

Quality Council of India (QCI) and its National Accreditation Board for Hospital and
Healthcare providers [NABH] have designed scalable standards and objective elements for
accreditation of Dental Care providers. NABH is an Institutional & Board member of
the International Society for Quality in Health Care [ISQua]; any efforts to comply
and have this tag will be a big boost for the Dental facility and shall build the confidence
nationally, internationally as well as internally and externally.

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Benefits of Dental NABH Accreditation

Benefits for Dental Facility

• Highest benchmark of Quality Dental practice in India.

• Provides a competitive edge in market place ~ Best Marketing tool

• Raises confidence amongst International patients to avail dental facility services ~

Promotes options for Dental Tourism ~ Symbol of trust

• Eligible to take on board CGHS, ECHS panel options.15% additional revenue

benefits over normal CGHS rates once NABH accredited.

• Raises opportunity of tie-ups and empanelment with corporates, government &

other agencies.

• Control and prevention of infections

• Stimulates continuous improvement.

• Enables the Dental facility in demonstrating commitment to quality of care.

• Defined protocols lead to quick responses.

• Improves Risk Management and Risk Reduction

• Practicing good patient-specific protocols

• Better and controlled clinical outcome and improved business operations.

• Raises community confidence in the services provided.

• Better prepared for any litigation.

• Reduce liability insurance costs by enhancing risk management coverage.

• Provides opportunity to benchmark with the best by comparing data.

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Benefits for Patients/Customers
• Accreditation benefits all stake holders in which Patients/Customers are the biggest
beneficiary.

• Results in high quality of care

• Helps organize and strengthen patient safety efforts.

• Patients/Customers get services by credentialed staff.

• Rights of patients/customers are respected and protected.

• Patient education on good practices

• Patients/Customer satisfaction is regularly evaluated.

Benefits for Staff/ Employees

• Staffs are satisfied lot as it provides for continuous learning, good working
environment, leadership and above all ownership of service processes.

• Enhance staff recruitment and development.

• Improves overall professional development of staff and provides leadership for

quality improvement in various techniques.

Benefits for Others

• Objective system of evaluation and empanelment by Third Parties

• Provides access to reliable and certified information on facilities, infrastructure and

level of care.

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In the field of Dental Accreditation and Quality Assurance, we engage to ensure that the
structure, processes and outcomes of the facility are commensurate to the needs of the
National Accreditation norms. Consultancy Road Map is as follows:

Facility Survey

GAP Analysis &

Process Mapping

Systems Designing
& Documentation
Support

Training &
Development

Establishing
Management
Information
System

Developing
Controls

Accreditation
Support

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 • Facility survey is the first step for getting a superficial hint of preparedness. This
helps us to plot a rough draft for the path ahead pertaining to strong and weak
Facility area, technical support needed, and financial load.
Survey

• We then conduct a detailed gap analysis of the facility structure, processes and outcomes and
then analyze the same that serves as a foundation on which the systems development and
Gap Analysis &
resource allocation plans are based.
Process Mapping

• Under the domain of systems development and implementation, policies and procedure
manuals are developed and the systems are established. The implementation of the established
Systems Designing
systems is then ensured through hand holding the staff or the organization as a whole.
& Documentation
Support

• Capacity Building exercises are conducted in order to educate, train and develop the facility and
sensitize the facility towards the newly developed system, policies and procedures. This is done
through trainings and demonstrations so as to sustain the quality based services and
Training & functioning.
Development

• A management information system is established by designing the information, report and

feedback templates, so as to facilitate effective data management leading to better quality
Establishing services.
Management
Information
System

• Pre-controls, concurrent controls and feedback controls are established in order to monitor the
processes and outcomes, so as to sustain the development of the facility and facilitating its future
growth and development.
Developing
Controls

• Lastly, application to the relevant authority for accreditation and hand holds the facility till the
very last step of final assessment by the external authority and award of the certificate.
Accreditation
Support

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 Project Timeframe

The anticipated total time frame for the Detailed Gap Audit report is around 15-20 days
once our consultants visit your facility. The anticipated total timeline for application to
NABH would be commented based on the observations from the Detailed Gap Audit
report. On approximate basis it would take around 3 – 4 months for a DHSP (Dental
Health Care Service Provider) to apply for Pre- Assessment.

Note: The time frame is tentative and depends on the commitment from the DHSP.

Gantt Chart for Project (DHSP </= 5 Chairs)

Activities W1 W2 W3 W4 W5 W6 W7 W8 W9 W10 W11 W12 W13 W14 W15 W16

Initiating the Project

Discussion with Top

Management of DHSP via
Opening meeting to have a
situational appraisal and
understand the sponsor’s
perspective of the output/
deliverables.
Chalk out a tentative plan
Formation of Core team &
Sensitization
Gap Analysis
GAP Analysis
Creation of Internal
Committee
Prepare Gap Report
Discuss GAP Analysis report
with Management/ Head
Handover Draft Report to
Management for internal
review, decisions, comments,
suggestions,
recommendations for closing
featured gaps
Discuss Management reviews
over
GAP Analysis Report &
Finalize

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Action Plan for completing
gaps

Freeze Responsibility/ Task

Monitoring & Control Plans
Implement monitoring &
supervision plan
Closure of Gap Assessment
points
Develop Policy &
Procedure Manual
Identify all Policies (Clinical,
Administrative & Support
Services)
Provide prototypes for all
policies listed to concerned/
responsible personnel/ teams
Frame rough draft of
mandatory
Policies/ Protocols/
Guidelines/
Manuals/ Process Map
Get draft counterchecked by
relevant head of process. Amend
changes if any
Finalize the all documents
Distribute the copies of
relevant sections to
stakeholders

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 Activities
W1 W2 W3 W4 W5 W6 W7 W8 W9 W10 W11 W12 W13 W14 W15 W16

Awareness and Training

Initiate awareness program &

scale up the same

Identify training needs

Develop training time table/

program
Identify potential trainers
Training of trainers

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 levels

Outcome & Performance

Analysis Indicators

Discuss Quality Indicators

contents and collection
protocols and formats with
concerned activity holder

Conduct a pilot QI data

collection test.
Freeze & Implement QI data
collection formats

Collection of Quality Indicators

Internal Audit

Self-Assessment toolkit

Closures of Gaps observed

Applications, Audits &

Assessments
Application to NABH

Pre Assessment

Review of the Pre-Assessment

report
Correction of the deficiencies

Final review

Re-training of all staff

Final Assessment

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Consultancy Support Content & Consultancy Options

Consultancy Support Content:

• 30 Standard Policies for all 10 NABH Chapters Form and Formats:

Ex
- Registration cum General Consent form
- Initial Assessment form
- OPD Form
- Informed Consent (in Bilingual language) etc

• Training Presentations as per NABH standards: Ex

- Induction/ Orientation
- Infection Control
- Disaster Management in the DHSP
- BLS (Basic Life Support) etc

• MOU templates
• Clinic Scroller template for TV/ LCD
• Clinic Signage
• Formats and Checklists for Inventory Management/ Sterilization
protocols/ Quality Indicators

• Legal Compliance Tracker Dental Privileging Format

• Training Need Competency Matrix template
• Clinical Audit (minimum 2) & MRD Audit template
• Mock Audit Template and Checklists – Chapter wise
• NABH Application filing support
• Audit Closure template and support
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Financial proposal

Financial proposal depends on the number of dental chairs in DHSP and as per
consultancy ;
No of Dental Chairs/ Clinic

</= 2 Chairs

3 to 5 Chairs

>6 Chairs

Why Taskar Consultant:

Benefits of association:

• We understand You
• Mutual Growth
• Parallel field Experts
• Technical Support
• Documentation Support
• Focused interactions

Contact Information:
 For more information, visit our website— www.taskargroup.com
 Ask questions at – info@taskargroup.com

 Helpline: +91 – 9648484859, 8053420501

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