This survey is designed as an information-gathering tool to aid in determining accreditation readiness for your organization. Completing this online assessment will highlight some of the accrediting bodies' key focus areas and will help to identify priorities for moving forward with the accreditation process.

Once responses have been submitted you will be contacted to set up a free phone consultation to review your answers.

Note: the responses to this survey and any commentary provided after the survey has been submitted do not guarantee an agency's performance during the accreditation preparation stages or the results of an accrediting body's decision process.

If you have any questions while completing this survey, please do not hesitate call 212.209.0240 or email Info@AccreditationGuru.com for assistance.

Thank you.

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* 1. Your name

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* 2. Job title

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* 3. Organization

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* 4. Website URL

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* 5. Email address

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* 6. Phone number

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* 7. Is your organization currently accredited?

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* 8. Which accrediting body are you accredited by or have selected to seek accreditation from?

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* 9. Programs and services to be (re)accredited:

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* 10. Organization type

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* 11. Does your organization have a consent form regarding release of client information?

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* 12. Is there an annual audit or review of financial statements conducted by an independent CPA?

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* 13. Are clinical/case files managed electronically or are they hard-copy files?

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* 14. Does your agency have a written quality improvement plan and procedures that include the process for implementing change?

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* 15. For which of the following areas do you collect and analyze data?

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* 16. Does your organization regularly produce data-driven reports of improvements made as a result of your quality improvement program or committee?

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* 17. Does your agency have a current long-term strategic plan and was it approved by the board of directors, if applicable?

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* 18. How does your agency consider its relationship with external stakeholders in its strategic planning process?

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* 19. Does your leadership team's (and board of directors, if applicable) meeting minutes reflect where risk prevention and management activities are reviewed, improvement actions discussed, and improvement implemented? (this may be part of an annual risk management review)

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* 20. Is your executive leadership's performance annually reviewed and documented by the board of directors?

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* 21. Does your organization have written emergency response procedures and are they tested?

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* 22. Does your agency have documentation of supervision or supervision logs?

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* 23. Are staff provided with trainings that address:
* cultural competency
* reporting requirements of suspected abuse
* confidentiality requirements
* client rights
* unique needs of clients served
* health and safety practices

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* 24. Does your agency have written procedures that protect reporters of alleged abuse or violations of the agency's ethical code ("whistle-blowers policy") and an established time frame for investigation?

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* 25. Does your agency have a formal complaint policy with clearly written procedures, including time frames for decisions and written notification of results/actions to be taken?

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* 26. Does your agency annually measure personnel satisfaction rates?

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* 27. Have accreditation team members been identified within your agency?

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* 28. Are you confident about how to "sell" accreditation to your staff and board members to gain the necessary buy-in to support this important process?

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* 29. Would you like to receive Accreditation Guru's monthly newsletter to stay up-to-date on helpful tools, resources and upcoming training sessions?

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