Back to Standards/Criterion 7.2.1
7.2.1
Organisation and management

Customer Feedback and Grievance Mechanism

A structured patient complaints, feedback and grievance management system provides timely investigation, resolution and communication of findings to complainants.

Compliance Criteria

  • 1Customer service feedback boxes, online portal and QR feedback available
  • 2Written complaints resolution SOP with mandatory acknowledgement within 3 working days
  • 3Independent complaints review panel for unresolved or high-severity clinical grievances
  • 4Quarterly complaint trend analysis and systemic corrective actions reported to Board

Hospital Self-Rating

Rated by Pn. Rohani binti Ismail on 19 Jan 2026

Evidence frozen on 30 March 2026 (14 days before survey)

"Customer complaints management system ensures all patient feedback is acknowledged within 3 working days with thorough root cause review."

AccrediSense Intelligence
thin

Evidence documents establish procedural intent but lack documented verification records for the current audit period.

Unverified criteria:
  • Independent complaints review panel for unresolved or high-severity clinical grievances
  • Quarterly complaint trend analysis and systemic corrective actions reported to Board
Derived from AccrediSense Evidence Engine · 1 document(s) attached with 2 unverified criteriaGovernance disclosure (1.4.1.4)

Evidence Documents (1)

PolicyAcceptedScore: 90/100

Customer Feedback, Complaints Resolution & Grievance Mechanism

22 pages · EN, MSValid: 2025-02-01 to 2028-02-01
RI
Person-in-ChargeQuality Manager
Head of DepartmentChief Executive Officer
RI
Surveyor Authority PaneAssigned: Dr. Mohd Anis Haron (Lead Surveyor)

Surveyor Rating

Committed 14 Apr 2026

Grievance and complaint handling mechanism functions well with timely investigation, root cause review and written communications provided to complainants.

Document systemic service improvements resulting from patient feedback trends in executive reports.

Continue transparent customer feedback management.