Pterion · OHPIP
Ready before the inspection date.
The College inspects out-of-hospital premises against a published standard and reads a year of records when it does. We build the premises file in the order the inspector reads it, from a firm that runs one, and keep it current after the visit.
Assess Design Build Operate
What it involves
The standard, the binder, the records, the date.
- 01
The standard, read as a checklist. The College publishes what an out-of-hospital premises must have: a medical director with defined duties, staff whose qualifications are on file, equipment and drugs with their logs, infection-control and emergency procedures, patient records that meet the standard, and a quality-assurance program with its reviews recorded. We turn it into a list with a name and a date beside each item.
- 02
The binder in the order the inspector reads it. Policies first, then the logs that prove they are followed, then the credentials, then the quality-assurance reviews. Nothing the inspector asks for should take longer to find than it took to ask.
- 03
A year of records, not a week of tidying. The inspection reads back over time: drug logs, equipment checks, sterilization records, adverse-event reviews, quality-assurance meetings. We set the schedule so the records exist because the work happened.
- 04
The anesthetic record. The document the College reads most closely. We make sure it contains what the standard asks for, and where the clinic wants it, we wire the monitors to the record so it is written during the case rather than after it.
- 05
The people. Credentialing files for every physician and nurse, certifications kept current, and the medical director’s obligations written down and signed by the medical director.
- 06
After the visit. Conditions, if any, tracked to closure; the schedule kept; the next cycle started the day this one ends.
- 07
The dental equivalent. For a dental practice offering sedation or anesthesia, the RCDSO facility permit is the same discipline: a file of signed documents, protocols and credentialing before it is a certificate on the wall. We prepare the application file with the practice.
What we have built
- Automated anesthesia charting Monitor readings are captured straight into the anesthetic record as the case runs, so the chart is written during the case rather than reconstructed after it. Applies to Medical · Dental
- A federal rulebook, turned into rules a website can follow Every page checked against the regulator’s own guide, with gray zones ruled once and logged as precedent. Applies to Medical · Dental · Aesthetics
- The privacy audit that looked inside the software Real patient records found compiled into a front-desk application, removed, and the history scrubbed so it could not return. Applies to Medical · Dental · Aesthetics
What we will not do
- Tell you the premises will pass. The College decides. We make sure everything the standard asks for exists, is current, and can be found.
- Write a binder of policies nobody follows. If the log does not exist, the policy is not being followed, and the inspector sees both.
- Backfill records. A gap is a gap. We fix the schedule so the next year has none.
- Take the medical directorship. The clinic’s own medical director signs; we write what is signed.
Questions clinics ask
- What does the OHPIP inspection actually look at?
- The premises against the College’s published standard: the medical director’s duties, staff qualifications, equipment and drugs with their logs, infection control, emergency preparedness, patient and anesthetic records, and the quality-assurance program with its reviews. The inspector reads records over time, not a snapshot.
- How far ahead should we start?
- A year of records is the honest answer, because that is what is read. If the date is closer than that, we start with what can be made true now, in writing, and say plainly what cannot.
- We are opening a new premises. Is this different?
- The standard is the same; the records do not exist yet. We set up the files, the schedules and the logs before the first case, so the record starts on day one instead of being reconstructed later.
The first step
Tell us the date, or that there is none yet. We spend a day in the premises reading it the way the inspector will and send back the list: what exists, what is missing, what is out of date, and the order to fix it in. No obligation.
Start with an assessment No obligation · a diagnosis first
What it costs
The readiness assessment is a fixed fee stated up front. Building the binder, the schedules and the records is quoted as a fixed scope, in writing; keeping it current afterwards is a monthly amount agreed in advance. Nothing is billed that was not quoted.
We have run the front desk we are selling the fix for.
Being a clinician is hard enough. Running the business around it is not taught in professional school, and the field is corporatizing around the owners who learned it the hard way.
We exist to help clinician-owned clinics stay independent and succeed: to make the operation efficient, to teach what we had to learn ourselves, and to give owners back the part of the work they love.
an assessment.
No obligation · a diagnosis of the problem and what can be done about it · every scope quoted on its own