NABH Certification for PHC/CHC Accreditation(primary health centers/community health centers)
PHC/CHC Accreditation (Primary Health Centers/community health centers)
To provide an effective healthcare system primary healthcare centers and community health centers were started throughout the country in 2007, especially in the places which had weak public health indicators. However, the concept of Primary Health Center (PHC) is not new to India. It was started in 1946 gave by Bhore Committee as PHC which was a basic health unit to provide as close to the people as possible, an integrated curative and preventive health care to the rural population with emphasis on preventive and promoting aspects of health care. Now, our country has a large number of primary healthcare centers and community health centers and it is of utmost importance that they provide quality care and are fully functional. To check on these two it is advised to the centers that they get accreditation from National Accreditation Board for Hospitals & Healthcare (NABH) and follow their protocol.
Primary Health Care Centers
Primary Health Centers (PHCs), are state owned rural healthcare centers in India that cover a population of 20,000 in hilly, tribal, or difficult areas and 30,000 populations in plain areas with 6 indoor/observation beds. It acts as a referral unit for 6 Sub Centers and refers out cases to CHC (30 bedded hospital) and higher order public hospitals located at sub district and district level. They are single doctor centers as a rule with offices for minor medical procedures, as well. By the end of 2020 under the Ayushman Bharat initiative, India will have 40,000 primary healthcare centers that aim to strengthen primary health centers in states for promoting and preventive health care. Selected PHCs can also be converted into emergency hospital care units if CHCs are far away. The general target of IPHS for PHC is to give medical services that are quality arranged and delicate to the necessities of the network. These guidelines would likewise help screen and improve the working of the PHCs.
Generally, there are two types of PHCs:-
Type A PHC- A primary healthcare center that takes a load of fewer than 20 deliveries a month.
Type B PHC- A primary healthcare center that is capable of taking a load of more than 20 deliveries a month.
Community Health Centers
Community Health Centers works as a referral center for every four PHCs. It is a private, non profit entity that ensures to deliver health care services to the underserved and uninsured people. CHCs provide primary as well as preventive primary care, and dental and mental health services to the people. The CHCs are designed in a way that they should have four specialists in the areas of medicine, surgery, pediatrics, and gynecology; must have 30 beds for indoor patients, a labor room, an X-ray machine, operation theatre, pathological laboratory, and also complimentary medical and paramedical staff.
It is beneficial to have accreditation from NABH as it ensures patient is safety, commitment to quality care resulting in good clinical outcomes. It also increases patients satisfaction and community satisfaction as credential medical services. It also acts as a good marketing advantage in the competitive healthcare, as people would come to a center which has a NABH accreditation as they know that they will be safe at that center. Most importantly accreditation provides an objective system of empanelment by insurance and other third parties. A currently operational PHC or CHC, who follows NABH protocols for a minimum of three months and who also comply with NABH standards and applicable legal/statutory/ regulatory requirements can apply for the accreditation.
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