CBAHI is committed to its mission of promoting healthcare quality and patient safety by supporting healthcare facilities to continually comply with accreditation standards. There are several activities a healthcare facility will go through to obtain CBAHI accreditation.
Registration with CBAHI for the purpose of accreditation is required for all eligible healthcare facilities, and is the first step towards attaining accreditation whether for a Primary Healthcare Center (PHC) or for all other accreditation programs offered by CBAHI.
available on CBAHI’s homepage. Registration is a quick, yet an important step that provides the Healthcare Accreditation Department at CBAHI with the basic information about the registering facility.
Upon successful registration, the following resources will be provided to the center seeking CBAHI accreditation:
National Standards for Primary Healthcare Centers.
Primary Healthcare Centers Accreditation Guide.
Healthcare Accreditation Guide provides all required information to help the center prepare for the survey visits. It contains an abstract of each survey activity that includes logistical needs, session objectives and suggested participants.
Primary Healthcare Centers Orientation Programs
CBAHI provides ongoing orientation programs at different locations throughout the year. Primary healthcare centers are highly encouraged to attend at one of orientation programs offered by CBAHI, free of charge. Although any primary healthcare center can attend, the priority goes for the center selected for the current year accreditation program. During these orientation sessions, standards, accreditation policies, and survey process are all explained in detail. This is a good opportunity for the center representatives to enquire about the intent of a standard and how it will be implemented. Dates and venues of the orientation programs will be communicated to the Primary healthcare centers in a timely manner.
Self-Assessment Tool (SAT)
All primary healthcare centers enrolled in accreditation are required to conduct a comprehensive self-assessment using the SAT provided by CBAHI. This tool is intended to support the center in assessing how close it is to a satisfactory compliance with the standards and requirements. It also gives an idea of how much preparation and time the center needs before it can request a survey visit. Usually, SAT is for the internal use of the healthcare facility but it might be required by CBAHI to help deciding on the preparedness of the facility prior to conducting a survey.
Self-assessment is utilized by several other accreditation organizations to help them –if properly and objectively conducted- to have a better insight on the baseline situation of each center and provides for a common communication tool between the center seeking accreditation and the accrediting body. When both parties reach a compromise about the level of preparedness for a survey visit based on the self-assessment findings, a survey can be scheduled at a tentative date suitable for both.
Mock survey
Upon reaching a satisfactory level of compliance with all applicable standards, a mutual agreement is made concerning the exact date of a Mock Survey, which is recommended but not mandatory. Some primary healthcare centers may go for an upfront Real Survey.
For enquiries related to mock and real surveys, please contact:
phc@cbahi.gov.sa
Requesting CBAHI for a survey
Regardless of the type of survey (mock/ real survey) three activities are to be completed by the PHC before conducting a survey visit:
Service Agreement
All provisions of this agreement must be reviewed before sending survey application.
Survey application form
The PHC has to submit successfully a completed Survey Application Form
Evidence of payment of surveying fees
There are two payment methods for submitting survey fees to CBAHI:
1. The PHC could deposit the required fees in CBAHI’s bank account and send a copy of receipt to CBAHI (scanned copy or actual receipt).
2. The PHC could send CBAHI a certified cheque.
Real survey
The maximum number of mock surveys a PCH can go for is two surveys within two years from the date of first real visit. The elapse of six months shall be deemed the minimum time interval between two consecutive real surveys. This, however, should not be misinterpreted as an “open-ended” exercise. Therefore, PCHs that will eventually prove to be incapable of achieving accreditation after using up the permissible number of real visits by CBAHI will be excluded temporarily or permanently from the national accreditation program and referred to the relevant authorities for further action.