PIAP Programme

HQACI Pilot International Assessment Programme (PIAP)

Online Application Form for Healthcare Organisations.

PIAP Application

All fields marked with * are required. Submissions are reviewed by the HQACI programme team.

1. Organisation Information

Type of healthcare organisation
Ownership type

2. Contact Person

Preferred language of communication

3. Purpose of Participation

Main expectations from the assessment

4. Remote Assessment Information

The HQACI Pilot International Assessment Programme will be conducted remotely. Participating healthcare organisations will be required to submit the documents, evidence, and photographic materials requested by HQACI. The assessment may also include online meetings with leadership, managers, clinical personnel, and other relevant staff.

Do you confirm that your organisation understands that the assessment will be conducted remotely? *
Do you confirm that your organisation is able to provide requested documents electronically? *
Do you confirm that your organisation is able to provide requested photographic materials of clinical, operational, and support areas? *
Do you confirm that relevant leadership and staff will be available for online interviews or meetings if required? *

5. Documents and Evidence

Please confirm that your organisation can provide, upon HQACI request, relevant documents and evidence related to:

6. Photographic Material

Participating organisations may be requested to submit photos of selected areas, including clinical, operational, administrative, and support areas.

Can your organisation provide photographic material upon request? *

7. Confidentiality and Data Protection

HQACI will treat submitted documents, evidence, and photographic materials as confidential and use them only for the purposes of the PIAP assessment process.

Do you confirm that your organisation agrees to share required information with HQACI for assessment purposes, subject to confidentiality arrangements? *

8. Desired Assessment Outcome

Which outcome is your organisation primarily interested in?

9. Additional Information

Please provide any additional information that may help HQACI understand your organisation and its readiness for remote assessment.

10. Declaration

By submitting this application, the organisation confirms that the information provided is accurate and that it understands the remote nature of the HQACI PIAP assessment process.