COLLEGE OF PHYSICIANS & SURGEONS OF BRITISH COLUMBIA

January 27, 1993

Medical Director
Everywoman's Health Centre
2005 East 44th Avenue
Vancouver, B.C.
VSP lNl

Dear

The Committee for the Accreditation of Non-Hospital Medical/Surgical Facilities has assessed the reports of survey submitted after your re-accreditation visit of December 8th 1992.

We wish to advise that the Committee has awarded Conditional Approval status to your Centre for a period of six months subject to the following.

1. That your Facility purchase an electrocardiograph and a defibrillator and

2. That your Staff be adequately trained in the use of this equipment.

The Committee considered that the six month period would provide you with sufficient time to complete these tasks, following which, on written application, the Centre will be entitled to Unrestricted Approval status for a three year period without further survey.

In regard to the above, following receipt of your letter of November 14th 1992 with the attached motion of the Board of Directors of the Everywoman's Health Centre dated November 10th 1992, the accreditation Committee once again reviewed its requirement that the Centre purchase this equipment. Having done so, and after carefully reviewing the report of the survey team - in particular the opinions of Dr. K. W. Turnbull who as an expert in Anaesthesiology and a principal surveyor for the Accreditation Program, was asked to join the team on this occasion - the Committee remains firmy of the opinion that the current monitoring standards are appropriate, having been adopted bv the College after careful consideration and consultation with experts in the field of ambulatory care. In the Committee's view, monitoring is medically non-invasive. could well be reassuring to an anxious patient and, as is the case with all of the current standards for Non-Hospsital Medical/Surgical facilities, is designed to fulfill the College's principle mandate to protect those members of the public undergoing surgical procedures outside of a hospital setting.

In regard to the remainder of the survey, you will fmd attached some recomendations that the Committee is pleased to provide to assist you in meeting accreditation standards. These recommendations should be implemented as soon as feasible and, in any event, before the next survey. Evidence that a facility has implemented recommendations from a previous survey is influential in deciding accreditation status on the successive survey.

Yours truly,

T. F.Handley, M.B.. Ch.B.
Registrar

TFH/mjg