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It covers filled application materials, departmental assessment names, validated LR/OT assessment checklists, standard operating procedures, facility indicators for the last three months, OSCE report evidence, counts and copies of hospital-wide policies, and specific quality and patient-care policies. It also requests medical audit with CAPA, patient satisfaction survey scores with actions, statutory/regulatory compliance proofs, and photo evidence for LR/OT, consent images, case records, referrals, signages, and related sterilization and waste management documentation.",{"@graph":69,"@context":122},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":40,"@type":76,"position":81},"https://docshare.wps.com/document/research-report/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/list-of-documents-to-be-submitted-laqshya-document-verification-checklist/317003/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/list-of-documents-to-be-submitted-laqshya-document-verification-checklist/317003.png","ImageObject",300,407,{"name":92,"@type":93},"Chloe Bennett","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-11-11","2026-09-20",true,{"@type":102,"interactionType":103,"userInteractionCount":34},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118],{"name":109,"@type":110,"acceptedAnswer":111},"What are the mandatory document categories required for LaQshya submission?","Question",{"text":112,"@type":113},"The checklist requires filled application materials with the hospital data sheet, validated LR and OT assessment checklists, standard operating procedures for LR & OT, facility level indicators for the last three months, and OSCE report evidence from the last one year.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"Which hospital-wide policies are requested under the numbered section 8?",{"text":117,"@type":113},"The form requests a set of policies including vision/mission/values and quality policy, condemnation, antibiotic, end of life care, social/culture/religious equality, privacy/dignity/confidentiality, consent policy, prescription by generic name, plus additional items listed under the extended sub-sections.",{"name":119,"@type":110,"acceptedAnswer":120},"What types of photo evidence must be submitted under Section 12?",{"text":121,"@type":113},"Section 12 requires photo evidence such as LR and OT images, filled consent images, case record snapshots, referral slip/record images for higher centres, restricted-area and facility-level signages, bio-medical waste images (where applicable), sterilization record images, and displays of work instructions and user charges/entitlements.","https://schema.org",{"og:url":83,"og:type":124,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":126,"canonical":83},"index,follow",{"doc_id":128,"site_id":62},317003,1790535177,{"code":4,"msg":5,"data":131},{"doc_id":128,"user_id":132,"nickname":92,"user_avatar":133,"doc_module":4,"category_id":39,"category_name":40,"doc_title":65,"doc_description":67,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":34,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":81,"language":139,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":67,"update_tm":143,"read_time":39,"preview_page_count":4},962084925782,"https://ap-avatar.wpscdn.com/davatar_9964176cb1d06d4a9deccf72a44ae3dc","MNL: QSM: 02/05/Form1-A  \nDH/SDH: Document Verification Checklist-LaQshya (To be submitted along with the application)  \nName of the facility as per State’s Record  \nList of Documents to be submitted-LaQshya  \n\n| S. No. | Name of the Documents | Status of submission |\n| --- | --- | --- |\n| 1. | Filled application form along with the Hospital data sheet. | Yes/No |\n| 2. | Names of the Department to be assessed | LR/MOT/Both |\n| 3. | Latest LR Assessment Checklist validated by SQAU | Yes/No |\n| 4. | Latest OT Assessment Checklist validated by SQAU | Yes/No |\n| 5. | Standard Operating Procedures for LR & OT | Yes/No |\n| 6. | Facility Level Indicators for last three months | Yes/No |\n| 7. | OSCE report of assessment done in last one year. | Yes/No |\n| 8. | Total no. Of Copy of Hospital Wide Policies/ Procedures.(Government Order/ Single Pager Policy / Procedures) | 13 |\n| 8.1 | Vision, Mission, Values, Strategic Plan and Quality Policy | Yes/No |\n| 8.2 | Condemnation Policy | Yes/No |\n| 8.3 | Antibiotic policy | Yes/No |\n| 8.4 | End of Life care policy | Yes/No |\n| 8.5 | Social, Culture and Religious Equality policy | Yes/No |\n| 8.6 | Privacy, Dignity and confidentiality policy of patient | Yes/No |\n| 8.7 | Consent policy | Yes/No |\n| 8.8 | Prescription by Generic Name policy | Yes/No |\n\n\n| 8.9 | Adverse Event reporting policy | Yes/No |\n| --- | --- | --- |\n| 8.10 | Referral policy | Yes/No |\n| 8.11 | Policy for timely reimbursement of entitlements and compensation. | Yes/No |\n| 8.12 | Grievance Redressal policy | Yes/No |\n| 8.13 | Free treatment to BPL patient’s procedure/ policy | Yes/No |\n| 9. | Prescription/Medical Audit Analysis with Corrective and Preventive Action (CAPA) | Yes/No |\n| 10. | Scores of Last 3 Patient Satisfaction Surveys and\u003Cbr>Subsequent Corrective and Preventive actions undertaken | Yes/No |\n| 11. | Evidence for compliance against Statutory/ Regulatory Compliance: |  |\n| 11.1 | Authorization for handling Bio Medical Waste from Pollution Control Board (mandatory) | Yes/No |\n| 11.2 | NoC from Fire Safety. | Yes/No |\n| 11.3 | Certificate of inspection of electrical installation.(mandatory for SNCU) | Yes/No |\n| 11.4 | Licence for operating lift (wherever applicable) | Yes/No |\n| 11.5 | AERB authorization for X-ray, mobile X-ray, OPG, Dental Xray (if applicable) | Yes/No/NA |\n| 11.6 | Licence of Blood Bank (if applicable) | Yes/No/NA |\n| 11.7 | Copy of registration under PCPNDT Act (if applicable) | Yes/No/NA |\n| 12. | Compliance evidences (Photos)– LaQshya |  |\n| 12.1 | Images of LR and OT (Fifteen Images Only)\u003Cbr>a. Trays, medicines, crash cart etc.\u003Cbr>b. Display of Work Instructions.\u003Cbr>c. Autoclaving Area.\u003Cbr>d. Waste Disposal in LR/ OT.\u003Cbr>e. Departmental picture. | Yes/No |\n| 12.2 | Filled consent Images (Two Images each – total ten Images)\u003Cbr>a. Pre-anesthesia consent.\u003Cbr>b. LR consent.\u003Cbr>c. Consent for surgical procedures.\u003Cbr>d. Blood transfusion.\u003Cbr>e. Policy for Free of Cost Treatment. | Yes/No |\n| 12.3 | Filled Case record snap shots | Yes/No |\n| 12.4 | Referral Slip/ Record to higher centre and follow up of last patients in three months. (Four Images Only) | Yes/No |\n\n\n| 12.5 | Restricted area signages (Two Images only). | Yes/No |\n| --- | --- | --- |\n| 12.6 | Facility level signages – Name of facility, patient charter, departmental / directional signages. (Five pictures only) | Yes/No |\n| 12.7 | Bio Medical Waste images of Onsite segregation, transportation of waste from Onsite to Common storage area, Sharp pits (If applicable, log book of waste generated.(Five images only) | Yes/No/NA |\n| 12.8 | Sterilization record of sterile equipments/ instruments.(Two images only) | Yes/No |\n| 12.9 | Display of Work Instruction – AMTSL/ Management of Complications/ Management of New born (Four Images Only) | Yes/No |\n| 12.1\u003Cbr>0 | Display of User Charges & Entitlements (Two Images Only) | Yes/No |","cbCainPHxurPJxEJ","https://ap.wps.com/l/cbCainPHxurPJxEJ","pdf",108194,"English","# Document Verification Checklist - LaQshya\n## List of Documents to be Submitted\n### Application, Assessments, and Standard Procedures\n### Facility Indicators and OSCE Evidence\n### Hospital-wide Policies and Patient-Care Policies\n### Medical Audit, CAPA, and Patient Satisfaction Surveys\n### Statutory/Regulatory Compliance Evidence\n### Compliance Evidence (Photos)","[{\"question\":\"What are the mandatory document categories required for LaQshya submission?\",\"answer\":\"The checklist requires filled application materials with the hospital data sheet, validated LR and OT assessment checklists, standard operating procedures for LR \\u0026 OT, facility level indicators for the last three months, and OSCE report evidence from the last one year.\"},{\"question\":\"Which hospital-wide policies are requested under the numbered section 8?\",\"answer\":\"The form requests a set of policies including vision/mission/values and quality policy, condemnation, antibiotic, end of life care, social/culture/religious equality, privacy/dignity/confidentiality, consent policy, prescription by generic name, plus additional items listed under the extended sub-sections.\"},{\"question\":\"What types of photo evidence must be submitted under Section 12?\",\"answer\":\"Section 12 requires photo evidence such as LR and OT images, filled consent images, case record snapshots, referral slip/record images for higher centres, restricted-area and facility-level signages, bio-medical waste images (where applicable), sterilization record images, and displays of work instructions and user charges/entitlements.\"}]","List of Documents to be submitted - LaQshya - Document Verification Checklist | PDF",1789927544]