This course is a registered and approved by the Qmenntum Board, IEEA and designed for individuals who take an interest in their healthcare facilities licensing/accreditation/certification programs or who are involved in maintaining compliance for their healthcare facility. This course will take you through the survey process for licensing of provincial Healthcare Commissions and regulators, The Joint Commission International and several other survey processes such as Islamabad Healthcare Regulatory Authority (IHRA), Punjab Healthcare Commission and ISO standards like 9001, 14001, 18001 and 15189. This course also aims to guide you through the preparation of your facility for an unannounced survey. By the end of the course, you will understand how to assess your facility’s survey readiness, how to perform a hospital survey, as well as how to effectively respond to survey findings.

Course Outlines

  • Overview of Licensing, Certification, Accreditation and Surveying
  • Pre-survey and application process
  • Preparing for Licensing, Certification and Accreditation
  • Identifying and standards and domains
  • Standards validity and reliability
  • Scoring guidelines and tabulation
  • Documentation and clinical records audit
  • Tracer Methodology
  • Credentialing and re-credentialing of clinical staff
  • Mock surveys
  • Recommendations and reporting
  • Team building and conflict resolution
  • Performance improvement projects and the FOCUS-PDCA cycle
  • Practical days (Tracers and facility tours)

Course information

  • Duration: 4 weeks (from date of registration)
  • Modular Program (online 60%, face-to-face session 40%)
  • Continuous assessment (final exam)
  • Certificate awarded upon completion and exam
  • Fee: 100 USD

For registration, please contact at or +92 333 5343 971.