The hospital accreditation，evaluation and certification is an essential tool for the scientific management and quality assurance of hospitals. This paper preliminarily summarized the achievements of hospital accreditation and evaluation in China while pointing out six outstanding problems. It also summarized ten aspects of practice experience which were worth learning from international advanced countries and regions. On how to establish the hospital accreditation，evaluation and certification system with Chinese characteristics，the paper put forward the nine tentative ideas，including principles that must be adhered to，reconstructing the organizational system， clarifying various organizational responsibilities， reforming and improving the accreditation，evaluation and certification mode，establishing a scientific and standardized system of laws and regulations，vigorously developing the personnel team，establishing and improving a scientific standard system， straightening out organizational relations，and establishing a scientific and reasonable organization operation mechanism for accreditation，evaluation and certification.