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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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.
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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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