Application for Global Healthcare Accreditation - Page 1

Instructions & Important Notes:  
  • Please complete each question as it relates to the management of medical travel, medical tourist and/or international patients and the overall experience at your facility. Please complete as accurately and as timely as possible.  Should you have any questions, please contact Mrs. Mary Miller Sallah at mmiller@ghaccreditation.com.

  • Upon review of your application, a formal recommendation will be made as to move forward with a GHA Survey or schedule a 1-2 day Internal Training Program prior to a GHA Survey.
  • GHA applies to organizational programs often labeled as Global Patient Services, International Patient Services, Medical Tourism, Medical Destinations Program or Medical Travel Services.

* 1. Please enter the information for the individual responsible for the organization's Accreditation Process:

* 2. Please enter the following information:

* 3. Please provide your organization's definition and scope of the global/international or medical travel services for which you are seeking accreditation.

* 4. Are your organization's policies and procedures stored electronically for employees to access?

* 5. Please list the top three languages spoken among your staff.

* 6. Please list the top three languages spoken by the majority of your patients cared for in the services described above in Question 3.

* 7. Overall Organizational & Operational Structure

* 8. Overall Operational Structure for the Medical Travel Program

* 9. Please list the names of the following Executive Management positions for your organization.

* 10. What Clinical Services Support the Medical Travel Program?

* 11. Please indicate which clinical services are prioritized within the business strategy of your Medical Travel Program?

* 12. Please indicate which business lines apply to your Medical Travel Program.

* 13. Questions for Facilities with Inpatient Services offered.

* 14. Questions for Facilities with Outpatient Services offered.

* 15. Are any services offered to medical travel patients outsourced or contracted via third parties?

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