Governance · ADC
Accreditation Decision Committee
The ADC makes all formal accreditation decisions. The supervisor recommends. The ADC decides. These functions are permanently separated.
Composition
- Pool of ≥15 members. Each decision panel: 5–7 members by rotation.
- Majority must have no current employment or financial relationship with ASF
- At least one member per panel with clinical background relevant to the facility type
- No active ASF supervisor, Coordinator, or Monitor may sit on the ADC
- Chair elected by ADC members — not appointed by ASF leadership
- Terms: 3 years, maximum 2 consecutive terms. Remunerated at published rate.
Voting Thresholds
| Decision | Required majority |
|---|---|
| Accredited | Simple majority |
| Conditionally Accredited | Simple majority |
| Deferred | Simple majority |
| Not Accredited | Two-thirds majority — protects against single-member bias |
| Revocation | Two-thirds majority + mandatory facility notification and response period |
ADC Override
The ADC can commission an independent re-verification by an ASF-appointed Monitor — not the facility’s own Monitor — if it doubts the Q4 report.
Appeals
3-member Appeals Panel, none from the original decision panel. Reviews process compliance only — did ASF follow its own rules? Decision within 60 days. Final — no further internal appeal.
