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This case study aims to showcase how Medigence Solutions Pvt. Ltd. successfully assisted Jivraj Mehta Hospital in achieving NABH Full Accreditation. it highlights the hospital’s challenges, the consultancy’s strategic interventions, and the overall impact of accreditation on patient care, hospital operations, and quality management.
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To Identify and Address Key Challenges
Highlighting the initial gaps in compliance, documentation, staff training, and hospital infrastructure that needed improvement.
To Showcase Measurable Improvements
Presenting the tangible benefits of accreditation, including enhanced patient safety, better documentation, and improved hospital efficiency.
Medigence Solutions specializes in assisting healthcare institutions with accreditation and operational enhancements. One of our most rewarding projects was supporting Jivraj Mehta Hospital, a 205-bed multi-specialty hospital in Ahmedabad, in achieving NABH accreditation within a six-month timeline. The hospital, renowned for its excellence in specialties like cardiology, oncology, neurology, and paediatrics, is committed to patient-centric, high-quality healthcare.
Many elderly employees who had been with the hospital for years were hesitant to adopt new protocols and practices required for NABH accreditation. Their reluctance stemmed from long-established work habits and apprehension about adapting to updated systems and technologies.
The hospital faced a challenge in meeting NABH’s qualification standards, as a significant portion of the staff comprised Auxiliary Nurse Midwives (ANMs). While they had extensive hands-on experience, their formal qualifications did not always align with the accreditation requirements, necessitating additional training and upskilling initiatives.
The existing register formats were not structured properly, leading to inconsistencies in record-keeping. Additionally, the hospital maintained an excessive number of registers, which increased the administrative burden on staff, diverting their time from patient care and operational efficiency. Streamlining documentation was essential to reduce workload and improve compliance with NABH standards.
While the hospital already had effective practices in place, refining and standardizing processes was nevertheless essential to align with NABH accreditation requirements
To address resistance to change, elderly staff members were appointed as departmental champions and actively involved in the accreditation process. This helped them understand the necessity of streamlining and upgrading existing workflows.
Experienced ANM staff were assigned key roles such as CSSD in-charge and OPD in-charge, leveraging their expertise to enhance operations in a cost-effective manner.
The issue of manual record-keeping was resolved by transitioning registers to Google Sheets, reducing paperwork and improving accessibility.
Google Forms were introduced to evaluate staff performance after training sessions, enabling HR to efficiently track and maintain training records for compliance.
Digital Signage Implementation:
Important hospital information and guidelines were displayed on TV screens, ensuring better visibility and awareness among staff and patients.
Strengthening Clinical Practices:
Departmental champions and Infection Control Nurses (ICNs) were appointed to oversee and enhance clinical protocols, with a strong focus on infection control measures.
Efficient Sewage Treatment System:
The hospital had a well-functioning sewage treatment plant, ensuring compliance with environmental and hygiene standards.
Sustainable Training Approach:
Training sessions conducted by the consultancy were later replicated by hospital staff, enabling continuous learning and ensuring that a larger number of employees received necessary training over time.
Jivraj Mehta Hospital - Ahmedabad
“ Associating with Medigence have been a game-changer for our organization.
Detailed practical understanding of healthcare operations pertaining to Trust hospital like us and combined with innovative strategies, helped us streamline workflows, achieving and maintaining all accreditation of NABH HOSPITAL, NABH RESEARCH, NABH BLOOD BANK, NABH NURSING EXCELLENCE, NABH ER, NABH DIGITAL – PLATINUM AND NABL LABORATORY.
The team’s professionalism and dedication to our success were evident in every step of the process.
Even other than achieving accreditation, expertise of Meetaben and Urvishbhai helped us in holistic renovation project of Dr Jivraj Mehta hospital.
We strongly recommend their services to any healthcare organisation striving for excellence.”
The collaborative and proactive culture at Jivraj Mehta Hospital played a key role in the smooth NABH accreditation process. With active staff involvement and a commitment to quality, standardizing processes became more efficient. The hospital’s supportive approach also enabled Medigence Solutions to provide effective guidance and drive operational improvements.
Furthermore, the Medigence team successfully streamlined hospital workflows, ensuring long-term quality enhancement and compliance. The presence of a Biomedical Engineer (BME) overseeing facility operations further strengthened Facility Management & Safety (FMS) standards. As a result, the hospital achieved zero non-compliances (NCs) in the FMSchapter, highlighting its robust infrastructure and commitment to safety.
As one of the directors, steers company towards its mission and goals. Passionate about 360 degree patient experience, oversees 45+ hospital planning & design projects, and also assists clients with strategic business planning, and marketing.
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