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Frequently Ask Questions
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Below are some of the most frequently asked
questions. Please click on the respective
questions for answers. If you are unable to find
the questions you like to ask, please
contact us.
How soon after I apply can I
be surveyed?
Your organization can normally be surveyed
within two to four months after we receive your
application. However, the key issue is whether
you are ready to be surveyed. We will evaluate
the past three months of service for compliance
with the standards. If your organization is
beginning to prepare for survey at the time of
application, it should request to be surveyed at
least six months later. Your application for
survey is valid for 12 months from the date it
is submitted. You may request a specific month
for your survey and we will try to accommodate
you.
How long does it take to
prepare for survey after I receive the manual?
This varies considerably from organization to
organization and depends on the amount of time
and resources available to prepare for survey.
Most organizations take about one year from the
point of the initial decision to the actual
survey date. An organization that undergoes
training is given a minimum of six months after
the training to conduct multiple
self-evaluations and prepare for accreditation
survey.
How will you notify us when
our next three-year survey is due?
Approximately six months before the
Accreditation status expires, we will send you a
letter with a new application form and annual
update to complete.
How long must we be
in compliance with the standards before survey?
You must be in compliance for three months on an
initial survey, one year on a resurvey.
When will we get our
report? When can we start advertising our
accreditation?
This varies with the number of surveys conducted
in the previous month but averages about two
months. Your organization is retroactively
accredited to the day after survey, but you may
not "announce" your accreditation until you
receive the official announcement and Survey
Report.
What happens to my accreditation when I sell my
organization or am acquired by another
organization? If I add a new service, is it
automatically accredited until the time of my
next survey?
We do not automatically transfer accreditation
to new owners who acquire an accredited health
care organization. Accreditation will not
continue if significant changes occur to the
circumstances existing at the time of the
previous survey. An accredited organization must
notify us no more than 30 days after it merges,
is acquired, or undergoes any major change in
services, location, capacity, or corporate
structure. We will extend accreditation until we
can determine if a special survey is necessary.
Failure to notify us of ownership and service
changes can result in a loss of accreditation.
Who can answer a question
about standards interpretation?
You can write to MSQH or call our office. We
will assist you in every way we can.
Where can I buy the Malaysian
Hospital Accreditation Standards and Survey
Questionnaires?
Presently these documents are sold only to
healthcare organizations. These documents are
available from the MSQH.
What is continuous
accreditation? Why should my hospital be
interested in it?
It is expected that the MSQH surveys most
hospitals every three years. In the final 12
months of this cycle, a hospital may spend
considerable time, effort to get ready for the
survey. The hospital looks closely at its
performance improvement efforts and measures the
results to find out if they meet survey
requirements. Once the survey is over, the
hospital may return to "business as usual" and
may reduce its focus on performance improvement.
Hospitals that participate in continuous
accreditation efforts monitor and improve their
performance every day, not just in preparation
for a survey. At any point in the accreditation
cycle, these hospitals know if their performance
efforts are working. Continuous improvement
efforts help hospitals maintain the highest
quality of patient care and services. In
addition, hospitals can use their resources more
wisely, avoiding the high cost of gearing up for
a MSQH survey. |
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