Main System
Accreditation Tools Hub
Select a tool below to explore standards, complete self-assessments, manage evaluations, and track your department's accreditation readiness.
Core Accreditation Tools
Start Here
Tool 01
Department Standards Explorer
Browse all EHAP ES 7191:2025 standards and criteria organized by your department.
Each criterion includes the original text, plain-language explanation, required evidence,
and example surveyor questions. Filter by Critical, Core, or Developmental level.
For Staff
Tool 02
Staff Self-Assessment
Select your department, enter your staff ID, and rate each criterion on a 1–3 scale.
Receive an instant readiness score with identified strengths and gaps.
QD Only
Tool 03
Quality Directorate Portal
Secure access for the Quality Directorate team. Conduct formal hospital-wide
evaluations by chapter and department. Export compliance reports.
CPD Only
Tool 04
Training Record Log
Document all accreditation-related training sessions. Record topics,
trainers, attendees, and dates. Directly supports compliance with
critical criteria 2.7.3.2 (mandatory ongoing training).
Live Data
Tool 05
Hospital Dashboard
Live ranking of all departments by accreditation readiness. Visual charts,
RAG status indicators, and the hospital-wide Accreditation Readiness Score.
Advanced Preparation Tools
Practice
Tool 06
Surveyor Simulation
Practice for the real evaluation. Randomly generated surveyor questions
by department. Get instant feedback on whether your answer covers
all required elements.
Evidence
Tool 07
Document Evidence Tracker
Track which policies, records, and documents each criterion requires.
Mark documents as available, in-progress, or missing. Critical gaps
are highlighted automatically.
Action Plan
Tool 08
Corrective Action Plan Manager
Gaps from self-assessment auto-generate corrective action templates.
Assign responsible staff, set deadlines, and track closure rates
per department and criteria level.
Standard Reference
ES 7191:2025
Hospital Type
Comprehensive Specialized
Standard Edition
First Edition · May 2025
Developed By
Dr. Jemal Bedru