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Accreditation Process Flashcards

7 cards from real CADC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Accreditation Process flashcards as text

  1. Under Joint Commission accreditation, a 'Requirement for Improvement' (RFI) must be resolved within:

    Answer: 60 days

    The Joint Commission typically requires organizations to resolve Requirements for Improvement within 60 days of the survey.

  2. Which CARF accreditation outcome is issued when a program does NOT meet accreditation standards and cannot be awarded any accreditation?

    Answer: Non-Accreditation

    Non-Accreditation is the outcome when a program fails to meet CARF's minimum threshold of conformance.

  3. In CARF's accreditation process, 'conformance' to standards is measured on a scale where which score indicates full conformance?

    Answer: 3

    CARF uses a 0–3 scale where a score of 3 indicates full conformance with a specific standard.

  4. A counselor notices the program's accreditation certificate expired two months ago. The appropriate immediate action is to:

    Answer: Notify the program director and initiate renewal procedures immediately

    Lapsed accreditation must be reported internally and renewal initiated promptly to avoid regulatory and contractual consequences.

  5. Which element is MOST commonly evaluated under the 'Person-Centered' standards of CARF behavioral health accreditation?

    Answer: Individualized service planning with client involvement

    Person-centered standards focus on individualized planning that actively involves the client in their own treatment goals.

  6. For a CADC to maintain employment at a CARF-accredited facility, the counselor must understand that accreditation surveys evaluate:

    Answer: Organizational systems, processes, and outcomes — not individual credentials

    CARF accreditation assesses organizational-level systems, service delivery processes, and measurable outcomes rather than individual credentials.

  7. Which document must a treatment program maintain to demonstrate ongoing compliance between CARF surveys?

    Answer: Continuous Quality Improvement (CQI) records and outcome data

    CARF requires programs to maintain CQI records and outcome data as evidence of ongoing standards conformance between formal surveys.