Non-Hospital Surgical Facilities

CPSA is responsible for promoting patient safety and quality care in Alberta’s non-hospital surgical facilities.

About non-hospital surgical facility accreditation

CPSA is responsible for promoting patient safety and quality care in Alberta’s non-hospital surgical facilities (NHSFs) by setting standards for all aspects of quality and operations.

We develop best-practice standards and conduct on-site assessments when facilities open and reassess on a 4-year cycle. We also reassess if a facility adds a new service, renovates, moves, or if a concern is brought forward.

Credentialing & privileging

Medical directors are responsible for decisions on credentialing and privileging of regulated members within their CPSA-accredited medical facilities. Having a robust credentialing and privileging process is one of the most important ways medical directors support safe, high-quality patient care.

Information for new facilities

Register a new facility

If you would like to open an NHSF, you need to get an assessment and CPSA accreditation before opening. When your facility is ready to start treating patients, let us know and we’ll schedule and perform an on-site assessment to either accredit you or ask you to make some improvements. It costs $300 + GST to register a new facility. See more information about facility annual fees and assessment fees.

Information for existing facilities

Changes to your facility

Are you planning to…

  • move your facility?
  • close your facility?
  • change the name of your facility?
  • offer a new service?
  • change your medical director?
  • change facility owners?
  • change the contact information for your facility?

If you answered yes to any of these questions, you need to notify us by filling in the form Change to an Accredited Facility form. We’ll review the information you share and let you know if you need to be re-assessed or if we need more information.

Want to add a new service?

If you would like to offer a new procedure at your NHSF, we need to re-assess you for that specific procedure before you can start offering it. CPSA will also have to assess the new service and validate any new equipment you need to offer the service.

Approved procedures

There are many different procedures that can be performed at NHSF, depending on the type of facility. Find out which procedures are approved to be performed in an NHSF.

Report an incident at your NHSF

To ensure Albertans get safe care at NHSFs, it is important CPSA tracks all NHSF-related deaths or incidents. If you have an incident at your facility, please complete the form below within one business day of the incident.

The information in this form is requested under the authority provided by Section 8.2(3) of Schedule 21 of the Health Professions Act.

NHSF fees

Learn more about facility registration fees, annual fees, assessment fees and post-renovation/facility relocation assessment fees.

About our standards

CPSA’s accreditation standards for NHSFs apply to any NHSF we accredit. In addition, specific surgical procedures performed in NHSFs have their own standards:

  • Bariatric Surgery
  • Corneal Refractive Surgery
  • Dental/Oral & Maxillofacial
  • Extended-Stay Facilities
  • Assisted Reproductive Technology (ART)
  • Termination of Pregnancy
  • Tumescent Liposuction
  • Stem Cell Regenerative Therapy
  • Off-Label Use of Sedatives and Anesthetics

If you are the medical director of an accredited facility, or if your facility is undergoing accreditation, you may access our standards through our secure SharePoint site.

Request a standard revision

Do you have a suggestion to improve the accreditation standards for NHSF? Complete and submit the Standards Revision Request Form. We review our standards every year to ensure they meet current best practices. Your request will be reviewed at this time and a CPSA representative will follow up with you about your feedback.

Resources for other healthcare professionals

Platelet rich plasma (PRP) therapy guidelines

If you’re a healthcare professional that performs PRP therapy in an unaccredited setting, here’s a helpful guide you can use to promote safe practice.

Do you have questions about PRP therapy? See the contact form below to send us an email.

Questions or feedback? We'd love to hear from you.

Phone: 780-423-4764
Toll-free: 1-800-561-3899 (in Canada)
Fax: 780-428-2712

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