Gap assessment
A walk-through of every department against each NABH objective element, with a scored report and a ranked list of what to fix first.
NABH accreditation · NABH Digital Health
We get your hospital ready for the NABH assessor, and keep it ready after.
HospitalMitra works only on NABH. We study your wards, records and committees, write what is missing, train your people and run mock assessments until every chapter holds up on the day.
Full & Entry Level accreditation
NABH Digital Health Standards
Certified lead auditors
NABH ConsultingFull and Entry Level, end to end
Compliance SupportLicences, statutory records, committees
Quality ImprovementIndicators, audits, CAPA that sticks
Digital MitraNABH Digital Health, HMIS, DPDP
What we do
Everything a hospital needs between "we should apply" and the certificate on the wall.
Pick a single piece of work or hand us the whole project. Either way you get one consultant who knows your hospital by name, not a rotating team.
Documentation
Quality manual, departmental SOPs, policies, formats and registers written for how your hospital actually runs.
Staff training
Ward-level sessions for nurses, doctors, housekeeping and front office, plus committee training for the quality team.
Quality indicators
Set up the mandated clinical and managerial indicators, data capture, monthly analysis and corrective action records.
Internal audit & mock assessment
We play the assessor: tracer interviews, record review and facility rounds, then a closing report you can act on.
Assessment & renewal support
Application on the NABH portal, assessment-day presence, non-conformity closure, surveillance and re-accreditation.
Multi-specialty hospitals
Nursing homes & SHCOs
Government & trust hospitals
Eye & dental hospitals
AYUSH hospitals
Blood centres
Clinics & day-care centres
Chapter by chapter
The hospital standard has ten chapters. We prepare you for all of them.
Choose a chapter to see what assessors look at and what we put in place.
Digital Mitra
NABH Digital Health, with privacy and security done in the same project.
NABH's Digital Health Standards look at how your HMIS, EHR and telemedicine handle patient data. That overlaps with the DPDP Act 2023 and ISO/IEC 27001. Working with our parent firm DPOfficer.in, our certified lead auditors cover all of it in one project, so your IT team prepares one set of evidence instead of three.
| Separate projects | With HospitalMitra | |
|---|---|---|
| Teams | Quality, IT and legal work apart | One plan across all three |
| Evidence | Collected again for each audit | Collected once, mapped to each standard |
| Time | Audits run one after another | Readiness built in parallel |
NABH-DH
NABH Digital Health Standards
Gap assessment and readiness for HMIS, EHR, telemedicine and digital clinical workflows.
ABDM
ABDM integration
ABHA linking, health records exchange and the consent flow your patients see.
DPDP
DPDP Act 2023
Consent notices, patient data rights, breach handling and grievance redressal.
27001
ISO/IEC 27001 & 27701
Access control, backups, vendor risk and privacy management for hospital systems.
Our process
Eight steps from first visit to accreditation.
Typical timelines for a mid-sized hospital doing Full accreditation. Entry Level and smaller centres usually move faster.
- Week 1–2
Gap assessment
On-site study of every department and a scored report.
- Week 2–3
Action plan
Owners and dates for each gap, agreed with management.
- Week 3–8
Documentation
Manuals, SOPs, formats and committee charters drafted and approved.
- Week 5–12
Training
Department sessions and quick competency checks.
- Week 8–14
Implementation
Indicators tracked, audits started, records filled daily.
- Week 14
Mock assessment
A full assessor-style visit and a closing report.
- Week 15–18
Application & assessment
Portal submission, assessment day, NC closure.
- Ongoing
Sustenance
Quarterly reviews, surveillance and renewal support.
About HospitalMitra
A hospital's friend in quality.
"Mitra" means friend. HospitalMitra is the dedicated healthcare accreditation practice of DPOfficer.in, a Chennai-based compliance training and audit firm. We work only on NABH and NABH Digital, backed by certified lead auditors and a dedicated training academy.
We stay with you after the assessment. Accreditation is renewed, standards are revised and staff change, and the hospitals that keep their status are the ones that keep the habits going.
A DPOfficer.in group company · Visit DPOfficer.in ↗
FocusNABH and NABH Digital Health only
EmpanelmentNABH Digital Health credential, MITRA programme
Lead auditorsBSI-certified ISO/IEC 27001 & 27701 lead auditors, DSCI privacy lead assessor
TrainingAcademy in Chennai and Paramakudi
CoverageTamil Nadu and hospitals across India, on site and remote
Questions hospitals ask
Before you call us
Should we start with Entry Level or Full accreditation?
Entry Level suits smaller hospitals or those starting their quality journey, and it is a good step towards Full accreditation. After the gap assessment we will tell you which one fits your size, services and timeline.
How long does accreditation usually take?
Most mid-sized hospitals reach a ready state in four to six months. It depends on how much documentation already exists and how quickly staff can be released for training.
Do you issue the accreditation?
No. NABH assesses and accredits. Our job is to get your hospital genuinely ready and support you through the assessment and any non-conformities that follow.
Is NABH Digital Health separate from regular NABH?
Yes, it is its own set of standards for digital health systems. Hospitals already on the NABH journey find it easier, and we can prepare for both in one engagement.
Can you help a hospital outside Tamil Nadu?
Yes. Gap assessments and mock assessments are on site. Documentation reviews, training and follow-ups can run remotely between visits.
Get in touch
Tell us about your hospital. We'll suggest where to begin.
A 30-minute call, no charge. Bring your bed count, departments and any NABH work you've already done.
WhatsApp / Phone+91 89395 53536
Emailhello@hospitalmitra.in
Registered office · ChennaiNo. 189, Moorthy Nagar Main Road, Thirumullaivoyal, Chennai, Tamil Nadu 600062
Branch office · Paramakudi1/161 A 50, Mani Nagar, Paramakudi, Tamil Nadu 623707