Assessments conducted by PEP
Quality improvement approach
CPSBC recognizes that all licensees are dedicated to providing the highest standard of care. The pursuit of quality is a continuous process. Quality improvement focuses on a culture of reflection, learning, and continual practice improvement to strengthen patient care. Under Practice Enhancement Program (PEP), there are several assessments intended to support our licensees’ quality improvement.
Office assessment
The office assessment (OA) is a review of key aspects of community-based medical offices to support alignment with CPSBC practice standards and Practice Enhancement Program guidelines. It is not a review of the individual licensees who work there.
Key areas of an office assessment include reviewing:
- operational office components
- vaccines/medications/controlled drugs
- emergency preparedness
- infection prevention and control
Assessment process
OA applies to all licensees who practise in community-based settings. This includes both solo and multi-licensee clinics/practices.
This also applies to long-term and short-term locum tenens who work in either solo or multi-licensee offices.
The medical director of the office is also responsible for participating in the assessment.
Office assessments do not apply to
- clinics or outpatient clinics that are under the direct jurisdiction of a health authority or hospital, and where reprocessing practices are monitored and evaluated by the health authority
- clinics accredited by the Non-Hospital Medical and Surgical Facilities Accreditation Program, where reprocessing practices are assessed by that program
Offices are selected through:
- the annual licence renewal form
- a peer assessor referral
- a medical device reprocessing assessor referral
- random selection
The OA is completed remotely through
- completing an OA questionnaire,
- submitting photos
This report identifies key areas for further reflection and consideration for improvement.
PEP evaluation and development
Program evaluation provides information on the effectiveness, efficiency, and impact of a program, enabling informed decision-making and continuous improvement.