Since October 2025, hospitals in Jordan have been evaluated against the HCAC Hospital Accreditation Standards, Fifth Edition — an edition that introduces 40 new standards, revises 60, and reframes the whole exercise around seven themes: person-centred care, leadership excellence, patient advocacy, digital transformation, climate resilience, just culture and clinical outcomes. For a quality team, that is not an update; it is a rebuild. Fifteen clusters, measurable elements, tracer surveys — and a documentation load that runs to three figures.
What the Fifth Edition actually asks of you
HCAC surveyors work at measurable-element level across 15 clusters, from ethics and patients' rights to research. They follow patients through tracers, interview staff by role, and expect the new themes woven through the system — a sustainability plan, digital governance, a working just-culture process — not bolted on as afterthoughts. Documentation that predates the Fifth Edition will show its age within the first hour of survey.
117 documents, one architecture, all seven themes built in
The AGS Hospital Person-Centred Quality & Patient Safety Management System covers all 15 clusters with 117 controlled documents. The seven themes are embedded throughout — including a dedicated Environmental Sustainability & Climate Resilience policy and a Just Culture Decision Guide with worked examples. Checklists audit at measurable-element level, and a full mock survey master checklist plus a tracer worksheet let you rehearse the real thing.
Headline contents:
- 1 Hospital Quality Manual with the full cluster compliance map and 30 indicators
- 12 policies and 52 SOPs spanning every cluster — consent to telehealth to research
- 28 print-ready forms, including the surgical safety checklist, ISBAR handover and open disclosure
- 16 checklists — cluster audits, tracer methodology worksheet and full mock survey
- 4 guidance documents, including the 12-month roadmap and Just Culture Decision Guide
- 3 training documents, including a Fifth Edition awareness course with post-test
Rehearse the survey before you live it
Baseline with the mock survey checklist, start the 90-day quick wins, and run weekly tracers. The entire system is an instant digital download of fully editable Microsoft Word documents. Get the AGS Hospital Management System — HCAC 5th Edition — from AGS and give your teams a head start measured in months.
Product: HCAC-Hospital-Management-System-5th-Edition — available as an instant-download, fully editable package from AGS (SKU AGS-02-008).