State Health Facility Monitoring and Accreditation Agency (HEFAMAA)

ABOUT THE HEFAMAA:   • Establishment: Since inception of the current administration in Lagos State, several attempts have been made to improve the Health Care Services Delivery System in the State. These attempts had culminated in the introduction of the Health Reform Agenda which is backed by Law. The main aim of this reform agenda is to improve the performance of the health system.   A vital component of this process is the regulation of the private sector of health care delivery being a major provider of service to over 60% of the population. Hence, the establishment of a number of regulatory and monitoring agencies which include the Health Facility Monitoring and Accreditation Agency (HEFAMAA).   The HEFAMAA was established in March 2006 and is charged with the responsibility of monitoring both private and public health facilities to ensure registration and accreditation of all health facilities in Lagos State.   • Objectives: In performing its functions and exercising its powers, the primary objectives of the Agency is to set up necessary standards for both public and private hospitals and other health institutions, improve the quality and efficiency of health care services to the patients by setting adequate standards and ensure strict compliance with same.    • Functions of the Agency:(1) set required minimum standards for operations of health facilities both in public ad private health sector.(2) issue a format for registration form to include information on projected patient flow and monitoring chart for actual performance.(3) accredit, inspect, monitor and license all health facilities.(4) evaluate performance based on set standards by at least a monitoring visit twice a year.(5) oversee the Quality Drug Assurance Laboratory.(6) disseminate specific performance indicators by way of information to the public from data made available by the Research and Statistics Department at least quarterly.(7) ensure actual performance of the indicators.(8) process applications for registration submitted to the Agency from any person.(9) inspect the premises to be registered under the Law.(10) collate all necessary information on registered health facilities in the State.(11) advise the commissioner on all matters relating to the registration, inspection and supervision of private and public hospitals in the state.(12) enforce compliance with the provisions of the Law.(13) ensure the authenticity of credentials of facilities personnel.   BOARD-MEMBERS/HEFAMAA STAFF   The Governing Board of the Agency consists of:(a) Chairman(b) Executive Secretary(c) Representative of NMA(d) Representative of PSN(e) Representative of NANNM(f) Representative of AMLSN(g) Representative of Ministry of Justice(2) Consultant to HEFAMAA(3) Head of Monitoring(4) Head of Operation(5) Five Monitoring Teams A – E, comprising of a doctor, nurse and medical laboratory personnel(6) Driver and other clerical staff.• Contacts: for further enquires, information or necessary official transaction, HEFAMAA office is located at Room 514, Blk. 4, Lagos State Ministry of Health, Alausa Secretariat, Ikeja Lagos.   (3) REGISTRATION:- Since the commencement of the Lagos State Health Sector Reform Law, no person is authorized to establish, carry on or run a health facility in the state on any premises not registered with HEFAMAA.(a) SCHEDULE: Private Health institutions in Lagos State could be registered under the following schedule:(1) Private Hospital(2) Private Clinic(3) Maternity Centre(4) Private Nursing/convalescent home(5) Private Physiotherapy Clinic(6) Private Dental Clinic(7) Private Medical Laboratory(8) Optical/ophthalmic centre(9) Radiotherapy centre(10) Radio diagnostic Centre(11) Advanced life support services(12) Mortuary Services(13) Mobile Clinics(14) Optometric/Optical Clinics(15) Home Care Services(16) Missionary Health Care Services(17) Corporate Organization Health Care Services(18) Local Government Health Institutions(19) Alternative Medical Services(20) Other Health Care Units in Special Categories.   (b) APPLICATION: application to register a private health facility involves writing a letter of application addressed to the Honourable Commissioner, Lagos State Ministry of Health, Alausa Secretariat, Ikeja and application forms are obtainable from the Secretary to the agency on presentation of a treasury receipt for a prescribed sum paid into the State Government Treasury.   (C ) Condition for Registration: Subject to the provisions of the Lagos State Health Sector Reform Law, premises intended to be used as a health facility will only be registered by the Agency if the Agency is satisfied that:(1) the medical practitioner in charge of, and any other medical practitioner connected with the health facility or any part thereof is qualified to practice any special branch of medicine there dealt with and is in all other respect, a fit and proper person.(2) the registered nursing staff is adequate(3) the matron or other person in charge of the Nursing Staff is a qualified nurse(4) the premises are satisfactory and in conformity with the requirements approved by the Authority.(5) the equipment is suitable and sufficiently adequate(6) the health facility with in-patient facilities contains the maximum numbers of beds allowed under the Law.(7) Where a health facility or a clinic in operation engages in compounding of drugs, such health facility or clinic shall employ and retain the services of a qualified pharmacist who shall be registered and licensed by the Pharmacy Board of Nigeria.NOTE: Conditions for the operations of the various schedules apply for are stated categorically in the brochure purchased during registration.   (d) REQUIREMENT: documents to be submitted along with the application form are:(1) passport size photographs of the proprietors and Medical Director in charge(2) MDCN certificate of full registration as a medical practitioner(3) photocopy of evidence of Current Practicing License of each doctors in the facility.(4) photocopy of credentials and practicing license of Nurses/Midwives.(5) Staff List.(6) access diagram of how to reach the Health facility(7) diagrammatic sketch of the Institution, room with labels and measurements in metres.(8) medical certificate from college/university(9) Nursing/Midwifery Qualification Certificate(10)Monthly Data are to be completed and submitted to our officer, according to the category of the Health facility and returned every month.(11)photocopy of Receipt.FOR 2011 RENEWAL OF REGISTRATION OF HEALTH FACILITIES.Doctors – To Produce1. Current MDCN Practicing License2. Evidence of Data Submission in the LGA of your Practice3. Letter of Introduction from NMA, AGPMPN, or Guild of Medical Directors.4. Photocopy of Certificates and Practicing License of (Nurse, Doctor).Nurses - Identification Letter from NANNM.- Evidence of Submission of Data in the LGA of your Practice- Photocopy of Certificates of Supervising Doctor and Current Practicing License.- Current Practicing License and Certificates of other Medical Staff.Laboratory: - Letter of Introduction from the Association of their zone.- Photocopy of Current Practicing License of Laboratory Scientist.****** TAX CLEARANCE CERTIFICATE FOR ALL FACILITY PROPRIETORS.All Operating Officers who did not submit the renewal form for 2010 will be liable to pay #10,000 penalty, non collection of renewal certificates attracts a penalty of #10,000.Deadline for renewal for 2011 is 31st March, 2011.   (e) CERTIFICATE OF REGISTRATION AND RENEWAL:The Agency shall issue a certificate of registration to any person who applies under the Law and has satisfied the conditions in respect of premises to be used for health facility.A certificate of Registration issued by the Agency shall be signed by the Secretary and shall contain the Seal of the Agency.Subject to the provisions of the Health Sector Reform Law, no medical practitioner shall be in charge of more than one registered health facility.A certificate of registration may be renewed every 12 months on the provision of Medical Records and Statistics.f. REGISTRATION AND RENEWAL FEES FOR 2011.i. REGISTRATION.REGISTRATION FORM = N10, 000.00BROCHURE = N1, 000.00ii. CERTIFICATE OF REGISTRATION.CERTIFICATE (Laboratory, Clinic, Convalescent Centre, Nursing Home, Maternity Hospital Less than 10 beds). =N25, 000.00HEFAMAA LOGO = N10, 000.00iii. CERTIFICATE OF REGISTRATION.SPECIALIST HOSPITAL (Certificate) = N50, 000.00HEFAMAA LOGO = N10, 000.00DIAGNOSTIC CENTRES = N50, 000.00LIMITED LIABILITY COMPANIES HOSPITAL/CLINIC = N100, 000.00iv. RENEWAL.CLINICS = N10, 000.00CONVALESCENT/NURSING HOME = N10, 000.00MATERNITY HOME = N10, 000.00LABORATORY ONLY = N10, 000.00SPECIALIST CLINIC = N25, 000.00HOSPITAL = N20, 000.00HOSPITAL WITH 20 BEDS AND ABOVE = N 50,000.00DIAGNOSTIC CENTRE = N25, 000.00SPECIALIST HOSPITAL = N50, 000.00LIMITED LIABILITY COMPANY CLINIC/HOSPITAL = N100, 000.00v. QUARTERLY PENALTY.1st QUARTER (JAN – MARCH 31st) = NO PENALTY2nd QUARTER PENALTY (APRIL – JUNE) = 50%3rd QUARTER PENALTY (JULY – SEPTEMBER) = 100%4th QUARTER PENALTY (OCT – DECEMBER) = 150%Note: ALL FACILITIES HAVING MORE THAN TWO BEDS WILL PAY THE FEE FOR AN HOSPITAL.LETTER FROM VARIOUS PROFESSIONAL ASSOCIATIONS ARE YEARLY AND WILL HAVE TO BE SUBMITTED WITH THE RENEWAL FORM AND TAX CLEARANCE CERTIFICATE/ RECEIPTS OF PAYMENT OF TAX.   (g) DISPLAY OF CERTIFICATE: the following certificates should be displayed in a conspicuous place in any health facility:(1) Certificate of Registration(2) Current license of practice(3) Professional Certificate of the head of the facility.   MONITORING FINE FOR DEFAULTING FACILITIESHOSPITAL:• Hospital not Registered = N100,000.00• Hospital Registered (but defaulted less<5yrs) = N30,000.00• Hospital Registered (defaulted above 5yrs)= N50,000.00• Hospital Registered (No qualified personnel on duty)= N50,000.00• Hospital Registered but Dirty & Dilapidated furniture And Dirty Environment = N10,000.00• Training of Auxiliary Nurses= N100,000.00• Late submission of Data = N10,000.00• Uses of expired Vaccines = N50,000.00• Inadequate waste disposal = N10,000.00   Nursing Home• Nursing Home not Registered = N100,000.00• Nursing Home Registered (but defaulted less<5yrs)= N20,000.00• Nursing Home Registered (defaulted above 5yrs)= N50,000.00• Nursing Home Registered (No qualified personnel on duty)= N50,000.00• Nursing Home Registered but Dirty & Dilapidated Furniture and Dirty Environment = N10,000.00• Training of Auxiliary Nurses= N100,000.00• Late submission of Data = N10,000.00• Uses of Expired Vaccines = N50,000.00• Inadequate Waste Disposal = N10,000.00   CLINIC• Clinic not Registered = N100,000.00• Clinic Registered (but defaulted less<5yrs)= N20,000.00• Clinic Registered (defaulted above 5yrs)= N50,000.00• Clinic Registered (No qualified personnel on duty)= N50,000.00• Clinic Registered but Dirty & Dilapidated Furniture and Dirty Environment = N10,000.00• Training of Auxiliary Nurses = N100,000.00• Late submission of Data = N10,000.00• Uses of Expired Vaccines = N50,000.00• Inadequate Waste Disposal = N10,000.00   MATERNITY HOME• Maternity Home not Registered = N100,000.00• Maternity Home Registered (but defaulted less<5yrs)= N30,000.00• Maternity Home Registered (defaulted above 5yrs)= N50,000.00• Maternity Home Registered (No qualified personnel on duty)= N50,000.00• Maternity Home Registered but Dirty & Dilapidated Furniture and Dirty Environment = N10,000.00• Training of Auxiliary Nurses = N100,000.00• Late submission of Data = N10,000.00• Uses of Expired Vaccines = N50,000.00• Maternity Home (Operating beyond schedule)= N100,000.00• Quackery practice = N100,000.00• Inadequate Waste Disposal = N10,000.00   LABORATORY• Laboratory not Registered = N100,000.00• Laboratory Registered (but defaulted <5yrs)= N30,000.00• Laboratory Registered (but defaulted >5yrs)= N50,000.00• Laboratory Registered (No qualified personnel on duty) = N30,000.00• Laboratory Registered but not well equipped = N20,000.00• Inadequate Waste Disposal = N10,000.00   Re-opening of closed facilities = N250, 000.00 Members of the board include: Dr Bambo Oyekan - Chairman Dr. E.B. Akinrimisi - Executive Secretary The functions of the agency are: Setting required minimum standards for operations of health facilities in the public and private sectors Inspect, monitor, accredit and license all health facilities listed in the schedule of the Health sector Reform (HSR) law of 2006 Issue a format for registration to include information on projected patient flow and monitoring chart for actual performance Evaluate performance based on set standards by monitoring visits to health facilities at least twice a year Oversee the quality Control Laboratory Publish list of accredited and registered health facilities Enforce compliance with the provisions of the HSR law Ensure authenticity of the credentials of health personnel to staff the health facilities Some activities carried out in 2009 include: 317 application forms sold 347 brochures sold 302 HEFAMAA Logos sold 215 certificates collected 12 applications for facility upgrade 240 hospitals issued with penalties 240 requests for information 25 applications for re-opening of facilities 3,099 facilities monitored 637 facilities found wanting 9 facilities issued with default fine 185 inspections carried out 119 closures carried out 76 petitions treated

Share this