Accréditation Sans Frontières
International Accreditation of Healthcare Facilities
Accréditation Sans Frontières
International Accreditation of Healthcare Facilities
Accréditation Sans Frontières is an international accreditation body, headquartered in Paris. We accredit hospitals, ambulatory clinics, and primary care facilities across three programmes — in stable health systems and in places no other accreditor operates.
About ASF
An independent accreditation body.
Built for the hospitals the others cannot reach.
ASF assesses the whole circle a person travels through a facility: how they arrive, what happens to them while they are there, how they leave, and — critically — what happens once they are home. The same seven standards apply to every category below; only the depth of evidence required changes with the setting. ASF is a non-profit working with facilities in every country, with a particular focus on health systems in transition and under strain, where the gap between what patients need and what existing accreditors reach is widest.
The focus is small and medium-sized hospitals — a challenge that exists everywhere, not only where health systems are rebuilding. A 50-bed district hospital faces the same structural exclusion whether it sits in a wealthy country or a fragile one: no standard written for its scale, no surveyor who has walked its wards, no certificate its insurers or regulators recognise. ASF exists for the hospital too small to be seen by accreditors built for large, resource-rich institutions.
Day surgery centres, specialist outpatient units, diagnostic facilities, primary care clinics, dental practices, and rehabilitation centres — the outpatient settings where most healthcare actually happens, assessed on their own terms rather than measured against a hospital standard built for a different environment.
Any setting where a procedure penetrates the skin, alters tissue, or carries a genuine risk of infection or injury — body piercing, tattooing, and aesthetic injectable procedures such as Botox and dermal fillers. These sit in a genuine regulatory gap, often outside any clinical licensing framework at all. ASF assesses the procedure, not the business offering it — a salon offering both haircuts and microblading is assessed only on the microblading.
Gyms, pools, and physical activity facilities — assessed for injury prevention and infection control, the same underlying safety questions asked of any setting where people put their bodies at risk, extended to a category no health-focused accreditor currently covers.
An endorsement layered on any of the four categories — pricing transparency, remote records transfer, travel and language logistics, and post-return follow-up for patients who travel for care.
Built directly against WHO’s Global Competency Standards for Health Workers (2022) — facility readiness to serve displaced and migrant populations with dignity, language access, and continuity of care regardless of legal status.
€1,000 per one-day assessment, plus travel. Every fee is disclosed transparently: 10% administrative costs, 10% supports ASF and PHIG’s public health and educational work, 80% goes directly to the assessors and advisors doing the work. Facilities that do not pass may reapply at any time, with no limit.
ISQua EEA — the External Evaluation Association of the International Society for Quality in Health Care — independently evaluates whether an accreditation body’s own standards meet internationally recognised principles for quality, safety, and evidence-based practice.
ASF has chosen not to pursue this specific credential. ASF’s own standards are developed with reference to internationally recognised principles for quality, safety, and evidence-based practice, and are open for anyone to review.
ASF’s standards, self-assessment tools, and training are open to any facility, free, with no login required. Formal assessment is the only step that requires registration.
ASF standards are developed with reference to internationally recognised principles for healthcare accreditation standards, and organised around the patient’s actual journey through a facility rather than facility type alone.
Standards developed from evidence, peer review, and structured consultation with clinicians, patients, and health system experts.
Standards field-tested in live accreditation environments before formalisation. Eight years of operational feedback incorporated. Evidence published through the Georgian Medical Journal — citable, open access.
Standards reflect the best available clinical evidence and are reviewed and updated on a defined cycle.
Annual review cycle. Evidence base drawn from WHO, JAMA, Lancet, BMJ patient safety literature. Evidence base is published, not proprietary.
Every standard is observable, testable, and assessed against defined criteria with documented evidence requirements.
Monthly indicator monitoring between annual surveys — continuous measurement, not a biennial snapshot. The ASF Training Passport creates a verifiable, QR-auditable evidence chain for every staff member at every facility.
Standards address patient safety, clinical quality, and the systems that protect patients from preventable harm.
The ASF Patient Voice system is the only international accreditation model where the patient council is convened and facilitated by the accreditor — not the facility. Independent by design, not by policy.
Standards are designed to drive improvement over time, not to certify a one-time state.
Each annual survey measures progress from the previous survey’s documented baseline — not against an absolute threshold. The in-country support model means improvement is monitored monthly, not measured once every three years.
Standards are designed for the specific type of healthcare organisation being assessed — not generic across all healthcare.
Three distinct programme tracks (universal hospital, transition & fragile states, ambulatory) each with context-calibrated evidence requirements. The only accreditation body whose standards have been validated simultaneously in post-Soviet reform environments, humanitarian displacement settings, and urban specialist clinics.
Accréditation Sans Frontières (ASF) is an independent international accreditation organisation headquartered in Paris, France, dedicated to improving the quality and safety of healthcare through external evaluation, education and capacity building.
ASF has been operational for more than eight years, building and field-testing its approach in one of the world’s most dynamic transitional health systems — Georgia — before opening the model internationally.
We are governed independently of the facilities we accredit. Accreditation decisions are made by an accreditation committee on the basis of survey evidence alone. Our leadership brings decades of experience across WHO, international development, academic public health and hospital accreditation.
Our mission
“To make internationally credible healthcare accreditation achievable for every facility committed to quality — regardless of the maturity or resources of the health system it operates in.”
Headquarters
Paris — 32, Boulevard de Rochechouart, 75018
Geneva — 23 Rue des Eaux-Vives, 1207
Tbilisi — 3 Betlemi Rise, 0105
info@accreditation.ge
National implementation partner in Georgia. An independent national institute and ASF’s Georgian anchor. PHIG is the official representative of Accreditation Canada in Georgia. publichealth.ge
Academic publishing partner. Open-access, peer-reviewed, Crossref member (DOI prefix 10.66636, ISSN 3088-4322). Training delivered via the ASF Academy. gmj.ge
International accreditation partner. Nine Georgian hospitals achieved Accreditation Canada certification through the PHIG partnership in 2023. accreditation.ca
ASF standards reference WHO frameworks, including patient safety and quality-of-care guidance, and the Refugee and Migrant Health Global Competency Standards. This does not imply WHO endorsement.
ASF’s quality framework is aligned with WHO guidance on quality of care and patient safety, including the vision that quality health services are essential to universal health coverage. ASF leadership brings direct WHO experience, including WHO Geneva at P-grade level.
ASF Verified training providers are benchmarked against UEMS and European CME standards. ASF leadership holds a senior role in the UEMS Section of Public Health.
Accreditation decisions are made by an independent committee on the basis of survey evidence alone. Leadership holds no financial interest in any accredited or applicant facility. Fees are published and fixed, independent of outcome.
We reply in writing within 2 working days.
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