Compliance & Accreditation
CPSA NHSF accreditation support for non-hospital surgical facilities
Preparing for — or maintaining — CPSA non-hospital surgical facility (NHSF) accreditation? We get your surgical facility audit-ready and keep it there. Based in Calgary, serving facilities across Canada.
What CPSA NHSF accreditation involves
Before a non-hospital surgical facility can operate in Alberta, it must be accredited by the College of Physicians & Surgeons of Alberta (CPSA). Accreditation is how CPSA confirms your facility is safe — that the policies, infection prevention & control, equipment, sterilization, staffing, and quality systems all meet the standard, verified on paper and through an on-site assessment.
It's a lot to assemble, and a lot to keep current between cycles. We've done it before. We translate the standards into a clear, facility-specific plan, build the documentation and evidence with you, and put the systems in place so accreditation isn't a scramble every time — it's just how your facility runs.
Outside Alberta? Each province accredits surgical facilities through its own College — CPSBC in British Columbia, CPSS in Saskatchewan, CPSM in Manitoba, CPSO in Ontario, and others. Because Western Canadian provinces share a common foundation of accreditation standards, our CPSA experience transfers directly — and we support surgical facilities under any province's program.
How we get you accredited
- Readiness assessment and gap analysis against CPSA NHSF standards
- Policy, procedure, and SOP development tailored to your facility
- Infection prevention & control (IPC) program and documentation
- Sterilization / reprocessing and equipment-handling evidence
- Staff credentialing, training records, and competency tracking
- Mock survey / pre-assessment to surface gaps before CPSA does
- Corrective-action plans with owners, evidence, and tracking
- Continuous-improvement systems for reaccreditation readiness
Is this you?
When facilities bring us in
Opening a new facility
You're standing up a new NHSF and need the full accreditation program built right the first time.
First accreditation cycle
You're approaching your first CPSA assessment and want to walk in confident, not hopeful.
Findings to close
You've received conditions or findings and need them resolved with credible evidence.
Good to know
Frequently asked questions
What is CPSA NHSF accreditation?
In Alberta, non-hospital surgical facilities (NHSFs) must be accredited by the College of Physicians & Surgeons of Alberta (CPSA) before they can provide surgical or procedural care outside a hospital. Accreditation confirms the facility meets CPSA's standards for safety, infection prevention & control, equipment, staffing, policies, and quality — verified through documentation and an on-site assessment.
How long does it take to prepare for CPSA NHSF accreditation?
It depends on where you're starting. A facility building its program from scratch typically needs several months to develop policies, stand up an IPC program, and assemble the required evidence; a facility that's mostly there may only need a focused readiness review and gap closure. We start with an assessment so you get a realistic, facility-specific timeline rather than a guess.
What does CPSA assess during NHSF accreditation?
CPSA accreditation looks across the whole facility — governance and policies, infection prevention & control, sterilization and reprocessing, medication and equipment handling, staff credentials and training, emergency preparedness, patient safety, and quality improvement. We map your facility against those areas, identify gaps, and help you produce the documentation and evidence assessors expect.
Can you help if we've already received findings or conditions?
Yes. Closing findings is one of the most common reasons facilities bring us in. We turn each finding into a concrete corrective action with owners, evidence, and a tracking system, so you can demonstrate resolution and reduce the risk of it recurring at reaccreditation.
Do you only work with Alberta facilities?
CPSA NHSF accreditation is our specialty and our home base — but each province accredits non-hospital surgical facilities through its own College: CPSBC in BC, CPSS in Saskatchewan, CPSM in Manitoba, CPSO in Ontario, and others. Western Canadian provinces share a common foundation of accreditation standards, so our CPSA experience transfers directly to surgical facilities in BC, Saskatchewan, and Manitoba — and we bring the same rigor to any province's program.
Get your surgical facility accreditation-ready
Tell us where you are in the CPSA NHSF accreditation process — new build, first cycle, or reaccreditation — and we'll map a realistic path to ready.