Accréditation Sans Frontières

International Accreditation of Healthcare Facilities

Standards

Seven standards. Four facility categories. Every criterion published.

Organizational standards v3.0 · Surveyor Training Standard v2 · Training & Education Standards v1 · all published September 2026

ASF publishes every standard it assesses against, in full and free of charge. Each criterion carries a self-assessment question, guidance, means of verification, and a four-cell strip showing whether it applies in Full, Adapted, or Not-Applicable form for each facility category. Read online, download the PDF, or start the open self-assessment.

01

The seven organizational standards

9 standards · 96 criteria
Hospital Standards
Small and medium hospitals — seven patient-journey standards plus the Medical Tourism and Refugee & Migrant Health endorsements.

Read the standard →

25 standards
Ambulatory Clinic Standards
Outpatient and ambulatory facilities — seven base standards plus eighteen specialty endorsements from dental to dialysis, fertility to psychiatry.

Read the standard →

9 standards
Long-Term Care Standards
Residential elderly and long-term care — resident rights, living environment, cognitive care, end-of-life.

Read the standard →

8 standards
Primary Health Clinic Standards
Primary care and family medicine — continuity, prevention, chronic disease, referral, same-day care.

Read the standard →

8 standards
Fitness & Wellness Standards
The ASF Facility Safety Certified mark — screening, supervision, cardiac emergency response, equipment safety.

Read the standard →

8 standards
Telemedicine Standards
Remote care — platform security, licensure, remote assessment limits, emergency escalation, prescribing.

Read the standard →

8 standards
Home Care Standards
Care in the home — client dignity, caregiver screening, home safety, medication, lone-worker safety.

Read the standard →

02

Four facility categories, one standard

A facility self-selects its category through a one-page decision-tree questionnaire at the start of every standard. The same criterion is then read differently — Full, Adapted, or Not applicable — depending on the resource context. One document serves a field hospital and a fully resourced reference centre.

CR
Crisis

Active conflict or disaster; World Bank fragile and conflict-affected list. Assessed on what can be delivered safely today.

TR
Transitional

Functioning but fragile systems, low- and lower-middle-income contexts. Adapted criteria where infrastructure is unreliable.

SM
Small

Scale and staffing depth are the binding constraint, whatever the country. A two-doctor clinic is not a failed hospital.

ST
Standard

The fully resourced reference model. Every criterion applies in full.

The Universal Floor applies at every category, with no exceptions: patient identification, hand hygiene, informed consent, falls prevention, non-discrimination, and a marked emergency entrance. “Adapted” is never permission to skip — only “Not applicable” means a facility can do nothing on a criterion.
03

Three standard-types

ASF accredits against three distinct standard-types. The distinction is deliberate: organizations, surveyors and training providers are assessed by different instruments.

Standard-type 1
Organizational standards
The seven facility-type standards above. What a hospital, clinic or service must demonstrate.

See the seven →

Standard-type 2
Surveyor Training Standard
Who may assess against ASF standards — eligibility, training, calibration, certification.

Read →

Standard-type 3
Training & Education Standards
How ASF accredits training providers, courses and CPD activities — the basis of ASF CPD Accreditation.

Read →

04

Method, safety and reference

Methodology
How standards are developed
The methodology manual: four pillars, evidence review, public consultation, piloting, the three-year revision cycle.

Read →

Safety
Priority Practices
Six critical safety practices, WHO-evidence-grounded, reviewed every year and deliberately kept short.

Read →

References
Evidence base
The peer-reviewed literature and WHO frameworks behind the standards.

Read →

Definitions
Master Glossary
Every defined term, alphabetical and indexed by source document.

Read →

Downloads
Document Library
All 34 documents — standards, policies and procedures — as PDFs with reference codes and versions.

Read →

Consultation
Propose a revision
Anyone may submit evidence or a proposal for the next revision cycle. Public consultation is part of the method.

Write to us →

Test your facility against a standard

The open self-assessment needs no login and no fee. Start with the classification questionnaire, then work criterion by criterion.

Start the self-assessment

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