The Accreditation Model
A complete, transparent, replicable quality improvement framework for healthcare facilities at any income level, in any country, in any language.
Read: The ASF Standard — the unified architecture behind these modules →
The Three-Layer Architecture
The ASF model is built in three progressive layers. Each layer is complete in itself — a facility can stop at any layer and retain full value. Accreditation is valid for three years, with quarterly and annual check-ins held online.
| Layer | Who | What it provides |
|---|---|---|
| 1 — Knowledge | Anyone, anywhere | Free self-assessment for all facility types. Full standards. Full gap report. Works offline. No account. No commitment. Six languages. |
| 2 — Improvement | Registered facility | Facility account. Named roles. Quarterly online cycle. Certified Coordinator and Monitor. Evidence-linked. Progress tracked permanently. |
| 3 — Recognition | Certified or accredited facility | Independent ADC decision. Certificate issued. Public registry. QR verification. Accreditation valid for three years. Permanently protected. |
The first four Georgian healthcare facilities to receive international accreditation in the country’s history — ASF Basic Standard, 2023
Accreditation Canada certificate presentation, Georgia, 2023 — PHIG as official national representative
One Accreditation, One Seal
ASF issues one accreditation and one seal. Every facility is assessed against the same ASF Health Standards v11 and the same quality assurance system. Accreditation is valid for three years, and Coordinator and Monitor certificates are valid for three years.
The only difference between facilities is the fee bracket, which depends on whether the country is in a transition, standard or humanitarian context. Fees are set out on a single page: Fees.
How the Cycle Works
Register & Name Four Roles
Director, Responsible Person, Coordinator (ASF-certified), Monitor (ASF-certified). Delegation of Authority signed.
Complete Q1 Full Self-Assessment
Every criterion answered. Every YES backed by a mandatory evidence declaration. Improvement Plan produced automatically from gaps.
Annual Virtual Milestone Review
Once a year, an online review of the cumulative quarterly record: electronic document review plus a video call. No travel.
Q2, Q3 & Q4 Self-Assessment Updates
Carry-forward default — Coordinator updates only what changed, every quarter, across the 3-year cycle.
Full Verification & 3-Year Renewal Visit
At the close of the 3-year cycle, the Monitor fully verifies 100% of criteria, then an ASF supervisor confirms and spot-checks. Patient journey walk-through. Staff interviews. Provisional decision same day.
ADC Decision & Certificate
Independent committee reviews supervisor recommendation. Accredited / Conditional / Deferred / Not Accredited. Certificate issued with QR code. Public registry updated.
Explore the Model
The Quarterly Cycle
The 3-Year Renewal Visit
Accreditation Decision Committee
Quality Assurance of the System
Theory of Change
Frequently Asked Questions