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Services
Accreditation and Licensing
Specializations
Commission on the Accreditation of Rehabilitation Facilities Consulting (CARF)
NJ Department of Health Certificate of Need and Licensing (CN&L)
We assist organizations in obtaining/maintaining state licensing and accreditation. Our expert consultants provide regulatory compliance guidance for NJ state and federal entities.
Policy Development & Review and Grant Proposal Services
This service includes writing new policies and procedures as well as reviewing existing documents to ensure continued relevancy and conformance to state and federal regulations as well as CARF accreditation standards. The review also includes identification of inconsistencies and redundancy. The frequency of reviews is determined based on the needs identified by the organization and as suggested by the CARF consultant.
Additionally, our team will work closely with your organization and its stakeholders to fully understand your program objectives and needs. All proposals are developed in collaboration with your organization’s staff members and complete proposal drafts are provided to the organization prior to the submission deadline to allow for review and revision prior to submission. Your organization will always be in complete control of program design and proposal content so there are no surprises. All submissions will be made by your organization whether online or in hard-copy by postal service.
Grant writing services are an added cost and do not include program implementation, administration or reporting.
Mock Surveys
Onsite reviews and mock surveys are often the best way to prepare the organization for an actual CARF survey. This can be an efficient way to become familiar with the survey process. Mock surveys are useful when preparing for initial accreditation, when a new program is added under a currently accredited organization, or in preparation for a re-survey. Mock surveys are individualized for each organization, and can include:
- Pre-survey contact and review of non-confidential document prior to the mock survey
- Orientation Conference and tour
- On-site review of policies and procedures, clinical forms, administrative and program documents, and client records, as well as interviews with governance, leadership, funders, staff, and clients
- Exit Conference with review of draft mock survey report
- Debriefing of leadership and selected personnel
- Finalized report with recommendations and consultations
Document Development and Review
This service includes report writing, document development, proof-reading, editing, and formatting of documents as well as annual updates to ensure conformance to CARF standards. When an organization contracts for ongoing review of documents, the frequency of reviews is determined based on needs identified by the organization and as suggested by the our CARF consultant. Many documents are required to be reviewed annually (e.g., program plans, strategic plan, risk management plan).
- Administrative Documents include: The six administrative plans (i.e., Cultural Competency & Diversity Plan, Strategic Plan, Risk Management Plan, Technology & Systems Plan, Accessibility Plan, Performance Analysis & Improvement Plan); ethical codes of conduct; job descriptions; emergency procedure evacuation drill forms; grievance forms; requests for reasonable accommodations; quarterly billing audits; and other documents.
- Program Documents include: program plan(s); screening form; patient orientation handbook and checklist; assessment form; treatment plan; transition plan; discharge summary; quality records review form; and other documents.
Stakeholder Survey Design, Administration and Analysis
CARF-accredited organizations are expected to continually focus on the expectations of the clients, personnel, and other stakeholders. This includes soliciting, collecting, and analyzing input from clients and staff in order to implement changes in services to meet the identified needs. The leadership is also required to use the information in program, financial, resource, and strategic planning as well as for performance improvement and organizational advocacy. This component of continuous quality improvement can be challenging for many organizations. Our CARF consultants can simplify this task by designing and administering the surveys, providing a graphic analysis of the results, and write an outcome report. On-line and/or paper surveys can be designed to meet the unique needs of each organization.
Pre-survey Preparation and Management
In today's environment, consulting services can be especially helpful in the month (and days) prior to the survey or re-survey. We can assist with preparation of the virtual DESS (Digitally-Enabled Site Survey) or on-site survey and having your organization's documents and other materials easily accessible for the surveyors. When a surveyor cannot find the required information within a reasonable time, assistance is sought from the organization. When samples of conformance to the standards cannot be produced by the organization, recommendations can be given. Contracting with a CARF consultant to prepare for the on-site survey can reduce the number of recommendations received.
Ongoing Regulatory Compliance & Support
Compliance with regulatory requirements can be about avoiding penalties. But more importantly, ongoing compliance is also about demonstrating your organization’s positive commitment to values and ethics.
Regulatory compliance is a core tenet of doing business today. We’ll help you take a proactive, structured, and sustainable approach to compliance with regulatory requirements – one that puts your organization ahead of trouble instead of in the middle of it.