Criterion | Self-rating | Surveyor rating | Divergence | Evidence | Person in charge | Last updated |
|---|---|---|---|---|---|---|
7.1.1Core Standard Patient Charter and Informed Consent | Fully met | Fully met | — | 1 doc | Pn. Rohani binti Ismail | 2026-01-15 |
7.1.3 Patient Privacy and Confidentiality | Fully met | Fully met | — | 1 doc | Pn. Rohani binti Ismail | 2026-01-17 |
7.2.1 Customer Feedback and Grievance Mechanism | Fully met | Fully met | — | 1 doc | Pn. Rohani binti Ismail | 2026-01-19 |
7.3.1 Protection of Vulnerable Patients and Abuse Notification | Fully met | — | — | None | Dr. Nurul Huda | 2026-01-21 |
7.4.1 End of Life Care, DNR and Spiritual Support | Fully met | — | — | None | Dr. Azmi Razak | 2026-01-23 |
07.1.1.11 Informed Consent Protocol 1.1 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-11 |
07.1.2.12Core Standard Patient Dignity Protocol 1.2 | Partially met | Partially met | — | None | Pn. Rohani binti Ismail | 2026-01-12 |
07.1.3.13 Feedback Resolution Protocol 1.3 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-13 |
07.1.4.14 Vulnerable Patient Protection Protocol 1.4 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-14 |
07.2.1.15 Palliative Care Support Protocol 2.1 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-15 |
07.2.2.16 Informed Consent Protocol 2.2 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-16 |
07.2.3.17 Patient Dignity Protocol 2.3 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-17 |
07.2.4.18 Feedback Resolution Protocol 2.4 | Partially met | Partially met | — | None | Pn. Rohani binti Ismail | 2026-01-18 |
07.3.1.19 Vulnerable Patient Protection Protocol 3.1 | Partially met | Partially met | — | None | Pn. Rohani binti Ismail | 2026-01-19 |
07.3.2.20 Palliative Care Support Protocol 3.2 | Partially met | Fully met | None | Pn. Rohani binti Ismail | 2026-01-20 | |
07.3.3.21 Informed Consent Protocol 3.3 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-21 |
07.3.4.22 Patient Dignity Protocol 3.4 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-22 |
07.4.1.23 Feedback Resolution Protocol 4.1 | Partially met | Partially met | — | None | Pn. Rohani binti Ismail | 2026-01-23 |
07.4.2.24 Vulnerable Patient Protection Protocol 4.2 | Fully met | Fully met | — | None | Pn. Rohani binti Ismail | 2026-01-24 |
07.4.3.25 Palliative Care Support Protocol 4.3 | Not applicable | Not applicable | — | None | Pn. Rohani binti Ismail | 2026-01-25 |