Accreditation Procedures

Guides & Resources

Accreditation Activities

The accreditation activities referred to above must be carried out on an ongoing basis.

  • Accreditation Preparation

    Accreditation preparations are carried out by Community Health Centers (Puskesmas), clinics, health laboratories, Blood Transfusion Units (UTD), District Health Offices (TPMD), and District Health Service Offices (TPMDG) to ensure compliance with accreditation standards in preparation for accreditation surveys or reaccreditation.

  • Accreditation Process

    The accreditation process involves an on-site survey conducted by an evaluation team and concludes with the determination of accreditation status in accordance with established standards.

  • Post-Accreditation

    Post-accreditation refers to the follow-up process after the accreditation status has been determined, during which healthcare facilities develop and submit a Strategic Improvement Program (SIP) based on the recommendations from the survey results. This SIP serves as the basis for accreditation monitoring and evaluation by the accrediting body, as well as by district/city and provincial health offices, utilizing information and communication technology.

Accreditation Process

Accreditation Preparation

Compliance with SPA, Human Resources, and Service Processes in Accordance with Standards

Article 14

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  • Self-Assessment
  • Development of a quality improvement program
  • Establishment and measurement of quality indicators

Accreditation Process

Conduct of the External Assessment by the Surveyor

Article 17

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  • Conducting the Survey
  • Determination of Accreditation Status

Post-Accreditation

Corrective Actions Following the Accreditation Survey

Article 22

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  • Developing a strategic improvement plan
  • Implement the strategic improvement plan that has been developed

Guide

  • Survey Procedures (Ministry of Health) download