AHPI Awards for Excellence in Healthcare
23rd February 2015
Application Form
Instructions for Applying
1.
2.
3.
4.
5.
6.
Please read carefully before filling in the form
All columns should be filled, incomplete forms will be rejected.
Please maintain one copy of the form with you for your records.
Applicant Hospital can apply in more than one category.
The annexures should be filled accordingly for each category.
If you have any questions, or require any clarifications, please contact;
AHPI, Tel: 01123379651, Mob:9540859694, email:shikhar.ahpi@gmail.com,
contact@ahpi.in
Applicant Information
Name of the Applicant (HCO)_____________________________________________
Address_____________________________________________________________________
______________________________________________________________City__________
___________State___________________Pin___________________Phone______________
__Mob________________Email_______________________
Name of the CEO/MD/Head of Institution___________________________________
Name of the Contact Person______________________________________________
Mob_____________________Tel_______________Email______________________
Type of Speciality_______________________________________________________
Number of Beds________________________________________________________
Type of Entity (Please tick) -
Private/ Government/ Trust/ Semi-Government
Details of application fee submitted with this form:
DD/Cheque/RTGS No._____________________________________________________
Authorized Signatory________________
Application Fee: Applications on the prescribed format need to be submitted to the AHPI
secretariat by 31st October 2014. The entry fee for each category of award is Rs 5000/ for
hospitals up to 100-beds and Rs 10,000/ for hospitals above 100-beds.
Cheque/DD in favor of: “Association of Healthcare Providers (India)” payable at New
Delhi.
A/C No. 038601002052 (ICICI Bank)
RTGS/NEFT IFS Code: ICIC0000386
Pick the Category (HCO can apply in more than one category)
S.
No
Category
1.
Patient Friendly Hospital
2.
Green Hospital
3.
Quality Beyond Accreditation
(Open to accredited hospitals only)
4.
Outstanding Teaching Hospital
5.
6.
Nursing Excellence
Excellence in Community Engagement
7.
Improving Maternal and Child health
Requirement
Tick
Mark
(√)
Hospital would be required to submit
response to the criteria which is based on
AHPI’s standard on “Patient Friendly
Standard”. This will be validated through onsite visit
Hospital would be required to submit
response to the criteria which is based on
AHPI’s “Green Standard for HCO”. This will be
validated through on-site visit
Quality initiatives leading to institutionalizing
of quality culture in improving of clinical &
managerial outcomes.
Performance to be judged based on:
a. Results of Teaching Programs under MCI/
NBE.
b. Contribution through innovative CMEs.
Excellence in Nursing through Empowerment.
Based on case studies on delivering
preventive/curative healthcare services to the
community as social welfare activity. The
short listed case studies will be validated
through on-site visit.
Improving Maternal and Child health
(MMR/IMR) in state: Efforts vs Results (open
only to State Governments)
Important Note:
 The awards have been designed based on objective criteria.
 The applicant hospitals would be required to submit brief write up, giving response
to the various headings in the CRITERIA (Put up in Annexures).
 Hospitals are free to apply for multiple awards.
 The AHPI Award Technical Committee will scrutinise the applications along with the
technical write up submitted by the hospitals. The short listed hospitals will be
visited by empanelled surveyors for verifying the compliance. Each award will be
assessed for 1-manday.
 Findings of the Technical Committee along with the surveyor’s report will be
examined by the JURY and finalize the AWARDS. Jury will decide on the number of
awards in each category and their decision will be final.
 Last Date for submitting the application along with fee is 16th August 2014
The application form along with award criteria can be also be down loaded from AHPI web
site www.ahpi.in or obtained from AHPI secretariat by sending mail to contact@ahpi.in
The awards will be presented in the gala function in the evening on 17th October 2014 during
AHPI Annual Conclave being held during 17-18 October 2014 at Marriot Hotel Convention
Centre Hyderabad.
Annexure 1
AHPI Awards 2014
Patient Friendly hospital
The primary duty of any hospital is to provide safe, effective, efficient, equitable or affordable,
timely, patient oriented quality medical and nursing care. Outpatient visit or inpatient
admissions change the world of patients. The interruption to their daily life, significant and
frightening medical issues, loss of independence, financial worries and fear haunt the patient.
A patient friendly Hospital would mean that all its staff, aided by formal structure, processes
and practices, work towards providing a warm and personal human touch to the care being
given to their Patients, their relatives and other visitors to the hospital.
AHPI has come out with Patient Friendly Hospital Standard. The criteria for AHPI award is
adopted from this standard. The award is intended to promote culture of
Eligibility criteria for Patient Friendly Hospital Awards
1 Hospital Website
a. Updated with details of Services, Timings, Doctors, Emergency contacts,
Corporate & Insurance affiliations
b. Provision for sending enquiries, giving feedback, fixing appointments
Maximum
marks
10
5
5
2 Access to Hospital
15
a. Ease of entry for Patients, their vehicles & Emergency vehicles
5
b. Availability of ramp with wheel chairs and stretchers near entrance
5
c. Earmarked Parking, with attendants for directions & assistance
5
3 Reception Area
15
a. ‘May I Help You’ Counter located prominently with trained staff
5
b. Help desk dedicatedly for Insurance Patients
5
c. Waiting area spacious, clean, well lit & ventilated, with all amenities
5
4 Patient Safety
10
a. Established & documented Patient Safety Programme in place.
5
b. Air quality maintained in critical areas like ICUs & OTs
5
5 Patient Feedback
20
a. Procedure in place for Patients to lodge complaints, make suggestions
5
b. Internal surveys done regularly covering 10% of Patients
5
c. Third Party Surveys done regularly by recognised Agencies
5
d. Procedure in place for protection of patient’s rights and responsibilities.
5
6 Social Responsibilities
15
a. Fire Safety & Environment Protection Regulations complied
5
b. Defined and implemented Corporate Social Responsibility Program
5
c. Green initiatives to preserve natural resources undertaken
5
7 Other Aspects
15
a. Attendants provided with amenities for rest, bath, toilets and refreshments
5
b. Staff regularly trained in soft skills, handling patients
c. Adequate space, ambience and amenities provided for waiting patients in
different specialty wards in general and Mother & Child in particular.
Total
5
being patient centric hospital in all aspects.
Total
marks
5
100
Annexure 2
AHPI AWARDS 2014
Green Hospital
Hospitals are dedicated to provide safe and affordable healthcare services. Hospital
functioning is associated with complex technology. In the process healthcare facility has impact
on the external as well as internal environment. There have been serious concerns by the
community and the regulatory agencies about the energy conservation and disposal of biomedical waste. Hospitals all of sudden are faced with the challenge of complying with stringent
laws as they have been clubbed in RED category by Central Pollution Control Board in India.
AHPI has come out with unique standard on Green hospitals and the award criteria are abreast
version of the standard. Such a standard is first of its kind, anywhere in the world. The aim of
this AWARD is to promote the best practices to maintain clean environment among the
hospitals.
S.No
Eligibility Criteria for Eco-Friendly Hospital
Max Marks
1
Criteria for E-Friendly
5
2
a. Hospital has criteria of the evaluation & acceptance for the
environment friendly material usage in the facility.
b. Hospital ensures natural open space for the patients, families
and staff of patients.
c. Hospital ensures enough natural light in all parts of the facility i.e.
ICUs, Wards etc.
Optimum usage and conservation of water resources
5
3
a. Hospital have a plan for water usage for the whole facility which
includes measurement, reduction and verification.
b. Hospital have a plan for usage of alternate source of water like
capturing rain water, recycling water etc.
c. Hospital have an ongoing educational program for efficient usage
and conservation of water for all stake holders (staff, patient,
hospital users)
Optimum usage and conservation of energy resources
a. Hospital have a strategy for optimization of energy saving and
usage.
b. Hospital have developed a plan for usage of renewable energy
self-supply to reduce impact on environment.
c. Hospital have a policy of using energy efficient equipment.
5
Total Marks
15
5
5
15
5
5
15
5
5
4
Process for housekeeping and cleaning agents
5
5
5
a. Hospital have defined criteria, process and protocols for
selection of cleaning products, mops and wipers including;
-Use of Non-hazardous cleaning agents
-Reduce environmental pollutants
-Reduce VOC emissions inside and outside buildings.
-Protect the cleaning worker.
Management of Waste
5
6
a. Hospital have a protocol for receiving, handling, storing and safe
disposal of all kinds of waste including recyclables, hazardous, bio
medical and e-waste.
b. Hospital comply all bio-medical waste management rule and
ensures biological waste is disposed as recommended by national
regulations.
Purchase and Procurement
10
5
15
5
7
a. hospital ensures that purchase plan include purchase of
environment friendly materials which can be reused or recycled as
per manufacturers recommendations.
b. Hospital have a purchasing policy that reduce purchase of
mercury containing equipment.
c. Hospital have a sustainable food purchasing policies and plan
that support human and ecological health.
Indoor and Outdoor Environment Management
5
8
a. Hospital demonstrates initiative by maintaining good indoor and
outdoor environment and have walkways, greenery, landscaping ,
waste management, environmental friendly transports etc.
b. Hospital have a plan for maintaining good indoor air quality and
lighting and ventilation.
Community and Neighborhood Benefit Program
5
9
a. Hospital have developed a communication and educational
program integrating safe environment practices and impact of
same on human health and surrounding community etc. for
awareness and education of patients, visitors and the surrounding
community.
Outcome Requirement
a. Hospital have indicators to optimize usage of energy and water
through energy audit.
b. Hospital have indicators to measure the waste generation as per
the category (hazardous, recyclable, bio-medical, e-waste etc)
through waste audit
Total
5
5
5
10
5
5
10
5
100
Annexure 3
AHPI Awards 2014
Quality beyond Accreditation
This award-“Quality Beyond Accreditation’, has been instituted for Organizations that are
already accredited. Accreditation is framework for quality governance, where continual
improvement is norm and quality culture is institutionalized. Such Organizations use quality as
an integral part of organizational core strategy and strive to continuously improve their
performance and outcomes by setting higher benchmarks on continuous basis. The award
aims to motivate accredited hospitals to leverage the accreditation to be role model in
delivering of effective and efficient healthcare services.
S.No.
1.
2.
3.
4.
5.
6.
7.
8.
Requirements
Yes
Organization has identified list of key indicators to monitor 20
the clinical structures, processes and outcomes and which are
used as tools for continual improvement. Periodic report is
generated with these indicators and reviewed by the Top
Management. There is objective evidence that corrective
actions are taken and implemented.
Organization has identified key indicators to monitor the
managerial structures, processes and outcomes, which are
used as tools for continual improvement. Periodic report is
generated with these indicators and reviewed by Top
Management. There is objective evidence that corrective
actions are taken and implemented.
Clinical audits are conducted by all specialties on periodic
basis to monitor and improve quality of nursing and complete
patient care as per the registry provided by the accreditation
agency.
Use of ICT for leveraging in improvement and sustaining
delivery of quality care (Such as quality dashboards, alerts and
alarms)?
Use of data analytics/statistical and management tools,such
as 7-QC tools,5-S, FMEA,LEAN Health, Six Sigma etc. to
improve and sustain delivery of quality care.
Organization follows patient centric approach. Patient
satisfaction is measured using objective means and fed back in
to system with demonstrable improvement.
Initiatives to foster quality culture such as, team building,
effective communication and other good HRM practices.
Employee satisfaction is measured and acted upon.
Quote some examples where your Organization has achieved
excellence and can serve as a benchmark to other
Organizations in that area of service.
Total
20
10
10
10
10
10
10
100
Partly
No
Annexure 4
AHPI AWARDS 2014
BEST TEACHING HOSPITALS
Teaching Institutes are the backbone of healthcare sector .Medical education lays the
foundation of careers of care providers. It is the time when care providers understand
and learn not only the principles and practice of medical skills but also the medical
ethics and etiquettes. Teaching hospitals also are engaged in delivery of healthcare
services and conduct medical research .In recognition of the multiple roles played by
teaching Hospitals i.e. (a) educating and training of medical professionals and (b)
providing patient care, AHPI has constituted an award for ‘Best Teaching Hospital’ based
on following criteria;
S.No
1
2
3
4
5
6
7
8
9
Eligibility Criteria for Best Teaching Hospital
Examination results achieved in the MCI/ DNB PG program of the
preceding year.
a. Overall andSpecialty vise pass percentage
b. Gold Medal received
c. Other achievements of students (Conferences, Quizzers & Papers)
Faculty Performance
a. No. of Faculty as examiners
b. No. of Faculty as inspectors
c. No. of Faculty in appraisals
Enlist special initiatives started for the practical skill enhancement of
students at PG level of education.
Continuing Medical Education (CME)
a. No. of CMEs conducted in past 12 months (July 13- June 14)
b. Specialty vise number of CMEs conducted
c. Number of participants in each CME
Describe the nature and extent of networking efforts with other
institutions, aimed at improving the effectiveness in teaching.
Use of simulation & IC technologies in teaching such as virtual
autopsies, 3D animated CDs/DVDs, virtual classrooms, teleconferences etc.
Participation in the National Initiatives with regard to PG training.
No. of Articles published in Indexed/International journals by the
faculty
No. of Patents applied for.
Total
Max Marks
Total Marks
15
5
5
5
15
5
5
5
10
15
5
5
5
10
10
10
10
5
100
Annexure 5
AHPI Awards 2014
Nursing Excellence Award
S.No.
I
1
2
3
II
4
5
6
7
8
9
10
11
12
III
13
14
IV
15
16
17
18
V
19
Criteria
Nursing Resource Management
Nursing manpower planning is available as per services provided
with HR and Nursing Head & predetermined nurse patient ratio has
been maintained in various nursing units
Minimum experience & qualification compliance exists for various
posts, & appropriate mix of staff in various nursing units are
available in each shift
Nursing units/stations have been provided with adequate supplies
and facilities for effective functioning. The HCO assess nursing staff
satisfaction periodically & carries out measures to improve the same
Nursing Care & Patient Safety
Policy on service standards including professional grooming &
conduct present in HCO
A system of tracking, reporting & controlling adverse events exists in
the HCO
Basic hygiene care is maintained well for all patients(sponge,
hairwash, mouthcare, catheter & wound care)
Assessment & management of vulnerable patients are carried out &
supervised. RCA is done for adverse events
Skin Safety including regular assessment of skin for all patients, point
prevalence audits for checking unreported Hospital Acquired
Pressure Ulcer; implementation of preventions strategies evident
Wound management including regular assessment & individualised
wound care interventions are evident
There is a distinct infusion safety guidelines for inserting cannula,
fixation techniques, assessment of site, regularising the
concentration of fluids & medications infused and staff are privileged
Pain management including assessment & management for various
levels of pain are evident
Surgical Safety following WHO safe surgery checklist & time out is
followed
Management of Medication
Medication management policy including safe storage, good
inventory control & management of high risk, narcotic,
chemotherapeutic & radioactive drugs has been implemented
Policy on medication administration is present & privileging and
crosschecking of staff for the same is evident
Education Communication & Guidance
Induction program & continuous nursing education programs are
carried out as per the services provided including BLS, patient and
staff safety. Mock drills are conducted wherever relevant.
Competency assessment & privileging is done for procedures which
require special skills(eg. moderate sedation, administration of
chemotherapy, srcubbing for various surgeries etc)
Staff are encouraged to participate and present papers in
professional conferences
Relevant education is given to all patients before discharge.
Infection Control Practices
There is a system of hospital wide implementation of infection
prevention and control practices, infection control manual is
accessible to staff, there is a designated infection control nurse,
0
1
2
3
4
surveillance for prevention and control of infection is done as per
policy
20
Management of occupational injuries including NSI, sharp injuries,
exposure to blood & body fluids, outbreak of infections are done
regularly
VI
Empowerment & Governance
21
Appropriate Support has been provided by hospital management to
Nursing team for effective functioning. Nurses are satisfied with the
support provided by Nursing administration in carrying out their role
VII
Nursing Quality Indicators
22
Updated nursing manual available in all units
23
Nursing quality indicators are defined & assessed. Corrective and
Preventive Action done as required
24
Nursing quality improvement initiatives in the form of projects or
research works are carried out
25
Nursing audits for monitoring standards of nursing practice are
conducted with evidence of improvement
Total Score (out of 100)
Annexure 6
AHPI Awards 2014
Excellence in Community Engagement (CSR)
Corporate Social Responsibility (CSR) is continuing commitment by an organization to
behave ethically and contribute to economic social development, while improving quality of
life of local community and society at large. Healthcare industry is facing many challenges.
Society has perception that private sector is commercial and therefore expensive. Society
does not understand the problems which industry is encountering i.e. cost of infrastructure,
technology, manpower and above all the cost of operating hospital after incorporating
standard treatment guidelines. CSR could play a major role by highlighting the performance
of hospital in a transparent and sincere way, which can result in better understanding and
engagement by the community.
AHPI award on Excellence in Community Engagement is to recognize the good work done by
various hospitals in engaging community in their respective regions. This will help in sharing
the best practices among other hospitals and improve the perception in positive manner.
S. No
1.
Eligibility criteria for excellence in community engagement (CSR)
Provide brief write up on hospital’s policy for Community
Engagement/CSR activities.
2.
Explain if Hospital have separate budget earmarked for community
engagement
Give details on projects undertaken for Preventive health services for
Community in past three years. Use single sheet to describe each
project. It must include measurable outcomes. Examples- HIV/AIDS,
CANCER, TB awareness/ prevention camps etc.
20
Give details of projects undertaken for curative health services as
CSR in past 3-years. Use single sheet to describe each project. It must
include the measurable outcomes.
Examples- Mobile Clinic, General/ Multi Speciality Medical Camps,
MCH services including providing nutritional supplements etc.
Give details of community engagement for promoting good health
by way of clean environment, safe drinking water, sanitation etc.
20
Could you list one program each from preventive and curative, that
you consider as innovative by giving justification for their being
innovative.
10
Total
100
3.
4.
5.
6.
Max marks
Total marks
10
20
20
Annexure 7
AHPI Award – 2014
State with best Maternal and Child Health Services
Mother and child constitute up to 72% of population in India and form a single unit.
Being a vulnerable group, they suffer much of the morbidity and mortality at
different stages in life. Therefore, it is important that adequate and quality health
services are provided to this group on priority. AHPI by way of this award aims to
encourage and recognize the efforts and the results achieved by different state
governments in this area. Larger objective is to capture the best practices from
different states and help in mutual sharing and learning.
S.no.
1
2
3
4
5
6
7
8
9
10
1
2
3
4
5
6
7
8
9
10
1
2
Maternal Health Services
%age of pregnant mothers attending minimum three ANC clinic
%age of pregnant mothers receiving Iron & FA tablets
%age of pregnant mothers availing JSSY
%age of institutionalised deliveries
Accessibility to contraception services to eligible couples
Preparedness for managing complicated pregnancies, such as system to
identify and refer ‘at risk’ pregnancies, no. of blood banks ,ambulance
services & obstetricians available
Ratio of ASHAs and ANMs per 10, 000 population
Availability and quality of post partum care such as advice on breast
feeding,mother-craft and contraception
Availability of eugenics services to expectant mother
Overall MMR
Child Health Services
%age of low birth weight deliveries(<2500 gm)
System to identify and refer ‘at risk’ new born babies
%age of complicated deliveries attended by a paediatrician
%age of newborns receiving medical care under ‘Sishu Swasthya Yojna’
or its equivalent health scheme
Identification of nutritional Anaemia/Protein Energy Malnutrition in
children and follow-up
Institution of interventions to prevent LBW deliveries
Availability and utilization of ‘under five’clinics
Provision of medical services for the handicapped children
Implementation of State Health Programmes like-Reproductive and Child
Health, Integrated Child Development Scheme and Universal
Immunization Programme
Overall IMR
Common
Any PPPs to improve MCH
Use of IC technologies to achieve better MCH, such as tracking and
monitoring during pregnancy
Total
Score
6
6
8
8
8
6
Total
6
6
6
20
80
8
8
6
6
6
6
6
6
8
20
80
20
20
40
200