How It Works

Accreditation is not a visit. It is a relationship.

The major accreditors send a team every two or three years. ASF is with you every month. That is the difference between a snapshot and a system.

See what membership includes

The foundation

The ASF Triangle

Every strong quality system stands on three corners: the patient, the healthcare facility, and the health workers. When all three are heard, the system holds. When any corner is silenced, it collapses. ASF sits in the centre mdash as the neutral facilitator. We take neither the hospitalrsquos side nor the patientrsquos. That neutrality is precisely what makes us useful to both.

PATIENT FACILITY HEALTHWORKERS ASF neutral
Patient corner

An independent council of real patients, convened by ASF. A QR-code feedback channel that goes directly to ASF mdash never through the hospital. Written response to every complaint. When a patient writes on Facebook, ASF receives it first, mediates, and answers in writing. Council meetings documented publicly at pacienti.ge.

Facility corner

ASF becomes the quality department the hospital does not have. Monthly indicator review. Quarterly working sessions. A mock survey before the real one. A path to an internationally recognised certificate, and the digital presence and media coverage that come with membership from day one.

Health worker corner

A Training Passport per staff member. ASF Academy access at % discount. An anonymous safety-culture survey whose results go to the council, not HR. Scientific writing support and a publishing pathway through the Georgian Medical Journal.

This is not theory. In Georgia, we built and operate this system mdash council meetings, mediations, and documented outcomes are published publicly at pacienti.ge. What runs in Georgia today is the model our international members receive mdash refined by real cases, not blueprinted from a textbook.

Step by step

From first contact to accreditation mdash and beyond.

First contact amp readiness conversation

No obligation, no sales pitch. We talk about your facility, your context, and whether the timing is right. If it is not, we say so.

Month mdash Baseline assessment amp mock survey

We establish the real starting point. “Never below baseline, always improving” mdash this is the number we protect. A mock survey follows, giving you a full picture before anything is at stake.

Month mdash Document toolkit amp indicator setup

Policies, procedures and forms adapted to your scale. Core indicators extracted from data you already collect mdash same report, one more recipient. No new bureaucracy.

Month mdash First quarterly session amp patient council

The quarterly working session begins (medication safety in Q). The patient council is convened for the first time: real patients, hospital representative, ASF facilitating. The council meets independently of management.

Months ndash mdash Continuous monitoring

Monthly: indicator review, incident log, complaint update, one-page report. Quarterly: deep working session (IPC / safe pathways / annual review). Always: the ombudsman channel open, council active, Training Passport updated.

Month ~ mdash Accreditation survey

The formal survey at the published price (euro, for members). Travel at cost. Zero per diem. Both patient surveys run. Accreditation decision issued. The certificate is valid only while monitoring continues mdash it is not a diploma framed on the wall.

After accreditation mdash the relationship continues

Same monthly rhythm. Annual report in four formats. Conference. The accreditation is a living status mdash earned every month, not awarded once.

Enforcement

Three chances. Then the certificate is suspended.

The seal cannot be bought, only kept. That is what gives it value. We do not revoke certificates silently mdash we give every member a clear path to correction. But the path ends if the corrections do not follow.

Tier mdash Extended deadline

Additional time granted. ASF support increased. The gap is named, the path is written, the deadline is set. The council is informed.

Tier mdash Formal notice

Written notice to the governing body and the patient council. Accreditation placed under review. Public status reflects the review. Final deadline set.

Tier mdash Suspension

Certificate suspended. The public register updated immediately. The accreditation cannot be reinstated without a new survey. Immediate danger acts at once, without waiting for Tier or .

This is not punitive. It is the mechanism that gives the ASF certificate meaning mdash to patients, to payers, to governments. An accreditation body that never suspends a certificate is not an accreditor. It is a subscription service.

Remote by design

Same report, one more recipient.

ASF does not create new bureaucracy. Every indicator we monitor comes from data the facility already collects mdash MoH reports, internal registers, existing Excel sheets. The instruction is simple: forward the email you already send, or upload the file you already produce, or install our lightweight plugin. An AI-assisted platform reads it. You get a live dashboard. We get the same data. One additional recipient mdash not one additional spreadsheet.

Monitoring is remote by default, with site visits for quarterly sessions and the annual survey. GDPR-grade data handling. Nothing leaves the monitoring environment without consent.

What you already have

Admission and discharge logs bull infection-control reports bull medication incident records bull patient satisfaction forms bull staff attendance data

What ASF adds

Coded analysis bull benchmarked indicators bull complaint taxonomy bull council minutes bull training records bull monthly one-page report bull annual report in four formats

Why accreditation matters

Five perspectives. One conclusion.

For patients

A verified, continuously monitored facility. A council that speaks for them. An ombudsman that is neutral. A public register they can check before they choose. Patient Voice rarr

For the facility

A quality department without the hire. Recognition from day one. Media coverage and a publishing pathway. A certificate that means something because it can be suspended.

For health workers

A Training Passport that travels with them. A safety-culture survey that is anonymous and acted on. Scientific writing support and GMJ publication access.

For public health

Every monitored hospital is a sensor. Aggregated, anonymised data becomes a country-level signal. ASF’s patient-voice reports are the first structured facility-level complaint dataset in the small-hospital sector.

For insurers amp payers

Continuous monitoring replaces your audit burden. Pre-authorised quality assurance. The Training Passport verifies that staff are trained. The three-tier enforcement system means the certificate you pay against is real. For payers rarr

For universities

Clinical training in an internationally accredited hospital. Graduates whose diplomas are recognised in countries that assess where clinical training happened. A dimension no other accreditor offers. For universities rarr

Common questions

How It Works mdash FAQ

Does ASF do site visits?

Yes mdash for quarterly working sessions and the annual survey. Day-to-day monitoring is remote by design. Monthly contact takes approximately one hour of staff time and requires no visit.

What happens if a hospital stops improving?

Three-tier process: extended deadline + increased support rarr formal notice to governing body + patient council rarr certificate suspension with public register update. Immediate danger bypasses all tiers and acts at once.

Can a hospital lose its accreditation?

Yes. The certificate is valid only while continuous monitoring continues. A facility that stops engaging, or shows sustained uncorrected deterioration, has its certificate suspended and the public register updated immediately.

How does ASF handle patient complaints?

Every complaint mdash paper, online, or social media mdash reaches ASF first, not the hospital. Acknowledged in writing within working days, substantive response within more. ASF mediates, taking neither side. Results feed the monthly report.

Ready to see if ASF is right for your facility?

Write to us. No obligation. We reply within working days.

Write to ASF See membership amp pricing


🔶 © 2026 Accréditation Sans Frontières · PHIG · Sheni Network