Accreditation Canada International launches its first international program for acute care, primary care, ambulatory care, and clinical laboratories. Qmentum International is the first international program that provides a step-by-step approach towards meeting the highest standards.

The Philippines is the first country in Asia to start implementing Qmentum International with four organizations participating in the program.

Accreditation Canada International signs a Memorandum of Understanding with the Royal College of Surgeons and Physicians to work on joint international initiatives.


Accreditation Canada International works collaboratively with the ministries of health in both Costa Rica and Kuwait to develop national accreditation programs in these countries.

Accreditation Canada International develops the Primary Care Accreditation Program on behalf of the Lebanese Ministry of Public Health.

Albania’s national health care accrediting body, the National Centre of Quality, Safety and Accreditation of Health Institutions, invites Accreditation Canada International to assist in training their first group of surveyors.


The Canadian Council on Health Services Accreditation (CCHSA) officially becomes Accreditation Canada. The name of the organization has changed over the years reflecting its evolving role in health care:

  • 2008 – Accreditation Canada
  • 1993 – Canadian Council on Health Services Accreditation
  • 1987 – Canadian Council on Health Facilities Accreditation
  • 1958 – Canadian Council on Hospital Accreditation

Accreditation Canada International opens an office in Dubai and signs a partnership agreement with United Management Bureau (UMB) in Lebanon.


CCHSA International is chosen by numerous organizations in Bahrain, Italy, and Costa Rica. Thirty-one organizations in more than a dozen countries participate in the international program. Dubai Health Authority selects CCHSA International as one of three providers of international accreditation to Dubai large hospitals, polyclinics and laboratories.

A Saudi Arabian hospital earns accreditation with a focus on Assisted Reproductive Technology, Clinical, and Laboratory Services standards – the first time an organization outside of Canada earns CCHSA accreditation under these standard sections.

CCHSA achieves its third ISQua accreditation for standards and organization.

CCHSA signs a partnership agreement with the Instituto Qualisa de Gestao (IQG) to bring CCHSA’s client-centred accreditation program to health care providers in Brazil.

Three hundred and seventy surveyors participate in the National Surveyors’ Conference in Ottawa. CCHSA opens offices in Edmonton and Montreal. CCHSA signs a partnership agreement with the Conseil Québécois d’Agrément (CQA) to provide specialized accreditation in Quebec.


CCHSA launches CCHSA International, to serve the specific needs of its international clients. Two hundred and eighty surveyors participate in the National Surveyors’ Conference held in Ottawa. CCHSA receives the National Governance Award from the Conference Board of Canada.


Accreditation of Assisted Reproductive Technologies begins.


CCHSA achieves its second ISQua accreditation for standards and organization.

CCHSA signs a partnership agreement with the Al Mashura Health Group, bringing the client-centred accreditation program to health care providers in the Middle East.

A series of regional Surveyors’ Conferences are held across the country. A separate education development arm is implemented and work in this area intensifies.


Inauguration of CCHSA’s International Services Division takes place.

Continued technological advancements are made as CCHSA moves towards automation of the accreditation program. The one-stop customer service model is developed that sees the introduction of Accreditation Specialists to assist health service organizations.

AIM standards are prepared and ready for delivery in early 2001.


The Sheikh Khalifa Medical Centre in the United Arab Emirates is the first organization in the Middle East to participate in CCHSA’s accreditation program.

Pilot testing is completed for phase 1 and 2 of AIM, and for six acute indicators. First Nations and Inuit Substance Abuse Services draft standards are approved and five pilot organizations are surveyed. Health Canada’s Medical Services Branch agrees to fund the launch and implementation of the program.


CCHSA achieves accreditation by ISQua. A new team is established to better serve Quebec’s specific needs. Draft accreditation programs are developed for Acquired Brain Injury Services, and for First Nations and Inuit Substance Abuse Services. Draft standards for the AIM project are prepared and ready for phase 1 pilot testing. The Board of Directors moves to a policy governance model.


Work on the Achieving Improved Measurement (AIM) project begins. This project will revise the accreditation program to emphasize better measurement.


Accreditation of home care services begins.


To more accurately reflect its clients and customers, Council changes its name to the Canadian Council on Health Services Accreditation (CCHSA).

The client-centred accreditation program is launched with the distribution of client-centred standards for acute care facilities and cancer treatment centres. The revised accreditation program focuses on an organization’s patient care processes. The philosophy of continually improving the quality of care and service is incorporated, and organizations are asked to begin developing and using performance indicators.

An accreditation program for comprehensive (regionalized) health services is launched. Accreditation of community health services begins. The Performance Indicators Project is piloted using six generic performance indicators.

CCHSA becomes a pilot organization for the International Society for Quality in Health Care’s (ISQua) first accreditation survey.


Council’s Board of Directors expands to include representatives from the Association of Canadian Teaching Hospitals, the College of Family Physicians of Canada, the Canadian College of Health Service Executives, and a consumer representative.


Standards documents are revised to focus on structure and process, and begin to look at outcomes.


Council changes its name to the Canadian Council on Health Facilities Accreditation (CCHFA) just in time to celebrate its 30th anniversary. The number of accredited facilities approaches 1300.


Accreditation of rehabilitation facilities begins.


Hospital administrators join physicians and nurses as surveyors. The composition of Council’s Board of Directors changes: l’Association des médecins de langue française du Canada withdraws, and the Canadian Nurses Association joins.


The Canadian Long Term Care Association (now the Canadian Association for Community Care) joins Council’s Board of Directors. The number of accredited facilities approaches 850.


Accreditation of long term care centres begins.


Council makes its international debut as a Canadian independent organization with its first international accreditation client, the Bermuda Hospital.


Accreditation of mental health hospitals begins.


Accreditation of smaller and specialized hospitals begins.


The accreditation program continues to grow in popularity. CCHSA accredits approximately 350 hospitals in Canada.


Council’s four surveyors participate in the first Surveyors’ Conference. The broad purpose of the conference is to provide an opportunity for all board members to meet the surveyors and update them about events and changes at the Council.


The Commission realizes its goal with the incorporation of the Canadian Council on Hospital Accreditation. The Council’s purpose is to set standards for Canadian hospitals and evaluate compliance with them. Its accreditation program is voluntary, free from government intervention, national, bilingual, and not-for-profit.


Canadian physicians participate on JCAH’s survey team for the survey of a hospital in Saudi Arabia owned by ARAMCO, now the world’s largest oil company.


The Canadian Hospital Association (now the Canadian Healthcare Association), the Canadian Medical Association, the Royal College of Physicians and Surgeons, and l’Association des médecins de langue française du Canada establish the Canadian Commission on Hospital Accreditation. The CCHA’s purpose is to create a Canadian program for hospital accreditation.


The accreditation program becomes too large and complex for one organization to administer. The American College of Physicians, the American Hospital Association, the American Medical Association, and the Canadian Medical Association join with the ACS to create the Joint Commission on Accreditation of Hospitals (JCAH). It is an independent, not-for-profit organization whose main purpose is to provide voluntary accreditation. Responsibility for the hospital standardization program is formally transferred to JCAH on December 6, 1952.


The first standards manual is 18 pages.


The ACS conducts on-site inspections of hospitals. Only 89 of 692 hospitals surveyed meet the requirements of the Minimum Standard.


The American College of Surgeons (ACS), of which Canada is an active member, begins developing a hospital standardization program. The first Minimum Standard for Hospitals is developed. Requirements fill one page.