NABH Re-accreditation — How to Maintain Standards Between Cycles

Achieving NABH accreditation is a milestone — but maintaining it between surveillance visits and at re-accreditation is where many hospitals struggle.

NABH accreditation is valid for 3 years. During this period, NABH conducts annual surveillance visits to verify ongoing compliance. Many hospitals let their quality systems deteriorate between these visits — a major mistake.

Annual Surveillance Requirements

• Submit annual performance report to NABH
• Maintain all documentation and records as during initial accreditation
• Continue internal audits on schedule
• Maintain IQC, EQA, and quality metrics
• Update SOPs and policies as standards or practices change
• Report any sentinel events or serious adverse events to NABH

Common Post-Accreditation Pitfalls

• Quality team shrinks or key personnel leave after accreditation
• IQC and documentation becomes inconsistent
• Staff training lapses
• Equipment calibration and maintenance falls behind
• Management attention shifts away from quality after the certificate is received

How AMC Plans Help

Ease Care Consultancy’s Annual Maintenance Contract (AMC) plans are specifically designed to prevent post-accreditation drift. Our team provides continuous support including quarterly virtual mock audits, documentation reviews, staff training, and quality metrics monitoring — keeping your facility genuinely ready for NABH surveillance at all times.