Sandeep Kumar Thammela Email and Phone Number

Conduct the initial assessment of the hospital keeping in mind the NABH accreditation.To do the gap analysis of the facility as against NABH requirements.Structural Changes are given as per NABH Standards.Orient and sensitize the staff for NABH Standards.Conduct a training need assessment.To review the licenses.Submit a detailed gap analysis and action report to the management.Preparation of all SOP’S and Manuals.Review of documents and data required for application.Sending of NABH Application as per NABH requirement to Quality council of IndiaTo suggest creation of various committees and schedules.Selection of Master trainers & initiation of training Program.Implementation of 64 Quality Indicators across the hospital and Monthly analysis of Indicators by using statistical tools.Implementation of departmental standards.Carry out the detailed review of the documentation and manuals.Help create Signage, Layout maps etc.Conducting Final exhaustive training sessions across the hospitals (after documentation)To do an Internal Audit and Generation of Internal Audit Reports.Conduct of Committee Meetings and Preparation of Minutes of Meetings.Doing Gap Closure based on Internal Audit Reports.Conducting mock drills and Emergency Codes for various emerging procedures.To fix up the date for pre-assessment.Completion of Pre-assessment Gaps.Preparation of Non-Conformities report with Corrective and Preventive action.Closure of Non-Conformities of Pre-assessmentComplete training of the staff in association with internal trainers identified from the hospital.Conduct internal audit to assess the hospitals level of preparedness for final assessment.Request for Final Assessment.Completion of Final Assessment.Doing Surveillance Audit for NABH Accredited Hospitals.

Consultant role in quality department where the projects handling by me

Status Preparation for Pre-assessment 11 Project Name: NABH Accreditation (PRE-ENTRY LEVEL); Status Preparation for Assessment AREAS OF INTERSETQuality Department.Hospital Operations Department.Health Insurance.Public Health

Status FINAL ASSESSMENT COMPLETED (Awaiting for Certification); NABH Accreditation; Ongole; Status FINAL ASSESSMENT COMPLETED (Awaiting for Certification); NABH Accreditation; Status Certified; NABH Accreditation; Status FINAL ASSESSMENT COMPLETED (Awaiting for Certification) 6 Project Name: NABH Accreditation; NABH Accreditation; Status Preparation for Final-assessment 8; NABH Accreditation; Status Preparation for Pre-assessment; Project Name: NABH Accreditation (PRE-ENTRY LEVEL); Status Preparation for Assessment 10; NABH Accreditation

VISAKHAPATNAM; Status Certified; NABH Accreditation