📄 Room-wise NQAS Checklist for Ayushman Arogya Mandir (AAM): Complete Guide for Staff, Community Health Officers and Facility Managers

     This Room-wise NQAS Checklist for Ayushman Arogya Mandir (AAM) has been developed as a supportive quality improvement tool to facilitate effective implementation of National Quality Assurance Standards (NQAS) at primary healthcare facilities.

         The NQAS Facility Checklist is systematically designed to cover all critical functional and service delivery areas of a healthcare facility. The area-wise approach ensures that every important aspect of infrastructure, patient care, clinical services, support services, infection prevention and control, patient rights, safety, biomedical waste management, and quality improvement is assessed in a structured manner.

The checklist covers the following key functional areas of the facility:

  • Entrance and Registration Area – Assessment of accessibility, cleanliness, patient guidance, registration processes, signage, and availability of essential information.
  • OPD and Consultation Rooms – Evaluation of patient examination, consultation practices, privacy, documentation, clinical protocols, and availability of essential equipment and supplies.
  • Nursing and Immunization Rooms – Assessment of nursing care, injection safety, immunization services, cold-chain practices, infection prevention, and patient safety measures.
  • Pharmacy – Review of drug availability, storage conditions, stock management, expiry monitoring, dispensing practices, rational use of medicines, and patient counseling.
  • Laboratory – Assessment of diagnostic services, sample collection, testing procedures, quality control, reporting, biosafety, and availability of essential laboratory services.
  • Maternal and Child Health (MCH) Area – Evaluation of ANC, PNC, newborn care, child health services, immunization, high-risk pregnancy identification, referral services, and maternal and child safety.
  • Wellness and Counseling Area – Assessment of health promotion, wellness activities, counseling services, NCD screening, mental health support, lifestyle counseling, and community-oriented services.
  • Waiting Area – Review of patient comfort, cleanliness, seating arrangements, drinking water, ventilation, information displays, accessibility, and patient-friendly facilities.
  • Toilets and Sanitation Areas – Assessment of cleanliness, hygiene, water availability, functional facilities, accessibility, and regular maintenance.
  • Biomedical Waste Management Areas – Evaluation of segregation at source, colour-coded bins, safe handling, storage, transportation, disposal practices, records, and compliance with biomedical waste management requirements.

This comprehensive, area-wise NQAS checklist enables healthcare facilities to conduct a systematic self-assessment and identify gaps in service delivery and quality standards. It also supports the development of Gap Analysis, Root Cause Analysis, Corrective and Preventive Actions (CAPA), Action Plans, and PDCA (Plan–Do–Check–Act) cycles.

By using the checklist regularly, facilities can strengthen their quality management systems, improve patient safety and satisfaction, ensure compliance with NQAS standards, and promote continuous quality improvement. It serves as a practical tool for NQAS preparation, internal assessment, facility-level monitoring, and readiness for external assessment.

This document is intended to assist healthcare teams in:

  • Ensuring compliance with NQAS infrastructure and service delivery standards
  • Conducting regular internal quality assessments
  • Identifying gaps in patient safety, infection control, and documentation
  • Strengthening patient-centric and accessible healthcare services
  • Improving overall facility readiness for NQAS external assessment

The checklist is designed in a simple, printable, and user-friendly format, making it suitable for routine monitoring, internal audits, and mock assessments at Ayushman Arogya Mandir, PHCs, and UPHCs.

👉 Download the Room-wise NQAS Checklist (PDF):

        Click here to download




About the Author

Mr. Veeresh Demashetti, MSc (N), PGDM (HFW)
Nursing Officer & NQAS Assessor
Founder & Author – Quality Arogya (Healthcare Quality Blog)

Quality Arogya shares practical educational resources related to NQAS, healthcare quality, patient safety, public health, nursing and quality improvement.

Disclaimer: This article is intended for educational and professional awareness purposes. NQAS requirements, standards and certification processes may be updated periodically. Healthcare facilities should refer to the latest applicable official guidelines and instructions issued by the competent authorities.

📘 National Quality Assurance Standards (NQAS) 📂 Facility-wise Document Checklist with Official Links

 🏥 Introduction

National Quality Assurance Standards (NQAS), launched by the Ministry of Health & Family Welfare (MoHFW), Government of India, aim to improve the quality of care, patient safety, and service delivery across public health facilities.

For smooth certification, every facility must maintain standardized documents, records, and evidence as per NQAS guidelines. This post provides facility-wise NQAS document lists with official reference links to help healthcare staff prepare confidently.

“Quality is a system, not a one-time activity – NQAS”

🏥 1. Sub Centre / Ayushman Arogya Mandir – HWC

📄 Key NQAS Documents

  • NQAS Standards & Measurable Elements
  • OPD Register & Daily Service Register
  • Infection Prevention & Control (IPC) Checklist
  • Biomedical Waste Management (BMW) Records
  • Drug Stock & Indent Register
  • Village Health Sanitation & Nutrition Committee (VHSNC) Records
  • Patient Feedback & Grievance Register

🔗 Reference Link:

👉 https:https://qualityarogya.blogspot.com/p/ayushman-arogya-mandir.html

🏥 2. Primary Health Centre (PHC – Non-24×7)

📄 Key NQAS Documents

PHC NQAS Standards (as applicable to non-24×7 PHC)

  • OPD Register & Referral Register
  • Human Resource Duty Roster
  • SOPs for OPD, Injection Room & Pharmacy
  • Drug & Consumable Stock Registers
  • Infection Control & Housekeeping Records
  • Kayakalp Assessment & Action Plan
  • Patient Rights Display & Feedback Register

🔗 Reference Link:

👉 https:https://qualityarogya.blogspot.com/p/non-247-phc.html

🏥 3. Urban Primary Health Centre (UPHC)

📄 Key NQAS Documents

(Urban OPD-based public health facility)

  • Mandatory NQAS Documents
  • UPHC NQAS Standards & Checklists
  • OPD & Urban Outreach Activity Records
  • National Health Program Registers
  • Referral & Continuity of Care Records
  • Drug Logistics & Indent Files
  • Infection Control & BMW Records
  • Quality Committee & Review Meeting Minutes
  • Patient Satisfaction & Complaint Register

🔗 Reference Link:

👉 https:

🏥 4. Primary Health Centre (PHC 24×7)

📄 Essential NQAS Documents

  • PHC NQAS Standards (8 Areas of Concern)
  • OPD, IPD, Labour Room & Emergency Registers
  • SOPs & Work Instructions
  • Human Resource Files & Duty Rosters
  • Infection Control & Housekeeping Checklists
  • Kayakalp Assessment Records
  • Quality Improvement (QI) & Committee Meeting Minutes

🔗 Reference Link:

👉 https:https://qualityarogya.blogspot.com/p/247-phc.html

🏥 5. Community Health Centre (CHC)

📄 Required NQAS Documents

  • Department-wise SOPs (OPD, IPD, OT, Lab, Pharmacy)
  • Clinical Audit & Prescription Audit Reports
  • Equipment Maintenance & Calibration Records
  • Infection Control Committee (ICC) Records
  • Patient Safety & Adverse Event Reports
  • NABH-aligned Quality Tools (where applicable)

🔗 Reference Link:

👉 https:

🏥 6. Taluk Hospital

(Secondary Care Hospital at Taluk Level)

  • Mandatory NQAS Documentation
  • Hospital Policies & Quality Manual
  • OPD, IPD, OT, Labour Room & Emergency Registers
  • Department-wise SOPs & Work Instructions
  • HR Credentialing, Training & Duty Rosters
  • Infection Control, BMW & Laundry Records
  • Clinical Audit, Mortality & Review Committee Minutes
  • Patient Feedback, Grievance & Satisfaction Analysis
  • Continuous Quality Improvement (CQI) Projects

 Reference Link:

👉 https:

🏥 7. District Hospital (DH)

📄 Mandatory NQAS Documentation

  • Hospital Policies & Manuals
  • Department-wise Quality Indicators
  • Internal & External Assessment Reports
  • HR Credentialing & Training Records
  • Patient Rights & Education Materials
  • Feedback, Complaint & Satisfaction Analysis
  • Continuous Quality Improvement (CQI) Projects

🔗 Reference Link:

👉 https:

📊 Common Documents for All Facilities

  • NQAS Standards Book (Latest Version)
  • Measurable Elements & Scoring Sheets
  • Self-Assessment Tools
  • State & National Assessment Formats
  • Gap Analysis & Action Plan Templates

🔗 Central NQAS Resource Page:

👉 https:https://qps.nhsrcindia.org/national-quality-assurance-standards

✅ Final Note

NQAS is not about inspection, it is about institutionalizing quality.

With the right documents, teamwork, and commitment, every facility can achieve and sustain NQAS certification.