Quality of health care in RSBY

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Rashtriya Swasthya Bima Yojana –
Quality of health care Services

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 10,762 Network Hospitals
 51 lakh reported hospitalization cases
 Hospitals are small~ big nursing homes,
 No incentive to go in for ISO / NABH etc.
 No consistent nationally applicable quality
policy or improvement process
Why Quality?

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 QIP for Network hospital initiated during
2012.
 RSBY quality program aims to provide
 access to “Quality health care” to its
beneficiaries
 Ensuring Safe, Effective and Timely
Health Care Services

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 16 districts of five states viz: Chhattisgarh, Gujarat,
Haryana, Kerala and Uttar Pradesh
 803 hospitals are participating.
 Hospital sensitization workshops
 Self-assessment
 Discussion with trained assessor
 Based on 17 standards and 138 processes
 Hospitals are graded from E~ A category
 Hospitals are communicated to improve.
Status of Quality

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Status of quality
Hospital grades
%
65%
Hosp. in
D Grade

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 All stake holders are benefitted.
 Patients are the biggest beneficiary.
 Improved quality of services provided and
patient safety ensured.
 Services to the patients by qualified medical
staff .
 Patient rights will respected and protected.
 Patient satisfaction regularly evaluated.
What benefits …

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 Continuous opportunity to the hospital to
learning and improving professional
excellence.
 Reliable information about the facility
and the level of care.
 Scope for continuous patient centred
quality improvement programme for the
network hospitals.
What benefits …

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Way forward
 Quality criteria is now included in the
standard 55 column format
 Used in districts with surplus of
hospitals.
 Hospital e-group created for continuous
support

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More information
www.rsby.gov.in
or
http://rsby.gov.in/Documents.aspx?ID=1
or
madan.kavuru@giz.de

10. 18.06.15 Seite 9www.rsby.gov.in Page 9
More information
www.rsby.gov.in
or
http://rsby.gov.in/Documents.aspx?ID=1
or
madan.kavuru@giz.de