الهيئة العامة للاعتماد والرقابة الصحية

Standards Development Process

	Task	Description	Deliverables
1)	Satisfaction with standards monitoring and data evaluation.	- Surveys are being collected from relevant stakeholders that my include but not limited to :surveyors, client organizations, governmental authorities, non- governmental organizations, experts and others.	- Client hospitals survey worksheet. - Surveyor survey worksheet.
2)	Establishing need for new standards	- Feedbacks of the relevant stakeholders are being analyzed and discussed in technical meetings as to validate the results and have a decision for the need of updating/revising the current standard manual.	- Client hospitals feedback report. - Surveyor feedback reports.
3)	Team formulation	- The General Authority for Healthcare accreditation and regulation announces that it is in the process of development of a new handbook of standards and sent for different stakeholders to assist them with subject matter experts that may be part of the development team formulation.	- Hospital standards development team.
4)	Team orientation and training	- The standard research and development department prepares an orientation and training workshops for the selected subject matter experts on the requirement and needs for the good standard writing and the main components of the policy.	- Orientation and training material.
5)	Create the Work Items and framework	- The standards development team and standards research and development department creates together the desired working items and the chapters layouts for the handbook under the supervision of the GAHAR board of directors.	- The Handbook’s framework.
6)	Develop the draft standards	- The standards development team meets at least once weekly as to discuss and highlight the formulation of the handbook standards successively.	- The first draft version of the Handbook.
7)	Validate the draft	- The draft version is validated for its ambiguous words, standards’ scoring related to evidence of compliance and the distribution and redundancy of the standards in the different chapters in the handbook.	- The validation worksheet and its recommendations report.
8)	External Expert Review	- External Expert Review: The draft version for the GAHAR Handbook for hospital standards 2021 is to be sent for selected experts as to have their recommendations and feedbacks related to the DRAFT version.	- The external expert review report
9)	Field testing and piloting survey	- Field Testing: The draft version for the GAHAR Handbook for hospital standards 2021 is to be submitted for a sample of hospitals as to test the standards applicability, feasibility, workability and contradiction. - Pilot survey: The draft version for the GAHAR Handbook for hospital standards 2021 is to be submitted for surveyors testing in a hospital as to test the interrater variability of the standards measurement through scoring, workability and other factors.	- The field-testing reports. - The standard evaluation report by the pilot survey.
10)	Internal review committee	- Analysis the feedback reports of the external expert review, field testing and the piloting survey as to in cooperate valuable comments in the draft handbook of hospital standards.	- The second draft version of the handbook
11)	Submit the draft for editorial checking	- The draft handbook is being revised for editing and proofreading after the cooperation of the valid external, field testing and pilot survey feedbacks.	- The final draft version of the Handbook
12)	Working on ISQua accreditation	- Contacting the International society for Quality in Health care (ISQua) for having the GAHAR Handbook for hospital standards 2021 accredited according to the Guidelines and principles for the development of healthcare standards 5th edition version 1.0, September 2018.D14	- The completing and submission of the Self-assessment tool and the fulfilment of all ISQua requirement till the Handbook accreditation.
13)	Approval of the standards	- The final draft version of GAHAR Handbook for hospital standards 2021 is submitted for approval by the GAHAR board of directors.	- The approved GAHAR Handbook for hospital standards 2021 by the board of GAHAR. - The Approval decision.
14)	Implementation of the standards	- The GAHAR Handbook for hospital standards 2021 is implemented after the ISQua accreditation, and to be effective for accreditation by the hospitals.	- The upload of the soft copy of GAHAR Handbook for Hospitals standards 2021 - Launching conference. - Social media. - Multimedia. - Mass emailing. - Educational brochures and posters. - Training workshops. - Online orientation webinars for client hospitals. - Onsite Orientation programs for client hospitals Training workshops.
15)	Maintain and evolve the standards	- Continuous monitoring for the latest regulatory, professional or other accrediting organization publishments. - Continuous feedback report from the healthcare registration and accreditation department through the accreditation survey reports. - Continuous feedback report from the regulation department as to validate the long term compliance of the standards in the hospitals.	- Continuous Feedback report.