Background
Quality Assurance Programme came into being to meet
and enhance satisfaction level among users of Government health facilities and for
developing trust in Public health facilities. Quality Assurance in healthcare
has become a top priority for healthcare providers. A high quality of
healthcare can be maintained only by constantly measuring the effectiveness of
organization that provide it. It includes a range of activities including
review, evaluation, appraisal, surveillance and monitoring
Brief Note
Quality
Assurance is a never ending process of continuous improvement along with rapid
advances in science, technology and medical knowledge. The sustainability of
quality is a function of positive perception, result of good intention, sincere
effort, intelligent thinking and skillful execution.
Guideline
Quality
Assurance includes NQAS (National Quality Assurance Standards), Kayakalp award
to Public health facilities and LaQshya initiative.
NQAS- The cyclical process of Quality Assurance to meet the need of public
health system in the country requires continuous monitoring against defined standards and
measurable elements. To sustain a viable Quality Assurance programme, regular
assessment of health facilities by their own staffs and State and ‘action
planning’ for traversing the observed gaps is required because the expectation
goes beyond only cure and includes courtesy, behavior of staff, cleanliness of
facility and delivery of prompt and respectful service.
KAYAKALP - A national initiative launched by Union Health Minister on 15th
May 2015 to give awards to those public health facilities that demonstrate high
levels of cleanliness, hygiene and infection control. Government of Bihar
launched Kayakalp clean hospital award scheme for on 21st Aug 2015.
LaQshya - A patient centric care that
is intended to improve the quality of care in Labour room and Maternity
Operation Theatre in high case load health facilities. It urges to undertake
efforts in a campaign mode to ensure that respectful and high quality maternal
care is provided to each woman during delivery and immediate postpartum period.
Key Beneficiaries
Kayakalp
|
Sl. No. |
Category |
1st Prize (In Lakhs) |
2nd Prize (In Lakhs) |
Commendation Award (In Lakhs) |
Remarks |
|
1 |
DH |
50 |
20 |
03 |
v 25 % of total Amount will be distributed among HRs
placed in facility as incentive. v 75 % of total
amount will be kept in RKS for closing gaps
|
|
2 |
SDH/RH/CHC |
15 |
10 |
01 |
v 25 % of total Amount will be distributed among HRs
placed in facility as incentive. v 75 % of total
amount will be kept in RKS for closing gaps
|
|
3 |
PHC/APHC WITH BED/ WITOUT BED |
2 |
NA |
50 Thousand |
v 25 % of total Amount will be distributed
among HRs placed in facility as incentive. v 75 % of total amount will be kept in RKS
for closing gaps |
|
HSC LEVEL HWC |
|||
|
S. No. |
No. of Health Facilities |
No. of Awards |
Award Amount |
|
1. |
10 – 25 |
One Winner |
1 Lakh |
|
2. |
All HSC Level HWCs scoring 70% or more
in External Assessment |
Commendation Awards
|
25,000/-
|
|
Award Criteria
for UPHC |
||||
|
S. No. |
No. of Health Facilities |
No. of Awards |
Award Amount (In Lakh Rs.) |
Unit of
Allocation |
|
1. |
20 - 50 |
One Winner |
2.00 |
IN Each Cluster 1 Winner 1 Runner |
|
1st Runner up |
1.50 |
|
||
|
2. |
All
U-PHCs scoring
70% or more in External Assessment |
Commendation Awards |
0.50 |
All eligible facilities |
LaQshya Incentive: 3 lakh per DH and 2 lakh Per SDH per department ( LR and
MOT)
NQAS
Incentive: a) For
DH/SDH: 10,000 per bed for full & 7,000 per bed for partial certification
and no. of applicable checklist.
b) For CHCs:
10,000 per bed for full & 7,000 bed for partial certification and no. of
applicable checklist
c) PHCs with
bed: 3 lakhs for full and 2 lakhs for conditionality
d) PHCs
without bed: 2 lakh for full and 1.5 lakh for conditionality
7. Most
important upcoming Events/ News of the scheme : Kayakalp award ceremony 2020-21
and State level LaQshya Certificate distribution ceremony is being planned
(Keeping Covid-19 pandemic in view).
8 to 10.
Achievement Data for Public/ Achievement data for official/ Health data for
public:
Kayakalp
winner facilities
|
Year |
Activities |
|
2015 - 16
|
v Govt. of Bihar launched Kayakalp award scheme on 21
august 2015. v Applicable for only Districts Hospitals.
|
|
2016 - 17
|
v The scheme was extended to SDH/CHC and PHC/APHC.
|
|
2017 - 18
|
v A new thematic Area: G-Beyond Boundry Wall was been
introduced and is applicable to all facilities. The scheme has been extended to UPHC (NUHM) |
|
2019 - 20
|
v The scheme was extended to HSC level HWC.
|
|
DISTRICT HOSPITAL CATEGORY |
|||
|
F. YEAR |
WINNER |
RUNNER |
COMMENDATION |
|
2015-16
|
DH - MOTIHARI
|
DH - KHAGARIA
|
DH - SIWAN DH - AURANGABAD
|
|
2016-17
|
DH - SIWAN
|
DH - BANKA
|
DH - KHAGARIA DH - MOTIHARI
|
|
2017-18
|
DH - MOTIHARI
|
DH - BEGUSARAI
|
No facility score 70%
|
|
2018-19
|
DH - BEGUSARAI
|
DH - PURNIA
|
DH - BANKA
|
|
2019-20
|
DH - BANKA
|
DH - SHEIKHPURA
|
DH - BEGUSARAI DH - MOTIHARI
|
|
SDH/ CHC/ RH CATEGORY |
|||
|
F. YEAR |
WINNER |
RUNNER |
COMMENDATION |
|
2016-17
|
CHC -
SHAMBHUGANJ (BANKA) |
No facility score 70% |
No facility score 70% |
|
2017-18 |
CHC -
UCHKAGAON (GOPALGANJ) |
CHC -
MADANPUR (AURANGABAD) |
No facility score 70% |
|
2018-19 |
CHC -
RAFIGANJ |
CHC -
BARUN |
CHC - JAGDISHPUR CHC - MADANPUR CHC - DHARHARA |
|
2019-20 |
CHC -
JAGDISHPUR (BHAGALPUR) |
CHC -
PIRPAINTI (BHAGALPUR) |
1.CHC -
SHAHKUND 2.CHC-BACHWARA 3.CHC-BELHAR 4.CHC-BARAUNI 5.CHC-RAFIGANJ 6.CHC-BARUN 7.CHC-KARAKAT 8.CHC-OBRA 9.RH-SULTANGANJ 10.CHC-TARAPUR 11.CHC-RANGRA 12.SDH-SONEPUR 13.RH-NATHNAGAR 14.DHARHARA 15.SAURBAZAR 16.CHC-AMARPUR 17.CHC-DHORAIYA
|
|
UPHC CATEGORY |
||||
|
F.YEAR |
CLUSTER |
WINNER |
RUNNER |
COMMENDATION |
|
2017-18
|
3rd |
Katarihill (Gaya) |
None |
None |
|
4th |
Matachawk (Purnea) |
None |
Madhubani(Purnea) Ramnagar (Katihar)
|
|
|
2018-19 |
2nd |
Hussainabad(Bhagalpur) |
Rekabganj(Bhagalpur) |
Ambedkarnagar(Munger) Ramnagar(KatiHar) Madhubani(Purnea) |
|
3rd |
Iqbal nagar (Gaya) |
Katarihill(Gaya) |
None |
|
|
4th |
Bada Telpa(Saran) |
None |
None |
|
|
2019-20 |
NA |
NA |
NA |
NA |
LaQshya:
State
Certified so far
|
S. No |
Name of facility |
District |
|
1 |
DH Purnia |
Purnia |
|
2 |
DH Begusarai |
Begusarai |
|
3 |
SDH Banmankhi |
Purnia |
|
4 |
CHC Ucchakagaon |
Gopalganj |
|
5 |
CHC Singheswar |
Madhepura |
|
6 |
CHC Saurbazar |
Saharsa |
|
7 |
CHC Barul |
Aurangabad |
|
8 |
CHC Rafiganj |
Aurangabad |
|
9 |
DH Vaishali |
Vaishali |
|
10 |
CHC Dharhara |
Munger |
|
11 |
DH Banka |
Banka |
|
12 |
CHC Bagwanpur |
Vaishali |
|
13 |
CHC RunniSaidpur |
Sitamarhi |
|
14 |
RH Pirpainti |
Bhagalpur |
|
15 |
CHC Jagdishpur |
Bhagalpur |
|
16 |
GGS Patna |
Patna |
|
17 |
CHC Phulwarisarif |
Patna |
|
18 |
DH Sheikhpura |
Sheikhpura |
|
19 |
CHC Obra |
Aurangabad |
|
20 |
RH Amarpur |
Banka |
|
21 |
RH Bonshi |
Banka |
|
22 |
DH Gaya |
Gaya |
|
23 |
DH Saran |
Saran |
|
24 |
SDH Sherghati |
Gaya |
|
25 |
DH Madhubani |
Madhubani |
|
26 |
DH Bhagalpur |
Bhagalpur |
|
27 |
CHC Kasba |
Purnia |
|
28 |
CHC Bhawanipur |
Purnia |
|
29 |
DH Samastipur |
Samastipur |
|
30 |
DH Araria |
Araria |
|
31 |
DH Munger |
Munger |
|
32 |
CHC Nardiganj |
Nawada |
National
Certified :
|
Sl No |
District |
Facility |
Remarks |
|
1 |
Banmakhi |
SDH |
|
|
2 |
Purnea |
DH |
|
|
3 |
Sherghati |
SDH |
|
|
4 |
Gaya |
DH |
|
|
5 |
Sheikhpura |
DH |
|
|
6 |
Banka |
DH |
|
|
7 |
Vaishali |
DH |
Conditionality |
|
8 |
Madhubani |
DH |
|
|
9 |
Saran |
DH |
Conditionality |
|
10 |
Patna |
GGS |
Conditionality |
|
11 |
Begusarai |
DH |
|
NQAS : DH Begusarai (Partial Certification)
CHC Rafiganj (Full Certification)