Ongoing hospital compliance in Georgia rests on a single statute: the Georgian Law on Medical Practice, under which state supervision of medical practice is exercised by the ministry through the council (Article 66), and both forms of supervision — quality control of medical services and control of the production of medical documentation — are precisely regulated (Article 67). International accreditation frameworks embody noble quality ideals but are foreign to the Georgian system: in Georgia the measure of compliance is exactly this law's articles, not an imported standard's certificate.
The Supervisory Authority and the Forms of Supervision
Article 66 defines two levels: state supervision of medical practice is exercised by the ministry through the council, and the ministry ensures the active participation of university clinics, physicians' professional associations and other public organizations in that supervision. Article 67 then fixes the forms of supervision: quality control of medical services and control of the production of medical documentation. These are the two directions on which a hospital's internal compliance system must be built — everything else in a compliance programme serves one of them.
Periodic Inspection and the Participation Guarantee
Article 68 regulates the mechanics of inspection: the ministry periodically — at least once a year — selectively controls the quality of medical services produced by a subject of independent medical practice and the medical documentation. At every stage of preparing and reviewing the document reflecting the inspection results, the participation of the subject whose activity was inspected is mandatory, and the subject may, at its own discretion, attach to that document an explanatory note reflecting its attitude toward the remarks given in the document. This participation guarantee is a procedural right of the hospital: a remark is never simply left with it. The consequences of refusal are also statutory: where the subject refuses quality and documentation control, or an assessment of its health for determining professional fitness, the council has the right, in accordance with the requirements established by the law, to suspend the state certificate (Article 71).