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 |
|
| 2 | SDH/RH/CHC | 15 | 10 | 01 |
|
| 3 | PHC/APHC WITH BED/ WITHOUT BED | 2 | NA | 50 Thousand |
|
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 per 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
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) | CHC - SHAHKUND, CHC - BACHWARA, CHC - BELHAR, CHC - BARAUNI, CHC - RAFIGANJ, CHC - BARUN, CHC - KARAKAT, CHC - OBRA, RH - SULTANGANJ, CHC - TARAPUR, CHC - RANGRA, SDH - SONEPUR, RH - NATHNAGAR, DHARHARA, SAURBAZAR, CHC - AMARPUR, 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 | Banmankhi | 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)
Supportive Supervision
- Supportive Supervision
- Minutes & Meeting