Taking engagements for 2027 accreditation cycles
Audit-ready medication management.
Independent medication management consulting for hospitals, health authorities, and boards — led by someone who runs a department, sits on a board, and has stood on both sides of the survey.
Inspections passed cleanEvery College and Accreditation Canada inspection led, with no action plan required.
Fewer missed dosesAfter moving patient-owned medication procurement from nursing to pharmacy.
Vancomycin DOT / 1,000 daysDown from 71.7 after rebuilding the stewardship program around active rounding.
What we're brought in for
Eight ways a medication system quietly fails.
Engagements are scoped to a specific failure point, anywhere on the continuum — a cabinet configuration, a scanning workflow, a policy suite that won't survive a surveyor's second question.
Accreditation readiness
Survey preparation built around Accreditation Canada's medication management standards, including high-alert medication controls and reconciliation requirements — prepared from four vantage points: department director, senior leadership, board member, external consultant.
Medication management policy
Full policy suite development covering controlled substance handling, high-alert medications, error classification, storage standards, prescriber order documentation, and reconciliation — written to satisfy both accreditation standards and College inspection.
P&T committee support
Therapeutic interchange proposals, formulary addition and deletion review, renal dose adjustment authority frameworks, and nurse-initiated protocols — available on retainer or by project.
Antimicrobial stewardship
Program rebuilds that move stewardship from retrospective audit to active intervention — monthly days-of-therapy trending paired with twice-weekly physician-led bedside rounding.
EHR pharmacy module review
Independent clinical review of connected health record pharmacy modules ahead of go-live, scoped to medication reconciliation, patient-specific medication selection, and verification workflows. Platform-specific build work is delivered by vetted specialists under a single point of accountability.
Infusion pump drug libraries
Library build and maintenance across multiple pump platforms — concentration standardization, dosing limit validation, and soft and hard stop configuration aligned to ISMP Canada guidance.
Drug shortage and procurement
Sourcing support for backordered, discontinued, and hard-to-find medications, drawing on established supplier relationships and cross-institutional networks — particularly where a formulary gap carries direct patient safety consequences.
Board and executive advisory
Advisory support for boards and senior leadership on medication-related governance questions, drawing on direct board service across nephrology, geriatric care, community health, and Ontario Health Teams.
How the work runs
The system gets rebuilt.
An engagement doesn't end with a findings memo. The pattern below is what tends to change once the underlying system actually gets fixed.
Documentation that starts at zero
Medication history and reconciliation programs stood up where none existed, built to majority coverage rather than left as a policy on paper.
Manual control, made auditable
Paper-based narcotic tracking and hand-counted inventory replaced with perpetual, traceable systems a surveyor can actually follow.
Spend brought under control
Ordering and infrastructure restructured to cut waste without cutting service — savings that come from discipline, not from doing less.
Clinical time, given back
Administrative and procurement work moved off the floor and onto pharmacy, freeing clinical staff to spend their hours at the bedside.
Roger Ma
PharmD, RPh, MBA(c) — Principal Consultant
- Practising
- Director of Pharmacy, two Ontario hospitals
- Doctorate
- University of Toronto
- Business
- Gies College of Business, UIUC
- Network
- 50+ years collective experience
Roger leads every engagement personally. He is a practising Director of Pharmacy, which means recommendations get tested against what a working department can actually implement before they reach a client — because the person writing them has to live with the same standards.
His consulting work runs the full continuum: accreditation survey preparation for Canada's largest independent surgical partner, policy frameworks for multi-site addiction recovery settings pursuing licensure, and independent clinical review of EHR pharmacy modules for health systems preparing to go live.
Before founding the practice he directed client care, decision support, and information technology at a large community health organization, leading a multidisciplinary team across medicine, nursing, pharmacy, and allied health. He co-founded an award-winning healthtech company and chaired a community health centre board, including through an executive transition.
Client identities stay out of public materials. Compliance findings are sensitive, which is why the results above are described without naming who they belong to.
Thirty minutes.
A straight answer on fit.
Bring the survey date, the inspection finding, or the go-live you're worried about. You'll leave the call knowing whether this is work West Robinson Group should take on, and what it would involve if so.
- Phone
- 416-670-1178