Accreditation policies and processes

Accreditation policy

The SA MET accreditation policy outlines the accreditation principles, accreditation process and Accreditation Committee purpose and functions.

Appeals policy

The SA MET appeals policy provides a framework to effectively facilitate the accreditation appeals process in accordance with the Prevocational Medical Accreditation Framework.

Accreditation processes

• New unit accreditation process
• Full facility accreditation process

Change of circumstance

The change of circumstance document outlines the process for managing a notification of change of circumstance that may affect a facility's accreditation status.

Changes in circumstance can range from minor - for example, a senior clinician on extended leave -  to major - for example having no Director of Clinical Training in place. The SA MET Accreditation Committee will work with facilities to determine the extent of disruption caused by changes.

Patient & doctor Safety

Visitors undertaking acccreditation visits on behalf of SA MET may, in their investigations, encounter issues which pose risks to patient and/or trainee medical officer (TMO) safety. The Patient & TMO Safety Visits Policy sets out how the accreditation team should manage such concerns.

Accreditation proviso and recommendation follow up

Accreditation is awarded for a period of time, subject to the resolution of provisos. Provisos are findings by the accreditation team, based on evidence gathered, which state where the Accreditation Standards are not being met. Provisos must be met within the required period for accreditation to be maintained. A Guideline has been developed which outlines the process for follow up on accreditation provisos and recommendations.

Response to concerns process

Occasionally concerns related to TMO training and education are reported to SA MET outside of the scheduled accreditation cycle.  The Response to Concerns Guideline outlines the process for responding to these concerns.