Surveyor certification Training

Part I: Accreditation Surveyor’s

training e-Learning Course
Launch: 13 December 2021
Examination: 28 December 2021
By RAAQH & HRH (MoH)
Course Coordination
• Prof. Emile Rwamasirabo, RAAQH (
erwamasirabo@gmail.com)

• Mr. Emmanuel Ntawuyirusha, Need Assessment and Quality

Assurance Specialist, HRH, MoH (
emmanuel.ntawuyirusha@moh.gov.rw)
About the course

• The Surveyor’s e-learning course is the Part I, the theoretical part of the
surveyor’s certification program that will be assessed by continuous
assessment and written MCQs examination
• Upon successfully passing the theory course, trainees are expected to
undergo the Part II, the practical training during hospital accreditation that
will also be assessed by a viva assessment and subsequent final approval of
the RAAQH Board
• It is a CPD eligible course that is assessed through evidence of active online
participation as well as a MCQs test at the end of the course
COURSE GOAL

• The goal of the Surveyor Certification Course is to provide the trainee

surveyor with the competencies necessary to carry out accreditation
standard assessment processes according to established policies and
procedures.
• Through self-learning, active participation in webinar sessions and
group forum discussion on the e-learning platform and subsequent
assessment, the surveyors will be equipped with the theoretical tools
to carry out their assignments with the expected outcomes
THE LEARNING OBJECTIVES
By the end of the course, participants will be able to:

1. Understand the concept of healthcare accreditation and the process of conducting

accreditation survey a tool, to measure compliance with quality & safety standards.

2. Explain basic principles of quality and safety in improving performance of healthcare

delivery.

3. Understand the surveyor’s job expectations and code of conduct

4. Know how to write a scrutinized, concise, and clear report of the accreditation survey
findings.
 COURSE MATERIALS

a.
Introduction and definitions of basic concepts used in the survey process: interactive webinar
presentations of 7 power point modules (on the MoH e-learning platform) by Senior surveyors from
the Council for Health Service Accreditation of Southern Africa (COHSASA)
b.
Basic survey documents (the core of self-learning materials) on the MoH e-learning platform:
i.The Rwanda Surveyor Manual
ii.
The Rwanda Hospital Accreditation Standards
iii.
The Rwanda Certification Program
iv.
The Rwanda Hospital Performance Assessment Toolkit
v.Standards Evaluation Feedback Form
vi.
Case studies (5)
c.Online Groups discussion with each group covering the 5 cases studies
LEARNING METHODOLOGY
• The training will essentially be based on self-learning principle
• It is mandatory that the trainees read attentively the basic survey documents
ahead of the webinar presentation to better understand the concepts that are
going to be introduced during the webinar sessions and thereafter be able to
actively contribute to the case studies.
• 3 to 5 full days ahead of the webinar presentations will be necessary to self-study
all the learning materials online on the MoH e-learning platform and when
necessary, do own internet research for additional information.
• The active participation in the 5 days long group discussion is crucial for the
trainees to grasp the methods used to measure and score appropriately the
compliance to the standards in the 5 risks area
Learning outcomes assessment
• A pre-course test will be given after the self-learning period ahead of the
webinar presentation to assess the knowledge level of the trainees (MCQs)
• At the end of each case study (covering 1 risk area) a test will be given
focusing on the understanding on practical accreditation survey issues
• Each case study facilitator will assess the active participation of trainees
(asking questions, answering questions, giving comments, etc.). A marking
sheet and descriptor will be provided to that effect. This will count for 20% of
the theory exam
• Two days following the end of the case studies, a final MCQs examination will
be given (80%).
• The overall pass rate is 80%