Quality improvement tailored to your needs
Focused on patient safety, the Qmentum International accreditation program uses evidence-based standards to lay a step-by-step path for continuous quality improvement.
Accreditation Canada can create an accreditation project tailored to the specific needs of each client, streamlining the process and eliminating duplicate and unnecessary procedures. In an average, organizations dedicate 12 months of preparation before the on-site accreditation survey, but we are flexible to accommodate different timelines in accordance with your needs and capacity.
For more information, contact us or browse through the program components below.
Standards - When Are You Sure You’re Providing Quality Care?
When You Meet Standards Of Excellence, Reviewed by Your Peers Around The World
Qmentum International accreditation gives you the tools to implement good governance practices, strengthen your management’s leadership and promote service excellence so you’re on par with—or beyond—health care organizations around the world.
Accreditation Canada's accreditation process gives you health care quality improvement standards—including Required Operational Practices (ROPs) — and integrates them into your daily activities to help you achieve greater patient safety and quality of care.
Qmentum International’s health care quality improvement standards are so comprehensive, they fulfill service needs across all sectors:
- Primary care, polyclinics
- Home care
- Mental health
- Ambulatory care
- Fertility/IVF clinics
- Residential Homes and Surgical Clinics
The Patient Safety ROPs—covering the safety areas of Communication, Medication Use, Worklife, Infection Control, Safety Culture and Risk Assessment—ensure your facility’s day-to-day work stays focused on patient safety long-term.
Peer reviewed by the world’s leading medical experts, Qmentum International’s standards include also options to help you reach new areas of improvement you may not previously have considered. Qmentum International has over 30 service specific standards and four system-wide standards.The system-wide standards are required for most health care organizations and consist of:
No matter where you are in your Accreditation Pathway, Qmentum International lets you access best practices and follow comprehensive guidelines to pursue health care quality improvement now, and in ten years’ time.
- Leadership standards which looks at how the organization’s executive team is planning and evaluating its programs and services
- Governance standards that evaluate the organization’s board of directors or governing body
- Infection Prevention and Control and Medication Management standards which look at how these areas are planned, implemented and evaluated across the organization
- The service-sector standards focus on a specific area in the organization such the emergency department or diagnostic services. The list of applicable standards depends on the services provided by the organization.
To purchase standards, visit the HSO e-store here.
Contact us if you require more information about standards.
Orientation - Learn about Qmentum International Accreditation (Theory + Hands On Education)
Choose from 1 or 2 day orientation sessions—delivered at your facility—to start your accreditation process with greater confidence.
Orientation is intended to make the accreditation process clear to you and your staff starting with QI general knowledge. As leader in your facility, you’ll benefit from quality improvement management practices, and also understanding your staff’s role in observing and reporting on compliance. The three orientation topics are:
- Qmentum International
- Qmentum International For Leaders
- Qmentum International for Self-Assessment Teams
Get all the information you need, at a convenient time, to make an informed decision about your Accreditation Pathway.
Your orientation sessions can be delivered in conjunction with your readiness assessment or you can schedule another visit. Your two day orientation includes all three QI focused sessions. One-day orientations enable Accreditation Canada to consult with you about content so you’re getting the information you need within the timeframes you require.
Contact us if you require more information about orientation sessions.
Readiness Assessment - How Does Your Organization Already Meet Accreditation Expectations?
Before you start the accreditation process, your organization can choose to undergo a comprehensive analysis against all high priority criteria and required organizational practices — a Readiness Assessment (RA). The RA Report tells you where you’re starting your accreditation journey; both to capture your current state, and to help set realistic future goals.
After the Assessment, you’ll be given a report to help you prepare to meet fundamental accreditation requirements (based on Qmentum International Standards) like High Priority Criteria and Required Organizational Practices (ROPs) essential to health care quality improvement.
Contact us if you require more information about readiness assessments.
Simulated Survey - Do You Meet Your Targeted Accreditation Level—Or Do You Have More Work To Do?
Work with your Accreditation Canada Advisor to prepare for your true accreditation survey experience at your on-site Simulated Survey. Through assessing a pre-selected sub-set of standards, you’ll find out what accreditation level best suits your organization’s current operating standard and where you stand before completing the accreditation process.
To meet Gold, Platinum or Diamond accreditation awards you must meet relevant criteria and Required Operational Procedures (ROPs) (PDF). After the simulated survey, you’ll also be given guidance on how to improve.
Contact us if you require more information about simulated surveys.
Self-Assessment - Get Staff Feedback, From the People Implementing Your Standards
Gauge the effectiveness of your accreditation program with input from every level of your organization. A web-based SelfAssessment Manager™ tool lets multiple staff contribute to your compliance reporting, and keep track of your progress. The easy-to-use management software helps you collect and report on findings using non-technical language.
Before you start working towards new levels of health care quality improvement standards, Self-Assessment tool helps you to evaluate and build upon what’s been working in your organization.
Contact us if you require more information about self-assessments.
Accreditation Survey - How Is Your Accreditation Decided?
Accreditation Canada expert surveyors determine your compliance with criteria (high priority criteria and Required Organizational Practices so your award is based on objective and knowledgeable observations complemented by advice and guidance from your peers.
A Peer-Led Accreditation Survey that takes place every 12 to 18 months after your Readiness Assessment tells you what accreditation level you've achieved.
Your health care facility will be assessed—not audited—against Qmentum International Standards by your peers.
You can work toward continuous improvement offered through three levels of accreditation.
Contact us if you require more information about accreditation surveys.
Award - Know Your Accreditation Award Within 20 Business Days of Survey Completion
Your new accreditation level (Gold, Platinum, Diamond, or Accreditation with Conditions) or non-accreditation decision will be awarded, in a report, within 20 business days of the completion of the accreditation survey.
Your 3 levels for accreditation range from fundamental achievement to comprehensive quality improvement:
- GOLD Award — you meet basic structures and processes linked to the foundational elements of safety and quality improvement;
- PLATINUM Award — you’ve built on the elements of quality and safety, and key elements of client-centered care, consistent service delivery and client/staff involvement in decision-making;
- DIAMOND Award — your quality improvements are backed by evidence and best practice showing improved services, benchmarked with peer organizations, to achieve system-level improvements.
Contact us if you require more information about awards.
Recommendations - What If You Don’t Meet Accreditation Standards On Your First Try?
You may not meet the full accreditation level on your first attempt. But, instead of receiving Accreditation with Condition (based on the Gold, Platinum or Diamond level criteria), you’re given the opportunity to address challenging areas and try again to achieve your accreditation.
A Non-Accreditation finding is followed up with an English-speaking consultation to show you next steps.
Supplementary surveys (6 months after the on-site survey), and full surveys (after one year), are two options which give you a second chance at achieving accreditation so that you don’t waste effort you’ve put into the accreditation process so far. Within this time period, you have the opportunity to make the necessary changes (demonstrated during the subsequent survey) to become complaint with your desired standards.
Contact us if you require more information about our recommendations.
Post-Survey Support - Get Help To Implement Your Survey’s Recommended Changes
Each accreditation survey report will provide you with valuable recommendations to sustain your quality improvement initiatives.
Post-survey coaching, facilitated by a Health Care Improvement Advisor, is available to guide you through making the recommended changes.
Contact us if you require more information about post-survey support.
Distinction - Become a Center of Excellence
Set Your Facility Apart From Other Health Care Providers
If you want to show commitment to excellence and innovation for two specific health services — Trauma and Stroke — Accreditation Canada acknowledges the extra effort you put into these service areas.
To achieve Accreditation Canada’s Distinction program status you must implement at least one project that meets criteria for excellence and innovation distinction.
- The project you’d like to submit for Distinction award project must offer evidence-based actions and communicate results that prove overall improved service quality.
- To be eligible for consideration, you need to complete an evaluation, and keep track of sustainability and performance indicators.
Accreditation Canada’s Distinction Program recognizes: your achievement of internationally endorsed Standards of Excellence amongst health care quality improvement; your commitment to excellence and innovation; plus the practical benefits of protocol and guideline implementation in the treatment of Trauma and Stroke.
Contact us if you require more information about Distinction.