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This consultation by Health Standards Organization (HSO) https://healthstandards.org/ on standards for mental health and addiction services seems, rather important if the weaving of: care system change, organizational accreditation and practice change are in play, NOW.

• Population health, service planning, and design
• Prepared and competent teams
• Access to services
• Client rights and ethical considerations
• Timely, comprehensive, and coordinated services
• Medication and prescribing practices
• Quality improvement …

hso draft doc

(image: cover of report stating a draft for review and TM "people powered health")




About the standards

CAN/HSO 22004:2021(E) Mental Health and Addiction addresses the provision of high-quality and safe mental health and addiction care and services. The standard is applicable to all health and social service organizations providing mental health and/or addiction services.

The standard is intended to be used as a tool to improve the quality, effectiveness and outcomes related to programs and services for people who experience mental health illnesses and addictions. This standard also aims to address barriers to care that people with mental health illnesses and/or addictions often face when trying to access services such as lack of timely, relevant support; stigma; and difficulty navigating multiple intersecting systems and sectors.

The standard follows the client’s health and wellness journey through the health and social service system, including in-patient and community-based settings.

Divided into seven sub-sections, CAN/HSO 22004:2021(E) Mental Health and Addiction will provide criteria and guidelines to assess the quality and safety of health and social service organizations providing mental health and/or addiction services. The sub-sections are:
• Population health, service planning, and design
• Prepared and competent teams
• Access to services
• Client rights and ethical considerations
• Timely, comprehensive, and coordinated services
• Medication and prescribing practices
• Quality improvement …

health standards consult safe_image

(image: small group of smiling people)

Go to the Review site here: https://healthstandards.org/public-reviews/




What is HSO?

HSO stands for Health Standards Organization. Formed in February 2017, our goal is to unleash the power and potential of people around the world who share our passion for achieving quality health services for all. We are a registered non-profit headquartered in Ottawa, Canada.

What does that mean?

Our focus is on developing standards, assessment programs and other tools to help care providers do what they do best: save and improve lives. Recognized by the Standards Council of Canada, we are the only Standards Development Organization solely dedicated to health and social services.

Where did HSO come from?

HSO is building on the strength of nearly 60 years of experience by Accreditation Canada, Canada’s leading health care accreditation body.

In 2016, we consulted more than 700 stakeholders across Canada and around the world to understand how best to put our collective learnings to work. Key takeaways from this review included:

  • Standards development must be separate from conducting assessments in order to be the best-in-class at both

  • The accreditation process must be more accountable and transparent, with a stronger focus on outcomes and consistency

  • Standards and assessments need to be easily actionable, clinically relevant, and tailored to local contexts

  • Patients (and their families), practitioners and policy-makers all play critical roles in improving health globally

Go to their site here: https://healthstandards.org/about/ hso-logo-red

(image: logo of HSO)


by the way... it would be interesting to share here, your thoughts as there is greater power in helping to flush out, and articulate ideas via a dialogue of sorts, building from our perspectives.

Cheers, Bill Dare

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  • health standards consult safe_image
  • hso draft doc
Last edited by Registered Member
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Thanks Emma for stating where to direct feedback.

This is such a useful document that lays out the aspirations and goals, with in-depth guidance on actions of what good care looks like.  The draft lays out in the beginning, the parameters and elements of care and justice/ethics.

Just to comment on the tone, it keeps a principle of guidance to actual standards in an approachable narrative, that comes across to me at least as client/family centred, rather than a bureaucratic tone; with guidelines that flush out the indicators and actual practices.  This matters a lot if we are to engage and apply to practice in an everyday manner.

As they state on the applicability:

“…The CAN/HSO 22004:2021(E) Mental Health and Addiction standard is intended to be used by interdisciplinary teams in inpatient and community-based programs and services. It is broad enough to apply to a variety of health and social service models of care where individualized care is provided, including health systems, community-based programs and services, and virtual care. “


I can’t imagine anyone having the time to really comment and think through without having a lot of time to do so, but if people end up sending comments to HSO, it might help to share what you send, or drafts in the works -- in the comments section here, in the spirit of encouraging dialogue.  I realize I’m being unrealistic about the ideal of dialogue, but its fun to try.

I’m starting to form my feedback to HSO on the standard of:

1) Population Health, Service Planning, and Design Standard (see page 1 of the draft document)

1.1 The organization collects data about the service needs of the population(s) served.

1.2 The organization develops partnerships with relevant health and social service organizations and collaborates with them to conduct health promotion and disease prevention activities.

1.3 The organization's service delivery model meets the needs of the population(s) served.

The draft goes into depth via guidelines of what the above looks like and are achieved, some additional direction I suggest are:

While inter-organizational partnerships, profiling the “populations” organizations serve along with good data management are required, there needs to be a greater push towards population health approaches – to a “care system” level.

That would require:

-ensuring the data and definitions of items. are common across all organizations within that system, or at least be able to define how and why the definitions are different.

-That data be automatically provided in its raw state: messed up, confused, poorly done as this is a common occurrence;  to then enable actual mobilization of efforts to properly align and define to “get it right.”

The parties (organizations) and those beyond these organizational and siloed worlds, have to talk about the data to then be able to begin to actually align or at least begin to understand each other’s definitions and values.

-requirement that each organization's data is shared openly with each other.

The approach of systems tables be a prime focus is to encourage cross alignment is to be able to put more depth to the goals of organizations: collaborating, partnering.  As well the systems tables need a bottom up, across care teams approach.

Any comments to help me along?

Last edited by Registered Member
@Registered Member posted:

thanks for posting! We will make sure to share with our francophone contacts as well.

Yes, good point,  https://healthstandards.org/fr...tale-et-dependances/

Just to comment on the french link, it is there, just that somehow settings of computer system if usually used in "english" swings into a default of english after a few seconds.  Or maybe its just my computer acting up.

Last edited by Registered Member

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