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Accreditation Programs

As of April 1, 2024, Accreditation Canada will act as the inspection body for all Integrated Community Health Services Centres (ICHSCs) on behalf of the Ministry of Health (MOH).

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Some ICHSCs may also be captured under the regulation 114/94: General under the Medicine Act, 1991 which applies to any physician performing or intending to perform certain procedures in an Out-of-Hospital Premises (OHP).

This document sets out some frequently asked questions to help Medical Directors understand the intersection between the CPSO and Accreditation Canada accreditation programs when a premises is both an OHP and an ICHSC.

This FAQs document will be updated as more information becomes available. Please continue to visit this webpage for future updates. If you have further questions, please contact [email protected].

1. What if I have an OHP and an ICHSC license for the same ICHSC services/OHP procedures?

  • Your facility will be inspected by Accreditation Canada, and you will be required to pay one annual fee to Accreditation Canada.
  • Your centre is not subject to inspection by CPSO as per the regulatory amendment. 
  • You are not required to submit changes to CPSO (i.e., staff, equipment) or report adverse events to CPSO. 

2. What if I have an OHP and an ICHSC license for different ICHSC services/OHP procedures?

  • You may be required to pay both CPSO and Accreditation Canada fees, depending on the type of procedures. 
  • You may be required to abide by both CPSO and Accreditation Canada inspection standards that are relevant to the services that are provided in your centre/premises.
  • You will still be required to report adverse events, as well as other changes (i.e., staff, equipment, procedures, Medical Director) to CPSO.

3. Do I need to apply for a new OHP if I plan to open a centre offering funded ICHSC services only?

  • No. You should contact the MOH for information on obtaining an ICHSC license.

4. Do I need to apply for a new OHP if I plan to open a centre offering funded ICHSC services and non-funded OHP procedures?

  • Yes. You must notify CPSO if you are planning on performing non-funded procedures that are captured by the regulation, outside of the ICHSC license.
  • CPSO will determine if a new onsite inspection is required by CPSO.

5. Do I need to notify CPSO if I have an existing OHP and want to obtain an ICHSC license?

  • Yes. Please notify CPSO if you intend to apply for an ICHSC license.

6. Do I need to notify CPSO if I have an ICHSC license and would like to provide non-licensed, OHP procedures?

  • Yes. You must apply to open a new OHP and will be required to under a new premises site inspection by CPSO.

7. Who do I contact if I have questions about my ICHSC license or requirements?

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Information about standards and inspections for Out-of-Hospital Premises is available on the corresponding webpage. If you have any questions, please send your message via the Portal message centre or email [email protected].