Updates from the Non-Hospital Medical and Surgical Facilities Program

Bilateral simultaneous cataract surgery not allowed in a non-hospital setting

As peer-reviewed literature on the safety of bilateral simultaneous cataract surgery (also known as immediately sequential or same-day cataract surgery) remains limited, medical directors are reminded that bilateral simultaneous cataract surgery may not be performed in a non-hospital setting.

For further information, please refer to the Canadian Ophthalmological Society evidence-based clinical practice guidelines for cataract surgery in the adult eye.

Abdominoplasty complication rate benchmarks

The NHMSFP Committee is pleased to report that BC non-hospital complication rates of abdominoplasty +/- combined procedures fall within acceptable levels as per the tracking operations and outcomes of plastic surgeons (TOPS) database, which collates data from many sources including the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery.

The TOPS data is collected using a similar model to the self-reporting of non-hospital facilities and therefore is considered an acceptable benchmark to compare current complication rates of abdominoplasties performed in the non-hospital setting.

Incident reporting and review is one of the many ways facility medical directors and the NHMSFP Committee demonstrates their commitment to patient safety and quality care.

TOPS Benchmarks for Abdominoplasty

 

Total Complication Rate (%)

Infection rate Abdominoplasty Site (%)

Total Rate of all Infections (%)

Rate of venous thrombosis/ pulmonary embolism (%)

Rate of Abdominal hematomas (%)

NHMSFP

Abdominoplasties +/- combined with other procedures

4.6

0.6

1.0

0.001

1.3

TOPS (2009 data)

(abdominoplasty only)

4.7

3.5

-

0.02

0.6-3.0

New infection prevention and control advisor joins program team

Ms. Sandra Daniels, BTech Emergency and Intensive Care Nursing, MScN (c), RN has joined the College as an infection prevention and control (ICP) advisor in the Non-Hospital Medical and Surgical Facilities Program. Ms. Daniels previously worked in Fraser Health as an ICP managing consultant. Her background includes front-line care delivery in critical care departments of tertiary and community hospitals in Vancouver Coastal Health, as well as writing policy documents for the BC Ministry of Health. In this new role, Ms. Daniels will focus on developing policies, procedures and training for the program’s accreditation teams and supporting facilities in meeting provincial ICP requirements.


The Non-Hospital Medical and Surgical Facilities Program (NHMSFP) requires private facilities to maintain high standards of practice equal to or exceeding public hospitals. The program establishes accreditation and performance standards, procedures and guidelines to ensure the delivery of high quality health services. The 700 physicians who work in private facilities across the province must be granted privileges by the College.