Tiered elements
Core, Commitment, Achievement and Excellence elements are colour-coded throughout. Core elements are called out separately because a single non-compliance there carries different weight.
Features
Everything the assessor asks to see, held in one place
NABHDesk is built around the way a quality team actually works through the year — scoring, chasing owners, filing indicators, running committees — not around a document library that goes stale.
Module 01
Standards library and applicability
The full 6th Edition tree, from chapter down to objective element, with each element carrying its tier, a plain-language requirement, an implementation note and the evidence an assessor typically asks for.
Applicability control
No obstetric unit, no blood bank, no radiation source? Mark those elements not applicable with a recorded reason and they leave your denominator instead of sitting red forever.
Department mapping
Elements are tagged to nursing, pharmacy, lab, housekeeping, biomedical, HR and so on, so a department head sees only their own list.
Programme aware
Entry Level, SHCO and full HCO each load their own element set, committee list and indicator set.
Module 02
Gap assessment and scoring
Score and evidence together
Score the element, write the finding, attach the evidence file or link the controlled document. The score and its proof never drift apart.
Owner and target date
Each gap becomes a task with a named owner. Overdue items escalate to the quality manager, not the other way round.
Projected score
Chapter-wise readiness and an overall projection update live, so leadership can see whether the assessment date is realistic.
Multiple assessments
Self, internal, mock and pre-assessment rounds are kept separately so you can show improvement across cycles.
Assessor view
A stripped-back read-only view that mirrors what an assessor works through, chapter by chapter.
Evidence pack export
One export containing scores, findings, attached evidence index and indicator trends for the assessment window.
Chapters covered
All ten, in the 6th Edition structure
AAC · Patient centric
Access, Assessment and Continuity of Care
Scope of services, registration and admission, initial and re-assessment, laboratory and imaging services, transfer, referral and discharge.
COP · Patient centric
Care of Patients
Uniform care delivery, emergency and ambulance services, resuscitation, high-risk and vulnerable patients, anaesthesia, surgery, obstetric, paediatric, ICU, end-of-life and pain management.
MOM · Patient centric
Management of Medication
Formulary, procurement, storage, prescription, dispensing, administration, high-alert drugs, narcotics, sample and recall management, adverse drug event monitoring.
PRE · Patient centric
Patient Rights and Education
Rights and responsibilities, informed consent, tariff transparency, protection of vulnerable patients, patient education and grievance redressal.
IPC · Patient centric
Infection Prevention and Control
Infection control programme and committee, hand hygiene, surveillance of healthcare associated infections, isolation, sterilisation, laundry, kitchen and biomedical waste.
PSQ · Organisation centric
Patient Safety and Quality Improvement
Structured quality and safety programme, patient safety goals, quality indicators, clinical audit, incident and sentinel event reporting, CAPA and internal audit.
ROM · Organisation centric
Responsibilities of Management
Governance, organogram, leadership, statutory and regulatory compliance, ethics, risk management and service continuity.
FMS · Organisation centric
Facility Management and Safety
Safe environment, facility inspection rounds, fire and non-fire emergencies, medical gas, utilities, equipment and hazardous material management.
HRM · Organisation centric
Human Resource Management
Staffing plan, recruitment, credentialing and privileging, orientation, training, appraisal, health and disciplinary processes.
IMS · Organisation centric
Information Management System
Medical record content and retention, confidentiality and integrity, data and information management, digital health adoption and IT security.
Modules 03 to 08
The routine that keeps the file alive
03
Document control
Document number, version, effective date, next review date, approver and acknowledgement list. Review-due alerts go out before the date, not after the assessor finds it.
04
Committees
Constitution, members, planned calendar, agenda, attendance, minutes and carried-forward action points for every mandatory committee.
05
Quality indicators
Monthly numerator and denominator with target, trend chart and remarks. Computed indicators arrive from the HIS.
06
Incidents and CAPA
Reporting form for any staff member, severity grading, root cause analysis, corrective and preventive action with effectiveness verification.
07
Audits and drills
Reusable checklist templates, sample size, department, auditor, score and non-conformities that flow into the CAPA register.
08
HR, equipment, licences
Registration validity, privileges, training attendance, PPM and calibration due dates, statutory licence expiry — all on one alert calendar.
Ready to see it on your chapter list?
Bring your last gap assessment and we will load it during the walkthrough.
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