SAS Assessor Training Programme Guide

Standards of
Accreditation in Health
Assessor Training Programme Guide – v1.0/2015
Standards of Accreditation in Health
Assessor Training Programme Guide – v1.0/2015
ISBN: 978-975-590-547-1
© Authors – General Directorate of Health Services
Department of Quality and Accreditation in Health
All publishing rights of this book is reserved by GDHS Department of Quality and
Accreditation in Health. Excluding references not exceeding single page for promotion
purposes, no part of this publication may be reproduced, distributed or transmitted
without written permission of General Directorate in any form or by any means.
Seperate publication rights of written knowledge in this book are reserved to their
respective contributors.
Communication
Ministry of Health, Turkey
Directorate of Healthcare Services
Office of Quality and Accreditation in Health
e-mail: [email protected]
Web: www.kalite.saglik.gov.tr
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Authors
Hasan GÜLER, MD. Physician
Abdullah ÖZTÜRK, MD. Physician
Dilek TARHAN, MD. Sp.
İbrahim H.KAYRAL, PhD.
Elif KESEN
Ercan KOCA
Umut BEYLİK, PhD.
Demet Gökmen KAVAK
Nurcan AZARKAN
Bayram DEMİR
Öznur ÖZEN
Çağlayan SARIOĞLAN
Özlem ÖNDER
Emine YILDIZ
Muammer AKSU
Erol YALÇIN
Standards of Accreditation in Health - Assessor Training Programme Guide
CONTENTS
INTRODUCTION...........................................................1
Introduction...........................................................................3
SECTION I....................................................................5
General Policies and Definitions.............................................7
SECTION II.................................................................15
Requirements for Assessors ...............................................17
SECTION III................................................................19
Implementation of Programmes ..........................................21
SECTION IV................................................................37
Improvement of the Programme ..........................................39
APPENDIX..................................................................41
Appendix 1: Document Management Procedure....................43
Appendix 2: Planning Form..................................................51
Appendix 3: Guide for Informing Trainers .............................55
Appendix 4: Trainer Confidentiality Agreement......................71
Appendix 5: Training Participant Confidentiality
Aggreement.........................................................................75
Appendix 6: Performance Measurement Guide.....................79
Appendix 7: Call for Application............................................85
Appendix 8: Candidate Application Form...............................87
Appendix 9: SAS Report Form..............................................89
Appendix 10: Field Study Observer Report Form...................91
Appendix 11: Field Study Report Form..................................95
Appendix 12: Presentation Format........................................99
Appendix 13: Field Study Report / Assessment Record
Form.................................................................................105
V
Office of Quality and Accreditation in Health - MoH Turkey
Appendix 14: Field Study Presentation Commission
Assessment Form..............................................................107
Appendix 15: Assessor Candidate Assessment Result
Record Form......................................................................111
Appendix 16: Ethical Agreement.........................................113
Appendix 17: Assessor Certificate......................................117
Appendix 18: Participation Certificate.................................119
Appendix 19: Feedback and Complaint Form .....................121
Appendix 20: Survey for Evaluation of the Training
Programme ......................................................................123
Appendix 21: Survey for Trainer Performance.....................127
Appendix 22: Trainer Satisfaction Survey ...........................131
Ek 23: Training Programme Analysis and Improvement
Form ................................................................................135
VI

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