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AB-PMJAY: Now both govt and private empanelled hospitals to get star ratings

AB-PMJAY

Now onwards both private and government hospitals empanelled under the Ayushman Bharat Pradhan Mantri-Jan Arogya Yojana will get star ratings based on some health parameters.

The star rating of empanelled hospitals is proposed on six quality domains — effective, timely, safe, patient-centered, efficient and equitable healthcare — according to guidelines on ‘Star rating of Ayushman Bharat Pradhan Mantri- Jan Arogya Yojana (AB-PMJAY) empanelled hospitals’ issued by the National Health Authority (NHA).

“The proposal to give star ratings to both government and private hospitals empanelled under AB-PMJAY based on a set of healthcare indicators has been approved. The proposal will be implemented based on the guidelines,” J L Meena, Joint Director at National Health Authority, was quoted as saying by PTI.

Hospitals will get ratings up to five stars based on scores on the set of elements under each domain like availability of advanced and super specialised care, patient fall rate per 1,000 patients, discharge time, patient satisfaction score compliance to quality indicators among others. And on each element, weightage, data source and scoring criteria are defined. The weight factor will be multiplied with individual score and then overall percentage will be derived from it. As of now, AB-PMJAY has over 23,000 hospitals on board across the country.

Also read: 22 healthcare startups selected as AB-PMJAY Grand Challenge finalists

For 5 star rating, a hospital has to score above or equal to 90 per cent; for 4 star rating, it has to get 75 to 90 per cent; for 3 star rating, it has to get 50 to 75 per cent score; for 2 star rating, it has to score 25 to 50 per cent; while for a hospital to get 1 star rating it should have a score of less than 25 per cent. Also, these star ratings will be reviewed on monthly basis, the guidelines stated.

“Star rating of hospitals will be published on the official website of AB-PMJAY and mobile application of PM-JAY against the name of each empanelled hospital,” Meena added.

Since the launch of AB-PMJAY in September 2018, at least 1,08,99,888 beneficiaries have availed treatment under the scheme in the country.

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