National Quality Assurance Standards

Area of Concern – A
Service Provision
10/01/2023
 Area of Concerns

Service Support
Patient Right Input
Provision Services

Clinical Infection Quality

Outcome
Services Control Management
 AREA of CONCERN A
Standards and
Measurable Elements
Checklists District CHCs PHCs UPHCs HWCs
Hospitals

Standards 6 6 4 5 2

ME 48 43 32 29 16
 Services Provision for District Hospitals

A1 A2 A3
Curative RMNCH+A Diagnostic
Services Services Services

A4 A5 A6
National Support Services as
Health Services per Local
Programs Needs

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Standard
The Facility Provides Curative Services
A1 18

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 Standard
The Facility Provides Curative Services
A1
Medicine EMERGENCY OPD INDOOR OT
Surgery
Obs & Gynae
Pediatric
Ophthalmology
ENT
Orthopedics
Skin & VD
Psychiatry Availability Availability of Availability of Availability of
Dental of Functional Indoor Surgical
AYUSH Emergency OPD Services Procedures
Procedures Consultation for different for different
Physiotherapy
for services for specialties Specialties
Super Specialty different different
Emergency specialties specialties
Intensive Care
Blood Bank
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Standard
Checklist 1
A1
Curative Services
Accident & Emergency

Ask Emergency Doctor/ Nursing Staff

 if they can manage patients of Different Medical Emergencies/
Perform Procedures as given in means of verification as tracers.

Review emergency register to see

 What kind of case they usually manage
 Patients are not referred for cases can be managed easily at
facility.
 check for some patients have been treated in Night

Observe in emergency department

 case load and type of patients
 Doctors and paramedic staff is available on duty
 patients are not refused emergency treatment
DH- A&E
 Area of Concern - A Service Provision CHC- OPD
Standard Facility Provides Curative Services
A1
ME A1.1 The facility provides General Availability of functional 2 SI/OB Dedicated General Medicine Clinic
Medicine services General Medicine Clinic
ME A1.2 The facility provides General Availability of functional 2 SI/OB Dedicated General speciality Surgical Clinic
Surgery services General Surgery Clinic
ME A1.3 The facility provides Availability of Functional 2 SI/OB Dedicated speciality Obstetrics &
Obstetrics & Gynaecology Obstetrics & Gynaecology Gynaecology Clinic. High risk pregnancy
Services Clinic cases are referred from PHC & SC
Availability of IUD insertion 2
room
ME A1.4 The facility provides Availability of Paediatric Clinic 2 SI/OB Dedicated Paediatric speciality Clinic
Paediatric Services
ME A1.5 The facility provides Availability of functional 2 SI/OB Dedicated ophthalmology clinic providing
Ophthalmology Services Ophthalmology Clinic consultation services
Availability of OPD eye care 2 SI/OB Vision Testing, early detection of visual
procedures impairment, Intraocular Pressure
Measurement
ME A1.6 The facility provides Dental Availability of functional Dental 2 SI/OB Dedicated Clinic providing consultation
Treatment Services Clinic services
Availability of OPD Dental 2 SI/OB Extraction, scaling, tooth extraction,
procedure denture and Restoration.
ME A1.7 The facility provides AYUSH Availability of Functional Ayush 2 SI/OB AYUSH clinic accompanied by dispensary
Services clinic
ME A1.8 The facility provides services Availability of Dressing facilities 2 SI/OB Dressing, Suturing and drainage
for OPD procedures at OPD
Availability of Injection room 2 SI/OB
facilities at OPD
ME A1.9 Services are available for the At least 6 Hours of OPD 2 SI/RR
time period as mandated Services are available
 Area of Concern - A Service Provision PHC-OPD
Standard A1 Facility provides primary level curative services

ME A1.1 The facility provides treatment Availability of Consultation 0 RR/SI Common Cold, Fever, Diarrhoea,
of common ailments services for common illnesses Bronchial Asthma, Foreign body in
conjunctiva sac, etc.
ME A1.2 The facility provides Accident & Primary Management of 0 RR/SI Incision & drainage, Stitching Dressing
Emergency Services wounds & First Aid

Primary Management of RR/SI

trauma & bone injuries
Emergency Management of
Life threatening conditions
Primary Management &
stabilization of Poisoning /
Snake Bite cases
Primary treatment for Dog
Bite cases
ME A1.3 The facility provides AYUSH Functional & Dedicated
Services AYUSH Clinic
ME A1.4 Services are available for the OPD Services are available for
time period as mandated at least 6 Hours in a day
0 Splints
0 RR/SI Stabilization/ Primary Management of
Medical conditions like Shock, Ischemic
Heart Disease, CVA, Dyspnoea,
Unconscious patients, Status Epilepticus
0 RR/SI Lavage, Antidotes, Anti-snake venom/
Anti scorpion venom
0 RR/SI Anti Rabies Vaccines
0 RR/SI Ayurveda, Unanai, Siddha, Homeopathy,
Naturopathy as per State Guidelines
0 RR/
SI/PI

Emergency Services are 0 RR/SI At least one ANM/ Nurse/ LHV is available
functional 24X7 24X7, MO Should be available on call
ME A1.5 The facility provides curatives & Availability of OPD services for 0 RR/SI
preventive services for the diseases, specifically
health problems and diseases, prevalent locally
prevalent locally.
Standard
The Facility Provides RMNCH+A
A2 5 Services

Reproductive Maternal Newborn Childhood Adolescent

“Continuum of care across life cycle”

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 Standard
The Facility Provides RMNCH+A Services
A2
NRC
Labour Materni PP
EMR OPD ty Ward
Paed. SNCU OT
Room Ward Unit
ME A2.1 Tubal Limiting
PPIUD Spacing
Reproductive Ligation
Counsel
Abortion

ME A2.2 Delivery C-Section Post-

Postpart Complica Partum
Maternal EOC ANC Complic
um care tion Counsel.
ations

ME A2.3 Immuni Resuscit Newbor Treatme

Resuscit
Newborn zation ation n Care
nt of Sick
ation
Newborn

ME A2.4 Triage &

IYCF SAM,
Emerg.
Child Manage RBSK Pneumonia
Diarrhea
ment
ME A2.5 Abortio
ARSH
Adolescent Clinic n
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Standard
Facility Provides Diagnostic Services
A3 3

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Standard
The Facility Provides Diagnostic Services
A3
I
Labour Room, SNCU, NRC,
Laboratory Radiology OT, Emergency ICU

ME A3.1 X-Ray Portable X-

C-arm
Radiology USG Ray
services in OT
CT-Scan

ME A3.2 Hematology Point of Care

Bio-chemistry Side Lab
Laboratory tests
Microbiology
Serology

ME A3.3
ECG
Other

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Standard
Facility provides services as mandated in
A4 12 National Health Programs/ state scheme

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 Standard
Facility provides services as mandated in National
A4 Health Programs/ state scheme

OPD INDOOR OT Lab

Vector Borne
TB
Leprosy OPD
Indoor Surgical Lab Tests like
AIDS Consultation,
treatment in procedures AFB & Malaria
Blindness Treatment
diseases like Cataract
Control regime,
Mental Health Counseling &
Follow up
Geriatric Care services
NPCDCS
IDSP
Deafness
Control
State Specific
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RBSK
Standard
Facility provides support Services
A5 8

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 Standard
Facility provides Support Services
A5
Pharmacy Auxiliary Mortuary General
ME A 5.1
Dietary services
ME A 5.2
Laundry Services
ME A 5.3 Functional Functional Storage & Availability
Security Services Drug Store, Kitchen, Post of support
ME A5.4 mortem services
Housekeeping Drug Services
services
Medical
Distribution record
ME A 5.5
Maintenance Services
Counter Department
ME A 5.6 Cold Chain & Laundry
Pharmacy Services
ME A 5.7
Medical records
ME A 5.8
Mortuary
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Standard
Health services provided at the facility
A6 2 are appropriate to community needs.

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 Standard
Health services provided at the facility
A6 are appropriate to community needs.

Locally Prevalent Diseases Curative & Preventive

ME A 6.1
Services

ME A 6.2 Consulting Community/Representative in planning

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 RECAP

Q1 Q2 Q3 Q4 Q5

NEWBORN COMMUNITY DIAGNOSTIC CURATIVE MALARIA

SERVICES NEEDS SERVICES SERVICES

A2 A6 A3 A1 A4
Thank You

10/01/2023