Information for Health Sites

Step 1: Confirm date(s): the date(s) including the timing and overall length of the survey will be coordinated between both PMCWA and the site and will be dependent on:

• Time required to undertake the survey which is based on the number of units being accredited

• Availability of the key personnel from the site

• Availability of PMCWA surveyors.

Step 2: Develop the survey timetable: refer to Survey timetable template for instructions.

Step 3: Submit paperwork to PMCWA (all documentation must be submitted at least three weeks prior to the survey commencing)

• Survey timetable template – to assist you in drafting your survey template (with the inclusion of medical workforce reps to be interviewed)

• DPME/DCT letter/summary form  – to provide PMCWA with a brief self-assessment from the site on the terms being accredited (replacing the previous DCT Cover letter)

• Evidence required for term accreditation – a checklist of evidence mapped against the new standards for term surveys only (replacing the previous ‘Documents Required’)

• Evidence required for health site wide accreditation – a checklist of evidence mapped against the new standards for health site wide surveys only

• Term Description Template – a summary document that each accredited term is required to have (replacing the previous ‘Term Objectives’)

• Health site wide description form - a summary document that each health site is required to have (replacing the previous ‘Hospital Questionnaire’ and the ‘Medical Education Personnel Report’)

• JMO questionnaire (term) - a survey to obtain feedback from the JMOs. Can either be administered by PMCWA in preparation for a survey or as the standard term evaluation form used by sites. As stated in the “Evidence List” document, our site’s term evaluations can be used in place of and/or in addition to (replacing the previous “PMCWA Questionnaire”)

• JMO questionnaire (health site wide) - similar to the above but specifically relating to health site level.

An OSCAR (replacing the HSIR) will be requested by the Accreditation Committee when there are outstanding conditions that require attention. The site will be required to complete the form with a focus on describing the actions that have been completed to address the condition to meet the previously unmet standard. The Accreditation Committee will stipulate the due date of the OSCAR which will be dependant on the level of risk of the unmet standard.  

The OSCAR forms can be found here:

• Outstanding Conditions Action Report (OSCAR) – Term specific
• Outstanding Conditions Action Report (OSCAR) – Health site wide

A Mid-cycle progress report is due two years following a full survey. One month prior to its due date the site’s Medical Education Unit or equivalent will be emailed the PMCWA mid-cycle progress report template. The report template requests information under the following headings:

1. Response to recommendations from the previous survey
2. Achievements
3. Challenges
4. Allocations and attachments
5. Significant changes

Your mid-cycle progress report will be tabled at the next PMCWA Accreditation & Standards Committee meeting for approval, after which the site will be notified of the outcome.

Please complete the following form(s) and email to [email protected]:

1. Accreditation of a new site – Health site wide description form
2. Accreditation of a new term – Request for new term

Your request will be tabled at the next PMCWA Accreditation and Standards Committee meeting for approval, after which the site will be notified of the outcome.

Please complete the Changes to a term for changes to a term and email to [email protected]. The form will be tabled at the next PMCWA Accreditation & Standards Committee for approval.

Please refer to the PMCWA Appeals to Accreditation Guidelines.

Refer to the PMCWA Contact Us page for general feedback

The following can be used for JMOs wishing to provide feedback in relation to accreditation issues:

• Participate in the JMO Forum 
• Complete the JMO Feedback Form
• Complete a JMO questionnaire (currently under review)