Governance

CCHSS Policies

This section contains Alberta Health Services (AHS) policies, procedures, guidelines, directives and standards that are related to Continuing Care Health Service Standards (CCHSS) and/or are applicable to the Continuing Care Master Service Agreement Schedule B.

The CCHSS are a legislated requirement of Operators pursuant to the Continuing Care Act.

The CCHSS sets the minimum requirement that Operators in the continuing care system must comply with in the provision of Health Care.

Additional AHS Policies are available at Clinical Policies & Procedures, which Continuing Care Operators may wish to adopt or align with organizational governance. 

Document Title Standard Type Care Stream Zone Document ID Schedule B Applicability
Smoke & Vape Free Environments - Policy All Provincial 1134 No
Continuing Care Home Access & Waitlist Management 1.0 Procedure All Provincial HCS 117-01 Yes
Access to Information (Physical, Electronic, Remote) 7.0 Policy All Provincial 1105 Yes
Advance Care Planning & Goals of Care Designation 4.4, 5.2, 5.3, 5.4, 9.3 Policy All Provincial HCS-38 Yes
Advance Care Planning & Goals of Care Designation Procedure 4.4, 5.2, 5.3, 5.4, 9.3 Procedure All Provincial HCS-38-01 Yes
Appeal Process Procedure 19.0 Procedure Continuing Care Provincial HCS-146-01 Yes
Collection, Access, Use & Disclosure of Information - Policy All Provincial 1112 Yes
Biomedical Waste 11.1 h iii Procedure All Provincial ESM-01-01 No
Community Engagement & Communications - Policy All Provincial 1106 Yes
Contractor Requirements for Security of Information & Information Technology Resources - Policy All Provincial 1107 Yes
Delegation of Authority and Responsibilities for Compliance with ATIA, POPA & HIA - Policy All Provincial 1108 Yes
Duties & Reporting Under the Protection for Persons in Care Act - Directive All Provincial PS-10 Yes
Hand Hygiene 11.1 b Policy All Provincial PS-02 Yes
Hand Hygiene Procedure 11.1 b Procedure All Provincial PS-02-01 Yes
Influenza Immunization 11.1 a Policy All Provincial HCS-72 Yes
Information Technology Acceptable Use - Policy All Provincial 1109 Yes
Keeping Patients Safe From Abuse - Policy All Provincial 1153 Yes
Legal Hold - Procedure All Provincial 1133-04 Yes
Medication Administration - Seniors Health Continuing Care Policy 12.1 l, 12.1 m Policy All Provincial HCS-219 No
Medication Management - Seniors Health Continuing Care Policy 12.0 Policy All Provincial HCS-220 No
Medication Reconciliation Policy 12.0 Policy All Provincial PS-005 Yes
Occupational Exposure to Blood & Body Fluids Policy 11.1 g Policy All Provincial 1111 Yes
Official Records Destruction - Procedure All Provincial 1133-02 Yes
Patient Concerns Resolution Process 19.0 Policy All Provincial PRR-02 Yes
Patient Concerns Resolution Procedure 19.0 Procedure All Provincial PRR-02-01 Yes
Pneumococcal Immunization - Policy All Provincial HCS-73 Yes
Quality Improvement 20.1, 20.2 Policy Continuing Care Provincial HCS-240 No
Recognizing, Responding to & Learning From Hazards, Close Calls & Clinical Adverse Events 20.2, 20.3, 12.1 h Policy All Provincial PS-95 No
Records Management - Policy All Provincial 1133 Yes
Records Retention Schedule - Schedule All Provincial 1133-01 Yes
Recruitment & Employment Practices 8.1 Policy All Provincial 1116 No
Restraint as a Last Resort 17.1 Policy All Provincial HCS-176 No
Safe Bathing Temperatures and Frequency - Hottest Flowing Water for Therapeutic Tubs Procedure 16.2 Procedure Continuing Care Homes, Facility Living Provincial PS-47-02 Yes
Safe Bathing Temperatures & Frequency Procedure 15.0, 15.1, 15.3, 16.0 Procedure Continuing Care Homes Provincial PS-47-01 Yes
Safe Bathing Temperatures & Frequency Policy 15.0, 16.0 Policy All Provincial PS-47 Yes
Security Screening 8.1 Procedure All Provincial 1161 No
Critical & Semi-Critical Single Use Medical Devices 11 Policy All Provincial PS-07 Yes
Social Media - Policy All Provincial 1139 Yes
Transitory Records - Procedure All Provincial 1133-03 Yes
Transmission of Information by Facsimile & Electronic Mail - Policy All Provincial 1113 Yes
Waste Management 11.1 h iii Policy All Provincial EMS-01 No
Workplace Health & Safety 11.1 f Policy All Provincial 1121 Yes
Respectful Workplaces and the Prevention of Harassment & Violence - Policy All Provincial 1115 Yes
Learning & Professional Development 9.0 Policy All Provincial 1131 No
Management of Assistive Equipment & Technology 6.0 Directive All Provincial HCS-266 No
Managed Risk Agreement 10.0 Guideline All Provincial PS-102-01 No
Patient's Death in the Home Setting  - Guideline Continuing Care, Home Care Provincial HCS-213-01 No
Missed Visit by Home Care Service Provider - Guideline Continuing Care, Home Care Provincial PS-83-01 No
Added or Extraordinary Care Funding - Policy Continuing Care Provincial HCS-98 Yes
Restraint as a Last Resort 17.1 Procedure All Provincial HCS-176-09 No
Patient Access to Indigenous Spiritual Ceremony - Policy All Provincial HCS-304  No
Animal Interactions, Personal Pet Visitation & Qualified Assistance Dogs - Policy All Provincial HCS-318  No
Emergency & Disaster Management 18.0 Policy All Provincial 1181 Yes