APPLICATION FOR MSQH HOSPITAL ACCREDITATION SURVEY
Terms and Conditions of Hospital Accreditation Survey Application
The hospital/facility shall give a written consent/approval on the survey team assigned to conduct the on-site survey.
The hospital/facility agrees to assist the surveyors appointed by the MSQH to survey the premises, facilities, organisation and operations, including documentation review (e.g. medical records, audit report, etc).
The hospital/facility shall make available a meeting room with adequate facilities (computer, printer, stationary, white board, etc) which is designated for MSQH surveyors only.
During the survey, MSQH surveyors shall have access to all relevant areas, personnel, information and assisted with the necessary arrangement for the assessment, including provision for validating documentation, practices and records including medical legal documents.
The MSQH shall give due consideration to the report following the survey by the surveyors based on established criteria in determining the Accreditation status of that hospital/facility.
The MSQH shall endorse the final decision of the survey process and issue Certificate of Accreditation stating the Accreditation status of the hospital/facility.
2.7. Certificate of Accreditation shall be valid for one or four years or for such other duration as the MSQH shall determine.
The hospital/facility shall ensure that the hospital/facility license to operate remains valid throughout the period of accreditation status.
Certificates of Accreditation issued by the MSQH shall remain the property of the MSQH and shall be held by a hospital/facility at the pleasure of the MSQH. MSQH may recall the certificate in the event of non-compliance with the standards as determined by the MSQH and the hospital/facility shall be bound to surrender it.
Any hospital/facility shall have the right to request for an appeal of an Accreditation status provided that appeal is based upon evidence of incomplete or inaccurate information on the survey.
An intention to seek a request for review of the Accreditation status made by hospital/facility shall be considered valid if it is lodged in writing inclusive of an appeal fee and addressed to the CEO of the MSQH within thirty (30) days of notification to the hospital/facility of the Accreditation status. Supporting documentation must be lodged within a further twenty-one (21) days. If this does not occur the appeal will lapse.
MSQH shall have sole discretion to determine the method of hearing any review.
Any other costs of the review process shall be borne by the appellant hospital/facility.
Decision of the MSQH Appeal Committee shall be final.
MSQH shall have the right to withdraw the Accreditation Certificate in the event of major non-compliance to the standards and evidence of compromised Patient Safety and Staff Safety.
The MSQH refrains from accepting token/gifts for individual surveyors during the survey process.
In the event the ownership of the hospital/facility changes during the period of accreditation, the MSQH shall be informed in writing immediately.
The MSQH shall not be liable for any untoward events/incidents that occur in the hospital/facility during the survey process.
The MSQH nor any member, officer or employee of the MSQH nor any person acting on behalf of the MSQH shall be liable in respect of any loss or damage suffered by the applicant hospital/facility as a result of an act or thing done or said or reported pursuant to an application of an Accreditation survey; the loss or damage or willful act or default of the MSQH whether or not such loss or damage is foreseeable or contemplated by the MSQH.
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