Under direction of the governing body, the health service organisation ensures that the agreed priorities to improve Aboriginal and Torres Strait Islander health are implemented.

The governing body has ultimate responsibility for the safety and quality of a health service organisation. Setting priorities for the health service organisation, including priorities for its Aboriginal and Torres Strait Islander consumers, is one way a governing body can direct effort and resources to improve care.

The user guide has been developed to support health service organisations implement the six  Aboriginal and Torres Strait Islander health related actions.

The Commission has developed resources to assist health service organisations align their patient safety and quality improvement programs using the framework of the National Safety and Quality Health Service (NSQHS) Standards.

State and territory health departments regulate accreditation.

There are four major steps when preparing for an assessment.