Alex Mihailidis, AGE-WELL Network of Centres of Excellence, International Partnerships & Professor, University of Toronto Scientific
Cassandra Gullia, Canadian Standards Association (CSA Group)
The Standards Council of Canada (SCC), Health Standards Organization (HSO) and Canadian Standards Association (CSA Group) are working collaboratively to develop two new National Standards of Canada for long-term care (LTC) that will be shaped by the needs of residents, families, and Canada’s LTC workforce. HSO’s national long-term care services standard will address the delivery of safe, reliable, and high-quality long-term care services. Canadian Standards Association (CSA Group) has launched a project to develop a new National Standard of Canada (NSC) for the Long-Term Care (LTC) sector: CSA Z8004, Operation and infection prevention and control of long-term care homes. The purpose of this standard is to provide guidance for the implementation of systems and processes related to infection prevention and control in LTC homes. Topics including cleaning and disinfecting processes, waste removal, HVAC, plumbing, medical gas systems, and use of technology are referenced and inform the standard. The standard will be published in both English and French simultaneously, and will be available for no fee view access for the life of the edition.
CSA Group has a significant number of standards that will be used to inform and be referenced in the development of the new standard, including, but not limited to, the following:
- A series of CSA standards related to healthcare facilities (HCF) engineering
- A group of HCF systems standards protecting occupants from disease transmission
- Operational standards for cleaning and disinfection of HCFs
- Personal protective equipment (PPE) standards
- Workplace management system standards
CSA Group also launched an Enhanced Engagement and Consultation project that supported the development of the new standard, which are over and above the CSA Group accredited standards development process. The main objective is to reach pan-Canadian stakeholders to gather input on what Canadians would like to have addressed in the standard. Enhanced activities including consultations and surveys will be executed as a means to collect perspectives of technical experts and targeted audiences (e.g. Indigenous Peoples, gender, sexual orientation, ethnicity, social and economic background, disability). This will include pro-active outreach to key stakeholder groups during the Public Review period, ongoing public updates on the development of the standard, and initiate knowledge mobilization to promote awareness and uptake of the standard.
Other activities that will support the development of the standard are (see Presenter #2 Abstract for more details):
- Joint CSA Group / HSO Government Advisory Table
- CSA Group Working Group for Resident and Family Centred Care
Presenter #1, Alex Mihailidis
Overview of Technical Subcommittee
The CSA Group Technical Subcommittee on Long-Term Care was established to undertake this standard development work. The Chair of the Technical Subcommittee is Dr. Alex Mihailidis. The Technical Subcommittee is made up of the following stakeholder groups, whose perspectives will inform the content of the standard:
- User Management
- User Interest
- Regulatory Authority and Quality Assurance
- General Interest
- Education / Research
This session will speak to the high-level discussions that have occurred amongst the Technical Subcommittee members, as well as the findings from the enhanced engagement activities, and other supporting activities.
Presenter #2, Cassandra Gullia
Overview of the standard development process
This session will speak to the CSA Group process for standards development, and the specific timelines for the CSA Z8004 standard.
The Joint CSA Group / HSO Government Advisory Table was established to further support the development of the two new standards. The joint Government Advisory Table will provide provincial, territorial, and federal level officials an opportunity to get engaged throughout the process. This Table will enable a helpful exchange of information to support our collective work in advancing LTC and particularly inform the CSA Group Technical Subcommittee for Long-term Care Homes, and the HSO Technical Committee for Long-term Care Services throughout their standards development processes.
The CSA Group Working Group for Resident and Family Centred Care is comprised of no more than 20 individuals from across Canada, with a preferred ratio of 50:50 residents to caregivers/family members. The members provide lived experience as a resident (with preference given to residents living in long term care and care homes) and discuss topics, questions, challenges, ideas, in an effort to provide advice to the Technical Subcommittee that is responsible for developing and maintaining standards related to safe operating practices and infection prevention and control in long-term care homes.