Conducting a mock survey before an accreditation review is a very useful process. It is a final step in checking for readiness, and determining what areas still need improvement before surveyors come onsite. If your organization is interested in conducting a mock survey, please call us at 212.209.0240 or email Sara O’Neil
What is an Accreditation Champion?
What are some suggestions for involving community stakeholders in the accreditation process?
Accreditation Mandate? Panic or Plan!
Accreditation mandates are all the talk among leaders of human service organizations. Thanks to the recent passage of the Family First Prevention Services Act (FFPSA) on the national level and state mandates for accreditation, like one recently instituted for adult foster care providers in Massachusetts, many child, family and behavioral healthcare service agencies are becoming alarmed about having to complete the complex accreditation process within short deadlines. Well, they can either panic or plan!
Accreditation requires that organizations undergo an objective review by an independent accrediting body and signifies that they are effectively managing their resources and enhancing the quality of life for the population served. Providers that earn accreditation signal their desire to reach beyond the minimum licensing standards and make a long-term commitment to strong governance, program consistency, outcome measurement and continuous improvement throughout their agencies.
Achieving accreditation is a worthy endeavor, even if it is a requirement, but many organizations underestimate the time commitment involved. In general, it takes 12 to 18 months to prepare for national accreditation – sometimes more, sometimes less, depending on the original state of readiness.
Effective project management from the beginning is key. You must plan for an even flow of work in order to avoid a rush at the end. You also need to allow time for significant steps in the process, including, but not limited to:
- Selecting an accrediting body. (See our tip sheet on how best to approach this evaluation.)
- Securing budgetary allotment and board approval.
- Each accrediting body calculates its own application fees, survey costs and annual fees, which may vary widely based on the revenue size of the organization being reviewed, and/or the number of programs and locations. Staff time, operational improvements and consultants (if utilized) may also add to overall expenditures.
- Preparing standards-compliant policies, procedures, plans and protocols.
- Making operational and service delivery improvements, as necessary.
- Implementing updated processes to conform with accreditation standards.
- Participating in a mock survey.
When an accreditation mandate is enacted, a deadline is imposed on organizations. Remember, though, that there may be hundreds or many hundreds of organizations trying to become accredited at the same time and the accrediting bodies only have a finite amount of capacity to accommodate all of these applicants.
With the Family First Prevention Services Act, for example, congregate care providers must become accredited “Qualified Residential Treatment Providers” (QRTPs) by October 1, 2019. Though states have the option to extend this deadline for up to two years, all affected service providers should already be proactively working toward accreditation.
When a mandate is instituted, impacted organizations should begin the accreditation process as soon as possible to get ahead of the influx of other providers seeking to become accredited and have enough time to thoroughly and calmly complete the necessary work. Once the process begins, effective project management and support from leadership will help ensure that accreditation activities stay on track despite other priorities that may arise.
Clearly, it is better to plan rather than panic!
Accreditation Mandate for QRTPs Under FFPSA: Start the Process Now!
When it passed the Family First Prevention Services Act (FFPSA) last February, Congress aimed to change the face of child welfare, in part by implementing a funding shift that restricts the use of Title IV-E financing for out-of-home “congregate care” placements. The goal is to increase assurances that children will be kept in family-like settings whenever possible.
One section of FFPSA defines a Qualified Residential Treatment Program (QRTP), which is one of the few settings that will be allowed to receive federal reimbursements after the first two weeks a child has been in care.
A key provision of the Act is that QRTPs must be accredited by a national organization. This is a long process that should be undertaken as soon as possible because time to comply with the act is running out. Do not underestimate the effort it takes to achieve national accreditation. The time to begin the process is now.
Congregate care providers must become QRTPs by October 1, 2019 if they want to be eligible for this designation. While states have the option to extend this deadline for up to two years, all providers should be working toward next year’s October 1 deadline.
What does it mean to become a QRTP? In summary, the service provider must:
- Be licensed and be accredited by at least one of three federally approved accreditors: The Commission on Accreditation of Rehabilitation Facilities (CARF), Council on Accreditation (COA) or The Joint Commission (formerly JCAHO)
- Use a trauma-informed treatment model
- Have registered or licensed nursing staff and other licensed clinical staff, available 24/7, on-site according to the treatment model
- Demonstrate family engagement and outreach, including siblings, in the child’s treatment
- Provide discharge planning and family-based aftercare supports for at least six months post-discharge
The accreditation mandate sets a high bar, but one that helps ensure the delivery of high-quality care. Organizations that earn accreditation have reached beyond the minimum licensing standards and made a long-term commitment to strong governance, program consistency, outcome measurement and continuous improvement throughout their agencies.
Accreditation requires organizations to undergo an objective review by an independent accrediting body and signifies that they are effectively managing their resources and enhancing the quality of life for the population served.
Many organizations underestimate the time required to prepare for and become accredited. In general, it takes 12 to 18 months to prepare for national accreditation, sometimes more, sometimes less, depending on the original state of readiness.
The time needed to complete the accreditation process includes, but is not limited to, the following:
- Selecting an accrediting body
- Securing budgetary allotment and board approval
- Preparing standards-compliant policies, procedures and protocols
- Implementing accreditation standards
- Making operational and service delivery improvements, as necessary
- Participating in a mock survey
Because Family First represents a looming, national deadline for accreditation, there will be many hundreds (if not thousands) of organizations trying to become accredited at the same time. And the accrediting bodies only have a finite amount of capacity to accommodate all of these applicants.
Therefore, every organization should begin the accreditation process as soon as possible to get ahead of the rush. Once the process begins, effective project management and support from leadership will help ensure that accreditation activities are not derailed by other priorities that may crop up.
For information on how to effectively and pro-actively prepare for CARF, COA or Joint Commission accreditation, please contact Accreditation Guru, Inc. at Info@AccreditationGuru.com or 212.209.0240.