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Templates, KOIHA

KOIHA inspection checklist template

A KOIHA inspection checklist with 23 items, taken from our KOIHA hub and grouped the way the work is done. Read it in full below, and take the editable version by email.

Updated . Mapped to KOIHA's published framework1.

CHK-INS-01Checklist

Templatev1.0, KOIHA edition

[Clinic name]

Controlled document

[Address]
[Registration or licence number]

Document
KOIHA inspection checklist
Reference
CHK-INS-01
Version
1.0
Owner
[Name, role]
Approved by
[Clinical lead]
Effective from
[Date]
Next review
[Date]
Regulator
Korea Institute for Healthcare Accreditation (의료기관평가인증원)

KOIHA inspection checklist

1Opening

  • Confirm the route, a report to the 구청장 for a 의원, a permit from the 시도지사 for a hospital.
  • File the 개설신고서 with floor plans and licences, and keep the 개설신고증명서.
  • Report every change of site, name, departments or doctors.
  • Register under the 의료해외진출법 before attracting patients from abroad.

2Records

  • Every 진료기록부 records symptoms, diagnosis, treatment and the date and time, and is signed.
  • 진료기록부 kept 10 years, 환자 명부 5, 처방전 2.
  • A separate 접속기록 for every addition or amendment to an electronic record.
  • Patients can see their record and receive a copy.

3Health information

  • Separate PIPA consent for health information, apart from other consents.
  • Every transfer abroad on a ground PIPA article 28-8 allows.
  • A leak reported to patients and the PIPC within 72 hours.
  • Written consent before surgery, transfusion or general anaesthesia.

4Certification

  • Decide whether 인증, the foreign patient accreditation, or both apply to you.
  • Apply at least two months before the survey you want.
  • Trace patients through the record before KOIHA does.
  • After 인증, keep the self review and the mid-cycle visit in the diary.

5What a KOIHA inspector may ask

  • Show me this patient's 진료기록부. What to show, a signed record with symptoms, diagnosis, treatment and the date and time.
  • Who amended this entry, and when? What to show, the separate access log the 의료법 requires for every amendment.
  • Which doctors work here, and what can each one see? What to show, the staff list matching the 개설신고, and access limited by role.
  • How did the patient consent to their health information being used? What to show, a separate consent for health information, and when it was given.
  • How do you answer patients who write in other languages? What to show, replies in the patient's language, checked by a person.
  • Can a patient have a copy of their record? What to show, how a request is handled, and how fast.
  • How do you use AI in care? What to show, where AI is used, what patients are told, and who decides.

AAppendix, Standard readiness log, one row per standard

  1. A.1Domain ______ Standard ______
  2. A.2Owner ______ Evidence ______
  3. A.3Where it lives ______
  4. A.4Patient traced on ______ Gap found ______
  5. A.5Action ______ Due ______

Awaiting sign-off

[Name]

[Role], [registration number]

Signed [date], [time]

Questions

Has KOIHA approved this koiha inspection checklist?

No. KOIHA does not approve templates or software. This template is built from KOIHA's own published standards and our guides, and your clinic adapts it, signs it off and owns it.

Can we use it as it is?

Use it as a starting point. Replace every part in square brackets with your clinic's own details, check it against your services, and have your clinical lead sign it off before it is used.

How do we get the editable version?

Enter your work email on this page and we send the editable document. The full template is on this page to read before you ask.

In wai, the records this checklist depends on are versioned and signed, from notes and letters to consent forms and the audit trail.

See the signed record behind this checklist on your own clinic, in a 15 minute video call.

Sources

  1. 1의료기관평가인증원 (KOIHA), 2026의료기관 인증, 인증제란Read source

This is a template, not legal advice. KOIHA does not approve templates or software, wai included.