IRDAI Notification

Standards and Benchmarks for the Hospitals in the Provider NetworkIRDAI Notification on Hospitals for Insurers and TPAs

IRDAI has released a notification on 20th July, 2022 with an advisory to Non Life Insurers and TPAs about on boarding Hospitals under Cashless Empanelment Scheme and the changes to the Standards and Benchmarks Criteria laid down for the Hospitals earlier.

This advisory calls for Insurers choosing their own empanelment criteria for Hospitals and updating the same in their respective websites for the benefit of industry and stakeholders , as updated from time to time.

IRDAI has suggested to Board of Insurers to consider the Minimum Resources and Infrastructure conditions that prevail in wide range of Hospitals across the country while empanelling the Hospitals. The insurers are now empowered to empanel the network providers that meet the standards and benchmarks criteria as specified by their respective boards. The board approved empanelment criteria shall be published in the website of the insurers from time to time.

This advisory enables Insurers to extend the scope of coverage of cashless scheme to wide range of healthcare facilities in the country. While empaneling network providers for cashless facility, insurers are also advised to focus on the delivery of quality healthcare services.

These instructions come into force with immediate effect.

Download the IRDAI Advisory here

Source – https://www.irdai.gov.in/ADMINCMS/cms/Circulars_Layout.aspx?page=PageNo4762

To understand the requirement of IRDAI advisory on Standards and Benchmarks for the Hospitals, please download the earlier advisories as shared below :

Master circular (ref. IRDAI/HLT/REG/CIR/193/07/2020 dated 22nd July, 2020). . Download here to read more about the Master Circular

Please read Chapter IV of the Master Circular shared above to understand the norms laid down under Standards and benchmarks for hospitals in the provider network. Reading the Master Circular of 2020 helps healthcare establishments understand the specification laid down earlier for Cashless Schemes and Reimbursement Claims .

What does the Chapter IV of the Master Circular says ?

Insurers and TPAs, wherever applicable, shall ensure that Network Providers or Hospitals which meet with the definition of ‘Hospital’ provided in Chapter I of these Guidelines shall meet with the following minimum requirements:

a. All the Network Providers as at 27th July, 2018 shall, comply with the following by 26th July, 2020:

i. Register with Registry of Hospitals in the Network of lnsurers (ROHlNl) maintained by lnsurance lnformation Bureau (llB). [https://rohini.iib.gov.in].

ii. Obtain either “NABH Entry Level Certification” (or higher level of certificate) issued by National Accreditation Board for Hospitals and Healthcare Providers (NABH) or State Level Certificate (or higher level of certificate) under National Quality Assurance Standards (NOAS), issued by National Health Systems Resources Centre (NHSRC).

iii. In respect of all the new entrants (after 27th July 2018), only those hospitals that are compliant with the requirements specified at Clause (a) (i) above shall be enlisted as network providers. These network providers shall comply with the requirements stipulated at Clause (a) (ii) above within one year from the date of enlisting as a Network Provider and this shall be one of the conditions of Health Services Agreement.

iv. lnsurers and TPAs may also endeavour to get hospitals (other than Network Providers) involved in reimbursement claims to meet the requirements stipulated at Clause (a) (i) and (a) (ii) above.

b. AYUSH Hospitals and AYUSH Day Care Centres which meet the definition of AYUSH Hospitals and AYUSH Day Care Centres defined under Chapter I of these Guidelines shall also obtain:

(i) Either “NABH Entry Level Certification” (or higher level of certificate) issued by National Accreditation Board for Hospitals and Healthcare Providers (NABH) or State Level Certificate (or higher level of certificate) under National Quality Assurance Standards (NQAS), issued by National Health Systems Resources Centre (NHSRC).

(ii) All the existing AYUSH Hospitals and AYUSH Day Care Centres shall comply with the requirements referred above within a period of twelve months from 26th November, 2019, if the said certificate
is not already obtained.

(Note: The above instructions at a and b are subject to the directions of the Hon’ble Delhi High Court in its order dated 29th May 2019 / 31st May 2019, in respect of W.P(C) 6237 of 2019, which needs to be complied with till further orders of the Hon’ble Court.)

c. The providers shall comply with the minimum standard clauses in the agreement amongst Insurers, Network Providers and TPAs applicable to providers listed in Annexure 22 of Master Circular Ref.
IRDAI/TPA/REG/CIR/130/06/2020 dated 03.06.2020 and as amended from time to time.

d. Providers shall be bound by the Provider Services—Cashless facility admission procedure laid down in Schedule A of Master Circular Ref. IRDAI/TPA/REG/CIR/130/06/2020 dated 03.06.2020 and as amended from time to time.

e. Providers shall be bound by the process of de-empanelment of providers laid down in Schedule B of Master Circular Ref. IRDAI/TPA/REG/CIR/130/06/2020 dated 03.06.2020 as amended from time to time.

f. Providers shall follow the standard discharge summary format prescribed under Schedule C of Master Circular Ref. IRDAI/TPA/REG/CIR/130/06/2020 dated 03.06.2020 and as amended from time to time.

g. Providers shall follow the standard format for provider bills prescribed under Schedule D of Master Circular Ref. IRDAI/TPA/REG/CIR/130/06/2020 dated 03.06.2020 and as amended from time to time.

h. Providers shall ensure that the standard claim form and form for request for cashless hospitalization for Health Insurance Policy provided for under Annexure 30 of Master Circular Ref.IRDAI/TPA/REG/CIR/130/06/2020 dated 03.06.2020 and as amended from time to time are adhered to in respect of all claims.

PHDCCI Conference

Interactive Video Conference on Understanding ISO 13485 Certification for Medical Devices

Chandigarh Chapter, PHDCCI is organizing 5th in the MDR-17 Series| Interactive Video Conference on Understanding ISO 13485 Certification for Medical Devices as per the following schedule:

Day & Date: Friday, 15 July 2022
Time: 2:30 pm to 5:00 pm
Platform: Zoom

Session Highlights

• 7 Basic Quality Management Principles
• Overview of the Certification process and
• Importance of 13485 Certification from Compliance perspective

Key Speakers

• Mr. Mahadevan. J, VP & Business Segment Head – Medical, DQS India- Deutsch Quality Systems (India) Private Limited, Kodihalli, Bengaluru
• Mr. M G Sathyendra, Consultant & Trainer – Global Certifications, Qmart Global, Yeshwantpur, Bengaluru
• Mr. P.K.Minocha, Director, Meril Life Sciences Pvt. Ltd., Chala Gujarat
• Mr. Rajiv Nath, Forum Coordinator, Association of Indian Medical Device Industry (AIMED), New Delhi
• Col. Rajiv Bhargava(Retd.), Associate Director, Indian School of Business, Mohali

Please register in advance by clicking the link:
https://us02web.zoom.us/meeting/register/tZYtdOyspjsuGNEyI95QZr_wRhoB9giV413X

You may send your questions to rimneet.kaur@phdcci.in prior to the session. The relevant questions will be answered during the programme.

For any query, you may contact:
Ms. Rimneet Kaur, Resident Director, PHD Chamber
Mob:+91 81460 02297 | Email: rimneet.kaur@phdcci.in

Mr. Avneet Singh, Sr. Resident Officer, PHD Chamber
Mob:+91 8283848012 | Email: avneet.singh@phdcci.in

NAAC Advisory on ISO 9001/ Green Certificates/ Audits

National Assessment And Accreditation Council, Bengaluru has issued a note – Advisory on ISO 9001 / Green Certificates / Audits to all the HEIs

As per the resolution of the 96th EC meeting held on 26-5-2022, NAAC has given an advisory note to all the Higher Education Institutions (HEIs) regarding how to check the authenticity of certificates provided for the couple of metrics on Quality Audit, Green Audit, Energy Audit and Environmental Audit in the manuals of the Self Study Report for institutional accreditation.

A detailed advisory is available in the following link.
http://naac.gov.in/index.php/en/component/search/searchword=Green%20Audits&searchphrase=all&Itemid=101

Source Link : http://naac.gov.in/images/docs/notification/Advisory_on_ISO9001-26-5-22.pdf

Notification from NABH – Launching New portal for 5th edition Hospital Accreditation Standards

NABH has released Notification on May 30,2022 on launching its new portal for 5th edition Hospital Accreditation Standards w.e.f. 01.06.2022

The new portal is designed in a manner to ensure objectivity, transparency, seamless functioning and a faster turn-around time. It also incorporates use of mobile applications to ensure real-time assessment process supported by objective evidence.

All the NEW APPLICANTS under the hospital accreditation programme are requested to register on the new portal w.e.f. 01-06-2022 via the link https://hcoaccreditation.nabh.co

The new portal is to be used only for the hospital accreditation programme, the other accreditation programs will continue to run on the existing portal.

Workshop on Pharmacovigilance

Workshop –Cum-Training program on Pharmacovigilance

Indian Pharmacopoeia Commission is organising a Workshop cum Training Programme on Pharmacovigilance for NABH Accredited Hospitals on Monday, July 11, 2022 between 9 am to 1 pm at Shekhar Hospital, Uttarpradesh

Total seats: 50, Registration will be accepted based on first come first serve basis.

Registration fee is Rs.1180 inclusive of GST. Last date for registration is July 6 2022.

PPE Guidelines

TECHNICAL BENCH MARKING GUIDE ON COVID-19-RELATED PERSONAL PROTECTIVE EQUIPMENT – Technical Regulations and Standards for PPE in select markets

Covid 10 pandemic has disrupted the global supply chain for PPEs (intended for medical use). Pandemic led confusion has created chaos and supplies became border less to tide over the crisis period requirements. Emergency Use Authorizations were the order of the day in many countries to ensure seamless supply of Medical PPEs across the globe.

This was also the time when markets have realised that there was not much clarity on Technical Standards, Regulations in use across the globe. This void due to lack of knowledge, single guideline document has led to more confusion and chaos to the supply chain. Covid 19 is still not over and markets continue to experience waves after waves with rise of new variants and masking up remains a constant requirement.

In support of the International Finance Corporation’s (IFC) Global Health Platform, IFC launched a Global Advisory Program on PPE in 2020, with funding and support from the UK government’s Foreign, Commonwealth and Development Office (FCDO). The program’s main objective is to support the diversification of global supply chains for PPE and to work with manufacturers and governments in developing countries to increase the manufacturing and supply of quality PPE in those countries. One critical knowledge gap was a guide that compares technical regulations and standards for PPE across countries.

This technical bench marking guide forms a key part of IFC’s Global Advisory Program and provides manufacturers and purchasers with a tool to navigate through the technical regulations, product specifications and conformity assessment requirements associated with selected markets around the world.

The guide focuses on medical PPE, excluding protective equipment and professional workwear to protect workers in other industries, outside health care.

Overall, the guide seeks to simplify comparisons between the various COVID-19-related PPE categories and markets by using a system of color coding to highlight similarities and differences.

For those who need more detail, it also takes a deeper dive into the technical regulations, product standards, and testing criteria for each PPE/market combination.

Document can be downloaded from the following link :

Source – https://www.bsigroup.com/globalassets/documents/ppe/ppe-web-page/technical-benchmarking-guide-for-medical-ppe.pdf

ISO Annual Meeting 2022

Global challenges and technological developments and understand the potential of standards

REGISTRATION IS NOW OPEN for ISO’s must-attend event of the year!

The ISO Annual Meeting is the keystone event in the ISO calendar featuring thematic sessions, networking opportunities, the ISO General Assembly, and much more…

Join a conversation exploring today’s most important global challenges and technological developments and understand the potential of standards as accelerators of change for good.

Connect and network with national standard bodies, industry leaders and international organizations from around the world.

Sign up now – https://lnkd.in/eC47pcXp

WAD 2022 Celebrations from CCC

2 Days Conference on Sustainability – World Accreditation Day 2022 Celebrations at Chennai on June 9-10 2022 (Hybrid Session)

About #WAD2022

June 9th 2022 marks World Accreditation Day (#WAD2022), a global initiative established by ILAC and IAF to promote the value of accreditation.

Download the following announcements :

This year’s theme :

Accreditation: Sustainability in Economic Growth and the Environment, focuses on how accreditation supports the United Nations Sustainable Development Goals – (SDGs) 6, 7, 8, 9, 11, 12, 13, 14, 15.

#WAD Celebrations – an annual initiative from Consultants Consortium of Chennai (CCC)

CCC has been organising series of Knowledge Sessions for the benefit of the industry during WAD Month since its inception. WAD 2020 and WAD 2021 were well received by the industry. We had conducted virtual learning sessions during this period.

#WAD2022 Celebrations

WAD 2022, however would be a Hybrid Session. We are planning to organise a physical session in University Auditorium in Chennai with a target audience of around 100 -150 members (offline) and plus online viewers.

The Conference is jointly organized by International Accreditation Service (IAS), USA and Bureau of Indian Standards

International Accreditation Service

IAS is a nonprofit, public-benefit corporation that help organizations demonstrate compliance and competence to their customers, regulators and the public. IAS has been providing accreditation services since 1975. IAS accredits a wide range of companies and organizations including governmental entities, commercial businesses, and professional associations. IAS accreditation programs are based on recognized national and international standards that ensure domestic and/or global acceptance of its accreditations.

IAS also maintains signatory status in a number of global multilateral recognition arrangements under Asia Pacific Accreditation Cooperation (APAC), International Accreditation Forum (IAF) and International Laboratory Accreditation Cooperation (ILAC). IAS is a member of the ICC Family of Solutions.

As one of the leading accreditation bodies in the United States, IAS is a signatory to the three primary international organizations that form a unified system for evaluating and recognizing competent accreditation bodies worldwide.

Bureau of Indian Standards

BIS is the National Standard Body of India established under the BIS Act 2016 for the harmonious development of the activities of standardization, marking and quality certification of goods and for matters connected therewith or incidental thereto. BIS has been providing traceability and tangibility benefits to the national economy in a number of ways – providing safe reliable quality goods; minimizing health hazards to consumers; promoting exports and imports substitute; control over proliferation of varieties etc. through standardization, certification and testing

Keeping in view, the interest of consumers as well as the industry, BIS is involved in various activities as given below:

Standards Formulation
Product Certification Scheme
Compulsory Registration Scheme
Foreign Manufacturers Certification Scheme
Hall Marking Scheme
Laboratory Services
Laboratory Recognition Scheme
Sale of Indian Standards
Consumer Affairs Activities
Promotional Activities
Training Services, – National & International level
Information Services

Conference Theme :

Sustainability in Economic Growth and the Environment
-How accreditation supports the United Nations Sustainable Development Goals (SDGs) 6, 7, 8, 9, 11, 12, 13, 14, 15.

Conference Sessions are built for multiple sectors touching upon the Sustainability Initiatives in various sectors and applicability of various Standards, Certifications, Accreditations , Regulations to ensure that Sustainable Products and Services are offered to Consumers.

Sustainability is a Trade Issue and World Markets are linking World Trade to Sustainability initiatives adopted by various countries.

ESG is based on standards set by lawmakers, investors, and ESG reporting organizations (e.g., GRI, TCFD, MSCI), whereas Sustainability Standards — while also set by standards groups like GHG Protocol — are more science-based and standardized.

Dates :
June 9th and 10th 2022 – Thu & Fri
Time – 10 00 am – 5 45 pm IST
Session Mode – Hybrid (Online and Physical)
Venue – Auditorium inside Anna University Campus

Who should attend ?

Sessions would be open to Accreditation Bodies, Certification Agencies, Conformity Assessment Bodies, Inspection bodies, Govt organisations, Members of Trade & Industry Associations, Chambers of Commerce, Entrepreneurial Hubs, MS Consultants, Technical Experts, Startups, Innovators

Sessions at a glance :

Program Agenda
Day 1 – Inaugural Session

Registration Details

Open to all stakeholders in Conformity Assessment.

Industry, ABs, CBs, CABs, Inspection bodies, Consultants, Technical Experts, Industry Associations, Innovators, Start-ups, Entrepreneurial Platforms, Government organisations.

There is NO REGISTRATION FEE

However prior registration is a must for participation.


Contact Co-ordinators

Ms Rama Venugopal, President
Whatsapp +91 9840870532
Email – contact@ccc-consultants.org

Mr D Srikanthan, Secretary
Whatsapp +91 9003056539
Email – secretariat@ccc-consultants.org

Secretariat Office
Phone+044 24462337 / 24462338
Email – communication@cccassociation.org

InformationUpdate

Industry Information Updates – Healthcare Sector

NABH Announcements

Announcements from NABH – Fee Remittance Norms & Communication Matrix to be followed by all Applicant / Certified / Accredited Healthcare Organizations

Announcement 1 – Fee Remittance Notification

Kind Attention : All applicant / Accredited / Certified Health Care Organisations under all programs of NABH

In continuation to the previous notice of NABH related to fee payments  issued  on February 16, 2021, many Healthcare Organisations associated with NABH, are still making direct payment to Quality Council of India – NABH. NABH is facing d i f f i cu l t y in reconciling the amounts received directly as the details of payment are also not updated by the respective HCOs in their online portal.

To avoid unnecessary wastage of time  and  manpower  in  tracking  the  payments, NABH advises its stakeholders to  make payments  only through  the online portal  using the Payment Gateway  so that the payments  are appropriately  tracked  for  convenience  of all the parties.

In order to facilitate the Healthcare  Organisations  to reconcile  the fee payment  status,  NABH is requesting all the HCOs to follow the below steps with immediate effect:

  1. The HCOs a r e advised to login into their HCO account on the NABH portal for making payments through payment gateway via credit card/debit card/net banking.
  • HCOs are advised to refrain from depositing cash/cheque/DD directly into  any  account of Quality Council of India.
  • In case the HCO has no other option but Bank Transfer (NEFT/RTGS), it shall be responsibility of the HCO to update the transaction details like Unique Transaction Reference (UTR) Number, Date of Transaction, Transaction Amount, etc  on  the NABH Portal under the Make Payment category and inform NABH that the Payment was done and get the receipts generated for the payments made.
  • The HCOs are also requested to ensure that the payment details with respect to fee payments of current and previous accreditation cycles have been updated on the NABH portal account of the HCO, if not done earlier.

QCI-NABH plans to stop direct payments into its accounts done through DD/Cheque/Cash Deposit/Offline Bank Transfer (NEFT/RTGS) by March 31, 2022 and is seeking the cooperation from HCOs in this regards.

Download the notification from NABH here

Announcement 2 – Communication Matrix Released for the benefit of all Applicant / Certified / Accredited HCOs

NABH has earlier issued NABH communication matrix – NABH/Notification/Communication/2020/2049 dated 25th September 2020

All the applicant and accredited/ certified HCOs that are listed in the NABH portal have the provisions for making communications with the officials of NABH through “REMARKS COLUMN”. All HCOs are requested to utilise “REMARKS” for communicating/ raising queries regarding status of their applications for accreditation/ certification to ensure transparency as well as for records.

HCOs are also requested to refrain themselves from communicating through emails or telephonically. It is practically not possible to reply to each mail or phone call individually. Moreover, neither your communication nor reply from NABH is captured for the case record purpose.

In case, the queries of the HCOs submitted through remarks on the portal are not replied within three working days, emails to Program Heads may be sent, along with contents of email copied at on-line portal remark column. The list of all programs of NABH and the responsible Program Head with contact details are listed in the notification released by NABH.

Download the notification from NABH

Source : https://nabh.co/index.aspx