CARF Accreditation

Quality is an area of continuous focus for CHD. As we undertake CARF accreditation it is in part to provide clients, family members and the public, with peace of mind about the quality services provided by our agency. We are proud of the quality services we deliver now. CARF accreditation will further demonstrate that our agency meets internationally developed quality standards and maintains a client-centric focus.

This blog piece focuses on information about each of the major CARF standards. These standards are the organizational-level standards—or usual ways of doing business—at CHD that must be demonstrated for CARF accreditation.

The first major standard applies to the business practices of CHD, namely accessibility, emergency procedures and obligations. Accessibility plans address identification of barriers. CHD needs to demonstrate compliance by having a written accessibility plan, a survey of consumers, use of an accessibility checklist, internal inspections of its building and properties, and feedback from consumers. Emergency procedures at CHD, about which employees must be tested each year, include trainings in fire and bomb threat, natural disaster, power failure, medical emergencies, and safety during violent or threatening situations. CHD must also demonstrate a process to comply with the following obligations: legal, regulatory, confidentiality, licensing, contractual, debt covenants, rights of persons served, privacy of persons served, employment practices and mandatory employee testing, as mentioned above.

The second major standard applies to financial planning at CHD. CHD’s financial planning and management activities are designed to meet established outcomes for persons served and organization performance objectives. CHD’s performance objectives may include areas of potential financial risk such as reductions in state funding or new regulations that might impact details of service provision. These performance indicators may also tie to the overall performance measurements mentioned below.

The third major standard applies to technology. CHD implements a technology and system plan that includes the following: hardware, software, security, confidentiality, backup policies, disaster recovery preparedness, virus protection. For CARF accreditation, CHD must show it how manages its various types of technology to manage information and support its improvement activities.

The fourth and final major standard applies to performance indicators. CHD must analyze all of the following indicators: business functions, effectiveness, efficiency, and service access indicators. These indicators are measured by comparing changes from year-to-year in such effects as the unnecessary emergency department usage of our clients, or the change in body mass index of our clients at risk for having a high BMI.

We are excited about the accreditation process and invite your input. Questions about CARF accreditation or preparing for the accreditation survey may be directed to Sara Kendall, MSW, LICSW, Vice President of Organizational Excellence, at 413-439-2123 or

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