PHC Gears Up for Accreditation 2017

May 17, 2017 | Spotlight | News

Accreditation is an internationally recognized process that health care organizations use to demonstrate, evaluate and improve the quality and safety of the everyday care and services they provide to patients and residents. This process allows us to showcase our innovative work, identify areas of strength and those needing improvement, and celebrate the excellence of our care providers, physicians and volunteers. Accreditation is also a requirement for teaching and research.

Although health care organizations are surveyed only once every four years, it’s integral that the processes and themes highlighted during Accreditation are maintained as ongoing essential quality and safety priorities at Providence Health Care.  

Peer surveyors from across Canada will be onsite at all of PHC’s acute and residential, ambulatory clinics, administrative sites and select community dialysis clinics in November 20-24, 2017 to evaluate our everyday activities and services against national standards of excellence.

What has changed since our last Accreditation in 2013?

New to Accreditation Canada is a focus on patient and family centred care. This is an approach that guides all aspects of planning, delivering and evaluating services. The focus is always on creating mutually beneficial partnerships among the organization’s team members and the clients and families we serve.

Providing patient and family centred care means working collaboratively with patients and their families to provide care that is respectful, compassionate, culturally safe, and competent, while being responsive to their needs, values, cultural backgrounds and beliefs, and preferences.

How is Providence Health Care preparing for accreditation?

By participating in the quality improvement activities that happen every day in your department or program area, you can ensure that you are always ready for accreditation.

  • Internal Tracer Program:
    • The tracer methodology is used by surveyors during the on-site survey to assess compliance with the standards and evaluate how well key processes have been implemented throughout the organization. During a tracer, surveyors engage with care providers at all levels of the organization through conversations, interviews, focus groups and observations.
    • Since 2015 our members of the Senior Leadership Team have been acting as surveyors and visiting different units across PHC. They will continue with this practice conducting tracers until the end of the year.
    • You are invited to do tracers in your clinical areas and act as a surveyor yourself. Training to become an internal surveyor is available. You can connect with Liz Flores to arrange for training for your areas.
  • Constant communication:
    • From now until November 2017, PHC will focus its attention on the areas associated to Required Organizational Practices (ROPs). Detailed information is available through the Accreditation website.
  • Fun ramp-up to the accreditation survey
    • In the final months before the survey, we will be hosting fun activities, like games and other educational opportunities, across the organization! (More info to come!)

What you need to do during the Accreditation Survey

During the on-site survey, surveyors will observe our processes and may approach to you to ask you questions about your work.

It is important that you understand our accreditation themes and Required Organizational Practices (ROPs), and are able to address the processes we have in place to provide safe and high quality care.

We’re here to help

While continuous quality improvement (and therefore continuous readiness for Accreditation) is our goal, we recognize that there may be some additional work required in the next three months to help ensure you and your program area are ready for the accreditation survey.

We are here to help. If you have any questions, you can speak to your leader, browse our website http://phc-connect/programs/Accreditation/Pages/default.aspx or email us at


Quality & Safety

Related Articles

Add new comment