Introduction

Accreditation-Focused Infection Control (NABH/JCI) is a comprehensive program designed to help healthcare organizations align their infection prevention and control (IPC) practices with accreditation standards and measurable quality outcomes. The course focuses on translating NABH and JCI infection control requirements into practical, day-to-day clinical and administrative practices.

By integrating accreditation expectations with evidence-based infection prevention strategies, this program enables healthcare teams to strengthen compliance, reduce healthcare-associated infections (HAIs), and demonstrate continual quality improvement. Emphasis is placed on policy implementation, documentation, audits, surveillance, staff competency, and committee-driven governance that support successful accreditation and re-accreditation.

Scope

This program covers accreditation-oriented infection control concepts and applications, including:

• Overview of NABH and JCI infection control standards and intent
• Structure and functioning of the Infection Control Committee (ICC)
• Infection control policies, SOPs, and program documentation aligned to accreditation
• HAI surveillance systems and indicator monitoring as per standards
• Hand hygiene, isolation practices, environmental cleaning, and biomedical waste compliance
• Device-associated infection prevention bundles (CAUTI, CLABSI, VAP, SSI)
• Staff training, competency assessment, and credentialing requirements
• Internal audits, tracer methodology, and gap analysis for IPC standards
• Corrective and preventive action (CAPA) planning and continuous improvement
• Preparing evidence, reports, and dashboards for accreditation assessments

Objectives

By the end of the program, learners will be able to:

• Understand the intent and applicability of NABH and JCI infection control standards.
• Implement accreditation-compliant infection control policies and procedures.
• Establish and maintain effective infection surveillance and reporting systems.
• Apply standardized infection prevention bundles to reduce HAIs.
• Conduct internal audits and tracers aligned with accreditation expectations.
• Identify gaps and implement corrective actions to improve compliance.
• Support infection control committees with structured data and documentation.
• Sustain infection control performance beyond accreditation assessments.

Who Can Enroll

This program is suitable for:

• Infection Prevention and Control (IPC) nurses and officers
• Quality managers and accreditation coordinators
• Hospital administrators and clinical governance teams
• Nursing supervisors and ward in-charges
• Junior doctors and residents involved in IPC implementation
• Infection control committee members
• Healthcare professionals preparing for NABH or JCI accreditation

Study Content from TERRALEAP.COM

Learners receive structured study support through TERRALEAP.COM, including:

• Accreditation-focused learning videos explaining NABH and JCI IPC standards
• Step-by-step guidance on policy implementation, audits, and compliance tracking
• Practical resources to support accreditation readiness and ongoing quality improvement