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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Become a Certified ASF Monitor

The Accreditation Monitor independently verifies that a facility’s self-assessment is honest and evidence-based. This is the quality assurance role at the heart of the ASF system.


Internal vs External Monitor

Internal Monitor External Monitor
Scope One facility only — the employing facility Any facility, any region, any country
Employed by The facility Independent professional
Days per facility per year Q4 in-facility verification (1 day) Q2 online (1 day) + Q4 in-facility (1 day) = 2 days
Revenue model Employed role Market day-rate agreed directly with facility
Rotation rule Maximum 3 consecutive years, then 1-year gap Maximum 5 consecutive years per facility, then 1-year gap
Transferable? No — role is for the employing facility only Yes — serves multiple facilities

What a Monitor Does

  • Independently reviews the facility’s self-assessment against observable evidence
  • Signs off each criterion as: Verified / Requires Evidence / Disputed
  • Submits Q2 Online Verification Report (document review + video call with Coordinator, approximately 3–4 hours)
  • Conducts Q4 In-Facility Verification (full day at facility, 100% criteria coverage)
  • Attends annual supervision alongside ASF supervisor
  • Flags disputes and tracks their resolution through the 5-step dispute pathway

What a Monitor Does Not Do

  • Operate or modify the self-assessment tool
  • Change self-assessment answers
  • Make accreditation decisions
  • Provide advisory or consulting services to the facility being assessed (conflict of interest)

The External Monitor as a Career

An External Monitor serving 10 facilities spends approximately 20 in-person days per year on Monitor work — a viable part-time professional role. At 25–30 facilities, it is a full-time practice. Monitors with advanced supervisor training may qualify to conduct annual ASF supervision visits — the full pathway from Monitor to ASF Supervisor.

Certification Pathway

  1. Training: Complete ASF Monitor Training — 16 hours per facility type, online, delivered in your national language
  2. Supervised visit: Observe one Q4 in-facility verification alongside a certified Monitor
  3. Examination: Pass the ASF Monitor Examination with a minimum score of 85%
  4. Credential issued: AM-XXXXX with facility type designation — valid 2 years, listed in public registry with hire availability status
  5. Renewal: Every 2 years — 8 CPD hours + evidence of ≥2 active assignments + re-examination

Professional Liability

The Monitor certification agreement includes an explicit professional liability clause. Signing a false verification report triggers credential suspension and formal investigation. Monitors should hold appropriate professional indemnity insurance for their practice.

Access ASF Academy to Begin Training →

Find a certified Monitor in the ASF registry →

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