Safe and quality patient care requires effective leadership –and effective leadership begins with understanding responsibility of the leadership for provision of this safe and quality care. Leadership has been found to be a critical factor in safety related initiatives across various industries, including healthcare.ACCREDITATION FRAMEWORK FOR MANAGEMENT & GOVERNANCE

Policy Board of Medical Teaching Institutions (MTIs) highly values patient safety and quality of healthcare delivery in the MTIs. It recognizes that medical errors and patient harms are a global phenomenon and it can only be avoided by developing strong healthcare delivery systems.

Safe and quality patient care requires effective leadership –and effective leadership begins with understanding responsibility of the leadership for provision of this safe and quality care. Leadership has been found to be a critical factor in safety related initiatives across various industries, including healthcare.

For this purpose, the Policy Board is notifying the accreditation framework for Management and Governance of the Medical Teaching Institutions. This framework provides an expectation of minimum performance level by the governance and leadership in all MTIs. The expectations are documented in this framework in the form of standards and measurable elements.

This framework has the following sections

1. Standards: This section describes the minimum performance level expected from the MTI. For each standard, measurable elements are identified –specifying the evaluation mechanism for each standard.
2. Accreditation Methodology: This section describes how the standards are evaluated in an MTI.
3. Scoring: This section describes how standards are scored during the accreditation process.
4. Baseline Evaluation: This section identifies how an MTI can perform baseline evaluation for identifying its standing against the standards.
5. Training and Orientation: This section identifies the different types of trainings that each level of governance and leadership must have gone through to understand the requirements of the standards and their effective implementation
6. Planning for Compliance: This section identifies how planning process can be performed for ensuring that gaps identified during baseline evaluation are addressed.