SITEMAP       CONTACT USTwitterFacebookInstagram

Prairie Mountain Health Accreditation Survey ~ May 24-29, 2020

February 2020

Accreditation is an ongoing process that includes a survey, which assists Prairie Mountain Health to objectively evaluate patient safety and quality improvement within health programs and services.  All Regional Health Authorities in Manitoba work with Accreditation Canada who send a team of health care providers to complete a review of each region’s health programs and services.  The survey occurs every four years; the next Prairie Mountain Health (PMH) accreditation survey is scheduled for May 24-29, 2020.  The results of this survey will provide us with the knowledge that we are providing good care, and identifying areas that could be further improved.  The survey is only part of PMH’s commitment to patient safety through continuous quality improvement.  

Accreditation Canada works with providers, policy makers and the public to improve the quality and safety of health for all.  Accreditation Canada’s philosophy of quality improvement is based on the involvement of the entire organization.  For this reason the team from Accreditation Canada will assess all aspects of an organization and provide an accreditation award that recognizes the entire organization and not just a specific program and/or service. 

The survey process includes evaluation of criteria and Required Organizational Practices (ROPs) based on national health standards (see Chart 2 Below) that reflect the programs and services offered within PMH (i.e. Inpatient Services, Public Health).  ROPs are required patient safety processes that must be in practice (e.g. Falls Prevention, Client Identification).  ROPs are categorized into six patient safety areas, each with its own goal (see Chart 1 below).

Chart 1: ROPs are Categorized into Six Patient Safety Areas  
 Safety Culture  Create a culture of safety within the organization.
 Communication  Improve the effectiveness and coordination of communication among care and service providers and with the recipients of care and service across the continuum.   
 Medication Use  Ensure the safe use of high-risk medications.
 Worklife/Workforce     Create a worklife and physical environment that supports the safe delivery of care and service.
 Infection Control  Reduce the risk of health care-associated infections and their impact across the continuum of care/service.
 Risk Assessment  Identify safety risks inherent in the client population.


Chart 2:  Examples of National Health Standards to be Evaluated in PMH are:   
  •  Cancer Care
  •  Inpatient Services   
  • Population Health and Wellness   
  •  Critical Care
  • Leadership
  • Perioperative Services and Invasive Procedures   
  •  Emergency Department
  • Long Term Care
  • Primary Care Services
  •  Emergency Medical Services and Interfacility Transport Services   
  • Medication Management
  • Public Health Services
  •  Home Care
  • Mental Health
  • Rehabilitation Services
  •  Hospice, Palliative Care, End of Life Services
  •  Community Mental Health Services and Supports   
  • Reprocessing of Reusable Medical Devices
  • Infection Prevention and Control
  •  Obstetric Services


PMH has teams consisting of direct care providers, support staff, administration and management.  Each member is selected because of their experience, area of expertise, type of program/service they work in or which part of PMH they represent (i.e. Swan River, Boissevain).  These teams work year round to influence quality improvement which is reflected in established processes, ongoing education and policy development.  Partnerships with many groups (i.e. educational institutions, First Nation communities) including physicians, takes place continuously to ensure that the best decisions are being made for staff, clients and their families. 

As a patient or member of the public, if you wish to know more about national health standards, check out the Accreditation Canada website or Health Standards Organization (HSO) website. If you wish to learn more about becoming a patient partner involved in Accreditation, please contact us at This email address is being protected from spambots. You need JavaScript enabled to view it.

Accreditation seal

When you see the Accreditation Canada seal, you can be certain that the health care organization is working hard to meet Accreditation Canada standards to deliver safe, high-quality care.  They do so because better quality means better health.


Accreditation Four Year Cycle graphic web