Integrate internationally endorsed standards and required practices (ROPs) into your everyday operations for the best chance to make your health care facility a safer place. Understand Health Care Quality Improvement opportunities via orientation sessions.


Readiness Assessments help you plan future quality improvement tasks based on your current operations by assessing your services against all High Priority Criteria and Required Organizational Practices. Simulated Surveys get you comfortable with the official accreditation process and identify which award is attainable for you using a sub-set of standards selected with your Advisor. Use the web-based Self-Assessments to gather operations staff input on your facility’s performance anytime in your accreditation process.


It’s easier to commit to safer facilities and better patient care with education sessions and ongoing advisory support tailored to your needs—offered in your language. AC helps you create workable strategic plans and develop, and implement, policies so you continually meet accreditation expectations.


The Accreditation survey assesses all criteria applicable to the organization, including high priority criteria, regular criteria and Required Organization Practices. After the survey your organization receives Accreditation report and Award. Recommendations get you moving towards future accreditation targets.


Get help to improve difficult areas with post survey coaching, education and advisory services so you can implement the survey recommendations and achieve new levels of accreditation. Take the next step in your quality improvement efforts by enrolling in Stroke or Trauma Distinction programs.


Define your organization’s requirements for new or enhanced program into a comprehensive project design through a needs assessment exercise.


Enhance existing accreditation program or introduce a new program by bridging together international best practices and local needs.


Transfer knowledge on programs, accreditation, quality improvement and patient safety methodologies to leaders, staff and surveyors.


Maximize efficiencies in implementing accreditation programs


Sustain your program for decades, by reducing costs related to program maintenance

Accreditation Services

Quality improvement tailored to your needs

Focused on patient safety, the Qmentum International accreditation program uses evidence-based standards to lay a step-by-step path for continuous quality improvement.

AC can create an accreditation project tailored to the specific needs of each client, streamlining the process and eliminating duplicate and unnecessary procedures. In an average, organizations dedicate 12 months of preparation before the on-site accreditation survey, but we are flexible to accommodate different timelines in accordance with your needs and capacity.

For more information, contact us or browse through the program components below.

  • Standards

    When Are You Sure You’re Providing Quality Care?

    When You Meet Standards Of Excellence, Reviewed by Your Peers Around The World

    Qmentum International accreditation gives you the tools to implement good governance practices, strengthen your management’s leadership and promote service excellence so you’re on par with—or beyond—health care organizations around the world.

    AC’s accreditation process gives you health care quality improvement standards—including Required Operational Practices (ROPs) — and integrates them into your daily activities to help you achieve greater patient safety and quality of care.

    Qmentum International’s health care quality improvement standards are so comprehensive, they fulfill service needs across all sectors:

    • Hospitals
    • Primary care, polyclinics
    • Home care
    • Mental health
    • Rehabilitation
    • Ambulatory care
    • Laboratories
    • Fertility/IVF clinics
    • Residential Homes and Surgical Clinics

    The Patient Safety ROPs—covering the safety areas of Communication, Medication Use, Worklife, Infection Control, Safety Culture and Risk Assessment—ensure your facility’s day-to-day work stays focused on patient safety long-term.

    Peer reviewed by the world’s leading medical experts, Qmentum International’s standards include also options to help you reach new areas of improvement you may not previously have considered. Qmentum International has over 30 service specific standards and four system-wide standards.The system-wide standards are required for most health care organizations and consist of:

    No matter where you are in your Accreditation Pathway, Qmentum International lets you access best practices and follow comprehensive guidelines to pursue health care quality improvement now, and in ten years’ time.

    • Leadership standards which looks at how the organization’s executive team is planning and evaluating its programs and services
    • Governance standards that evaluate the organization’s board of directors or governing body
    • Infection Prevention and Control and Medication Management standards which look at how these areas are planned, implemented and evaluated across the organization
    • The service-sector standards focus on a specific area in the organization such the emergency department or diagnostic services. The list of applicable standards depends on the services provided by the organization
  • Orientation

    Learn about Qmentum International Accreditation (Theory + Hands On Education)

    Choose from 1 or 2 day orientation sessions—delivered at your facility—to start your accreditation process with greater confidence.

    Orientation is intended to make the accreditation process clear to you and your staff starting with QI general knowledge. As leader in your facility, you’ll benefit from quality improvement management practices, and also understanding your staff’s role in observing and reporting on compliance. The three orientation topics are:

    1. Qmentum International
    2. Qmentum International For Leaders
    3. Qmentum International for Self-Assessment Teams

    Get all the information you need, at a convenient time, to make an informed decision about your Accreditation Pathway.

    Your orientation sessions can be delivered in conjunction with your readiness assessment or you can schedule another visit. Your two day orientation includes all three QI focused sessions. One-day orientations enable AC to consult with you about content so you’re getting the information you need within the timeframes you require.

  • Readiness Assessment

    Find Out: How Does Your Organization Already Meet Accreditation Expectations?

    Before you start the accreditation process, your organization can choose to undergo a comprehensive analysis against all high priority criteria and required organizational practices — a Readiness Assessment (RA). The RA Report tells you where you’re starting your accreditation journey; both to capture your current state, and to help set realistic future goals.

    After the Assessment, you’ll be given a report to help you prepare to meet fundamental accreditation requirements (based on Qmentum International Standards) like High Priority Criteria and Required Organizational Practices (ROPs) essential to health care quality improvement.

  • Simulated Survey

    Do You Meet Your Targeted Accreditation Level—Or Do You Have More Work To Do?

    Work with your AC Advisor to prepare for your true accreditation survey experience at your on-site Simulated Survey. Through assessing a pre-selected sub-set of standards, you’ll find out what accreditation level best suits your organization’s current operating standard and where you stand before completing the accreditation process.

    To meet Gold, Platinum or Diamond accreditation awards you must meet relevant criteria and Required Operational Procedures (ROPs). After the simulated survey, you’ll also be given guidance on how to improve.

  • Self-Assessment

    Get Staff Feedback, From the People Implementing Your Standards

    Gauge the effectiveness of your accreditation program with input from every level of your organization. A web-based SelfAssessment Manager™ tool lets multiple staff contribute to your compliance reporting, and keep track of your progress. The easy-to-use management software helps you collect and report on findings using non-technical language.

    Before you start working towards new levels of health care quality improvement standards, Self-Assessment tool helps you to evaluate and build upon what’s been working in your organization.

    Read more about Education and Advisory Services we offer.

  • Accreditation Survey

    How Is Your Accreditation Decided?

    Accreditation Canada expert surveyors determine your compliance with criteria (high priority criteria and Required Organizational Practices so your award is based on objective and knowledgeable observations complemented by advice and guidance from your peers.

    A Peer-Led Accreditation Survey that takes place every 12 to 18 months after your Readiness Assessment tells you what accreditation level you’ve achieved.

    Your health care facility will be assessed—not audited—against Qmentum International Standards by your peers.

    You can work toward continuous improvement offered through three levels of accreditation.

  • Award

    Know Your Accreditation Award Within 20 Business Days of Survey Completion

    Your new accreditation level (Gold, Platinum, Diamond, or Accreditation with Conditions) or non-accreditation decision will be awarded, in a report, within 20 business days of the completion of the accreditation survey.

    Your 3 levels for accreditation range from fundamental achievement to comprehensive quality improvement:

    • GOLD Award — you meet basic structures and processes linked to the foundational elements of safety and quality improvement;
    • PLATINUM Award — you’ve built on the elements of quality and safety, and key elements of client-centered care, consistent service delivery and client/staff involvement in decision-making;
    • DIAMOND Award — your quality improvements are backed by evidence and best practice showing improved services, benchmarked with peer organizations, to achieve system-level improvements.
  • Recommendations

    What If You Don’t Meet Accreditation Standards On Your First Try?

    You may not meet the full accreditation level on your first attempt. But, instead of receiving Accreditation with Condition (based on the Gold, Platinum or Diamond level criteria), you’re given the opportunity to address challenging areas and try again to achieve your accreditation.

    A Non-Accreditation finding is followed up with an English-speaking consultation to show you next steps.

    Supplementary surveys (6 months after the on-site survey), and full surveys (after one year), are two options which give you a second chance at achieving accreditation so that you don’t waste effort you’ve put into the accreditation process so far. Within this time period, you have the opportunity to make the necessary changes (demonstrated during the subsequent survey) to become complaint with your desired standards.

  • Post-Survey Support

    Get Help To Implement Your Survey’s Recommended Changes

    Each accreditation survey report will provide you with valuable recommendations to sustain your quality improvement initiatives.

    Post-survey coaching, facilitated by a Health Care Improvement Advisor, is available to guide you through making the recommended changes.

  • Distinction

    Become a Center of Excellence

    Set Your Facility Apart From Other Health Care Providers

    If you want to show commitment to excellence and innovation for two specific health services — Trauma and Stroke — AC acknowledges the extra effort you put into these service areas.

    To achieve Accreditation Canada’s Distinction program status you must implement at least one project that meets criteria for excellence and innovation distinction.

    • The project you’d like to submit for Distinction award project must offer evidence-based actions and communicate results that prove overall improved service quality.
    • To be eligible for consideration, you need to complete an evaluation, and keep track of sustainability and performance indicators.

    Accreditation Canada’s Distinction Program recognizes: your achievement of internationally endorsed Standards of Excellence amongst health care quality improvement; your commitment to excellence and innovation; plus the practical benefits of protocol and guideline implementation in the treatment of Trauma and Stroke.