Map each standard to the record that proves it, and keep that record where the work happens. Qmentum Global ends its four-year cycle with a short-notice on-site assessment, so the evidence has to exist on an ordinary day.
The Qmentum Global cycle
| Activity | What it is | What to keep ready |
|---|---|---|
| Self-Assessment | Customizable self-assessments to find strengths and areas to improve | Your rating for each criterion, and the record behind it |
| Survey instruments | The HSO Global Workforce Survey and the HSO Governing Body Assessment | Results, and what leaders changed because of them |
| Attestation | A self-directed assessment of attestable criteria before the on-site visit | The evidence for every criterion you attest to |
| On-Site Assessment | A short-notice assessment by third-party surveyors | Records your team can open in minutes |
| Quality Improvement Action Plan | A digital tool to turn assessment results into action items | Owners, dates and the result of each action |
Qmentum Global for Canadian Accreditation moves from 38 Required Organizational Practices to 24 Required Safety Practices.1 The cycle runs over four years, with self-assessment and survey instruments first and the on-site assessment last.2
How provincial assessors sample and score
Each ICHSC requirement comes with What To Look For guidance, usually phrased as a question, which may name the documents and records required. Assessors sample by judgement, from high-volume, complex or error-prone services and from past non-conformances, and keep sampling until they are confident.3 The CPSBC rates each criterion Yes, No or Not Applicable, every mandatory criterion must be Yes for full accreditation, and only a No appears in the report.4
- List every criterion that applies. From the standards for your programme, and mark which are mandatory.
- Name the record that proves each one. A signed note, a consent, a minute, a report or a log, never a slide.
- Keep the record where the work happens. Evidence made after the fact is weaker than evidence made during care.
- Test it on high-risk services. Sample your own busiest and most complex services, as an assessor would.
- Track actions to closure. Every finding gets an owner, a date and the record that shows it closed.
- Standard ______ Criterion ______ Mandatory ______
- Record that proves it ______
- Where it is kept ______ Owner ______
- Last sampled on ______ Result ______
- Action ______ Closed on ______
Questions
How long is the Qmentum Global cycle?
Four years, with self-assessment, survey instruments and attestation before a short-notice on-site assessment.
What replaced Required Organizational Practices?
Required Safety Practices. Accreditation Canada streamlined 38 ROPs into 24 RSPs.
Do CPSBC best practice criteria count toward full accreditation?
No. Every mandatory criterion must be met, and a best practice criterion rated No is noted as an opportunity for improvement.
Sources
- 1Accreditation Canada, 2026Qmentum Global for Canadian AccreditationRead source
- 2Accreditation Canada, 2025Qmentum Global for Canadian Accreditation, programme overviewRead source
- 3Accreditation Canada, 2026ICHSC Quality Assurance Program Information, version 2.5Read source
- 4College of Physicians and Surgeons of British Columbia, 2026NHMSFAP Accreditation Manual, version 1.2, effective 1 April 2026Read source
Written by the wai team from Accreditation Canada, the CPSO, the CPSBC and Santé Québec guidance, checked on 16 October 2026. This is guidance, not legal advice. Neither Accreditation Canada, the CPSO, the CPSBC nor Santé Québec endorses wai or any software.