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Shuchi Healthcare Consultancy

NABH vs NQAS vs JCI: Which Quality Accreditation Does Your Hospital Need?

By Dr. Ashutosh Sharma · Updated · 5 min read

NABH, NQAS and JCI are three different quality systems. NABH is India's national accreditation board, part of the Quality Council of India, and accredits public and private healthcare organisations. NQAS is the Health Ministry's certification for government health facilities. JCI is a US-based international accreditor. For most private hospitals in India, NABH is the one that counts for CGHS, PMJAY and insurers; NQAS is for public facilities; JCI is mainly for hospitals that serve international patients.

Key takeaways

  • NABH: national accreditation for public and private providers, run by the Quality Council of India; hospital accreditation lasts four years.
  • NQAS: the Health Ministry's standards for government facilities, certified by NHSRC at state and national level; certification is valid for three years.
  • JCI: international accreditation; its 8th Edition hospital standards took effect on 1 January 2025.
  • Private hospitals in India usually need NABH first, because CGHS rates, PMJAY quality incentives and insurers refer to it.

The short answer

NABH NQAS JCI
Run by National Accreditation Board for Hospitals and Healthcare Providers, a board of the Quality Council of India Ministry of Health and Family Welfare; assessed and certified through NHSRC Joint Commission International (USA)
Who can apply Public and private hospitals, nursing homes, clinics, labs, AYUSH, dental and more Government health facilities only Hospitals and other organisations worldwide
Current hospital standard 6th Edition, effective 1 January 2025 (639 objective elements) NQAS standards for each facility level 8th Edition, effective 1 January 2025
Cycle 4 years, with surveillance 3 years, with surveillance 3-year survey cycle
Main benefit in India CGHS NABH rates, PMJAY quality incentives, insurer empanelment National Health Mission recognition and incentives International patients and foreign insurers

NABH: the Indian benchmark

NABH is a constituent board of the Quality Council of India and is itself accredited by the International Society for Quality in Healthcare (ISQua). It runs programmes for every kind of provider: hospitals above 50 beds, SHCOs, entry-level certification, AYUSH hospitals, dental clinics, eye care, clinics, labs and emergency departments.

For a private hospital in India, NABH is the accreditation that changes revenue. CGHS pays facilities without NABH 15% less than the NABH rate (our analysis); under AB-PMJAY quality certification, NABH accreditation qualifies for the Gold level; and insurers use NABH status in empanelment and package rates. The 6th Edition standards are explained chapter by chapter in our 6th Edition guide.

NQAS: quality certification for government facilities

The National Quality Assurance Standards are the Health Ministry's framework for public health facilities, from district hospitals to community and primary health centres and Ayushman Arogya Mandirs. Facilities are first assessed and certified at state level and can then apply for national certification, which NHSRC declares. Certification is valid for three years.

NQAS is scored by "areas of concern", service packages and standards, with minimum thresholds at each level. For Ayushman Arogya Mandir sub-centres, for example, NHSRC's January 2026 guidance requires at least 70% overall for full certification, at least 70% for each service package and at least 60% for each area of concern; 60–69% earns conditional certification. Private hospitals cannot apply.

JCI: international accreditation

Joint Commission International accredits hospitals worldwide. It published the 8th Edition of its hospital standards on 1 July 2024, and every hospital surveyed from 1 January 2025 is assessed against it. The edition consolidated standards, added a healthcare technology chapter (electronic records, telehealth and cybersecurity), a patient safety chapter, and environmental sustainability standards that became mandatory from 1 January 2026.

JCI makes sense for hospitals that treat international patients, deal with foreign insurers or compete for medical tourism. It is considerably more expensive than NABH, and JCI accreditation does not by itself give an Indian hospital the scheme benefits linked to NABH.

Which one should your hospital choose?

  • Private hospital or nursing home in India: start with NABH. If you are under 50 beds, SHCO or entry-level certification is the usual first step.
  • Government facility: NQAS is the designed route, linked to National Health Mission support; NABH is optional.
  • Hospital targeting international patients: NABH for Indian schemes and insurers, plus JCI if international recognition matters to your business.
  • AYUSH or dental facility: NABH runs dedicated AYUSH and dental programmes built for these settings.

Not sure where your facility fits? Send us your type, beds and city on WhatsApp for a free assessment of the right route.

Frequently asked questions

What is the difference between NABH and NQAS?

NABH is the national accreditation board of the Quality Council of India and accredits both public and private healthcare organisations. NQAS (National Quality Assurance Standards) is the Health Ministry's quality certification for public health facilities such as district hospitals, community and primary health centres and Ayushman Arogya Mandirs, assessed and certified through the National Health Systems Resource Centre (NHSRC).

Can a private hospital get NQAS certification?

No. NQAS is designed for government health facilities under the National Health Mission framework. Private hospitals seek NABH accreditation (or, for international recognition, JCI).

Is JCI better than NABH?

Neither is simply better; they serve different purposes. JCI is an international accreditation useful for hospitals that treat international patients or work with foreign insurers. NABH is the Indian benchmark that CGHS, PMJAY and Indian insurers use. Many JCI-accredited Indian hospitals also hold NABH accreditation.

How long is each accreditation valid?

NABH hospital accreditation is awarded for four years, with surveillance in between. NQAS certification is valid for three years. JCI accreditation runs on a three-year survey cycle.

Do government hospitals need NABH if they have NQAS?

Not as a rule. NQAS is the quality certification designed for public facilities and is linked to National Health Mission incentives. Some government hospitals also seek NABH accreditation, for example to meet insurer or scheme requirements.

Official sources

Fees and rules change. Always confirm on the official page before you apply.

Get a free gap assessment for your facility

Tell us your facility type, bed or chair count and city. Dr. Ashutosh Sharma will tell you which NABH programme fits, what it will cost and how long it will realistically take — before you commit to anything.

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