ASQAT sealASQAT

For hospitals & health institutions

Building safer, stronger healthcare institutions

Use the ASQAT framework to understand priority standards, strengthen institutional systems, support healthcare workers, and prepare for measurable quality improvement.

A Nigerian hospital chief executive, physician, nurse leader, pharmacist and quality officer reviewing institutional patient safety performance together.

What the framework asks of institutions

Three responsibilities

Pillar 1

Clinical Excellence, Patient Safety & Quality of Care

Deliver safer, more reliable care.

See Institutional Priorities

Pillar 2

Health Systems, Governance & Infrastructure Transformation

Build systems capable of sustaining quality.

See Institutional Priorities

Pillar 3

Workforce, Culture & National Healthcare Transformation

Strengthen the workforce and culture that make improvement possible.

See Institutional Priorities

Where an institution starts

Sequenced, not simultaneous

  1. 1

    Framework Development and Consensus Building

    0 to 6 months

  2. 2

    Pilot Design and Baseline Assessment

    6 to 12 months

  3. 3

    Pilot Implementation

    12 to 24 months

  4. 4

    Accreditation Readiness and Scale-Up

    18 to 36 months

  5. 5

    National Institutionalization

    3 to 5 years

View the Implementation Roadmap

Recognition pathway

Accreditation progression

  1. Level 1

    Foundational Compliance

    Minimum standards for safety, staffing, documentation, emergency readiness, patient rights, and governance.

  2. Level 2

    Quality Advancement

    Documented quality improvement systems, data tracking, CPD structures, and patient safety programs.

  3. Level 3

    Accreditation Ready

    Strong governance, measurable outcomes, external audit readiness, and compliance with national standards.

  4. Level 4

    Center of Excellence

    High-performing institutions able to mentor others, support training, lead innovation, and model best practice.

Understand the accreditation model See how progress is measured

Where to go next

Curated entry points

Understand the Framework

See what ASQAT recommends across clinical care, systems, governance, and workforce transformation.

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Explore the Three Pillars

The clinical, systems and workforce structure that organises every standard.

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Find Standards & Resources

Access approved guidance, protocols, templates, checklists, and implementation tools as they become available.

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Prepare for Accreditation

Understand the proposed ASQAT progression from foundational compliance to Center of Excellence.

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Measure What Matters

Explore the proposed quality and accountability measures institutions may use to track progress.

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See Implementation in Practice

Review approved institutional examples, implementation reports, and lessons from practice.

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