Accreditation Basics
This is an ongoing third party evaluation of Interior Health services.
What is accreditation?
Some locations in Interior Health will be hosting Accreditation Canada Surveyors to conduct this in person activity.
What is an On-site Visit?
These are two types of the same assessment method used by Accreditation Canada surveyors.
What are Clinical and Administrative tracers?
These are the 3 types of criteria found in the Standards.
What are Required Organizational Practices, High Priority Criteria and Other Criteria?
Accreditation Canada's standards in this area focus on minimizing patient harm by reducing risks associated with care, treatment, and services.
What is the "Patient Safety" standard?
These peer evaluators bring experience and knowledge of best practices in healthcare.
Who are Accreditation Canada surveyors?
These are 4 assessments methods used by Accreditation Canada Surveyors.
What are Interviews/focus groups, document reviews, tracers, and facility tours and observations?
This is not an evaluation of individual performance.
What is a clinical tracer?
These are criteria related to safety, ethics, risk management and quality improvement.
What are High Priority Criteria?
This standard addresses the importance of providing care that respects the diverse needs and preferences of patients, families, and communities.
What is the "Client-Centered Care" standard?
This document provides the guidelines to support best practices in Mental Health & Substance Use care,
What are the Mental Health & Addictions Accreditation Standards?
These are peer evaluators who are their experience and knowledge on best practices in health care.
Who are accreditation surveyors?
The purpose of the tracer activity is to ____?
What is identify gaps in the quality of services.
These are essential practices that an organization must have in place to enhance client safety and minimize risk.
What is an ROP (Required Organizational Practice)?
This area of Accreditation Canada's standards involves ensuring that healthcare organizations have systems in place for monitoring, evaluating, and improving care quality.
What is the "Quality Improvement" standard?
This is all IH employees.
Who has a role in Accreditation in IH?
Mark your calendars! This is when surveyors will be visiting Mental Health and Substance Use sites in 2025.
What is October 27–31st?
This preparation activity mimics what a surveyor would do during the on-site survey.
What is a practice tracer?
Requirements based on evidence, that describe what is needed by people to achieve a particular activity.
What is criteria?
Accreditation Canada emphasizes this area of standards to ensure that healthcare organizations effectively manage information, including electronic health records and confidentiality.
What is the "Information Management" standard?
They’re the regional go-to for making sure teams shine during Accreditation supporting self-assessments, education, practice tracing, and survey prep.
Who is a RASL (Regional Accreditation Standards Lead).
When a surveyor asks you a question and you’re unsure of the answer, the best response is to stay calm and do this instead of guessing.
What is explain who or where you would go to find the answer?
These are the staff members who accreditation surveyors are allowed to speak with as part of their assessment.
Anyone and everyone.
These _____ provide additional information and evidence to support the implementation of each criterion.
What are guidelines?
This standard ensures that healthcare organizations meet requirements related to infection prevention and control, which are critical for patient safety and quality care.
What is the "Infection Prevention and Control" standard?