1.2.1.1
Human resource development and managementHuman Resource Planning and Staff Establishment
Human resource planning ensures adequate staffing levels of qualified and trained personnel to support patient care and clinical services.
Compliance Criteria
- 1Hospital-wide staffing establishment and vacancy analysis
- 2Departmental nurse-to-patient and doctor-to-patient staffing norms
- 3Annual human resource development budget and workforce plan
- 4Contingency plan for surge staffing and unexpected absenteeism
Hospital Self-Rating
Rated by Pn. Aishah Kamal on 12 Jan 2026Evidence frozen on 30 March 2026 (14 days before survey)
"Workforce establishment analysis is conducted quarterly with nursing and clinical heads. Nurse-to-patient staffing ratios in ICU and acute wards are maintained within national guidelines."
thin
Evidence documents establish procedural intent but lack documented verification records for the current audit period.
Unverified criteria:
- Annual human resource development budget and workforce plan
- Contingency plan for surge staffing and unexpected absenteeism
Derived from AccrediSense Evidence Engine · 1 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)
Evidence Documents (1)
Audit reportAcceptedScore: 89/100
Workforce Staffing Establishment & Nurse-to-Patient Ratio Audit
18 pages · ENValid: 2025-10-01 to 2026-10-01
AK
Person-in-ChargeHead of Human Resources
Head of DepartmentChief Executive Officer
RI
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)