Standard G4: The facility has established system of periodic review of clinical, support and quality management processes

• The standard pertains to establish system for internal assessments in defined intervals for clinical and non-clinical processes including audits viz prescription monitoring, referral audits etc.

• Assessor can review the records to ensure adequacy and periodicity of audits/assessment. The gaps are identified, root cause analysis is done for the critical issues and HWC (SC) uses PDCA approach for the improvement.

• ME G4.1: The facility conducts periodic internal quality assessments across clinical and support processes.

  (Focuses on carrying out regular internal NQAS assessments at defined intervals to evaluate compliance across all departments and services).

• ME G4.2: The facility conducts regular clinical audits including prescription monitoring and referral audits.

  (Focuses on auditing medical records, rational drug prescribing practices, diagnostic utilization, and appropriateness of patient referrals).

• ME G4.3: The facility conducts root cause analysis for identified gaps and implements corrective and preventive actions (CAPA/PDCA cycle).

  (Focuses on identifying non-conformities during internal reviews, analyzing underlying causes, and systematically using the Plan-Do-Check-Act approach to drive continuous quality improvement).

NQAS - HWC

Contacts

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dr.amirthadurai@gmail.com

Address :

Tharamangalam -636 502
Salem