Month 1
Gap assessment
On-site walk-through, records review, staff interviews. Written baseline against the current NABH standard.
NABH accreditation and quality systems
From wherever you are today to accreditation — gap assessment, SOP build, staff training, mock audits, documentation, and assessor readiness. Delivered alongside your existing team, without pulling clinicians off the floor.
What the process looks like
Month 2
SOP build
Chapter-wise SOPs drafted with department heads. Formats, forms, and registers set up.
Month 3
Training & rollout
Live training for clinical and non-clinical staff. SOPs go into daily use.
Month 4
Documentation
Committee minutes, quality indicators, incident reporting, and audit trails built up.
Month 5
Internal & mock audits
Two rounds of internal audit. Non-conformities logged and closed.
Month 6–7
Assessor readiness & final assessment
Pre-assessment, corrections, and support through the final assessment day.
What we do
- Gap assessment against current NABH standard
- Chapter-wise SOP drafting and formats
- Staff training modules and delivery
- Committee structure, minutes and quality indicators
- Mock audits and NC closure
- Assessor readiness and day-of support
What your team does
- Nominate a quality coordinator and department leads
- Give access to records, systems and clinical areas
- Attend training and adopt the SOPs into daily work
- Approve capex or civil work flagged in gap assessment
Documentation you'll have
Baseline gap assessment report
Complete chapter-wise SOP set
Training attendance and competency records
Committee minutes and quality indicator dashboard
Internal and mock audit reports with NC closure trail
Assessment-ready documentation binder (physical + digital)