SUBMITTING AN APPLICATION FOR ACCREDITATION

To initiate the accreditation process, please submit an application electronically, indicating your preferred assessment date. Once your application is processed, your organization will be included in the external comprehensive assessment (accreditation) plan, and you will be notified accordingly.

RESULT

Our employee will contact you to clarify all the necessary details and to provide instructions on how to prepare and submit the required set of documentation.

PROCESSING THE PACKAGE OF DOCUMENTS

- Complete the application in Word and submit it for review (form attached);
- Complete the form for the person responsible for self-assessment (form attached);
- Approved organizational chart for the current year, PDF format;
- Approved staffing schedule, PDF format;
- Certificate of registration, Russian/Kazakh, PDF from egov;
- Licenses for medical/pharmaceutical activities with appendices for all from egov;
- Charter, PDF format;
- Organizational presentation, strengths, and achievements;
- Medical organization details, full name of the director/chief physician in Word format.

WITHDRAWAL OF THE AMOUNT

Once your prepared package of documents has been carefully reviewed and processed by our specialists, we will determine the final cost of accreditation services. This amount will be submitted directly to your management for approval.

WHAT IS INCLUDED IN THE PRICE?

The cost of accreditation is based on the expert's fees for 3-5 days of work, including travel expenses and insurance. It also depends on the medical facility's capacity (number of visits or beds), the presence of branches or separate buildings. The calculation also includes post-accreditation monitoring, information system support, taxes, fees, and overhead costs, including salaries, rent, office maintenance, and software.

CONCLUDING AN AGREEMENT OR LOGGING INTO THE PORTAL

For private medical organizations, contracts for the provision of accreditation services are concluded directly. For public medical organizations, the contracting process is carried out through participation in the public procurement system, in accordance with current legislation.

DO YOU HAVE ANY QUESTIONS ABOUT CONCLUDING THE CONTRACT?

Contact us at: +7 702 316 67 72

COMPLETING THE SELF-ASSESSMENT

The self-assessment process is typically initiated one to three weeks before the accreditation process. In this context, responsible individuals at the medical organization are granted access to the accreditation body's information system—a login and password—allowing them to familiarize themselves with the format for presenting accreditation standards in the system that accreditation experts will use. This stage is designed to allow responsible employees of the medical organization to directly familiarize themselves with and adequately evaluate the assessment procedure, as well as independently conduct a final assessment of their institution's level of preparedness for accreditation, analyzing compliance with each standard and criterion. This allows for the elimination of potential gaps and resolution of unresolved issues that arose during preparation for accreditation. Self-assessment serves as a key element in the accreditation process, providing the medical organization with the necessary support in preparing for this procedure.

WANT TO BECOME AN EXPERT?

FORMATION OF AN EXPERT GROUP

The accrediting body is responsible for forming expert groups consisting of its own staff and/or external experts. The group leader is appointed by the accrediting body. The size of the expert group involved in the external comprehensive assessment is determined based on the structure, size, and range of services of the medical organization (at least two members). Before visiting the medical organization, the group leader, together with the expert group members, develops an external assessment program, which is compiled in accordance with the approved form prescribed in Appendix 11 to the Accreditation Rules.
The accrediting body provides expert group members with individual logins and passwords for documenting the assessment results in the information system. A digital signature is used to confirm the identity of the expert entering the data. Login and password information is confidential and must not be disclosed or transferred to third parties. If a confidentiality violation is detected, the expert will be excluded from the accreditation process, and the data they entered into the information system will be canceled. The responsibilities of the excluded expert are assigned to the expert group leader.

MORE ABOUT ACCREDITATION

EXTERNAL COMPREHENSIVE ASSESSMENT (ACCREDITATION) PROCEDURE

The duration of the external comprehensive assessment of a medical organization cannot be less than two working days and is determined based on the size of the population served, the hospital bed capacity, and the number of structural divisions (branches, representative offices) located outside the main building.

The assessment of compliance with accreditation standards (criteria) is conducted by an expert group using the following methods:

1. Documentation review;

2. Employee surveys;

3. Use of tracer techniques;

4. Direct observation.

All materials collected by the expert group during the accreditation process, including photos and videos, are confidential and may not be used for distribution or personal purposes. Following the external comprehensive assessment, a final event is organized—a briefing with the medical organization's staff, at which the experts present their preliminary conclusions on the results of the assessment. To document the process and ensure transparency, the briefing is accompanied by audio and video recording.

REPORTS

Upon completion of the external comprehensive assessment (accreditation) procedure, the accrediting body undertakes to send the medical organization a report on the assessment results no later than five business days prior to the accreditation committee meeting. This is accomplished by sending the document to the medical organization's email address, in accordance with the format established in Appendix 13 to the accreditation rules.

If the medical organization has any objections regarding the report's content, it has the right to submit its comments to the accrediting body within two business days of its receipt, sending a justification to the specified email address.

Based on the results of the external comprehensive assessment and the decision of the accrediting body, the medical organization develops a Corrective Action Plan according to the template provided in Appendix 14 to the current accreditation rules. This plan, approved by the medical organization's management, is sent to the accrediting body no later than 30 calendar days after receiving the report, with the aim of eliminating the identified nonconformities with accreditation requirements.

ACCREDITATION COMMISSION

COMMISSION MEETING

The accrediting body has a standing accreditation committee consisting of at least five members. The committee is formed annually through a competitive process, according to an established schedule. At least two-thirds of the committee's members must be present for its meetings.

Based on the commission's findings, the accrediting body may make one of the following decisions:

1. Grant accreditation:

- Category Two, if compliance with first, second, and third rank standards (criteria) is at least 60%;

- Category One, if compliance with first rank standards (criteria) is at least 70%, second rank standards (criteria) at least 65%, and third rank standards (criteria) at least 60%;

- Highest Category, if compliance with first rank standards (criteria) is at least 90%, second rank standards (criteria) at least 80%, and third rank standards (criteria) at least 70%.

2. Deny accreditation if the results of the external comprehensive assessment are below the established thresholds for assigning Category Two.

Decisions of the accrediting body are formalized by an official order. The period from the registration of a medical organization's application to the decision by the accrediting body does not exceed 27 business days. As a result of the provision of a public service, a medical organization is issued a certificate of accreditation for a period of three years or a reasoned refusal, drawn up in any form.