Existing facilities
DAP accreditation involves continuous assessment activities that take place during a four-year cycle.
This includes an on-site assessment at least every 46 to 48 months, proficiency testing and accreditation activities when there is a significant change in service. The new accreditation award is valid for five years.
Relocation
All facilities relocating to a new address or within their existing building (e.g. facility is rebuilt on the same site) must go through the relocation assessment process prior to service delivery or patient testing at the new location.
Prepare for the relocation assessment
Review the accreditation standards specific to relocation assessment.
| Program | Document name |
|---|---|
| Medical imaging | Accreditation Standards for Relocation Assessment – Diagnostic Imaging |
| Neurodiagnostics | Accreditation Standards for Relocation Assessment – Neurodiagnostics |
| Pulmonary function | Accreditation Standards for Relocation Assessment – Pulmonary Function |
| Polysomnography | Accreditation Standards for Relocation Assessment – Polysomnography |
Relocation assessment process
An accreditation specialist will contact the facility to schedule an on-site assessment after the DAP has reviewed the submission.
On-site assessment
During the on-site assessment, the assessor will:
- review the physical environment
- discuss processes with staff
- follow up on any outstanding issues identified during the distance review of the evidence submission
Post-assessment
Following the on-site assessment, the facility will be issued an accreditation report. Nonconformances where the facility is not meeting all of the requirements outlined in the accreditation standards for relocation assessment will be outlined in the accreditation report. Nonconformances will need to be implemented before the facility can receive an accreditation award for the new location/address.
After the on-site assessment, the DAP will provide the facility with an accreditation report. The accreditation report outlines the nonconformances where the facility is not meeting all of the requirements outlined in the accreditation standards for relocation assessment.
Facilities are required to submit evidence to the DAP, demonstrating that the nonconformances have been implemented before the facility can receive an accreditation award for the new location/address.
Demonstrate corrective actions by:
- completing the Evidence Submission Form
- attach any appropriate evidence that illustrates implementation
- e.g. policies, procedures, photographs records etc.
- draft documents are not accepted as evidence
Evidence submission forms
Download and submit completed form(s) to dap@cpsbc.ca.
| Program | Document name |
|---|---|
| Medical imaging | Relocation Assessment Evidence Submission for Distance Review Form – Diagnostic Imaging |
Award
The expiration of the new accreditation award will remain the same as the previous accreditation award. Previously scheduled accreditation activities will not change.
Contact the DAP before making any changes.