Accreditation

Complete the HSO Global Workforce Survey!

Your opinions on the quality of work life and the culture of user safety at the CIUSSS de l’Ouest-de-l’Île-de-Montréal will help to identify the strengths of our CIUSSS along with opportunities for improvement.

Information Sheet:

Click here to get the information sheet

• Survey Period: From September 23 to October 23, 2024
• Who should complete the survey: All staff, managers, and physicians
• Confidentiality: No information that could directly identify you is collected.
• Estimated time required: Approximately 20 minutes

1. Accreditation Canada Web Link: https://tinyurl.com/mt2yr3aw 
2. Intranet: Who are we - Accreditation – Workforce Survey
3. www.ciusss-ouestmtl.gouv.qc.ca/HSOsurvey
4. HR-payroll Computer stations (in certain locations)
5. Kiosks (in certain locations)

• Communication and Collaboration
• Commitment
• Diversity, Equity, and Inclusion
• Professional Burnout

• Assess the health and well-being of our workforce
• Identify issues to prioritize and opportunities for improvement
• Support strategic and operational decision-making with evidence-based data
• Encourage organizational communication and learning to promote continuous quality improvement
• Promote a culture of safety

The Health Standards Organization (HSO) and Accreditation Canada (AC) are global non-profit organizations whose shared vision is to provide the safest care and to create a healthier world. Their person-centred programs and services have been benchmarks for quality across the healthcare ecosystem for more than 60 years.

Accreditation measures the quality of our services. It shows that the care and services our CIUSSS provides meet standards of excellence. These standards serve to identify what we do well and where we can improve.

Accreditation Canada is an independent Canadian non-profit organization the works with healthcare institutions and users to assess the conformity of care and services.

The Qmentum accreditation program is available to public health and social service institutions in Québec. It is based on the standards defined by the Health Standards Organization (HSO) and approved by the Standards Council of Canada (SCC) on behalf of the Canadian General Standards Board.

There are specific standards to follow for each CIUSSS program, service or clientele to ensure the quality and safety of our care and services. There are also cross-sectoral standards for these objectives. Those standards apply across all departments and concern such aspects as infection prevention and control, medication management, and telehealth.

There are three levels of criteria: normal, high-priority, and required organizational practices (ROP). The ROPs must be in place because the directly affect the safety of users.

There are 6 categories:

• Safety culture
• Work life
• Medication use
• Infection prevention and control
• Communication
• Risk assessments

The accreditation process involves everyone in the organization, from the Board of Directors to healthcare and administrative personnel, to physicians, professionals, interns, volunteers, contractors, users and their families, and community partners.

The surveyors use the tracer method to evaluate conformity. A tracer is a means of following the progression of a user or an administrative process along the entire continuum of care.  During the visit, surveyors may come speak with you or your colleagues. They may also speak with users and their families. The goal is to understand the day-to-day functioning of your department.  They will look at certain clinical files and administrative documents, and directly observe how things are done in your department.  The surveyors base their results on what they have seen, heard, and read.

Cycle 2, Sequence 1

Schedule: To come

Visitors’ Profile: 

Visitor's profile (in French only)

Visitor's profile (in French only)

Visitor's profile

Following the visit by Accreditation Canada, the CIUSSS will receive a report.  The report provides a detailed assessment of conformities and non-conformities, as well as suggestions for potential improvements.  Accreditation Canada also sends a letter outlining the non-conformities for which the affected departments must implement an action plan.  The affected team will have a fixed period of time to follow up on the recommendations and demonstrate that they are making progress.