HEY I KNOW
WHOA
THIS IS CRAZY
NOT ANOTHER ACCREDITATION QUESTION!
BLOW MY MIND
100

WHAT IS THE DATE(S) OF ACCREDITATION

OCT 7, 8, 9

100

WHERE ARE THE EMERGENCY BUTTONS ON THE 7TH FLOOR 

TRACEY DESK 

BOARDROOM

TRATMENT ROOM 

OTN ROOM 

100

HOW IS QUALITY MONITORED 

INDICATORS

CLIENT FEEDBACK 

QUALITY COMITTEE COUNCIL 


100

SHOULD YOU USE ACCRONYMS WHEN SPEAKING TO THE SURVEYOR?  WHY 

YOU CAN, BUT YOU NEED TO EXPLAIN WHAT IS MEANS, IT IS BEST TO NOT USE THEM 


100

How does the organization assess and address patient safety issues

  • Incident reporting
  • Client safety plan
  • Safety as a standing agenda item
  • Client safety committee
  • Maintenance and building inspections for environmental safety
  • Safety Expo
  • Suicide safety plans
  • Crisis plans
  • Vulnerable sector checks at hire (attestations annually)

Documentation policy

200

What are the key community demographics (e.g., age, language, culture)? NAME 2

  • Annual Service Profile – provides a snapshot of demographics for the year and trends in client characteristics
  • Program demographics
  • EMHware

Examples: Francophones, Ages 16-65 average client, 2SLGBTQ

200

NAME SOME BUZZWORDS

  • People-Centred Care
  • Just Culture
  • Quality Indicators
  • Key Performance Indicators (KPI’s)
200

WHAT DOES BPMH MEAN 

BEST POSSIBLE MEDICAIION HISTORY 

200

NAME ONE GOAL THAT ACT OR CTO HAS FOR 2025

EMAR

ADDCITION SUPPORT

COLLABORATIVE GROUPS

CLIENT ENGAGEMENT 

200

WHO IS THE FIRE WARDEN ON THE 7TH FLOOR / WHAT ARE THIER DUTIES ?

TRACEY 

PUT ON FIRE WARDEN JACKET ENSURE ALL OFFICES ARE CLEAR, CLOSE ALL DOORS - DIRECT STAFF/CLIENTS TO USE THE STAIRS 

300

According to clients and families, health care providers and partners, what are the community’s health needs? PROVIDE 2 

  • More community supports needed
  • Housing
  • Sustainable employment
  • Addiction supports
  • Primary care
  • Francophone services

Transportation and food – affordability

300

WHAT IS COMMUNITY BASED MENTAL HEALTH SERVICES?

THEY OFFER MENTAL HEALTH SERVICES AND SUPPORTS IN THE COMMUNITY 

300

WHAT DO WE DO TO PREVENT THE SPREAD OF INFECTION OR ILLNESS

  • Hand hygiene
  • IPAC Educational materials
  • Hand hygiene strategy
  • Continued use of masks
  • IPAC outbreak tracker

Screening of clients


300

WHAT DOES ROP STAND FOR 

REQUIRED ORGINIZATIONAL PRACTICES

300

WHERE IS THE JH&S BOARD ON THE 7TH FLOOR

ABOVE THE PRINTER

400

What does the organization do to assess risks and opportunities and incorporate strategies into the strategic plan? PROVIDE 2

  • Incident reporting
  • Risk assessments
  • Root cause analysis
  • Program indicators

Feeds into QIRM and travels to leadership team, QC, DT, Board

400

WHAT IS ACCREDITATION

ASSESSES WHAT WE DO WELL, WHAT WE SHOULD DO BETTERM BUS ASSESSING COMPLIANACE WITH GLOBAL STANDARDS

ITS A 4 YEAR CYCLE

MAKES RECCOMENDATIONS FOR IMPROVMENT


400

IF YOU DO NOT KNOW THE ANSWER TO A QUESTION THAT THE ACCREDITOR ASKS , HOW WOULD YOU RESPOND ?

DIRECT THEM TO THE PERSON THAT DOES / LET THEM KNOW THAT YOU WOULD ASK YOUT TL / FIND ON SHARED DRIVE


400

WHO IS THE FIRE WARDEN ON THE 7TH FLOOR, AND WHAT ARE THIER RESPONSIBILITIES?

TRACEY 

WEAR THE JACKET!!!

ENSURE ALL DOORS ARE CLOSED, ALL CLIENTS/STAFF ARE OUT 

NO USE OF THE ELEVATOR 

DIRECT STAFF TO MEET AT THE LOFT PARKING LOT 

400

WHAT IS ROP?

REQUIRED ORGINIZATIONAL PROACTICES 


THEY ARE PRACTICES THAT WE HAVE TO ENHANCE CLIENT SAFETY AND MINIMIZE RISK

500

In what ways does the strategic plan reflect the organization’s vision, mission and values

  • Increasing visibility aligns with values
  • Objectives aligns with mission, vision and values
  • All the goals and objectives reflect how we treat the whole person

Templates changed to connect with the strategic plan

500

WHERE WOULD YOU LOCATE INFOMATION ON GROUPS 

SHARED DRIVE ACT/CTO

500

WHAT DOES IPAC STAND FOR 

INFECTION PREVENTION AND CONTROL

500

IF YOU WERE ASKED ABOUT WHAT PROGRAM YOUR IN  AND WHAT THE PROGRAM PROVIDES - WHAT SHOULD YOU DO AND HOW WOULD YOU RESPOND?

BRAG! BRAG! BRAG!  


500

WHAT IS A TRACER?

PROCESS THAT CONCENTRATES ON DIRECT OBSERVATION AND INTERACTIONS - TO EVALUATE AND GATHER EVIDENCE ABOUT THE ORGINIZATIONS QUALITY AND SAFETYOF CARE AND SERVICES

M
e
n
u