EDITIONEN·FR·ქართ

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 Governance & Policy Manual · ASF-POL-52

Quality Improvement and Organisational Evaluation

Part of the ASF Governance & Policy Manual. Verified against ISQua EEA Guidelines and Standards for External Evaluation Organisations, 5th Edition v1.1, March 2022.

This policy governs how ASF improves itself as an organisation — distinct from ASF-POL-17 (risk) and the standards revision cycle (which improves the standards themselves). Owner: ASF Secretariat, reporting to the International Standards Council.

Quality improvement framework

A designated Secretariat role coordinates quality improvement across ASF’s own operations. A quality improvement plan identifies, records, and analyses improvement opportunities — drawn from the Field Testing Record, Monitor/Coordinator feedback (Domain G5 of ASF-MON-STD-v1), complaints data (ASF-POL-21), and governance effectiveness review below — with actions, timelines, and responsibilities, implemented and monitored.

Key performance indicators

ASF tracks and reports to the Council at least twice yearly: facility assessment cycle completion rates, Coordinator/Monitor/Surveyor certification and renewal rates, complaint volumes and resolution times, and field-testing outcomes — the same indicators the Field Testing Record already makes public.

Governance effectiveness

The effectiveness of ASF’s governance — including the Chief Executive’s performance (ASF-POL-50) — is evaluated annually against defined indicators, with results used to improve governance arrangements.

Accreditation process evaluation

The accreditation process and its outcomes — facility satisfaction, appeal outcomes, documentation audits — are evaluated annually, with improvements made and documented.

Client relationship review

Relationships with facilities, and the support ASF offers them, are reviewed regularly against feedback collected through the continuous-engagement cycle, with improvements — to policies, materials, or process — made and documented.

© 2026 Accréditation Sans Frontières · PHIG · Sheni Network