BMQR

 POLICY AND PROCEDURE ON ADMISSION CRITERIA FOR ICU Policy : ICUs admission and / or discharge shall be decided by treating physician and as per documented admission and discharge criteria. ICU shall try to keep 5-10% of its beds vacant at any given time for emergency cases. This shall be done by discharging stable cases as early as possible. Guideline for admission and discharge a) Criteria for admission to ICUs ·          Mechanical(additional) support of organ function Ø   Respiratory – ventilation / CPAP Ø   Renal–Haemodialysis associated with acid-base / electrolyte imbalance. Ø   Cardiac –Acute coronary syndrome / LV dysfunction. Ø   Hepatic –Hepatic encephalopathy & coagulation abnormality Ø   Neurological – CV strokes associated with disoriented consciousness ·          Patient requiring support of 2 or more organ system even when this does not i...

                     POLICY AND PROCEDURE ON ADMINISTRATION OF ANESTHESIA   Policy : Anesthesia is covered when it is administered by an eligible provider and is determined by the Plan to be medically necessary. The following will be eligible providers for anaesthesia service benefits under the Plan: a.   Professional anesthesiologist b.   Certified nurse anaesthetist c. Obstetrician or his/her designated assistant, such as a qualified anaesthesiologist or another obstetrician, providing epidural, spinal, pudendal, or caudal anaesthesia during labor or delivery. (The anaesthesia reimbursement in this case is not based on time units but coded to surgery for the billed anaesthesia procedure.) Indication and type of anaesthesia (other than local anaesthesia) shall be recorded in medical file. Pre-anaesthesia assessment shall be done for all patient requiring anaesthesia (routine and emergency) shall be done b...

                                 POLICY AND PROCEDURE ON UNIFORM CARE OF PATIENT   Policy: Policies and procedures and applicable laws and regulations guide the uniform care of all   patients.   Ø   Patients with the same health problems and care needs have a right to receive the same quality of care throughout the organization. In particular, services provided to similar patient populations in multiple departments or settings are guided by policies and procedures that result in their uniform delivery. Ø   Those policies and procedures respect applicable laws and regulations that shape the care process and are best developed collaboratively. Uniform patient care is reflected in the following:   1.          Access to and appropriateness of care and treatment do not depend on the patient’s ability to pay or the source of payment; ...

  Purpose:   To have a uniform registration of patients and to maintained the records of patients coming to our hospital.   Scope:   Scope of registration includes all patients in OPD and Emergency Department.   Policy:   All patients are registered with a unique registration number (OPD Number). Registration shall be done for OPD consultation, Investigations and Emergency care.   Emergency care has to be provided 24 hrs a day and 365 days a year.   Following timing is followed for registration and OPD consultation   Registration in OPD: -   OPD consultation –time morning 9AM to 9 PM                                                      Emergency registration an...

  The sampler shall endorse the relevant records of complete Assortment/ Batch/ shipment/ consignment/ Lot as the case may be, maintained at the place of sampling. The laboratory is liable to maintain confidentiality of samples and information thereof. The laboratory shall keep the remnants of the sample after testing for a minimum period of three months and reference sample for a period of six months in stipulated storage conditions before they are disposed off or returned to the customer. In case of samples tested for Biological parameters the sample shall be retained for reasonable period as per lab’s policy based on importing country’s requirement. The mode of disposal of sample after test shall be recorded and indicated in the test request as well. The testing under the scope for approval shall be in compliance to the methods of validation as per the requirements of the importing countries if any. The Laboratory shall be audited for the harmonized methods of sampling, ...

  “The  laboratory  shall report on the statement of conformity, such that the statement clearly identifies: a) to which results the statement of conformity applies; b) which specifications, standards or parts thereof are met or not; c) the decision rule applied. A conformity statement or a statement of conformity is an expression that clearly describes the state of compliance or non-compliance to a specification, standard, or requirement. Type of statements of conformity While we are on the topic of statements of conformity, it is important to review the three most common types of conformity used in accredited test and calibration reports. The three most common types of conformity are:- a.      Compliance b.      Non-Compliance c.       Indeterminate Below is a list of commonly used statements of compliance: a.      Compliance b.      Pass c...

  The top management of the CAB shall periodically conduct a review of the CAB’s management system and technical activities to ensure their suitability and effectiveness and to introduce any necessary changes or improvements. Management review should also take note of changes that have taken place in the organisation, facilities, equipment, procedures and/ or activities of the CAB and ensure (through quality manager) that management system continues to conform to the requirements of relevant standard. The need for changes to the system may also arise as a result of findings from internal or external quality audits, inter-laboratory comparisons or proficiency tests, surveillance or reassessment visits by NABL / regulatory bodies, complaints from customers or change in policies of NABL. The top management of the CAB should be responsible for conducting reviews of the management system The quality manager should be responsible for ensuring that all reviews are conducted in a s...