Indian Standards for Hospital Planning and Quality Management

Training for State Health Department Officials Vinit Vidyadhar Bansod Scientist-C/Deputy Director Medical Equipment and Hospital Planning Department Bureau of Indian Standards

SESSION 1 Objective: Objective: To introduce participants to the Indian Standards on Infrastructure, Planning, and Quality Management of Hospitals including general and particular requirements for healthcare organizations Hospital Infrastructure, Planning, and Quality Management Session Session Breakdown Breakdown: : 1. Hospital Planning Standards 2. Specific Healthcare Facility Guidelines 3. Quality Management and Performance Requirements for Hospitals 4. Quality Management in Hospital Services 5. Performance Guidelines

Hospital Planning Standards Objective: Objective: To understand the structural and functional standards for general hospital planning.

The Indian Standard for Basic Requirements for Hospital Planning is detailed in IS 12433. This standard is published in two parts, each addressing different aspects of hospital planning based on the size and type of the hospital. IS 12433-1 (1988) covers the basic requirements for planning hospitals with up to 30 beds. IS 12433-2 (2001) focuses on hospitals with up to 100 beds. These standards aim to ensure that hospitals are planned efficiently and are responsive to the health needs and priorities of the community. Indian Standards on Basic requirements for hospital planning

IS 12433 (Part 1) Basic requirements for hospital planning - up to 30 bedded hospital SECTION 1 FUNCTIONAL PROGRAMM SECTION 2 FUNCTIONAL AND SPACE REQUIREMENTS SECTION 3 MANPOWER REQUIREMENT SECTION 4 INSTRUMENTS AND EQUIPMENT SECTION 5 BUILDING REQUIREMENTS

IS 12433 (Part 2) Basic requirements for hospital planning - up to 100 bedded hospital SECTION 1 MEDICAL PROGRAMME SECTION 2 FUNCTIONAL PROGRAMME SECTION 3 AREA REQUIREMENT SECTION 4 WORK FLOW SECTION 5 MANPOWER REQUIREMENTS

IS 12377 Classification and matrix for various categories of hospitals Provides a classification system for different types of hospitals Aims to standardize hospital planning and design. Classifies hospitals based on size, services, and facilities. Includes categories like primary, secondary, and tertiary care hospitals. This standard specifies classification and matrix for five categories of hospitals. It includes the classification according to the functions in alphabetical order with code number, matrix and organizational classification. Offers a matrix to help planners determine the requirements for each hospital category. Ensures consistency in hospital infrastructure and services. Ensures hospitals meet the necessary standards for patient care and safety.

Specific Healthcare Facility Guidelines Objective: Objective: To explore planning considerations for specific facilities such as nursing homes, maternity homes, and single-doctor clinics

IS 15784 Healthcare facilities - Particular requirements Establishes standards for healthcare facilities to ensure quality and safety Aims to promote transparency and accountability in healthcare services. Provides guidelines for the design and construction of healthcare facilities. Emphasizes the importance of infection control measures in the design. Lists essential medical equipment and instruments required for various departments Ensures a balanced staff-to-patient ratio for efficient hospital functioning. Emphasizes the importance of training healthcare workers. Promotes the establishment of research facilities within healthcare institutions. Provides guidelines for patient care practices to ensure safety and quality. Outlines policies for the efficient operation of healthcare facilities. Includes guidelines for waste management, infection control, and environmental safety.

Establishes standards for planning and operating nursing homes. IS 15902 Guidelines For Nursing Home Covers functional, space, manpower, instruments, and equipment requirements. Defines the necessary departments and services within a nursing home. Outlines the necessary medical, nursing, and support staff. Lists essential medical instruments and equipment for various departments. Provides guidelines for patient care practices to ensure safety and quality. Outlines policies for the efficient operation of nursing homes. Encourages regular assessment and improvement of nursing home services. Emphasizes the importance of training and professional development for staff. Provides guidelines for record-keeping and data management.

Establishes standards for planning and operating maternity nursing homes. Covers functional, space, manpower, instruments, and equipment requirements. IS 15903 Guidelines For Maternity Nursing Home Defines the necessary departments and services within a maternity nursing home. Specifies the minimum area for each department and room. Outlines the necessary medical, nursing, and support staff. Lists essential medical instruments and equipment for various departments. Provides guidelines for patient care practices to ensure safety and quality. Outlines policies for the efficient operation of maternity nursing homes. Encourages regular assessment and improvement of maternity care services. Emphasizes the importance of training and professional development for staff. Provides guidelines for record-keeping and data management.

IS 15904 Guidelines For Single Doctor Clinic--Including Dental Clinic

Quality Management and Performance Requirements for Hospitals Objective: Objective: To provide an overview of quality management principles in hospital services and their impact on patient outcomes.

Quality Management Definition Importance of Quality management in Hospitals

IS 15551 Quality management systems - Guidelines for process improvements in health service organizations Quality Management Principles Process Approach Continual Improvement This standard aims to help health service organizations develop and improve their quality management systems, ensuring they meet the needs of their customers and other interested parties Error Prevention Reduction of Variation and Waste Implementation Guidelines

Quality Management in Hospital Services Objective: Objective: To familiarize participants with quality management procedures in specific hospital services.

IS 13808 (Part 1-5) Quality management for hospital services (For 30 - Bedded Hospital) Part 1 Out-patient department (OPD) and emergency services Part 2 Diagnostic and blood transfusion services Part 3 Wards, nursing services and operation theatre Part 4 Hospital support services Part 5 Hospital equipment management

Performance Guidelines Objective: Objective: To examine performance evaluation criteria for hospital services

IS 15195 Performance guidelines for quality assurance in hospital services up to 30 - Bedded hospitals Quality Assurance System Performance Requirements Evaluation and Monitoring Patient Care and Safety IS 15461 Performance guidelines for quality assurance in hospital services up to 100 - Bedded hospitals Operational Policies Staffing Requirements Training and Development Documentation and Record- Keeping

Conclusion Recap of both sessions Discussion on the path forward for applying learning. Open House discussion Feedback collection from participants