Which NABH Medical Imaging edition is used?
The current programme page identifies Medical Imaging Services 2nd Edition, December 2019. Current NABH documents and portal instructions should be checked before application.
Humble Aim Enterprises supports standalone imaging centres, hospital radiology departments and eligible imaging networks preparing for the NABH Medical Imaging Services Accreditation Programme 2nd Edition. The engagement connects referral, patient preparation, safe imaging, interpretation, critical communication, contrast and emergency controls, equipment, radiation safety, competence, quality monitoring and information security.
This service is for standalone medical imaging providers, hospital-based imaging departments and eligible chains that intend to implement NABH requirements across their declared imaging functions. The current programme covers services such as X-ray, computed tomography, magnetic resonance imaging and ultrasound according to scope; statutory requirements differ by modality.
The NABH Medical Imaging Services 2nd Edition, December 2019, contains seven chapters and 214 objective elements. It provides an accreditation framework for imaging quality and patient safety. NABH accreditation does not replace AERB licences, eLORA consents or another statutory approval. Ionising-radiation controls apply where relevant to the modality and current law.
| Pathway area | Implementation focus | Evidence examples |
|---|---|---|
| Request and access | Complete requests, clinical indication, scheduling, identification, prioritisation and referral communication. | Request audits, appointment/triage logs and identification checks. |
| Preparation and procedure | Modality-specific preparation, pregnancy screening where applicable, consent, privacy, positioning and monitoring. | Preparation checklists, screening forms, consent and procedure records. |
| Interpretation and reporting | Authorised interpretation, report completeness, turnaround, amended reports and critical/unexpected result communication. | Report audit, peer review, critical-result log and communication traceability. |
| Contrast, sedation and emergencies | Risk screening, medicines, observation, reaction management, resuscitation readiness and transfer. | Contrast checklist, emergency drills, medicine checks and adverse-event review. |
| Equipment and radiation safety | Acceptance, maintenance, quality assurance, breakdown controls and current AERB requirements where applicable. | Inventory, QA reports, eLORA/licence evidence, dosimetry and service records. |
| People and quality | Credentials, privileges, staffing, competency, incidents, indicators, audits and improvement. | Personnel files, competency tools, dashboard, audits and CAPA. |
| Information systems | Patient identity, image/report integrity, access, confidentiality, backup, downtime and retention. | Access records, backup tests, downtime drill and retention controls. |
| Workstream | Consultancy output | Service contribution |
|---|---|---|
| Scope/statutory map | Modality, location and regulatory applicability matrix. | Verified equipment, licence, staffing and service details. |
| Clinical pathway | Request-to-report tracer and risk-ranked observations. | Access to patients, records, images/reports and responsible staff. |
| Equipment/radiation | QA, maintenance and AERB evidence review tool. | Current licences, competent personnel and completed technical controls. |
| Quality system | Indicators, peer review, audit, incident and CAPA plan. | Reliable data, clinical review and completed corrective action. |
| Assessment readiness | Mock review and indexed closure evidence. | Leadership support and truthful verified submission. |
| Team | Readiness responsibilities | Evidence focus |
|---|---|---|
| Radiologists/reporting clinicians | Appropriateness, interpretation, reports, critical results, peer review and clinical communication. | Reports, amendments, discrepancies and critical communication. |
| Technologists/nursing | Identification, preparation, procedure, monitoring, radiation protection, contrast and emergencies. | Checklists, competency, dose/technical records and incident response. |
| Radiation safety/equipment | AERB compliance, equipment QA, maintenance, dosimetry and safety controls where applicable. | Licences, eLORA, QA, maintenance and monitoring evidence. |
| Front office/referral | Request completeness, scheduling, instructions, privacy, report delivery and complaint handling. | Requests, instructions, delivery and communication logs. |
| Quality/IT/HR/facility | Indicators, audit, access control, backup, competency, fire, utilities and continuity. | Dashboards, audit, access, downtime, personnel and safety files. |
| Area | Humble Aim role | Client organisation role |
|---|---|---|
| Scope and declarations | Explain programme applicability and maintain a scope/evidence checklist. | Confirm services, capacity, licences, data and every declaration made to NABH. |
| Documents and records | Review the architecture and samples for gaps, ownership and traceability. | Approve organisation-specific documents and create authentic contemporaneous records. |
| Clinical or technical controls | Facilitate pathway review, risk analysis, audits and corrective-action planning. | Implement safe practice through competent authorised staff on every operating shift. |
| People and resources | Identify observed manpower, equipment, facility and competency gaps. | Provide staff time, budgets, infrastructure, equipment maintenance and statutory approvals. |
| Application and assessment | Support readiness, evidence retrieval, interviews and closure planning. | Submit verified information, communicate with NABH and accept responsibility for compliance. |
| Stage | Consultancy activity | Readiness evidence |
|---|---|---|
| 1. Applicability and scope | Confirm the organisation type, services, locations, statutory position and current programme eligibility. | Approved scope note, service list, exclusions and responsibility matrix. |
| 2. Baseline review | Observe the patient or donor/sample pathway, interview teams and sample current records. | Risk-ranked gap report linked to departments and evidence owners. |
| 3. System design | Map policies, procedures, forms, indicators, audits and controls to actual operations. | Controlled implementation plan and document/evidence master list. |
| 4. Implementation | Support department owners as they introduce controls, records and monitoring in routine work. | Completed records, logs, traceability, committee review and corrective actions. |
| 5. Training and competency | Brief each role on programme-specific risks and test practical competency where relevant. | Training matrix, attendance, competency evidence and follow-up actions. |
| 6. Audit and mock review | Run pathway tracers, internal audits, interviews and a structured mock assessment. | Audit reports, observation tracker and root-cause/corrective-action records. |
| 7. Application and closure support | Organise evidence retrieval and support responses to observations or nonconformities. | Verified submission index and closure evidence owned by the organisation. |
| 8. Continuing readiness | Build review routines for indicators, incidents, changes, surveillance and renewal. | Management review, improvement plan and maintained evidence after assessment. |
The project duration depends on modalities, locations, AERB and other statutory status, equipment QA, report and critical-result systems, staff competency, existing data, physical corrective work and NABH scheduling. No fixed accreditation date is published.
Humble Aim Enterprises is an independent consultancy providing NABH readiness, documentation, implementation, training, audit and nonconformity-closure support. It is not NABH, QCI, an accreditation body or a regulator, and it does not guarantee certification, accreditation, assessment recommendation or approval. Current NABH standards, notifications, portal instructions and authority communication prevail.
Case studies are intentionally unpublished placeholders on this page. No client name, result, accreditation outcome, nonconformity count or permission is claimed unless the client identity, result and written publication approval are confirmed.
Use the NABH 6th Edition Knowledge Centre for chapter-wise implementation guidance, HIRA, ICRA, PCRA and clinical-audit templates that support but do not replace official NABH sources.
Open the NABH 6th Edition Knowledge CentreFact-checked on 2026-07-24 against the current NABH Medical Imaging Services programme, the supplied 2nd Edition standard and current AERB diagnostic-radiology guidance. NABH accreditation and statutory AERB licensing are separate requirements.
Last reviewed:
The current programme page identifies Medical Imaging Services 2nd Edition, December 2019. Current NABH documents and portal instructions should be checked before application.
The supplied official 2nd Edition contains seven chapters and 214 objective elements. This page paraphrases the implementation areas.
The current NABH page covers eligible standalone providers, hospital-based imaging services and chains that implement the standard across declared imaging functions.
No. AERB licensing and eLORA requirements remain statutory for applicable ionising-radiation facilities and equipment.
Requirements depend on the modality and law. The page uses where applicable because ionising-radiation rules do not apply identically to every imaging service.
The review checks defined criteria, authorised interpretation, recipient identification, time, read-back or confirmation, escalation and traceability in the patient record.
Not alone. Readiness also considers acceptance, quality assurance, calibration where relevant, preventive maintenance, breakdown response and continuity.
Services can use report-completeness audits, peer review, discrepancy analysis, amended-report controls and clinical feedback suited to their scope.
No. Humble Aim provides independent readiness support; statutory authorities and NABH retain their respective decisions.
Share your organisation type, location and target accreditation or empanelment pathway. Humble Aim Enterprises will help map the next practical steps.