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Nova Scotia Health Accreditation

The Accreditation on-site survey involves measuring our organization against world class evidence-based standards that focus on quality of care and patient safety to determine where we’re doing well and where we need to make improvements. During the week of October 16 to 21, 2022, surveyors from Accreditation Canada will visit sites across all four zones and speak with a variety of people within Nova Scotia Health. They will also make observations and review documentation to evaluate if the organization is in alignment with evidence-based criteria. 

It is a complementary process that validates a variety of daily activities already occurring to improve outcomes and experiences for those we serve.

Physician participation is critical for patient safety and to meet accreditation requirements. Please review the Physician Responsibilities with Accreditation Required Organizational Practices (ROPs) to ensure you are aware and follow these ROPs.

Watch the Accreditation 101 video to learn about the upcoming on-site survey and how you can prepare: 

Below are the physician-related resources to help you prepare for Accreditation: 

Required Organizational Practices 2020 Handbook

All of the Required Organizational Practices in the Accreditation Canada Qmentum program have been collected into this handbook. Most apply to more than one health sector or service and therefore appear in multiple sets of standards. The applicable standards sets are identified at the beginning of the ROP or in the table at the end of the handbook.

Last Updated:
December 7, 2022

Patient Safety Incident Disclosure (ROP)

Research shows a positive relationship between patient satisfaction with how a patient safety incident is handled by an organization and formal open disclosure. Disclosing in an open and timely manner may maintain the patient’s positive relations with service providers and reduce risk of litigation. Disclosure is required for all patient safety incidents which reach the patient (including where there has been no harm).

Last Updated:
December 7, 2022

Safe surgery checklist (ROP)

Safe surgery checklists play an important role in improving the safety of surgical procedures (e.g., wrong surgery, retained objects) as they can reduce the likelihood of complications following surgery and improve surgical outcomes.

Last Updated:
December 7, 2022

Antimicrobial Stewardship (AMS) (ROP)

Antimicrobial stewardship programs optimize the use of antimicrobials to improve patient outcomes, reduce the risk of infections including Clostridium difficile, reduce or stabilize levels of antibiotic resistance, decrease drug toxicities, and promote patient safety.

Last Updated:
December 7, 2022

Client Flow (ROP)

Overcrowding is a system-wide challenge and usually a result of a mismatch between capacity and demand. Evaluating client flow data facilitates development of strategies to meet variations, reduce barriers, and prevent overcrowding.

Last Updated:
December 7, 2022

Infection Rate (ROP)

Physicians who are well informed about infection rates are better equipped to prevent and manage infection rates. Use of infection rates may focus on a particular health care-associated infection, or may be service, program or organization wide.

Last Updated:
December 7, 2022

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