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Canada inspection checklist
1Ontario OHP, CPSO
- The Medical Director's annual attestation, done.
- At least two quality assurance committee meetings at each site this year, minuted with attendance.
- A 12-month review of adverse events, with the changes made.
- Current records for every staff member, with registration and qualifications.
2Ontario ICHSC, Accreditation Canada
- Documents ready about 1.5 months before the visit.
- A complaints record reviewed for trends every quarter.
- A quality assurance advisor and advisory committee in place.
- A plan to answer non-conformances within 30 days.
3British Columbia, CPSBC
- The pre-accreditation questionnaire answered against every criterion.
- Procedures booked on the assessment day, so a patient tracer can be observed.
- Personnel files, patient records, the policy manual and maintenance records to hand.
- A patient safety incident log, with critical incidents reported within one business day.
4Quebec CMS and Qmentum
- The accreditation date and body on file, for the Santé Québec renewal.
- The 31 March activity report, with treatment counts by type.
- The Qmentum self-assessment and attestation done in their year of the cycle.
- Leaders reading the same reports the surveyors will ask about.
5What a Canada inspector may ask
- Show me this patient's care, from the first contact to discharge. What to show, the booking, the consent, the procedure note, the discharge and the follow-up.
- How do you know your charts are complete and accurate? What to show, notes made at the time, signed, and a regular record review.
- How is consent obtained and recorded? What to show, what the patient was told, when they agreed, and where it is written.
- Walk me through your last adverse event. What to show, the report, the timeline, the analysis and what changed.
- How do you handle a complaint? What to show, your process, the record of each complaint and the response times.
- Who can see patient records? What to show, roles, access controls and an access log.
- How do patients know what their care will cost? What to show, the price and policies, shown before the patient commits.
AAppendix, Survey day plan
- A.1Date ______ Body ______ Team leader ______
- A.2Our lead ______ Area experts ______
- A.3Cases booked ______ Tracer patient ______
- A.4Assessor room ______ Records access set up ______
- A.5Findings at close ______ Risk level ______ Due ______