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International Accreditation of Healthcare Facilities

Standards › Standard S1 › Policies

Policy · HOS-POL-003 · Version 1.0 · Approved by the ASF Expert Committee

Supports: System S1 (Hospital), criterion S1.20

At a glance

  • Patients are given the price of services before treatment begins.
  • Give a written estimate the patient can keep.
  • Publish the price list.
  • Any change in price is told to the patient before it applies.
  • Stop and get help straight away if: a patient is charged without being told the price in advance.

1. Purpose

To make sure patients know what care costs before it starts, and can keep a written record (S1.20).

2. Scope

Applies to Clinical and support staff in the hospital
Locations All wards, clinics and departments of the facility
When Whenever the activity described is carried out
Does not apply to Activities covered by another document listed in section 15

3. Definitions

Term Meaning
Clinical lead The doctor or nurse in charge of the area at the time

4. Background

Patients who learn the cost after treatment begins are harmed in ways that are hard to undo. Prices given before treatment protect the patient and the facility.

5. Responsibilities

Role Responsibility Competence
Chief executive Approves the policy and the price list Executive
Finance lead Keeps the price list current Finance
Reception lead Gives the estimate before treatment Reception

6. Materials and equipment

Item Requirement Condition
Records and forms named in this document Current version Checked before use

7. Safety

8. Before you start

9. Procedure

Step 1. Give the estimate.

  • Give a written estimate before treatment begins.
  • Explain it and give a copy.

Key point: Before, in writing, to keep.

Step 2. Publish.

  • Publish the price list on the website and in reception.

Key point: Public and current.

Step 3. Tell changes.

  • Tell the patient before a price change applies to them.

Key point: No surprise bills.

10. Decision points

11. Special situations

Situation Action
Out of hours Follow the same steps. Use the on-call contact on the wall of the area.

12. Escalation

13. Monitoring

Measure Target Frequency Owner If not met
Patients given a price before treatment At least 70% Monthly Reception lead Escalate to chief executive
Price list current and published 100% Quarterly Finance lead Escalate to chief executive

14. Records

Record Kept in Retention
Record named in this document Patient record or the area file the period set by the facility’s records policy years

15. Training

16. Related documents

ID Title Use
HOS-FRM-012 Price list record Record
HOS-FRM-011 Public information check record Public details

17. Evidence

Reference Note
E-009 ASF Expert Committee consensus.
E-006 ASF Policy Framework v1.2. Adapted.
E-009 ASF Expert Committee consensus.

18. Change history

Version Date What changed Approval
1.0 the date of approval First version set Expert Committee approval

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