Notification of Significant Change in Service Forms

 

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Accreditation Process New Facility Relocation Assessment Process

 Relocation Assessment Process

 

NB: All facilities relocating to a new address or within their existing building (e.g. facility is rebuilt on the same site) must proceed through the Relocation Assessment process prior to service delivery or patient testing.

 

The following four steps are for all programs; Diagnostic Imaging, Laboratory Medicine, Neurodiagnostics, Polysomnography and Pulmonary Function. 

 

Step 1: Notification of Significant Change in Service Form

Physicians and facilities intending to relocate a diagnostic service must first complete the appropriate Notification of Significant Change in Service Form:

 

  • Notification of Significant Change in Service – Diagnostic Imaging
  • Notification of Significant Change in Service – Laboratory Medicine
  • Notification of Significant Change in Service – Pulmonary Function
  • Notification of Significant Change in Service – Neurodiagnostics
  • Notification of Significant Change in Service – Polysomnography 

After the DAP has received the Notification of Significant Change in Service Form, an Accredited Specialist will contact the facility to confirm receipt of the form.

 

Step 2: Evidence Submissionfor Distance Review

(NB: This step is not required for Laboratory Medicine) 

The facility must complete the Evidence Submission for Distance Review form and submit it with the applicable evidence, prior to scheduling an on-site assessment.

It is strongly recommended that the appropriate program's Accreditation Standards for Relocation Assessment are reviewed and used in conjunction with the Evidence Submission for Distance Review form. This is to understand the scope of the suggested evidence.

 

Step 3: On-Site Assessment

After the DAP has received and reviewed the Evidence Submission Package, an Accreditation Specialist will contact the facility to schedule an on-site assessment. During the on-site assessment, the assessor will review the physical environment; discuss processes with staff and follow up on any outstanding issues identified during the distance review of the evidence submission. 

 

Step 4: Relocation Assessment Accreditation Report

Following the on-site assessment, the facility/service will be issued an accreditation report. If the facility is not meeting all of the requirements outlined in the Accreditation Standards for Relocation Assessment, these deficiencies will be outlined in the accreditation report and will need to be implemented prior to receiving an accreditation award for the new location/address. The expiration of the new accreditation award will remain the same as the previous accreditation award and the previously scheduled accreditation activities will not change.

 

Relocation Assessment Accreditation Fee

All Relocations - $500