Volume 8 | No. 3 | May / Jun 2020 query_builder 1 minute

Important update regarding medical staff appointment to NHMSFAP facilities

Non-Hospital Medical and Surgical Facilities Accreditation Program update


The Non-Hospital Medical and Surgical Facilities Accreditation Program (NHMSFAP) recently introduced new and updated documents for medical staff appointment. The deadline for mandatory use of the new forms is being extended to September 4, 2020. The requirement for a certificate of professional conduct (CPC) will be mandatory as of September 5, 2020. Medical directors may still wish to request and review a CPC for physicians requesting privileges at their facility. The NHMSFAP will inform medical directors when a CPC must be requested after review of applications.

Facilities submitting a group of applications for health authority contracted cases, should contact the program at nhmsfap@cpsbc.ca for further direction.

Applicants unable to obtain basic life support (BLS) training will be given three months from resumption of services to obtain current certification.

New forms

There are updated and separate Application for Appointment to a Non-Hospital Medical/Surgical Facility forms for: 

The following documents and forms have also been added or updated:

All of the forms and documents listed above can be found on the credentialing and privileging page on the College website.

A key change is the requirement for a CPC as part of the application package (mandatory as of September 5, 2020):

  • Physicians must request the CPC from the College's registration department.
  • Podiatrists and dentists must request a letter of standing from their respective college; this is currently mandatory.
  • The document must be submitted to the medical director for review with the application package prior to submission to the NHMSFAP (refer to the guidelines for further information).

Both old and new forms will be accepted until September 4, 2020. From September 5, 2020 onward, only the new forms will be accepted, and old forms received by the College will be returned to the facility.

This information should be shared with all relevant staff and any old forms that may have been downloaded locally at a facility should be deleted.