Figure 2
The diagram illustrates the modified ACES-GLEAM framework, which outlines the factors influencing the emergence, progression, and discontinuation of an accreditation program. The structure includes antecedent influences prior to the decision to establish the accreditation program, enablers such as contextual factors in establishment, governance and legislation, and establishment characteristics including standards, surveyors, stimulants, and survey management. The process flows from the decision to initiate the accreditation program through its implementation and execution, followed by assessment and monitoring. Barriers and contextual factors in discontinuation are also depicted, showing the dynamic interactions and influences at each stage. The diagram highlights the complex interplay of various elements that contribute to the lifecycle of an accreditation program.Modified ACES-GLEAM framework (Dharmagunawardene et al., 2025)