1.1.1.1Core Standard
Organisation and managementVision, Mission and Core Values
The Governing Body and Senior Management establish, approve and review the vision, mission, core values and strategic plan of the healthcare facility.
Compliance Criteria
- 1Documented vision, mission and core values approved by the Board
- 2Evidence of strategic plan dissemination across clinical departments
- 3Annual review of strategic milestones and performance targets
- 4Staff awareness verified during ward and department walkabouts
Hospital Self-Rating
Rated by Pn. Rohani binti Ismail on 15 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"The Board of Directors reviewed and re-approved the hospital strategic direction and core values on 15 January 2026. Dissemination was completed across all clinical departments via town hall sessions and intranet publishing."
supported
Attached documentation, registers and clinical audit trails fully substantiate all compliance criteria.
Derived from AccrediSense Evidence Engine · 2 verified documents covering all 4 compliance criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (2)
PolicyAcceptedScore: 94/100
Hospital Strategic Plan & Core Values Charter (2024–2028)
36 pages · EN, MSValid: 2024-01-01 to 2028-12-31
MinutesAcceptedScore: 92/100
Board of Directors Strategic Governance Review Minutes
14 pages · ENValid: 2026-01-15 to 2027-01-15
RI
Person-in-ChargeQuality Manager
Head of DepartmentChief Executive Officer
RI
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)