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Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Get Accredited · Tiers

Certificate Tiers

Seven tiers of recognition reflecting different stages of the quality improvement journey. Each tier is meaningful and independently verifiable via QR code.

The principle: Recognition should reflect where a facility actually is, not force a binary pass/fail. A facility at “ASF Monitored” has done real, verified work — and its patients deserve to know that, even before full accreditation is achieved.

The Seven Tiers

Tier Badge What it means Who decides
ASF Self-Declared None Self-assessment completed and signed by Responsible Person. No ASF involvement. Facility
ASF Certified Silver Via NAP only. 100% Non-Negotiable + ≥70% Core. Half-day local Monitor visit passed. Local NAP
ASF Registered Bronze Formal registration. All four roles named and certified. Q1 accepted. ASF
ASF Monitored Bronze+ ASF Registered + the full in-facility Monitor verification accepted. ASF
ASF Accredited Gold 3-year renewal verification passed. All thresholds met. ADC formal decision. ADC
ASF Accredited + ISO 9001 Ready Gold+ ASF Accredited + ISO 9001:2026 delta criteria met and verified. ADC
ASF Accredited + ISO 15189 Ready Gold+ ASF Accredited + ISO 15189:2022 delta criteria met. Laboratories only. ADC

What Each Badge Can and Cannot Claim

Badge Facility may say Facility may not say
Self-Declared “We have completed the ASF self-assessment” Anything implying ASF verification or endorsement
Silver (Certified) “ASF Certified via [NAP name]” with the co-branded badge “ASF Accredited” or “internationally accredited”
Bronze (Registered) “Registered with ASF, working toward accreditation” “ASF Certified” or “ASF Accredited”
Bronze+ (Monitored) “ASF Monitored — independently verified” “ASF Accredited”
Gold (Accredited) “ASF Accredited” — full international recognition Anything implying ISO certification
Gold+ (ISO Ready) “ASF Accredited, ISO 9001 Ready” (or 15189) “ISO 9001 certified” — ASF is not an ISO certification body

Misrepresentation is a breach. A facility that claims a tier it has not achieved has its registration reviewed and may be removed from the registry. The public registry is the authoritative record — anyone can check it.

Moving Between Tiers

Tiers are progressive. A facility starts at Self-Declared (free), moves to Certified or Registered depending on pathway, progresses to Monitored after the full in-facility verification, and achieves Accredited after the 3-year renewal visit and ADC decision. ISO Ready is an optional add-on for facilities that want to prepare for formal ISO certification. Tiers can also move backward: a lapsed quarterly cycle, a failed re-verification, or a revocation moves the facility down and the registry is updated.

Verify Any Certificate

Every ASF certificate carries a QR code. Scan it or check the facility on the public registry — result in seconds. Georgian facilities are listed on certificate.ge.

Verify a Certificate →
The Public Registry →

Want to understand the model behind this?
The Four Named Roles · The Quarterly Cycle · The 3-Year Renewal Visit · The ADC · Quality Assurance · Theory of Change — read the complete ASF Model →
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