ASSESSING ACCREDITATION REFORM BASED ON QUALITY AND PUBLIC VALUE: A NOISE ANALYSIS OF LAFKI’S INTERNATIONAL ACCREDITATION BY ISQUA EEA

Abstract

This study aims to examine the results of the organizational accreditation survey conducted by the International Society for Quality in Health Care External Evaluation Association (ISQua EEA) for LAFKI (Indonesian Health Facility Accreditation Institution), using the NOISE (Needs, Opportunities, Improvements, Strengths, Exceptions) analytical framework. The research method involves document analysis of the 2025 Final Survey Report, which scored LAFKI 94% overall, including perfect ratings in governance, ethics, and surveyor management. The findings reveal several areas of improvement, such as the need for performance evaluation systems for the Chairperson and Supervisory Board, enhanced information management protocols, and individualized feedback for surveyors. Strategic opportunities include the expansion of digital governance and corporate social responsibility practices. LAFKI’s strengths lie in its ethical leadership, adaptive structure, and national mandate as the only accrediting body for both hospital and non-hospital health facilities. This study concludes that LAFKI’s achievement not only strengthens its institutional legitimacy but also offers a reflective foundation for health accreditation reform based on public value in Indonesia’s healthcare governance.