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 organizations looking to prepare for full accreditation within the next year as a way to prepare for the larger survey.

Telehealth Accreditation

The standards for telehealth accreditation includes guidance for areas of review for accreditation applicants. All accreditation activities involve narrative, written description, and explanation of policies and procedures, documentation, documentation of usage, and demonstration. Topics covered include Organizational Compliance, Human Resources, Patient Intake, Clinical Practice, and Technology, Privacy & Security.

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 patient satisfaction. The full accreditation consists of a site visit, clinical observation, interview, document review, survey of staff and patient and systems analysis.

Three-Year Accreditation

The organization satisfies 96%-100% of the accreditation standards. The organization has demonstrated their policies and procedures are applied effectively. The organization has demonstrated significant improvement from previous BHCOE Accreditation evaluations.

Score: 96%-100%

Two-Year Accreditation

The organization satisfies 91%-95% of the accreditation standards. The organization has demonstrated their policies and procedures are applied effectively. The organization has demonstrated significant improvement from previous BHCOE Accreditation evaluations.

Score: 91%-95%

One-Year Accreditation

The organization satisfies 85%-90% of the accreditation standards. The organization has demonstrated their policies and procedures are applied effectively. The organization has demonstrated significant improvement from previous BHCOE Accreditation evaluations. The organization demonstrates a commitment to correct the deficiencies revealed to further establish compliance with the Standards.

Score: 85%-90%

Provisional Accreditation

If the participating organization receives a score less than 85%, the organization will earn a provisional accreditation and will receive a Quality Improvement Plan (QIP) to assist the organization 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 organization is then re-assessed in the areas addressed in the QIP. Organizations that achieve provisional accreditation and make adequate improvements may only earn a 1-year accreditation after sufficient changes have been made.

Non-Accreditation

The organization has extensive areas of improvement in numerous areas of the standards and there are questions about the benefit of services or welfare of those served or employed by the organization. The organization has failed to bring itself to significant conformance to standards, or the organization has falsified documentation or information provided to BHCOE.

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