Templates of documents for accreditation

MATERIALS FOR ACCREDITATION

Dear surveyors and interns, information on this link is confidential and strictly for internal use during the accreditation survey process.

STATEMENT ON THE ABSENCE OF CONFLICT OF INTEREST

BEFORE going to a medical organization (2-5 days in advance), both surveyors and interns must sign a statement on the absence of a conflict of interest

ACCREDITATION SURVEY AGENDA

The survey group leader should draw up an accreditation survey agenda and send it to the chat after agreement with the surveyors (3-5 days before going to a medical organization)

PHOTO REPORT

Photo report (strengths and opportunities for improvement) – collect and download on the day of the completion of the accreditation survey to the link given on the right side. Photos of strengths separately, weaknesses separately. Photos should necessarily contain captions (not on the photos themselves!). Only photos from the opening and closing of the briefing should be sent to the WhatsApp chat.

FILLING OUT SUKMU

Before leaving for accreditation, it is imperative to check the relevance of the electronic digital signature for access to the SUKMU. Before leaving, it is necessary to check on a personal laptop the possibility of accessing the SUKMU and correctly displaying the necessary clinic to fill out.

Complete filling out IS SUKMU within two calendar days from the completion of accreditation survey

AUDIO RECORDING OF BRIEFING

Audio recording of the briefing on the 1st and last day

Sent to the Center at the end of the accreditation survey

ANALYTICAL REPORT

Send an electronic version (Word) of the analytical report (in accordance with the contract) within two calendar days from the date of completion of the accreditation survey. Paper version within 5 days after the accreditation survey (necessary for payment)

FEEDBACK ON THE ACCREDITATION SURVEY

Filled out after the completion of the accreditation survey (no later than 3 days after completion) by all surveyors and interns

SURVEYOR EVALUATION

Filled out only by surveyors and group lead. (Write full name) For example: Ivanov Ivan Vladimirovich

INTERN EVALUATION

Filled out by surveyors and group lead in relation to all interns. (Write full name) For example: Ivanov Ivan Vladimirovich

FOR THE GROUP LEADER

Accreditation agenda is adapted to the specific
clinic, template option is not accepted;
General coordination and logistics not only for
surveyors, but also for all interns;
Monitoring of daily data entry into the SUKMU
(important after the completion of a survey no
more than 2 days to complete enter the data in
SUKMU)

Briefing before the start of the survey in a
medical organization, where the main points are
discussed, such as:

Accreditation is not a punitive process;
Primary bypass without disturbing the treatment
process;
The need to explain to the clinic staff
“What is accreditation?”,accreditation?”,”Why is it needed?”;
Warning about the facts of provocation for
offenses and the immediate registration of the “Incident”
It is necessary to inform the staff and the
management of the clinic about the photo/video
shooting and that these materials will not be
distributed to third parties in any case The data
is used exclusively for the purpose of making an
assessment

FOR INTERNS

It is not allowed to be late on a survey;
It is not allowed to contact the staff/management of the clinic before the start of accreditation;
“frivolous”, “friendship” conversations with the staff/management of the clinic during the survey are not allowed;
It is forbidden to take photos/videos!

GENERAL STANDARDS OF ETHICS

It is not allowed to contact with the clinic before the start of the survey (with the exception of logistics issues in regional centers and rural
areas, but not in the city) Questions about accommodation are categorically not permissible in communication with the clinic;
At the first meeting in a medical organization, in the presence of the clinic’s management, first of all, acquaintance with the staff of organization;
It is strictly forbidden to request a meeting from the airport station, request to take bring to the clinic (the contract contains funds for logistics to from the clinic)
It is not allowed to have a lunch and dinner at the expense of a medical organization.
Taking photo is allowed only for the assigned surveyor (not intern) Photos videos are not allowed for distribution to third parties (otherwise exclusion from the surveyor database) Interns do not take photo video.
At each tracer, interviewing an employee it is necessary to clarify the permission from the patient or staff!
Impoliteness and raised tones towards the clinic staff are not allowed;
It is not allowed to question the professional skills of an employee of a medical organization. Accreditation is a “photo” of processes, not examination of clinical skills of doctors.