ACCREDITATION DECISIONS

Preliminary Accreditation

Preliminary Accreditation occurs for newer organizations or organizations preparing to meet full accreditation review within a year, prior to a full evaluation. This consists of a high-level review of organizational systems to identify areas for improvement prior to growth. Preliminary accreditation consists of an interview, document review and systems analysis. NOTE: Preliminary accreditation can also be used by providers looking to prepare for full accreditation within the next year as a way to prepare for the larger survey.

Full Accreditation

Occur every 1- 3 years, dependent on the organization’s score. This review conducts a full review of laws and regulations, billing and organizational systems, clinical standards, reporting, client outcome, staff turnover, and consumer satisfaction. The full accreditation consists of a site visit, clinical observation, interview, document review, survey of staff and consumers and systems analysis.

Three-Year Accreditation

The organization satisfies each of the BHCOE Accreditation Conditions and demonstrates substantial conformance to the standards. The organization’s programming is designed and operated to benefit the persons served. The organization has demonstrated quality improvement from any previous periods of BHCOE accreditation.

Score: 96%-100%

Two-Year Accreditation

The organization satisfies a majority of the BHCOE Accreditation Conditions and demonstrates conformance to most of the standards. Although there are some areas of improvement in relation to the standards, there is clear evidence of the organization’s capability to correct the deficiencies and commitment to progress toward their correction.

Score: 91%-95%

One-Year Accreditation

The organization satisfies 85-90% of the BHCOE Accreditation Conditions and demonstrates conformance to many of the standards. Although there are some areas of improvement in relation to the standards, there is evidence of the organization’s capability to correct the deficiencies and commitment to progress toward their correction.

Score: 85%-90%

Interim Annual Reviews

Interim Annual Reviews: Occur annually for 2 or 3-year accredited organizations to maintain accredited status between full accreditation reviews. This review entails an update of any law and regulation changes, review of changes to leadership personnel practices to ensure continued compliance with the accreditation standards and to identify areas of improvement.

Provisional Accreditation

If the participating provider receives a score less than 85%, the provider will earn a provisional accreditation and will receive a Quality Improvement Plan (QIP) to assist the provider in adjusting their organizational practices. It is requested that these adjustments be made within 3-6 months following the receipt of the plan. After 3-6 months, the provider is then re-assessed in the areas addressed in the QIP.

Non-Accreditation

The organization has major deficiencies in several areas of the standards, and there are serious questions as to the benefits of ABA services; there are serious questions as to the health, welfare, or safety of those served; the organization has failed over time to bring itself into substantial conformance to the standards; or the organization has failed to satisfy one or more of the BHCOE Accreditation Conditions.

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