Preparing for the Commission on Accreditation of Rehabilitation Facilities (CARF) Accreditation
QWE Practice Guideline: 121 – Progressive: Utilize a quality framework that covers leadership/governance, strategic planning, legal/risk-management, safety, health, human resources, operations, etc.
Target group: Any organization employing and/or supporting individuals with disabilities
Practice Description
How to prepare for the CARF accreditation survey process
Resources Needed
Subject matter experts/trainers
- Staff or consultant with knowledge of the CARF accreditation process
- Or a team of staff willing to learn and take on the project
Equipment
- Computers and internet access
Labor hours
- Time for staff to complete the preparation, usually done over the course of a year
Implementation Process
Process
- Process
- Develop a CARF team that will complete the preparation process
- Establish a team lead
- Share process with each level of leadership to obtain support and establish expectations
- Team should meet regularly throughout the process to ensure tasks are being completed on time and as expected
- Establish the purpose of obtaining accreditation
- Review the preparation documents and trainings offered by CARF International
- Review the main timeline for survey preparation and create a project plan with task leads and defined due dates
- 12 months before the survey
- Contact CARF to connect with a resource specialist and obtain the appropriate manual
- You can connect with your specialist as often as you need or want
- Create a Customer Connect account
- Have your CARF team complete available trainings
- Inform the rest of the organization about the preparation for CARF accreditation
- Contact CARF to connect with a resource specialist and obtain the appropriate manual
- 9 months before the survey
- Review the appropriate preparation workbook, which offers a presurvey
- Review noted weaknesses and/or nonconformances uncovered in the presurvey
- Develop a plan of action to address uncovered issues
- 6 months before the survey
- Use your Customer Connect account to complete and submit your application
- This needs to be done at least 3 months ahead of your anticipated survey timeframe (normally 2 months)
- Use your Customer Connect account to complete and submit your application
- 3-4 months before the survey
- Review preparation plan and ensure all tasks are on track
- Update staff, leadership, and other relevant stakeholders as to the CARF progress
- Share any new or continued expectations
- Establish a list of all survey areas and include
- Name of subject matter expert
- Associated documents and locations
- Associated staff that may be contacted
- 1 month before the survey
- Confirm receipt of written notice from CARF outlining survey dates
- Review presurvey results and assess for any final corrections
- Conduct presurvey a second time if preferred
- 2 weeks before the survey
- A survey team coordinator will be in contact to review the survey process and logistics
- Ensure relevant staff are prepared and understand expectations for their participation in the survey
- A survey team coordinator will be in contact to review the survey process and logistics
- 1 week before the survey
- Share general survey schedule with staff
- Ensure meeting room for the survey staff is ready
- Include access to all relevant files they will need
- Provide an updated copy of the company’s organizational chart
- 12 months before the survey
- Develop a CARF team that will complete the preparation process
Documentation
- SOPs
- Policies and procedures for implementing and monitoring the preparation process
- Training
- Time for staff to learn about the process, attend trainings, and train supporting staff
Outcomes/Results
Individuals
- Engagement in establishing new company processes and standards
- Empowered to uphold what they are establishing
Organization
- Improved processes, organization, and standards
- Recognized accreditation
NPA: CARF Location: Tucson, AZ Date Submitted: 2022 Website: http://www.carf.org/home/