A simulation survey will be conducted on Monday, November 8th and Tuesday, November 9th.
Richard Bedard from Accreditation Canada will be on site on both days to prepare the organization for the upcoming Accreditation Survey on May 16-19, 2022. Richard has worked in health care for more than 30 years and has experience in administration, leadership, clinical care, and professional practice. He brings with him practical experience in acute care, long term care and primary care. To read his full biography, please find it attached.
What is Accreditation?
The accreditation process offers Thunder Bay Regional Health Sciences Centre (TBRHSC) a valuable opportunity to measure ourselves against national standards of excellence and ensure quality & safety in the delivery of our programs and services.
What will happen during the Simulation?
The surveyor will use a survey tracer to determine if standards are met and identify areas needing improvement. Required organizational practices (ROPs) and high priority processes will be reviewed during this time. The mock interviews are designed to be a learning experience for teams.
What is a Tracer?
A tracer is a quality improvement tool to help surveyors determine if standards are met – the surveyor will observe and interact with a wide variety of team members, patients and families to gather evidence about the quality and safety of care and services in a particular service area.
Please note the surveyor is observing processes & procedures – not evaluating individual team member’s performance during a tracer.
The following areas will be included in the November 8 & 9th Simulation Survey:
- Leadership
- Quality Risk Management
- Human Resources
- Inpatient Unit – 2A
- Ambulatory Care Clinic – CCDC
- Infection Prevention and Control
- MDRD
- Diagnostic Imaging
- Emergency Department
Please find attached the two day schedule. Sheri Maltais (maltaiss@tbh.net) and Chitra Jacob (jacobc@tbh.net) are available to answer questions, provide further information or support, or you can visit tbrhsc.net/accreditation.