CHAP – General Info Community Health Accreditation Program www.chapinc.org HQ:1300 19thStreet, NW, Suite 150, Washington, DC20036 Phone:800.656.9656 Fax:202.862.3419 info@chapinc.org Established 1965; 2001 spun-off by the NLN and became an independent, non-profit corporation(NLN = National League for Nursing) CHAP – Suppliers & Fees CHAP accredits SEPARATE & DISTINCT Programs/Services individuallyto include: Site Visit days & Accreditation Fees based on: 1. size & complexity of organization 2. # of different services provided 3. # of locations & distance from parent 4. gross revenues 5.unduplicated census (admissions, hrs, service units, visits, mailing, initial set-ups, & deliveries) of each location for last fiscal year
CHAP – The Process Step 1.APPLICATION submittal w/ fee CHAP:(a) reviews eligibility (b) estimates # site visit days (c) sends contract to applicant Once contract signed & returned Standards & Self Studies sent to applicant (Not under contract, may purchase @ $200 set) Step 2.SELF STUDIES Self-evaluation tool / DUE 3-6 months CHAP:(a) review documents for completeness (b) analysis of content (used to plan & execute site visit)
Step 3.SITE VISIT - designed to be a positive learning experience w/ ü Site Visitors acting as consultants to help your organization prosper & grow ü Site Visitors specifically matched to your organization
TYPES Initial Site Visit includes completion of Self Studies (FULL VISIT) Consists of: Entrance Conference Orientation to Facility / Interviews w/ Staff / Observations Client Visits Telephone Surveys Exit Conference Pre-Billing Report of CHAP Site Visit Consultation Annual Site Visit 1stYear of a new cycle includes Self Studies (FULL VISIT) Year 2 of a 3 Year Cycle (if necessary) Year 3 of a 3 Year Cycle (if necessary) Focus Visit (based on cited Required Actions) Complaint Investigation Visit Step 4. BOARD OF REVIEW SITE VISIT REPORT = legal document that states organization’s level of compliance w/ CHAP standards REVIEWED BY BOARD - Site Visit Report & all substantiating data & docs w/ FOCUS on Required Actions cited & site visit team recommendation BOARD DETERMINATIONS: Accreditation Accreditation with Required Actions Accreditation with Required Actions and a Progress Report Due Accreditation with Required Actions, a Progress Report due, and a follow-up Focus Visit Defer Accreditation (initial accreditation only) (another Site Visit) Formal Warning (continued accreditation only) Deny Accreditation (initial accreditation only) Withdrawal of Accreditation (continued accreditation only) CHAP – Their Advice Encourage youto: Begin adopting Policies and Procedures (You may already be doing the practice but needs to be written down.) Work on training and proof of competency of staff Read the standards before jumping into the self studies Work on Performance Improvement
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