Yet, care transitions continue to be recognized as a critical opportunity for system improvement given health care provider workload Safety in Canadian health care organizations: A focus on transitions in care and Required Organizational Practices 7 and the large number of patients receiving care and transitioning (Bohmer, 2011; Cornwell et al., 2012; Ontario Ministry of Health and Long-Term Care, [...] Using the tracer methodology during the on-site survey, surveyors observe and interact directly with a wide variety of staff, clients, and stakeholders in their environment to gather evidence about the quality and safety of the care and services provided. [...] Safety in Canadian health care organizations: A focus on transitions in care and Required Organizational Practices 9 Care transitions ROPs Table 5 shows national compliance rates for the Information Transfer ROP and the three Medication Reconciliation ROPs, which focus on aspects of care transitions. [...] Safety in Canadian health care organizations: A focus on transitions in care and Required Organizational Practices 11 The Accreditation Canada ROPs: Strengths and trends in safety in recent years There were 36 ROPs in total in the Qmentum program in 2012, including the ROPs related to care transitions (already highlighted in this report). [...] The continued focus of Canadian health organizations on improving medication safety led to increases in compliance for each of these ROPs over the past year, leading to four of the highest ROP compliance rates in the Qmentum program.