This annex sets out which ASF Health Standards apply to each of the nine facility types. It is read with the standard it refers to. Standard 1 shows the applicability of each criterion in full (ASF-HS11-S01, https://france-asf.fr/standards/standard-1/). For the other standards, the same information appears at the start of each standard as it is published.
Core standards (1 to 10) apply to every facility. A criterion may be marked not applicable (N/A) for a facility type when the facility has no activity the criterion covers. For example, restraint and seclusion (1.4) does not apply to a fitness centre. Each N/A is a decision on the facility type, not on the facility, and it is recorded in the assessment.
Service standards (11 to 70) apply when the facility offers the service. For each facility type, a service is Default (normally offered, so the standard applies), Optional (apply only if the facility offers it), or N/A (not applicable to that type).
Summary by facility type
| Facility type | Core criteria that apply | Default services | Optional services |
|---|---|---|---|
| Hospital | 87 of 87 | 29 | 29 |
| Ambulatory clinic | 86 of 87 | 17 | 33 |
| Primary health clinic | 75 of 87 | 7 | 34 |
| Long-term care | 79 of 87 | 11 | 20 |
| Telemedicine | 48 of 87 | 1 | 20 |
| Home care | 63 of 87 | 7 | 19 |
| Fitness and wellness | 59 of 87 | 4 | 7 |
| Dental clinic | 79 of 87 | 4 | 13 |
| Aesthetic and procedure clinic | 71 of 87 | 5 | 11 |
Applicability matrix
Key: Yes = applies; Default = normally offered; Optional = applies only if offered; N/A = not applicable.
| No. | Criterion or standard | Hospital | Ambulatory clinic | Primary health clinic | Long-term care | Telemedicine | Home care | Fitness and wellness | Dental clinic | Aesthetic and procedure clinic |
|---|---|---|---|---|---|---|---|---|---|---|
| Core standard 1: Assessment, Care Planning and Safety (7 criteria) | ||||||||||
| 1.1 | Staffing Matches Patient Need | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 1.2 | Every Patient Gets a Structured Assessment | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 1.3 | There is an Actual Care Plan | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 1.4 | Restraint and Seclusion Use Is Governed and Minimised | Yes | Yes | N/A | Yes | N/A | Yes | N/A | N/A | N/A |
| 1.5 | Nutrition and Therapeutic Diet Needs Are Actively Managed | Yes | Yes | Yes | Yes | N/A | Yes | N/A | N/A | N/A |
| 1.6 | Pressure Injury Risk Is Assessed and Actively Prevented | Yes | N/A | N/A | Yes | N/A | Yes | N/A | N/A | N/A |
| 1.7 | VTE Risk Is Assessed Before Every Admission and Procedure | Yes | Yes | N/A | Yes | N/A | N/A | N/A | N/A | N/A |
| Core standard 2: Governance and Safety Culture (10 criteria) | ||||||||||
| 2-1.1 | The Board Is Accountable | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.2 | There Is a Written Strategic Plan | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.3 | Policy Gets Followed | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.4 | Patient Data Is Kept Secure | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.5 | Records Are Kept Exactly as Long as Required | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.6 | Serious Incidents Get Properly Investigated | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.7 | Safety Culture Is Measured | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.8 | Patient Experience Is Measured Continuously, Not Only After Discharge | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.9 | An Ethics Consultation Process Exists | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-1.10 | Patients and Families Have a Voice in Governance | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Core standard 3: Facility, Environment and Equipment (17 criteria) | ||||||||||
| 2-2.1 | Reception Desk Accessibility | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-2.2 | Waiting and Queue Time Is Actively Managed | Yes | Yes | Yes | N/A | N/A | N/A | N/A | Yes | Yes |
| 2-2.3 | Water Supply Is Safe and Monitored | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-2.4 | Medical Equipment Is Maintained on Schedule | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 2-2.5 | Shared Spaces Are Clean | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-2.6 | Facility Risks Are Tracked in One Integrated Register | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-2.7 | Facility Signage Is Complete Throughout the Building | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-2.8 | Fault Prevention Is Planned, Not Only Repaired | Yes | Yes | Yes | Yes | N/A | Yes | Yes | Yes | Yes |
| 2-2.9 | Endoscopy Equipment Is Safe to Use and Properly Reprocessed | Yes | Yes | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 2-2.10 | Handrails Are Fitted Where Patients Walk | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-2.11 | Toilets and Washrooms Have Correct Grab Bars | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-2.12 | An Accessible Toilet Is Available Where Patients Need One | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-2.13 | Toilet and Washroom Doors Allow Rescue | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-2.14 | Lighting Supports Safe Movement | Yes | Yes | Yes | Yes | N/A | Yes | Yes | Yes | Yes |
| 2-2.15 | Beds and Chairs Are Set to Reduce Fall Risk | Yes | Yes | N/A | Yes | N/A | Yes | N/A | Yes | Yes |
| 2-2.16 | Walking Aids and Mobility Equipment Are Available and Checked | Yes | Yes | Yes | Yes | N/A | Yes | Yes | N/A | N/A |
| 2-2.17 | Routes Are Clear of Clutter and Trip Hazards | Yes | Yes | Yes | Yes | N/A | Yes | Yes | Yes | Yes |
| Core standard 4: Sustainability (8 criteria) | ||||||||||
| 2-3.1 | An Environmental Sustainability Programme Is Active | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-3.2 | Environmental Impact Is Reviewed at Strategic Level | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-3.3 | Staff and Patients Are Informed of Sustainability Goals | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-3.4 | Sustainability Progress Is Reported to Governance | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-3.5 | Procurement Considers Responsible Stewardship of Resources | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-3.6 | Energy Use Is Monitored, With a Move Toward Renewable Sources | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-3.7 | A Carbon Footprint Baseline Exists | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 2-3.8 | The Facility Plans for Environmental and Climate Resilience | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| Core standard 5: Digital Care and AI (8 criteria) | ||||||||||
| 2-4.1 | Digital Care Systems Follow an Assessment and Management Process | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-4.2 | Digital Care Never Disadvantages a Patient Who Cannot Use It | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-4.3 | Technical Expertise Supports Digital Care Systems | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-4.4 | AI Systems Are Introduced in Line With WHO AI Governance Guidance | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-4.5 | AI Systems Are Monitored for Unintended Consequences | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-4.6 | Staff Are Consulted Before an AI System Is Introduced | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-4.7 | Accountability for AI-Assisted Care Is Explicitly Defined | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-4.8 | Patients Are Informed When Their Care Involves AI | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| Core standard 6: Workforce (11 criteria) | ||||||||||
| 2-5.1 | Ongoing Competency Is Regularly Evaluated | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.2 | Staff Have Access to Ongoing Education and Skill Development | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.3 | Workforce Health and Safety Is Protected | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.4 | Workplace Issues Raised by Staff Are Investigated and Resolved | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.5 | Staff Are Protected From Violence and Aggression | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.6 | Workforce Feedback Is Gathered and Acted On | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.7 | Sick Leave and Attrition Data Inform Organisational Learning | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.8 | Equality, Diversity and Inclusion Across the Workforce Are Monitored | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.9 | Working Hours and Rest Are Safe | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.10 | Staff Can Raise Concerns Through a Route That Protects Them | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes | Yes |
| 2-5.11 | Staff Are Trained in Falls Prevention | Yes | Yes | Yes | Yes | N/A | Yes | N/A | N/A | N/A |
| Core standard 7: Surgical and Procedural Safety (6 criteria) | ||||||||||
| 7.1 | The Surgical Safety Checklist Is Used | Yes | Yes | N/A | N/A | N/A | N/A | N/A | Yes | N/A |
| 7.2 | Anaesthesia Is Delivered Safely | Yes | Yes | N/A | N/A | N/A | N/A | N/A | Yes | N/A |
| 7.3 | Surgical Site Infection Is Actively Prevented | Yes | Yes | N/A | N/A | N/A | N/A | N/A | Yes | N/A |
| 7.4 | Procedures Are Performed Within Granted Privileges and Marked Correctly | Yes | Yes | N/A | N/A | N/A | N/A | N/A | Yes | N/A |
| 7.5 | Post-Operative Monitoring and Recovery Are Safe | Yes | Yes | N/A | N/A | N/A | N/A | N/A | Yes | N/A |
| 7.6 | Instrument, Swab and Sharps Counts Are Completed | Yes | Yes | N/A | N/A | N/A | N/A | N/A | Yes | N/A |
| Core standard 8: Medicines Safety (7 criteria) | ||||||||||
| 8.1 | Look-Alike, Sound-Alike Medications Are Specifically Managed | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 8.2 | Each Prescription Is Checked Before Dispensing | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 8.3 | High-Alert Medicines Are Double-Checked Before Giving | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 8.4 | Medicines Are Stored Securely and at the Right Temperature | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 8.5 | Controlled Medicines Are Recorded and Counted | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 8.6 | Medicines Are Reconciled at Admission, Transfer and Discharge | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 8.7 | Medication Errors Are Reported and Reviewed | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| Core standard 9: Environment and Accessibility (8 criteria) | ||||||||||
| 9.1 | Handrails Are Fitted Where Patients Walk | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 9.2 | Toilets and Washrooms Have Correct Grab Bars | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 9.3 | An Accessible Toilet Is Available Where Patients Need One | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 9.4 | Toilet and Washroom Doors Allow Rescue | Yes | Yes | Yes | Yes | N/A | N/A | Yes | Yes | Yes |
| 9.5 | Lighting Supports Safe Movement | Yes | Yes | Yes | Yes | N/A | Yes | Yes | Yes | Yes |
| 9.6 | Beds and Chairs Are Set to Reduce Fall Risk | Yes | Yes | N/A | Yes | N/A | Yes | N/A | Yes | Yes |
| 9.7 | Walking Aids and Mobility Equipment Are Available and Checked | Yes | Yes | Yes | Yes | N/A | Yes | Yes | N/A | N/A |
| 9.8 | Routes Are Clear of Clutter and Trip Hazards | Yes | Yes | Yes | Yes | N/A | Yes | Yes | Yes | Yes |
| Core standard 10: Pain Management (5 criteria) | ||||||||||
| 10.1 | Opioid Prescribing Is Deliberately Stewarded | Yes | Yes | Yes | Yes | N/A | Yes | N/A | Yes | N/A |
| 10.2 | Pain Is Formally Assessed and Reassessed, Not Just Asked About Once | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 10.3 | Pain and Symptoms Are Assessed and Controlled | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| 10.4 | Opioids and Controlled Medicines Are Managed Safely | Yes | Yes | Yes | Yes | N/A | Yes | N/A | Yes | N/A |
| 10.5 | Patients and Families Are Informed About Their Pain Plan | Yes | Yes | Yes | Yes | Yes | Yes | N/A | Yes | Yes |
| Service standards 11 to 70: apply when the facility offers the service | ||||||||||
| 11 | Rehabilitation | Optional | Optional | Optional | Default | Optional | Optional | Optional | N/A | N/A |
| 12 | Critical Care | Default | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 13 | Organ and Tissue Transplant | Default | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 14 | Diagnostic Imaging | Default | Default | Optional | Optional | N/A | N/A | N/A | Default | N/A |
| 15 | Oncology and Cancer Care | Default | Optional | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 16 | Psychiatry and Mental Health | Optional | Optional | Optional | Optional | Optional | Optional | N/A | N/A | N/A |
| 17 | Academic Medical Centre | Default | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 18 | Multi-Site Governance | Optional | Optional | Optional | Optional | Optional | Optional | Optional | Optional | Optional |
| 19 | Medical Tourism | Optional | Optional | Optional | N/A | N/A | N/A | N/A | Optional | Optional |
| 20 | Health and Migration | Optional | Optional | Optional | Optional | Optional | Optional | Optional | Optional | Optional |
| 21 | Dialysis and Renal Replacement | Default | Optional | N/A | N/A | N/A | Optional | N/A | N/A | N/A |
| 22 | Telemedicine | Optional | Optional | Optional | Optional | Default | Optional | N/A | Optional | N/A |
| 23 | Long-Term Care | N/A | N/A | N/A | Default | N/A | N/A | N/A | N/A | N/A |
| 24 | Home Care | Optional | Optional | Optional | Optional | N/A | Default | N/A | N/A | N/A |
| 25 | Fitness and Wellness | Optional | Optional | Optional | Optional | N/A | N/A | Default | N/A | N/A |
| 26 | Dental Care | Optional | Optional | Optional | N/A | N/A | N/A | N/A | Default | N/A |
| 27 | Aesthetic and Cosmetic Procedures (non-surgical only) | N/A | Optional | N/A | N/A | N/A | N/A | N/A | N/A | Default |
| 28 | Laboratory | Default | Default | Default | Optional | N/A | Optional | N/A | Optional | Optional |
| 29 | Hospital Emergency Department | Default | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 30 | Neonatal and Paediatric Hospital Care | Default | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 31 | Substance Use and Addiction Treatment | Optional | Optional | Optional | Optional | Optional | N/A | N/A | N/A | N/A |
| 32 | Humanitarian and Emergency Operations | Optional | Optional | Optional | Optional | Optional | Optional | N/A | Optional | N/A |
| 33 | Nutrition and Dietetics | Optional | Optional | Optional | Default | Optional | Optional | Default | N/A | N/A |
| 34 | Complementary and Traditional Medicine | Optional | Optional | Optional | Optional | Optional | Optional | Optional | N/A | Optional |
| 35 | Aftercare, Follow-Up and Post-Discharge Safety | Default | Default | Optional | Default | Optional | Default | N/A | Optional | Default |
| 36 | Access, Findability and Wayfinding | Default | Default | Default | Default | N/A | N/A | Default | Default | Default |
| 37 | Reception, Waiting and Health Information | Default | Default | Default | Default | Optional | Default | N/A | Default | Default |
| 38 | Hospital Disaster and Emergency Preparedness | Default | Optional | Optional | Optional | N/A | N/A | N/A | N/A | N/A |
| 39 | Sepsis, Clinical Deterioration and Venous Thromboembolism | Default | Optional | Optional | Optional | N/A | Optional | N/A | N/A | N/A |
| 40 | Falls, Pressure Injury and Safe Handover | Default | Optional | Optional | Default | N/A | Default | Optional | N/A | N/A |
| 41 | Advance Care Planning, Palliative Needs and Dignity | Default | Optional | Optional | Default | Optional | Default | N/A | N/A | N/A |
| 42 | Critical Interfacility Transfer | Optional | Optional | Optional | Optional | N/A | Optional | N/A | N/A | N/A |
| 43 | Blood Bank | Default | Optional | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 44 | Day Clinic and Day Surgery | Default | Default | N/A | N/A | N/A | N/A | N/A | Optional | Optional |
| 45 | Emergency Dispatch | Optional | N/A | N/A | N/A | N/A | Optional | N/A | N/A | N/A |
| 46 | Fertility Clinic | Optional | Default | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 47 | Field Hospital | Optional | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 48 | Hospice and Palliative Care | Optional | N/A | N/A | Optional | N/A | Optional | N/A | N/A | N/A |
| 49 | Injection and Procedure Centre | Optional | Optional | Optional | N/A | N/A | N/A | N/A | N/A | Default |
| 50 | Maternity | Default | Optional | Optional | N/A | N/A | N/A | N/A | N/A | N/A |
| 51 | Mobile Clinic and Outreach | Optional | Optional | Optional | N/A | N/A | Optional | N/A | Optional | N/A |
| 52 | Occupational Health | Optional | Optional | Optional | Optional | Optional | Optional | N/A | Optional | Optional |
| 53 | Optical and Hearing | Optional | Optional | Optional | Optional | N/A | N/A | N/A | N/A | N/A |
| 54 | Paediatric Care | Default | Default | Default | N/A | Optional | N/A | N/A | Optional | N/A |
| 55 | Pharmacy | Default | Optional | Optional | Default | Optional | Optional | N/A | N/A | Optional |
| 56 | Physiotherapy | Default | Default | Optional | Optional | Optional | Optional | Optional | N/A | N/A |
| 57 | Specimen Collection Point | Optional | Optional | Default | Optional | N/A | Optional | N/A | N/A | N/A |
| 58 | Sports Medicine | Optional | Default | Optional | N/A | Optional | N/A | Default | N/A | N/A |
| 59 | Urgent Care | Optional | Default | Default | N/A | Optional | N/A | N/A | N/A | N/A |
| 60 | Allergology | Optional | Default | Optional | N/A | N/A | N/A | N/A | N/A | Optional |
| 61 | Dermatology and Skin Clinics | Optional | Default | Optional | N/A | N/A | N/A | N/A | N/A | Optional |
| 62 | Cosmetic and Plastic Surgery | Optional | Optional | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 63 | Cardiology, Outpatient and Cardiac Procedures | Default | Default | Optional | N/A | Optional | N/A | N/A | N/A | N/A |
| 64 | Radiotherapy | Default | Optional | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
| 65 | Inpatient Ward Care | Default | N/A | N/A | Optional | N/A | N/A | N/A | N/A | N/A |
| 66 | Outpatient Medical Specialties | Default | Default | Optional | N/A | Optional | N/A | N/A | N/A | N/A |
| 67 | Surgical and Specialty Clinics | Default | Default | N/A | N/A | N/A | N/A | N/A | Optional | N/A |
| 68 | Falls Prevention | Default | Optional | Optional | Default | N/A | Default | Optional | N/A | N/A |
| 69 | Penitentiary Health Services | Optional | Optional | Optional | N/A | N/A | N/A | N/A | N/A | N/A |
| 70 | Safe Handover | Default | Default | Default | Default | Optional | Default | N/A | Optional | Optional |