Quality Improvement Progamme in Public Healthcare Facilities - Dr J L Meena

3rd International Public Health Management Development Program
20-25 March, 2017
School of Public Health
PGIMER, Chandigarh, India
Quality Concepts and
developing/monitoring Quality
Management system in Hospitals
20-25 March, 2017
Dr J L Meena
State Quality Assurance Medical Officer
Department of Health & Family Welfare
Government of Gujarat - India
Member of NABH Accreditation Committee, QCI
Member of Quality Expert Group, Govt of India.
Email:- drjlmeena@gmail.com

20-25 March, 2017
“What is Quality ???”

20-25 March, 2017
Right Work at the Right Time
for the Right Client by the
Right Provider at the Right
Place with Affordable cost.

20-25 March, 2017
Standards Environment, Standards
Treatment as per Standard
Treatment Protocol Guideline and
Satisfaction of Both Clients as well
as Providers.

20-25 March, 2017
AS A PATIENT WHAT QUALITY LEVELS WOULD YOU ACCEPT
FROM YOUR HEALTH SERVICES?
90%
95%
96%
99.9%
98%
99%

20-25 March, 2017
IF 99.9% IS ACCEPTABLE TO YOU, THEN…
•YOUR HEART FAILS
TO BEAT 32,000
TIMES EACH YEAR
* 20,000 WRONG
DRUG PRESCRIPTIONS
MADE EVERY YEAR
* 500 SURGICAL
OPERATIONS ARE
PERFORMED WRONGLY
EVERY WEEK
* 19,000 BABIES ARE
DROPPED BY DOCTORS
AT BIRTH

20-25 March, 2017
“ THERE IS ONLY A 1 %
DIFFERENCE IN THE DNA
GENETIC CODE BETWEEN A
CHIMPANZEE AND A
HUMAN BEING”
Well....

20-25 March, 2017
•IN OUR PROFESSION THERE IS NO SCOPE FOR
ERROR. FOR ANY ERROR COMMITTED IS ALL THE
DIFFERENCE BETWEEN LIFE AND DEATH, BETWEEN
RELIEF AND
DISABILITY
•THERE IS NO SECOND CHANCE
Then ....

20-25 March, 2017
ANY HOW
WHO WANTS TO PROVIDE
POOR QUALITY CARE?

20-25 March, 2017
“Self Assessment is the
Best Assessment for
Improvement. ”

20-25 March, 2017
SWOT Analysis

20-25 March, 2017
• Strength and Opportunity
– Issues/Traits/Characteristics etc. that are helpful to the
long-term performance
• Weakness and Threat
– Concerns that are harmful to the overall performance
• Strength and Weakness
– Internal
• Opportunity and Threat
– External

20-25 March, 2017
Strengths and Weaknesses - Internal factors
•Competencies
•Physical assets
•Human assets
•Organizational assets
•Intangible assets – Reputation

20-25 March, 2017
Beyond organizational control but can influence,
Opportunity and Threat - External factors
• Technology
• Political/Economic conditions
• Funding sources
• Demographics
• Regulation
• Local, national or international events

20-25 March, 2017
Strength Weakness
POSITIVE/HELPFUL NEGATIVE/HARMFUL
Opportunity Threats
POSITIVE/HELPFUL NEGATIVE/HARMFUL

20-25 March, 2017
“Quality come from
your Heart. ”

20-25 March, 2017
“Quality is a Team Work,
it’s never achieve by
Single Person. ”

20-25 March, 2017
“Quality is very sweet for
speak but very difficult to
implement.”

20-25 March, 2017
“Quality never
improve without
truth.”

20-25 March, 2017
Welcome in our Aarogyadham
“First impression is last impression”

20-25 March, 2017
• High risk certificate given by PWD
on 31st March 2004 for
condemnation but still It’s
functioning up to three years (on
the risk of Pt. and employee
safety. )
• No safe drinking water facilities.
• Very Poor condition of dressing
table.
• Non sterile suction tube & oxygen
mask?
• Labour room’s instrument with
rust & Lack of Cleanliness

20-25 March, 2017
• Patients & employee safety ?
• Open transformer with Parking
facilities. Invite for disaster ?
• Very poor Biomedical waste &
infection control practice.
• Poor sanitation and cleanliness.
• Poor housekeeping service.
• Very poor Drainage facility.
• No cattle guard.
• No responsible person for proper
monitoring.

20-25 March, 2017
Mental Asylum was constructed in
1863 and had retained prison like
structure and ambience; building
maintenance was extremely
unsatisfactory – Leaking roof, eroded
floors, over flowing toilets, broken
doors, poor lighting and no ventilation
sign of gloom or morbidity.
No emergency facility and staff burn
out due to unsecured environment
and monotonous work.
D - Grade
National Human Right
Commission (NHRC )
Report – Year 1999

20-25 March, 2017
Many patients had skin and
dental problems due to poor
hygienic condition.
Problems in electricity and water
supply, overcrowding of patients,
many patients slept on floor
(Sentinel events). Patient had to
urinate and defecate in cell it
self.
D - Grade

20-25 March, 2017
Request to all,
Kindly Handle with Care & Care with Quality
“ Kyoki hum bhi Kabhi Insan The”

20-25 March, 2017

20-25 March, 2017
Why should we care?
Is improvement possible?
What seems to make a
difference?
Why aren’t we doing a better
job?
Whose responsibility it is?
 What is my role in this
process ??????

20-25 March, 2017
HOW TO ACHIEVE EXCELLENCE
IN HEALTH
Total Quality Management System & Accreditation …………

20-25 March, 2017
Cost of poor quality
• Cost of not doing things right the first time for a typical
service organization is equal to around 40% of total
operating costs
- Phil Crosby, 1992
• 30% of all direct health care outlays are the results of poor
quality care
- Mid-west Business Group on Health
July, 2002

20-25 March, 2017
Cost recovery process

20-25 March, 2017
Gurus on quality
• Fitness for use
- Dr. Joseph Juran
• Zero defects i.e. conformance to requirements
- Philip Crosby
• Meeting customer expectations
- Feigenbaum
• Never ending cycle of continuous improvement
- Dr. W. Edward Deming

20-25 March, 2017
Quality is
DOING
EVERY TIME
FIRST TIME
THE RIGHT THING RIGHT

20-25 March, 2017
Dimensions of
Quality
Dimension Definition
Technical Performance Compliance with technical standards.
Access to Services Removal of geographic, economic, social, organizational or linguistic barriers to
care
Effectiveness of Care Degree to which desired health results are achieved
Efficiency of Care Extent to which minimal resources are used to achieve desired results
Interpersonal Relations Effective listening and communication, establishment of trust, respect,
responsiveness, and confidentiality
Continuity of Services Consistency of provider where feasible and appropriate, as well as timely and
appropriate referrals
Safety Degree to which risk of injury, infection, or side effects is minimize
Physical Infrastructure/
Comfort
Amenities of care such as physical appearance, cleanliness, comfort and
privacy.
Choice Choice of provider, treatment, or insurance plan, as appropriate and feasible.
Access to information that allows client to exercise autonomy.

20-25 March, 2017
Quality
improvement cycle
Plan Do
CheckAct
Quality
hospital
Hospital
CQI
Accredit
Accredit
QA/
Standard
RM

20-25 March, 2017
• Plan to improve your operations first by finding out what things are going wrong (that is
identify the problems faced), and come up with ideas for solving these problems.
• Do changes designed to solve the problems on a small or experimental scale first. This
minimises disruption to routine activity while testing whether the changes will work or not.
• Study/ Check whether the small scale or experimental changes are achieving the desired
result or not. Also, continuously Check nominated key activities (regardless of any
experimentation going on) to ensure that you know what the quality of the output is at all
times to identify any new problems when they crop up.
• Act to implement changes on a larger scale if the experiment is successful. This means
making the changes a routine part of your activity. Also Act to involve other persons (other
departments, suppliers, or customers) affected by the changes and whose cooperation you
need to implement them on a larger scale, or those who may simply benefit from what you
have learned (you may, of course, already have involved these people in the Do or trial
stage).
PDSA or PDCA

20-25 March, 2017
 5 S (Sort, Set in Order, Shine, Sustenance and Standardisation)
Implementation.
 Implementation of Kaizen for Continues Quality Improvement.
 Swachhata Mission (Cleanliness) Audit (Every Month) in all healthcare
facilities.
 Kayakalp Award (after Internal, Peer and External Assessment) to Best
Performing Healthcare Facilities.
 NABH / NABL / NAQS Accreditation.
 Biomedical Waste Management
 Fire and non-fire emergency management
 Radiation safety
 WASH Project
 Capacity Building
Activities for Quality Improvement Programme

20-25 March, 2017
Height of
House keeping
Video

20-25 March, 2017
…Almost All Can Be Saved.
What is needed is a system
Of health care that will save
Them.

20-25 March, 2017
3P Model of Kaizen for Implementation
SORT
SET
SHINE
STANDA
RDIZE
SUSTAIN
SANITIZE
5 S
+

20-25 March, 2017
Total Quality Management (TQM)
• Total Quality Management (or TQM) is a management
concept coined by W. Edwards Deming.
• An approach to quality that emphasizes continuous
improvement, a philosophy of "doing it right the first time"
and striving for zero defects and elimination of all waste.
• A managerial approach which focuses on quality and aims
to improve the effectiveness of the business involving every
department, activity and individual.

20-25 March, 2017
Quality chains TQM emphasizes quality chains inside and outside the business, including
producers, suppliers and customers. Any part of the chain has some problems,
then the next stage will delayed.
Company policy
and accountability
TQM stress the role of every one from the top to the bottom and aims to make
every one accountable for his/her own performance.
Control TQM stresses a systematic control approach, controlling all the factors that
may affect the quality of a product.
Monitoring the
process
TQM stresses the monitoring the process to find improvements through
statistical process control such as charts and diagrams.
Teamwork TQM stresses that teamwork is an effective way of solving problems.
Consumer views TQM stresses the feedback of information from consumers and response to
the changes in customers’ needs and expectations.
Zero defects TQM emphasizes a zero defect policy that every product is free from defects.
Characteristics of TQM

20-25 March, 2017
SwachhBharat
Abhiyan
NABH/NABL
/NQAS
Swachhta
Guidelines
‘KAYAKALP’
Clean
Facility
Regular Swachhata Mission Audit by Padadhikari or
Adhikari to Create Quality Culture. “Clean Facilities”
Appreciation of Best Performing Facilities for
Motivation “Kayakalp”.
Implementation of Area Specific Swachhata Mission
Guideline for Prevent Healthcare Acquired Infection
(HIC) “Swachhta Mission Guideline”.
Implementation of Minimum Quality Standards (NABH
/ NABL / NAQS) to Provide Quality Healthcare Service
“NABH / NABL / NQAS”.
Patient and Employee Satisfaction
Survey “Swachh Bharat Abhiyan”.

20-25 March, 2017
Regular Swachhata
Mission Audit for
Infection Control

20-25 March, 2017
Causes of Neonatal
deaths (SNCU data,
India 2015)
Causes of Maternal Deaths
(MDR 2013-14 , Dept H&FW, GOG)
Causes of Neonatal
and Maternal Deaths

20-25 March, 2017
Implementation
Launch of state wide campaign of
swachata mission by Chief Minister of
Gujarat on 6th December, 2014 at Civil
Hospital - Ahmedabad
Various office orders
issued by
Commissionerate of
Health for activities to
implement action plan
of swachata mission
State Specific
Guidelines of
Swachata Mission in
Public Health
Facilities and area
wise monitoring
checklist

20-25 March, 2017
Social Audit & Free Online Reporting
System

20-25 March, 2017
Use of Social Media

20-25 March, 2017
Grading As per %:- A= Score >90 %, B= Score >75-90 %, C= Score >50-75 % & D= Score 0-50%
Audit Report of Health
Facilities
(6th Dec 2014 & 6th Dec 2016)

20-25 March, 2017
Kayakalp Award in India

20-25 March, 2017
 Hospital/Facility Upkeep
 Sanitation and hygiene
 waste Management
 Infection control
 Support Services
 Hygiene Promotion
Criteria for Kayakalp
Award

20-25 March, 2017
Assessment Method
OBSERVATION (OB) STAFF INTERVIEW (SI)
RECORD REVIEW (RR) PATIENT INTERVIEW (PI)

20-25 March, 2017
Compliance &
Scoring Rules
Full
Compliance
Partial
Compliance
Non
Compliance
2
1
0
 All Requirements in Checkpoint are Meeting
 All Tracers given in Means of verification are
available
 Intent of check point is meeting
 Some of the requirements in checkpoints are
meeting
 All Least 50% of tracers in Means of
verification are available
 Intent of check point is partially meeting
 Most of the requirements are not meeting
 Less than 50% of tracers in Means of
verification are available
 Intent of Check point is not meeting

20-25 March, 2017
Criteria for
Assessment
Hospital upkeep Sanitation & Hygiene
Support Services.
Waste Management
Infection Control Hygiene promotions
100
100 100
100 50 50
500
300
200
PHC – 60
UPHC-40
PHC – 60
UPHC-40
PHC – 60
UPHC-40
PHC – 30
UPHC-20
PHC – 30
UPHC-20
PHC – 60
UPHC-40

20-25 March, 2017
Implementation of Quality Standards
(NABH / NABL/ NQAS) & Accreditation
of Healthcare Facilities

20-25 March, 2017
India initiated for actively pursuing quality improvements
in the public healthcare facilities through the network of
Primary Health Centers (PHCs), Community Health Centers
(CHCs), District Hospitals, Blood Banks, Medical College
Laboratories, Food & Drug Laboratories, Dental Colleges,
Mental Colleges, Paraplegia Hospital & Medical Colleges. In
order to institutionalize Quality Assurance, set up the
District Quality Assurance cell & State Quality Assurance
cell for implementation of Quality Management System
and Accreditation.

20-25 March, 2017
• To enhance the quality of healthcare services by
providing specialized treatment and preventive
healthcare at free / affordable cost.
• To develop a pool of healthcare professionals in the
public health sector trained in the implementation of
health care quality standards and information
technology to bring productivity and effectiveness in
health care delivery system.
MISSION
• “To be the network of finest Public Healthcare Institutions
which providing quality medical care services,
preventive, promotive, curative & rehabilitative health
care services with the state of art technology, easy
accessibility, affordability and equity to the people of
Gujarat and beyond.
VISION

20-25 March, 2017
PROJECT
OBJECTIVES
Implementation of safety and
quality practices
Incorporation of
management tools
Benchmarking the
indicators
Continuous Quality Improvement
(Kaizen, Kayakalp, 5 S & Swachhta
Mission)
Building sustainability

20-25 March, 2017
Methodology
Adopted for Quality
improvement
Prepared a mind set for Implement
Quality Standards (Kayakalp, NABH,
NABL, NQAS etc.)
Orientation programme &
Capacity Building for Quality
Standards
Gap Analysis as per the
Quality Standards
Regular Meeting of Committees &
Implementation of the PDCA (Plan,
Do, Check & Act)
Formation of different
Committees & Finalization of
Role and Responsibility of
these Committees.

20-25 March, 2017
Methodology
Adopted for Quality
improvement
Prepared Policies, SOPs, Clinical
Protocol, Forms and Formats as per
Gap Assessment
Distribution of Policies,
SOPs, Clinical Protocol,
Forms and Formats
Full field the Gaps (Input &
Process) as per Standards
Regular Facility Safety Round,
Implementation of different code (Red,
Blue, Pink, Black & Yellow) and Mock
drills
Full filed the all Legal
Licenses

20-25 March, 2017
Methodology
Adopted for
Quality
improvement
Disaster Preparedness Plan
Basic Infection Control
Practices
Management of
Medication
Facility Management & safety
Practices
Implementation of
Patient Rights &
Responsibilities

20-25 March, 2017
Methodology
Adopted for Quality
improvement
Focused on Self Assessment and SWOT
(Strength, Weakness, Opportunity &
Thread) Analysis.
Internal, Peer and External
Assessment done on
Regular Interval and
Prepared ATR
Implementation of
Employee Feed back form.
Finalized the Quality Indicators and
Monitoring on regular interval.
Implementation of Patient
Feedback form.

20-25 March, 2017
Methodology
Adopted for Quality
improvement
Internal / Peer / Pre
assessment.
Action Taken on Internal /
Peer / Pre assessment Gaps
and Closer report send.
Action Taken on Final
assessment Gaps and Closer
report send.
Closer report Review by Principal
Assessor and Accreditation
Committee for Accreditation.
External / Final
Assessment

20-25 March, 2017
NABH / NABL / NQAS Accreditation of
Healthcare facilities (Total 37 NABH & NABL
and 158 NQAS State level Accreditation
Certificate.

20-25 March, 2017
Section I:
Patient-Centered Standards
Std. OE
Access, Assessment and
Continuity of Care (AAC)
14 96
Care of Patients (COP) 22 151
Management of Medications
(MOM)
13 76
Patients Rights and Education
(PRE)
8 54
Hospital Infection Control
(HIC)
9 54
Section II:
Management Centered
Standards
Std. OE
Continuous Quality
Improvement (CQI)
9 59
Responsibilities of
Management (ROM)
6 39
Facility Management &
Safety (FMS)
7 56
Human Resource
Management (HRM)
10 53
Information Management
Systems (IMS)
7 45
Total 105 683
V

20-25 March, 2017
Feedback
To
Health care
Organization
And
Necessary
Corrective
Action
Taken
By
Health care
Organization

20-25 March, 2017
Feedback
To
Laboratory
And
Necessary
Corrective
Action
Taken
By
Laboratory

20-25 March, 2017
1. India’s 1st PHC NABH Accredited, Primary Health Center Gadboriayad, Dist.:-
Vadodara, Gujarat.
2. India’s 1st UHC NABH Accredited, Urban Health Center Nana mauva, Dist.:- Rajkot,
Gujarat.
3. India’s 1st CHC NABH Accredited, Community Health Center Bardoli, Dist.- Surat,
Gujarat.
4. India’s 1st District hospital NABH Accredited, District Hospital, Gandhinagar – Gujarat
5. India’s 1st Govt Blood Bank NABH Accredited, B J Medical College Blood Bank,
Ahmedabad– Gujarat
6. India’s 1st Govt Super specialist NABH Accredited, Govt Spine Institute Ahmedabad –
Gujarat
7. India’s 1st Govt Mental Hospital NABH Accredited, Mental Hospital, Vadodara - Gujarat.
8. India’s 1st Govt Medical College Laboratory NABL Accredited, Govt Sir T Medical
College Laboratory, Bhavnagar– Gujarat
9. India’s 1st Govt Food and Drug Laboratory NABL Accredited, Govt Food and Drug
Laboratory, Vadodara– Gujarat
Quality Improvement
Programme – Gujarat

20-25 March, 2017
I Happy to share that Dist. Hospital
Vyara is the 1st Hospital in The
country that has met all the criteria
for NQAS Certification.

20-25 March, 2017
WASH Project

20-25 March, 2017
Good Practice followed
in WASH Project
•Mass vaccination for the
Hepatitis B and TT for the
health care staff
•Provision of the yellow bag
in the toilets of the female
ward
•Provision of the hot water
in the toilet
•Regular water testing for
the bacteriological
contamination of the water
•Provision of the wall
mounted soap and
dispenser
•Provision of the Hand drier
in the critical care areas

20-25 March, 2017
Reminder posters for health care
staff
Proper Disposal of Sanitary
pad
Critical times for hand
washing for health care staff
Developing Health Education
strategy for patients, relatives
and health care providers

20-25 March, 2017
Fire safety Management services
Fire Mock drill also conduct
with other Department (e.g.
Health, Police, Fire & Disaster
Management Team.)

20-25 March, 2017
Bio Medical Waste management
• This year Bio Medical Waste management guidelines
2016 has been approved by Govt. of India. so need
training and implementation of New BMW rule.
• The CBWTF has the function of collection,
transportation & disposal of waste following proper
standard protocols and CBWTF also visited by our
District Quality Assurance Committee (DQAC).

20-25 March, 2017
Available staff should be
immunized and insured for
health / hospitalization.

20-25 March, 2017
PERSONAL PROTECTION
EQUIPMENT FOR
LABORATORIES

20-25 March, 2017
Energy Audit in
GMERS, Gandhinagar
Months Energy Consumption
bills (Rs.)
Months Energy Consumption
(Rs.)
February 14 3,95,638 February 15 12,32,598
March 14 5,84,021 March 15 21,36,400
April 14 7,92,585 April 15 24,67,120
May 14 8,23,163 May 15 26,02,650
June 14 9,56,116 June 15 26,50,150
July 14 9,71,795 July 15 25,79,850
August 14 9,07,080 August 15 23,17,350
September 14 8,34,386 September 15 24,02,400
8 Months Total Rs. in
2014
62,64,784
8 Months Total Rs in
2015
1,83,88,518
Average (per
Monthly) 2014
7,83,098
Average (per Monthly)
2015
22,98,565

20-25 March, 2017
• Gross Increase in Monthly (average) Bill year 2015
v/v 2014 : 22,98,565 (2015) ÷ 7,83,098 (2014) =
2.94 times.
Average Monthly Bill in the year 2012: Rs. 5,67,357
• Monthly (average) Bill year 2015 v/v 2012 =
22,98,565 (2015) ÷ 5,67,357 (2014) = 4.05 times
increase
Energy Audit in
GMERS, Gandhinagar

20-25 March, 2017
S.No. Detailed PHC CHC SDH DH MCH State Total
1 Total available Instrument 281845 120273 17572 30296 57551 507537
2 Functional 262876 102206 15844 28762 54564 464252
3 Non functional 18969 18067 1248 1504 2987 42775
Reasons for not functioning
a Equipment/Instrument is not required 2550 1616 36 10 14 4226
b Equipment/Instrument is not installed 153 182 176 6 3 520
c Need repairing 2087 1376 206 401 971 5041
d Can't be repaired 10656 12090 613 830 1907 26096
e Necessary space is not available 112 462 7 4 2 587
f Necessary electrical arrangement is not
available
31 15 14 8 0 68
g Trained manpower is not available 235 1168 68 11 3 1485
h Extra qty. 2778 751 96 31 23 3679
i Others 367 407 32 203 64 1073
Total Non functional 18969 18067 1248 1504 2987 42775
Instrument and
equipment’s Audit

20-25 March, 2017
Capacity Building for Healthcare
Staffs for Quality Improvement
in Health Care Organization
• One day orientation training for Programme orientation (e.g.
Swachhata Mission, Kayakalp, NABH, NQAS, NABL, Biomedical Waste,
WASH, Radiation Safety and Medical Audit to all staff.
• Two days & three days Training for Internal & Peer Assessor for
continues Improvement (e.g. Kayakalp, NABH, NQAS and NABL etc.) to
Min 5 years experience staffs.
• Four days to Seven days training for External Assessor and Principal
Assessor for Kayakalp, NABH, NQAS and NABL etc.) to Min 5 years
experience staffs (Administrator, Clinician and Staff Nurse only).
• Six Month - Post Graduation Course in Quality Management and
Accreditation of Healthcare Organisation (PGQM & AHO).

20-25 March, 2017
Change the scenario after
Quality Management System

20-25 March, 2017
Change Scenario after
Quality Management
System................
NABH Standards for Hospitals, Blood bank, Imaging service, Nursing Excellence & CHC / PHC), National Quality Standards for (Dist.
Hospital, Community Heath Centre, Primary Health Centre & Urban Health Centre etc), ISO 15189:2012 for lab in place
Gaps identified and addressed as per standards
Statutory requirements fulfilled
Written policies, Standard Operation Procedures (SOPs), forms & formats. available.
Hygienic Hospital environment
Recruitment of staff as per workload through RKS.
Staff trained and its on ongoing
Staff trained as internal auditors, audits conducted to find out non conformances, corrective & preventive measures taken to rectify it
Regular Management meeting & clinical meetings conducted which facilitates the important decisions affecting the quality of care,
hence achieving the total quality management.
All required practices in place
Repairing & renovation done
Calibration system of Instruments for Quality check are available.
Sufficient equipments, properly utilized and proper ambulances services.
Policy and processes for care of the patients in place
Quality standards e.g. medical audit, management of medication, care of patients etc practiced
Participation in EQAS / inter laboratory comparison and achieving good scores in it.

20-25 March, 2017
Change Scenario after
Quality Management
System................
Feedback of patients & clinician is used to monitor the continual improvement
Well developed signage and displays for patient information
AMC for all sophisticated equipments is done with their respective companies& others are maintained by biomedical workshop CHA.
Downtime of equipment monitoring regularly.
Established
Measurable parameters for patient safety are available.
A clear understanding of what is lacking and what needs to be done
These are being reported and are monitored.
Team work is available, role and responsibility of all staff is clearly mentioned and made known to all.
3rd Party evaluation & monitoring system by PRI members available.
All the service which are provided by the healthcare centre are displayed in the community and emergency contact number also displayed.
Proper monitoring of Up time, down time & utilization of the instrument & equipment.
Progress of the referred patient also monitored by the health centre on regular basis.( Bi directional referral service).
Proper display of Right and responsibly of the patients and employees in the facilities.
Availability of well trained security guards
RED for FIRE, YELLOW for EXTERNAL CALAMITIES, BLUE for CARDIAC ARREST, BLACK for BOMB THREAT, PINK for CHILD ABDUCTION

20-25 March, 2017
Remarks of representative
of National Human Right
Commission (NHRC)
now…
 Community services programme run
on an appreciable scale and with
exemplary efficiency is another
significant feature of institute .
 HMH Ahmedabad presents an
excellent example of effective
functioning of Boards of visitors and
active involvement of NGO sector in
patients Care ,Capacity building &
rehabilitation , and has the potential to
become a good center of education
and research in Mental Health Field .

20-25 March, 2017
•Appreciation awarded by QCI to Ministry of Health and Family Welfare Government of Gujarat for establishing Quality
Assurance framework in providing quality healthcare to the people of Gujarat in 5th National Quality Conclave, New Delhi.
•Appreciation awarded to Department of Health and Family Welfare Government of Gujarat for their pioneering effort to
spearhead the Quality and Accreditation Programme in health care organization. In 3rd International Health Care Quality
Conclave on “Role of Quality in Globalization of Indian Healthcare”. Place: - Gurgaon, Haryana Date: 30th August 2010.
•FICCI Health care Excellence Award to Dist Hospital Gandhinagar & PHC Gadboriad, Govt of Gujarat in FICCI Heal 2010, New
Delhi Date: 6th Sept 2010
•FICCI Health care Excellence Award to Dist Hospital Gandhinagar, Govt of Gujarat in FICCI Heal 2011, New Delhi Date: 8th
Sept 2011
•FICCI Health care Excellence Award to Community Health Centre Bardoli, Govt of Gujarat in FICCI Heal 2013, New Delhi
Date: 2nd Sept 2013
•Operational excellence award in IndiZen 2014 to Govt. of Gujarat-department of health and family welfare was achieved.
•FICCI Health care Excellence Award to Community Health Centre Bardoli, Govt of Gujarat in FICCI Heal 2014, New Delhi
Date: 1st Sept 2014
•FICCI Health care Excellence Award to Paraplegia Hospital- Ahmedabad, Govt of Gujarat in FICCI Heal 2014 New Delhi Date:
1st Sept 2014
•FICCI Healthcare Excellence Award to Laboratory Information System, B J Medical College – Ahmedabad, Govt of Gujarat in
FICCI Heal 2016 New Delhi Date: 31st August 2016.
Awards received by Government of Gujarat for
Quality Improvement Programme

•Certificate of Appreciation awarded to Ministry of
Health and Family Welfare Government of Gujarat for
establishing Quality Assurance framework in providing
quality healthcare to the people of Gujarat in 5th
National Quality Conclave, New Delhi
•Appreciation awarded to Department of Health and
Family Welfare Government of Gujarat for their
pioneering effort to spearhead the Quality and
Accreditation Programme in health care
organization. In 3rd International Health Care Quality
Conclave.
•FICCI Health care Excellence Award to
Dist Hospital Gandhinagar & PHC
Gadboriad, Govt of Gujarat
Award Ceremony

20-25 March, 2017
India- New
Anthem Video
Change@
Organization
Video

20-25 March, 2017
Web:-
1. https://gujhealth.gujarat.gov.in/quality-assurance-
program.htm
2. http://www.facebook.com/drjitulal?ref=tn_tnmn
3. https://www.youtube.com/user/drjlmeena
Email:-
drjlmeena@gmail.com, drjitumeena1971@gmail.com
Mobile No:- 09099075162

20-25 March, 2017
ThanksThanks
2nd International Public Health Management Development Program
20-25 March, 2017

Quality Improvement Progamme in Public Healthcare Facilities - Dr J L Meena

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