NABH Committee

NABH Website
NABH Activities

National Board of Accreditation for hospitals-(NABH) Website

NABH accreditation process was initiated in our institution in August 2021.

Vision

Providing comprehensive healthcare, with consistent treatment protocols, executed by multidisciplinary and integrated specialities with expertise and be the leader in academics and research.

Mission

  • Excellence in Patient care
  • Ethical Treatment Protocols
  • Empathetic teamwork
  • Epitome patient recovery profile
  • Exemplary array of academic opportunities
  • Eminent Academicians with elaborate research spectra
  • Encourage Innovation

Faculty

Chairperson: Dean

Nodal Officer: Dr. S. Subitha

NABH Team: Dr. S. Padmakantha, Dr. H. Dhanaselvi

Committees

Core Committee & Sub Committees

Core Committee Members:

  1. Dr. M. Bhavani, Medical Superintendent
  2. Dr. M. Subramani, Residential Medical Officer
  3. Dr. S. Subitha, Nodal Officer, NABH
  4. Dr. S. Subash, Director, Transfusion Medicine
  5. Dr. Padmavathi R., Professor, Pathology
  6. Dr. K.M. Sudha, Professor, Pharmacology
  7. Dr. Tasneem Banu S., Professor, Microbiology
  8. Dr. T.S. Shanthi, Professor, Internal Medicine
  9. Dr. Lucy Nirmal Madona, Professor, Microbiology
  10. Dr. V. Vijayalakshmi, Professor, General Surgery
  11. Dr. M. Vijayasankar, Professor, Anesthesia
  12. Dr. T.B. Umadevi, Professor, Internal Medicine
  13. Dr. Samuel Jayaraj Daniel, Asso. Professor, Dermatology
  14. Dr. Padmakantha, Quality Manager NABH
  15. Mr. Ravindranath, Senior Medical Record Officer
  16. Mr. Elango, Medical Store Officer
  17. Mr. Usharani, Surgical Store Officer
  18. Mr. Mohan, Office Superintendent, P&D Section, RGGGH
  19. Er. Meenakshi Sundaram, AE-PWD Civil
  20. Er. S. Kavibarathi, AE-Biomedical
  21. Er. Harish Reddy, AE-PWD Electrical

Sub Committees:

1 Quality Improvement Committee
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Quality Improvement Committee

Members:

  1. Dr.R.Padmavathi, Director I/C of Pathology, Organizing Secretary of QIC
  2. Dr. Kalaivani, Director of Institute of Venerology
  3. Dr. Balasubramanian, Director of Neurology
  4. Dr. Geetha, Professor of Radiology, RGGGH
  5. Dr. Senthil Kumar, Professor of Community Medicine
  6. Dr. Amuthavalli, Professor of Biochemistry
  7. Dr. Vidhya Narasimhan, Asso. Professor of Neurology
  8. Mrs. Vijayalakshmi, Nursing Superintendent, Gr-II
  9. Mrs. Jebaselvi, Nursing Superintendent, Gr-II
  10. Mr. Elango, Medical Store Officer
  11. Mrs. Renuka Devi, Chief Pharmacist
  12. Mr. Naresh, Technician, Pathology
  13. Dr. S. Ramalingam, Asso. Professor of Forensic Medicine

Roles:

  • Analysing Key Performance Indicators and enforcing adherence.
  • Regular internal audit of all departments with follow-up.
  • Increasing the quality of patient care.
  • Improving the safety of healthcare workers.
  • Systematic training for newly inducted personnel and scheduled in-house retraining.
2 Cardiopulmonary Resuscitation Committee
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Cardiopulmonary Resuscitation Committee

Members

  1. Dr. M. Vijayasankar, Professor of Anesthesia, Secretary of CPR Committee
  2. Dr. Parimala Sundari, Professor, Institute of Internal Medicine
  3. Dr. P. Sathya, Director, Institute of Physiology
  4. Dr. Gomathi Karmegam, Asso. Professor, Emergency Medicine
  5. Dr. Prathap Kumar, Assistant Professor, Institute of Cardiology
  6. Mrs. Devarajan Geetha, Nursing Superintendent, Gr-II
  7. Mrs. S. Chitra, Nursing Superintendent, Gr-II
  8. Mrs. Jamuna, Nursing Superintendent, Gr-II

Roles

  • Code blue training of nominated persons from all departments.
  • Emergency preparedness audit.
  • Code blue audit.
3 Hospital Infection Control Committee
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Hospital Infection Control Committee

Members:

  1. Dr. Thasneem Banu, Director I/C, Institute of Microbiology, Secretary of HIC Committee
  2. Dr. T.S. Santhi, Professor, Institute of Internal Medicine, Charge Medical Officer, HIC Committee
  3. Dr. Arul, Professor, Institute of Anesthesia
  4. Dr. Chitra, Professor, Institute of Community Medicine
  5. Dr. Umakalyani, Sr. Asst. Professor, Institute of Geriatric Medicine
  6. Dr. Meenakshi, Sr. Asst. Professor, Institute of Microbiology
  7. Dr. Sheik Alauddin, Assistant Professor, Institute of Nephrology
  8. Dr. B. Gomathi Manju, Assistant Professor, Institute of Microbiology – BMW
  9. Dr. T. Paulia Devi, Asst. Professor, Institute of General Surgery
  10. Dr. N. Ajay, Asst. Professor, Institute of Cardio Thoracic Surgery
  11. Mrs. Sheela, Nursing Superintendent, Gr-II
  12. Mrs. K. Chitra, Nursing Superintendent, Gr-II
  13. Mrs. Renuka Devi, Chief Pharmacist
  14. Mr. Venkaraman, Health Inspector
  15. Mrs. R. Kalarani, Dietician
  16. Mr. Baskar, Krystal Manager

Roles:

  • Organised training of all personnel.
  • Scheduled OT surveillance.
  • Periodical hand hygiene audit.
  • Meticulous monitoring of Biomedical waste disposal.
4 Transfusion Committee
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Transfusion Committee

Members:

  1. Dr. Subash, Director of Transfusion Medicine, Secretary of Transfusion Committee
  2. Dr. Hariharan, Director of Internal Medicine
  3. Dr. N. Sritharan, Director of Vascular Surgery
  4. Dr. V. Singaravadivelu, Professor of Orthopedics
  5. Dr. K. Arul, Professor of Anaesthesiology
  6. Dr. Nalini, Professor of Internal Medicine
  7. Dr. Latha, Associate Professor, Institute of Transfusion Medicine

Roles:

  • Defining hospital transfusion protocols.
  • Establishing standardized quality of blood and blood products.
  • Disciplining the utilization of blood and blood products.
  • Efficient monitoring of transfusion reactions.
5 Management of Medication Committee
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Management of Medication Committee

Members:

  1. Dr. K.M. Sudha, Professor, Institute of Pharmacology, Secretary of MOM Committee
  2. Dr. S. Deepa, Asso. Professor, Institute of Pharmacology
  3. Dr. Anitha Raj, Asst. Professor, Institute of Pharmacology
  4. Dr. Selvam, Asst. Professor, Institute of Pharmacology
  5. Dr. Uma Maheshwari, Asst. Professor, Institute of Neurology
  6. Dr. Balasubramanian, Asst. Professor, Urology
  7. Dr. Deattu, Asst. Professor, College of Pharmacy
  8. Mrs. Indumathy, Asst. Professor/Lecturer, College of Pharmacy
  9. Mrs. Sakthi Abirami, Asst. Professor/Lecturer, College of Pharmacy
  10. Mr. Selvakumar, Asst. Professor/Lecturer, College of Pharmacy
  11. Mrs. Ramalinga Selvi, Nursing Superintendent, Gr-II
  12. Mrs. Renuka Devi, Chief Pharmacist

Roles:

  • Listing of high risk, low therapeutic window & emergency medicines.
  • Enforcing safe dispensing practices.
  • Prescription audits of ward case sheets and Outpatient prescriptions.
6 Facility Management Safety Committee
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Facility Management Safety Committee

Members:

  1. Dr. Vijiyalakshmi, Professor of General Surgery, Secretary of FMS Committee
  2. Dr. Cheran, Director I/C, Institute of Community Medicine
  3. Dr. Latha, Asso. Professor, Institute of Transfusion Medicine
  4. Dr. Shankar Shanmugam, Principal, College of Nursing
  5. Dr. Vasuki, Asst. Professor, Institute of Diabetology
  6. Dr. Venkatesh, Asst. Professor, Anesthesia
  7. Dr. S. Siddhardha Solosan, ARMO
  8. Dr. Gopi Raj, Professor, Radiation Physics
  9. Mrs. Kanchana, Nursing Superintendent, Gr-II
  10. Mrs. Anuradha, Nursing Superintendent, Gr-II
  11. Mrs. R. Vijilakshmi, Nursing Superintendent, Gr-II
  12. Er. S. Kavibarathi, Biomedical Engineer
  13. Er. Harrish Reddy, AE, PWD-Electrical
  14. Er. Narayanan, AE, PWD-Civil
  15. Mr. K. Dhanasekaran, Biochemist, Institute of Biochemistry
  16. Mr. K. Venkateswarulu, Refrigeration Supervisor
  17. Mr. Raja, Refrigeration Supervisor
  18. Mr. Anadh Kumar, Refrigeration Operator
  19. Mr. M. Udhayakumar, Health Inspector
  20. Mr. E. Srinivasan, Electrical (Wireman, Gr-I)
  21. Mr. M. Antonisamy, JE (Stream Laundry)
  22. Dr. S. Subitha, NABH, Nodal Officer
  23. Dr. S. Padmakantha, NABH, Quality Manager
  24. Mr. I. Devadoss, Engine Driver (Water supply)
  25. Er. Harish Reddy, AE, PWD-Electrical, RGGGH
  26. Mr. Baskar, Krystal Manager, RGGGH
  27. Mr. C. Antonysaravanan, Admin Manager, Krystal

Roles:

  • Planned safety inspection rounds of the institute & premises.
  • Annual mock drills for fire safety and evacuation.
  • Organised training of all personnel in fire, chemical & radiation safety.
  • Scheduled monitoring of all equipment & maintenance of calibration certificate.
  • Periodical evaluation of accident/incident registers maintained in all areas.
7 Medical Audit Committee
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Medical Audit Committee

Members:

  1. Dr. Subramani, Resident Medical Officer, Secretary of Medical Audit Committee
  2. Mr. Ravindranath, MRO, I/C, MRD
  3. Mr. Saravanan, MRO
  4. Mrs. Gnanaselvi, MRT
  5. Mr. Vijayakumar, MRT
  6. Mrs. Sujatha, Nursing Superintendent, Gr-I
  7. Mrs. Bhuvaneswari, Nursing Superintendent, Gr-II
  8. Mrs. Muthulakshmi, Nursing Superintendent, Gr-II
  9. Mrs. Susila, Nursing Superintendent, Gr-II

Roles:

  • Structured mechanism to be framed for reception and storage of all case records.
  • Retention period for case records to be established based on State government rules.
  • Access to patient case records to be defined.
  • Precise technique to be implemented for disposal of obsolete case records.
  • Rigorous process for retrieval of case records.
8 Clinical Audit Committee
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Clinical Audit Committee

Members:

  1. Dr. Samuel Jayaraj Daniel, Asso. Professor, Dermatology, Secretary - Clinical Audit Committee
  2. Dr. Umakalyani, Senior Asst. Professor, Geriatric Medicine
  3. Dr. Senthilkumar, Assistant Professor, IOT
  4. Dr. Nirmala Devi, Asst. Professor, Biochemistry
  5. Mrs. Jeyalamani, Nursing Superintendent, Gr-II
  6. Mrs. Vasuki, Nursing Superintendent, Gr-II
  7. Mrs. Lakshmi, Nursing Superintendent, Gr-II
  8. Mrs. Renuka Devi, Chief Pharmacist
  9. Mr. Saravanan, Medical Records Officer

Roles:

  • Diligent scheduling with definitive criteria for audit.
  • Explicit guidelines framed for audit.
  • Precise apparatus established for re-audits.
9 Grievance Redressal Committee
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Grievance Redressal Committee

Members:

  1. Dr. Semmana Selvan, Asso. Professor, ENT, Secretary of Grievance Redressal Committee
  2. Dr. Senthil Kumar, Asst. Professor, Geriatric Medicine
  3. Dr. Priya, Asst. Professor, Venereology
  4. Dr. V.P. Punithavathi, Asst. Professor of Psychiatry
  5. Dr. Indra Candhi, Nursing Superintendent, Gr-II

Roles:

  • Specific training of all personnel in redressal mechanism.
  • Efficient process flow of redressal established.
  • Approved time frame for disposal of arising grievance.
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