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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Earlier policy library. This page belongs to an earlier library of ASF policies. The current, approved governance set is the ASF Standards Package 2026 (GOV, OPS, QMS and EV documents). Where this page and the 2026 package differ, the 2026 package applies.
ASF Institutional Policy Manual · Aligned with PHIG, September 2026

Part of the ASF policy framework, aligned with the equivalent PHIG policy. To raise a concern: see the ASF Complaints and Reporting Channel.

Every ASF policy has an owner, a version number and a review date, and is approved by the Board before it takes effect. Owner: Ethics Focal Point.

  1. Drafting: the policy owner drafts or updates, using the standard structure: purpose, scope, policy statements, procedures, roles, related policies, version control.
  2. Consultation: staff affected are consulted; legal review where a policy has legal consequences.
  3. Approval: by the Board; minor corrections (names, contacts, references) may be approved by the Operations Liaison and reported to the next Board meeting.
  4. Communication: published internally and, where relevant, on publichealth.ge; staff sign acknowledgement of key policies.
  5. Training: mandatory training on Policies 1, 5, 8, 9, 13 and 16 on induction and every year.
  6. Review: every policy is reviewed at least every year, or sooner after a change in law, a donor requirement or a serious incident.
  7. Language: policies are issued in English and French; if the versions differ, the English version prevails for donor purposes.
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