CAN/HSO 13200:2021 (E) Pediatric Pain Management – Public Review

The public review of HSO’s Pediatric Pain Management standard is taking place between November 22, 2021 and February 4, 2022.

Everyone is welcome to take this opportunity to review and comment on the draft standard before it is published. HSO will use the feedback to improve the standard with guidance from the Technical Committee and Working Group overseeing the development of the standard. Once published, the standard will be reviewed in five years’ time. There will continue to be future opportunities to improve it as part of an evergreen review process.

Important note: CAN/HSO 13200:2021 (E) Pediatric Pain Management is NOT part of the Qmentum Accreditation or Distinction Programs at this time. If, in the future, this standard or other components are introduced to assessment programs that you are a part of, you will receive ample notice and direction from your accreditation body.

About the standard

This is the first edition of CAN/HSO 13200:2021 (E) Pediatric Pain Management and it is applicable to health and social services organizations who provide pain management to pediatric populations (birth to 19 years) across the continuum of care. The standard aims to improve the quality and effectiveness of equitable, evidence-informed, people-centred, trauma- and violence-informed, culturally safe, pediatric pain management for children and their families across the continuum of care and diverse healthcare settings serving children and adolescents.

This standard will be used to guide practice, related professional development offerings, policy development, and quality improvement initiatives related to pediatric pain management. When implemented, it will establish organizational commitment to effective pain management for children. Ultimately, it will be used to improve the care provided to and the healthcare experiences of children and their families.

The standard is divided into the following sections :
1. Creating the Conditions for Equitable, Evidence-Informed, Trauma- and violence-informed, People-Centred Pediatric Pain Management.
2. Delivery of Equitable, Evidence-informed, Trauma- and violence-informed, People-Centred Pediatric Pain Management.
3. Ensuring High-Quality, Safe Pediatric Pain Management.
4. Ensuring Coordination of Equitable, Evidence-Informed, Trauma- and violence-informed, People-Centred Pediatric Pain Management.

View Pediatric Pain Management Standard infographic

Target audience

CAN/HSO 13200:2021 (E) Pediatric Pain Management has been designed for use across diverse healthcare settings including community-based care, and primary to quaternary care, regardless of the existence of a specialized pain service. The standard covers infancy to late adolescence (birth to 19 years) and includes both generally healthy children and those with acute and chronic disease, neurodiversity, and developmental disabilities.

Development process

The development of a national standard is a recommended action from the Canadian Pain Task Force, to ensure that people in Canada have equitable and consistent access to a continuum of timely, evidence-informed, person-centred, and trauma- and violence-informed pain care and supports across jurisdictions (Health Canada, 2021).

CAN/HSO 13200:2021 (E) Pediatric Pain Management has been developed using the best available evidence by the HSO Pediatric Pain Management Working Group with oversight by the HSO Medication Management Technical Committee. Technical Committee members include patients and family members, clinicians and health service administrators, government and health services stakeholders, and researchers. Working Group members provide specific expertise in the realm of pediatric pain management.

As part of the process, the standard was reviewed by a select group of experts in the field of Equity, Diversity, and Inclusion prior to public review to help ensure this important topic was embedded across the standard.

Tell us what you think

We are asking everyone who has an interest in this standard, such as people who have experience using health services, health and social service providers, leaders in health and social service organizations, and others who have expertise in this subject matter, for their views on the proposed standard.

You can provide feedback in general or on specific criteria.

The public review is open for +60 days. We greatly appreciate your feedback on the new standard. The public review is open until 11:59 PM EST on February 4, 2022.

The simplest way to respond is to follow the link at the bottom of this page, read a summary of the changes, and provide your feedback in the questionnaire that follows.

Draft StandardQuestionnaire

What happens next

The Technical Committee and Working Group will review and consider each comment received and will incorporate feedback as applicable. We expect to release the final version of the standard by end of 2022.

For more information, questions or concerns regarding the standards, please contact us at