continuing care retirement communities & carf-ccac accreditation
TRANSCRIPT
Continuing Care Continuing Care Retirement Communities Retirement Communities
& CARF-CCAC Accreditation& CARF-CCAC Accreditation
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Commission on Accreditation of Commission on Accreditation of Rehabilitation FacilitiesRehabilitation Facilities
International accreditation and standard setting organization 1966 – 42 years old Private, non-profit, independent organization Customer Service Units
Aging ServicesBehavioral HealthChild and Youth Services Durable Medical Equipment, Prosthetics, Orthotics, and SuppliesEmployment and Community ServicesMedical Rehabilitation
Field driven standards developed with input from consumers, providers, payers,
Moral owners are persons served in accredited organizations
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CARFCARF Accredits over 5,000 service providers, at over 18,000 sites in U.S.,
Canada, Europe, South America 6 million people served annually by accredited programs Peer Review Process Accreditation process emphasizes
person served performance improvement business aspects of human service delivery good management process
Aging Services accredits the following settings: Assisted Living Adult Day Services Aging Services Networks CCRCs (through CARF-CCAC program on next slide) Person-Centered Long Term Care Community Nursing Homes Dementia Care Stroke Specialty Care
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Continuing Care Accreditation Continuing Care Accreditation Commission (CCAC)Commission (CCAC)
Merged with CARF through an acquisition on February 1, 2003
Located in Washington, DCIn existence 23 yearsCARF-CCAC is only accreditation system
designed specifically for CCRCs
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Mission and AccountabilityMission and Accountability
Mission of CARF and CARF-CCAC: Promote quality Promote value Promote optimal outcomes of services Through a consultative accreditation
process That centers on enhancing the lives of
persons served. Accountable to CARF Board of Directors
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What is a Continuing Care Retirement What is a Continuing Care Retirement Community (CCRC)?Community (CCRC)?
Provides coordinated care and services Contractual and/or rental agreements Residential living, assisted living, and health services Ongoing financial and strategic planning Ensures continuum of services over life of contract Delivery of care and services:
Screenings Monitoring of health needs Transition planning Seamless transition between levels of care Care that is centered on:
— The person — Quality of life— Wellness— Individual choice
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The Variety of Service Options Out The Variety of Service Options Out There for ConsumersThere for Consumers
Continuing Care Retirement Community Assisted Living Adult Day Services Nursing Home Retirement Community, Active Adult Community, Retirement
Residence Senior Housing Home Care Home Health CareIt can be very confusing! Ask questions…Contact CARF-CCAC
for guidance…..
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Why Consider a CCRC?Why Consider a CCRC?
Campus Downsize into accessible home with privacy
Continuum Access to multiple levels of care
Culture and Community Activities Safety and Security
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Potential Concerns about CCRCsPotential Concerns about CCRCs
Leadership and management changes Development projects Staff responsiveness Level of input into governance
decisions from residents Resident culture Link to external community
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What Should You Always Ask…What Should You Always Ask…
Is this CCRC CARF-CCAC Accredited?
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Free Consumer GuideFree Consumer Guide
http://www.carf.org/consumer Entrance Fee Structure Monthly Fees Contract Types Financial Culture of the CCRC Financial Performance
Indicators CARF-CCAC Financial
Standards Financial Aspects to Consider Questions to Ask
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Some Questions…..Some Questions…..
Ownership – stand-alone or corporate structure? Current fees and history of increases? What do fees include? Refunds? What if I have financial difficulty? What financial information can I see? Insurance and investments? Plans for major projects? Information sharing with residents?There are many more questions about many aspects
beyond finance that you should ask
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Why is accreditation important?Why is accreditation important?
Communication system Management tool for
better decision-making Quality strategy Supports development
and use of outcome measures
Housecleaner
Establishes baseline of quality
Refocuses business on residents
Re-establishes relationships with all stakeholders
Risk management tool Financial benchmarking
with other accredited CCRCs
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Meaning of AccreditationMeaning of Accreditation
Accreditation is not a guarantee or a sign of perfection
Accreditation is the following….. A public way to show that CCRC has chosen,
usually voluntarily, to implement a rigorous set of standards above regulations
CCRC has had independent, third-party accreditor verify conformance to standards through on-site review and annual reporting
Standards include all parts of CCRC and focus on enhancing lives of residents
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Quality is everyone's responsibility.
W. Edwards Deming
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How CARF-CCAC Standards How CARF-CCAC Standards are Developedare Developed
Market research International Standards Advisory
Committee Field review Staff review Board approval
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ASPIRE to Excellence™ASPIRE to Excellence™
System for organizing standards into logical, action-oriented framework
Emphasizes continuous improvement
Integrates all organizational functions
Reaffirms importance of input of stakeholders
Helps ensure that organization’s purpose, planning, and activity result in positive outcomes
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Leadership Mission and Vision Roles and Responsibilities Business Structure Corporate Responsibility
— Ethical practices— Awareness of and engagement in
the community Governance
Accountability to stakeholders Delineation of roles/functions
(Board vs. Management)
ASPIRE to Excellence™ASPIRE to Excellence™
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Strategic Integrated Planning Develop plans to accomplish mission and
meet expectations of stakeholders Identify internal strengths and weaknesses Identify external opportunities and threats Capitalize on strengths and opportunities Minimize weaknesses and threats
ASPIRE to Excellence™ASPIRE to Excellence™
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ASPIRE to Excellence™ASPIRE to Excellence™
Input is obtained and analyzed Solicit, collect, analyze and use
input to create and deliver services that meet or exceed the expectations of persons served and other stakeholders
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Legal and Regulatory Requirements Plans and actions to meet requirements at all
levels Financial Planning and Management
Supports mission and objectives Follows generally accepted accounting principles Demonstrates stewardship
Risk Management Plans and actions necessary to manage risk and
mitigate loss
ASPIRE to Excellence™ASPIRE to Excellence™
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Health and Safety Plans and actions necessary to minimize risk of
harm to all stakeholders Human Resources
Demonstrate value of human resources Involve and engage personnel in the success of
the organizationEnsure qualified staffProvide adequate training to ensure quality of
services
ASPIRE to Excellence™ASPIRE to Excellence™
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Technology Incorporate technology to support information
management and performance improvement activities Plans and actions to maintain system integrity
Rights of Persons Served Protect and promote Communicate rights with persons served Plans and actions to provide methods for problem
resolution Accessibility
Promote accessibility and remove barriers Includes both physical and attitudinal
ASPIRE to Excellence™ASPIRE to Excellence™
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Information management and measurement
Establish accurate and consistent data collection mechanism
Determine performance targets Measure and analyze results against
targets
ASPIRE to Excellence™ASPIRE to Excellence™
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Performance Improvement Utilize information gathered to improve
clinical and business services Develop quality improvement plan
ASPIRE to Excellence™ASPIRE to Excellence™
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The ProcessThe Process
Use standards for at least 6 months - self assessment
3 day on-site survey Surveyors - Administrative,
Program, Finance Orientation conference Tour Interviews - staff, residents, board,
others Observation of processes Review of policies, plans, other
documents Exit Conference
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Consumer Interaction…Consumer Interaction…
Toll free number (866-510-CARF) and online interactive feedback form for consumers to voice their comments
Poster at least 30 days before survey announcing survey and giving people opportunity to contact CARF-CCAC
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Annual & Ongoing ReportingAnnual & Ongoing Reporting
Ongoing throughout each year Healthcare inspections
Annually Financial report Annual conformance to quality report Quality improvement plan
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Certificate of AccreditationCertificate of Accreditation
Best Community, Inc.Washington, D.C.
has earned accreditation as a
Continuing Care Retirement Community
This accreditation is valid through
March 2013The accreditation seals in place belowsignify that the organization has met annual
conformance requirements for quality standardsthat enhance the lives of persons served.
This accreditation certificate is granted by authority of
First year
annual conform
ance
Second year
annual conform
ance
Third year
annual conform
ance
Fourth year
annual conformance
Fifth year
annual conformance
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The Meaning of Accreditation...The Meaning of Accreditation...
CCRC has allowed independent, third-party organization to apply a set of internationally recognized standards and verify conformance to standards through on-site survey.
CCRC has voluntarily gone above regulations to be publicly accountable for quality.
CCRC is committed to continuous improvement. CCRC has a focus on person served. CCRC strives for good business strategies.
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Susanne Matthiesen, Managing Director 1-866-888-1122 ext. 5006 www.carf.org/aging
You may search our web site for accredited CCRCs
You may obtain a free consumer information packet including a national list of accredited CCRCs