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EQuIP7 Fact Sheet
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WHAT
ACCREDITATION IS ACCREDITATION o a r v oor go E
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t y e mwho a rareaIadvanced
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and can meet the evaluation requirements of theyMA elements
The Accreditation Achievement is intended for those
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Facilities
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Healthcare accreditation is an external review of the quality
recognised evaluation process used to assess and Eeffectiveness of
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healthcare organisations; it is also a way to publicly recognise that a healthcare organisation has met
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national quality standards.” For organisations striving to provide high quality care and services within a
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culture of safety and quality improvement, accreditation will be the natural outcome.

Achievement Requirements DIUED

To achieve Accreditation, a Facility must receive a:
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• Met or Met with Recommendation rating for all LA and SA elements with the exception of up to a maximum of
6 (total) LA or SA elements with NM ratings with Moderate or Low risk only (no P1 Recommendations), and
• Met or MR rating for all MA elements.

Duration Limit
There is no limit on the number of Cycles for which a Facility can maintain Accreditation. Once a Facility
achieves Accreditation, a Foundation or Recognition Achievement is not permissible in the future.

Final Assessment
During an Accreditation Cycle, a Final Assessment will be triggered after an OWA or SNA if any of the
following apply:
• More than 6 (total) LA or SA elements are rated NM or any LA or SA elements are rated NM with a High or
Extreme Risk
• Any MA element is rated NM, or
• Priority 1 recommendation received

The scope of the Final Assessment will include any elements rated NM, any LA or SA element rated MR,
and all Priority 1 recommendations. If the requirements cannot be met after a Final Assessment, then
Accreditation will not be granted and the Facility can attempt another OWA at any time in the future.

Benefits of ACHSI Accreditation Value of ACHSI Accreditation

• Improved outcomes and patient experience • Community credibility and trust

• Enhanced staff capability and competency • Medical tourism

• Developed culture of improvement • Brand strength

• Implemented sustainable, long-term changes • Insurance reimbursement rates

• Established connections and leading support • Performance and outcomes focus

For further information, please refer to EQuIP7 Scheme Guide. If you have any questions on how this
impacts your organisation, please contact the ACHS International team at info@achsi.org

Copyright 2021 © ACHS International

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EQuIP7
ACHIEVEMENTS Fact Sheet
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WHAT IS ACCREDITATION it no QACHIEVEMENT?
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Figure 28: Achieving Accreditation
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with Moderate
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(or SNA option if second • All MA Elements assessed are M EEM
cycle and beyond) or MR, and M
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Priority 2 or

Final Assessment
Triggered NO YES

60 CALENDAR DAYS

Final Assessment • 6 or less (total) NM LA or SA

Conducted elements with Moderate or Low
risk only, and
• All MA Elements assessed are M
or MR, and
• All recommendations are rated
Priority 2 or 3.

NO YES

Not Granted
Another attempt at OWA can Accreditation Granted (OWA)
be made at any time in the future
Accreditation Maintained

IF FIRST CYCLE

All LA elements are rated M or MR, with All LA and SA elements are rated M or MR,
the exception of up to a maximum of 6 with the exception of up to a maximum of 6
(total) NM LA elements with Moderate or (total) NM LA or SA elements with Moderate
Low risk only (no P1 Recommendations). or Low risk only (no P1 Recommendations).

Foundation Granted (OWA) Recognition Granted

Copyright 2021 © ACHS International

EQuIP7 SCHEME GUIDE 41 of 46