CARF Report Template - MyACC.org · Arab-American and Chaldean Council Accreditation Report 2. Survey Summary ... ♦ Leadership in this organization pays great attention to financial

Accreditation Report Quality Improvement Plan & Benchmarking Data

Prepared for Arab-American and Chaldean Council

Accreditation Decision

Three-Year Accreditation Expiration: August 2013

Organization

Arab-American and Chaldean Council (ACC) 28551 Southfield Road Lathrup Village, MI 48076

Organizational Leadership

Radwan Khoury, Ph.D., Executive Director/COO

Survey Dates

August 2-4, 2010

Survey Team

Jackie S. Egland, M.S.W., Administrative Surveyor Camille M. Cunningham, M.A., Program Surveyor Lovietta L. Campbell, LCSW, Program Surveyor

Programs/Services Surveyed

Assertive Community Treatment: Mental Health (Adults) Case Management/Services Coordination: Mental Health (Adults) Case Management/Services Coordination: Mental Health (Children and Adolescents) Community Integration: Psychosocial Rehabilitation (Adults) Outpatient Treatment: Mental Health (Adults) Outpatient Treatment: Mental Health (Children and Adolescents)

Previous Survey

August 13-15, 2007 Three-Year Accreditation

1 Arab-American and Chaldean Council Accreditation Report

Programs/Services by Location Arab-American and Chaldean Council

28551 Southfield Road Lathrup Village, MI 48076

Administrative Location Only

Arab-American and Chaldean Council

62 West Seven Mile Road Detroit, MI 48203

Case Management/Services Coordination: Mental Health (Adults) Case Management/Services Coordination: Mental Health (Children and Adolescents) Outpatient Treatment: Mental Health (Adults) Outpatient Treatment: Mental Health (Children and Adolescents)


20300 Civic Center Drive, Suite 318 Southfield, MI 48076

Case Management/Services Coordination: Mental Health (Adults) Outpatient Treatment: Mental Health (Adults) Outpatient Treatment: Mental Health (Children and Adolescents)


16921 West Warren Avenue Detroit, MI 48228

Assertive Community Treatment: Mental Health (Adults) Case Management/Services Coordination: Mental Health (Adults) Case Management/Services Coordination: Mental Health (Children and Adolescents) Outpatient Treatment: Mental Health (Adults) Outpatient Treatment: Mental Health (Children and Adolescents)


34628 Dequindre, Suite 2 Sterling Heights, MI 48310

Case Management/Services Coordination: Mental Health (Adults) Case Management/Services Coordination: Mental Health (Children and Adolescents) Outpatient Treatment: Mental Health (Adults) Outpatient Treatment: Mental Health (Children and Adolescents)


201 West Seven Mile Road Detroit, MI 48203

Community Integration: Psychosocial Rehabilitation (Adults)

Arab-American and Chaldean Council Accreditation Report 2

Survey Summary

Areas of Strength

Arab-American and Chaldean Council (ACC) has strengths in many areas. ♦ Leadership of ACC not only works to eliminate discrimination and stigma for Arab-American and

Chaldean-American populations, but also for other groups such as African-American persons in its community. ACC provides services that broaden the outlook of persons served.

♦ ACC’s policies and procedures, plans, and documents are clear, explicit, and easily understood by staff and other stakeholders.

♦ The performance evaluations for personnel in this organization are clear and detailed, establishing measurable performance objectives for the next year and assessing performance from the last year.

♦ Leadership in this organization pays great attention to financial planning and management, keeping abreast of the current fiscal climate in the county and state. Fiscal records for this organization are detailed and well organized, reviewed in a timely fashion, and related to appropriate stakeholders.

♦ The mission and values of ACC clearly reflect a person-first environment and a conscious effort to remove barriers to inclusion. All persons are treated with dignity and respect here and are given many opportunities to experience success in their programs and lives.

♦ The commitment, professionalism, and longevity of many of the staff members are great indicators of consistency in service delivery. These qualities assist personnel in focusing on producing positive outcomes. There appears to be excellent rapport between consumers and staff members.

♦ Exceptional behavioral health staff members at ACC consistently provide children and adults with mental illness, chemical addictions, and co-occurring disorders and their family members with top-quality clinical services, which form a secure and enduring basis for continued growth to recovery and stabilization.

♦ Innovative human service design is carefully interwoven into the fabric of multicultural Detroit city life and is a major hallmark of the top-level leadership at ACC.

♦ Individuals receiving outpatient, assertive community treatment, child/adolescent, and case management services and supports speak very highly of their therapists’ and case managers’ dedication, expertise, and understanding assistance, when needed.

♦ In-community service partners are highly valued, and ACC’s staff members work diligently to maintain and broaden these and other stakeholder relationships. Staff members serve on numerous task groups, coalitions, networks, and community initiatives with the purpose of providing leadership in the development and maintenance of needed services to people with mental illness, co-occurring disorders, and chemical addictions.

♦ ACC’s organizational leadership has created a culture of trust and genuine caring, which is readily evident throughout its operations and networking within its communities.


Areas for Improvement

Arab-American and Chaldean Council should seek improvement in the following areas.

♦ Unannounced tests of all emergency procedures should be conducted annually at all sites, including administration.

♦ The primary assessment process should include information about the efficacy of current or previously used medications taken by the person served.

♦ There should be documented, ongoing supervision of clinical or direct service personnel, which includes the areas of accuracy of assessment and referral skills; the appropriateness of the treatment or service intervention selected relative to the specific needs of each person served; treatment/service effectiveness as reflected by the person served meeting his or her individual goals; the provision of feedback that enhances the skills of direct service personnel; issues of ethics, legal aspects of clinical practice, and professional standards; clinical documentation issues identified through ongoing compliance review; and cultural competency issues.

♦ The assessment process should include the preparation of an interpretive summary that is based on the assessment data, is used in the development of the individual plan, and identifies any co-occurring disabilities and/or disorders and how they will be addressed in the development of the individual plan.

♦ Because the organization provides prescribing, dispensing, or administering of medications, it should implement written procedures that include compliance with all applicable local, state or provincial, and federal laws and regulations pertaining to medications and controlled substances, including on-site pharmacy services and dispensing; a review of past medication use, including effectiveness, side effects, and allergies or adverse reactions; and, when applicable, documented assessment of abnormal involuntary movements at the initiation of treatment and every six months thereafter for persons served receiving typical antipsychotic medications.

♦ In areas where the organization physically controls medications (including medications self-administered by the person served or the use of samples), written procedures should be developed and implemented that include transportation and delivery, when applicable; safe storage; and safe handling.

Accreditation Decision

Arab-American and Chaldean Council has earned a Three-Year Accreditation. On balance, ACC provides assertive community treatment, outpatient, case management/services coordination, and community integration services to children, adolescents, and adults throughout the Michigan counties of Oakland, Wayne, and Macomb. The leadership is recognized for its dedication to carrying out the mission of the organization and maintaining quality treatment services during this exceptionally challenging economic period. Furthermore, the organization is acknowledged for having achieved CARF accreditation for over twenty years. ACC demonstrates substantial conformance to the CARF standards and should continue to strengthen its systems and infrastructure to continue to be effective in meeting the challenges and needs of the communities served while positioning itself to take advantage of future opportunities.


Exemplary Conformance

Section 1. ASPIRE to Excellence®

A. Leadership ♦ Because persons of Arab descent do not hold minority/racial status in federal and state census, their

exact number in Michigan is not available; however, a study conducted by ACC reveals that the Arab- American and Chaldean-American population in metropolitan Detroit has reached over 500,000. Arab/Chaldean families and individuals in this area face numerous difficulties, including an acute language barrier, cross cultural and attitudinal differences, lack of awareness of health and education needs, and other related problems. ACC not only works to eliminate discrimination and stigma for Arab-American and Chaldean-American populations, but also for others, such as African-American persons served in its community. Some of the educational activities that ACC participates in include consultation and educational orientation services; trilingual (Arabic/Chaldean/English) culturally sensitive community-based workshops; extensive media programs (television, radio, and publications); and cross-cultural workshops for mainstream human service providers, such as healthcare providers, public schools, and law enforcement.

Consultation

Section 1. ASPIRE to Excellence

H. Health and Safety ♦ The organization might want to instruct staff members about where to specifically put their

prescription medications when brought into the office, also advising them not to dispose of medications in the trash or share them with others.

Consultation does not indicate nonconformance to standards, but is offered as a suggestion for further quality improvement.


Standards Conformance This section of the Accreditation Report displays the specific reasons for any partial or nonconformance to standards identified as a result of the survey. The standards listed in this section are addressed in the organization’s Quality Improvement Plan, which can be accessed at customerconnect.carf.org.

Below are the possible reasons for partial or nonconformance to standards, along with an explanation of why each reason is cited.

To receive the information contained in this section in an alternate format, please contact [email protected].

Reason for partial or nonconformance Is cited:

All components not addressed When a standard element requires more than one item, at least one item (but not all) is not in full conformance.

Credentials inadequate When a standard element requires that an individual possess a specific credential or level of credential, the specific credential is not possessed, or the credential possessed is below the specified level.

Data or information necessary to address conformance not collected and/or evaluated

When the issue addressed by the standard element has not been considered and, consequently, the information necessary to address conformance has not been collected and/or evaluated in connection with the issue addressed.

Documentation inadequate When a standard element requires documentation or that documentation contain specific information, the documentation either does not exist or does not contain the specific information.

Effort not comprehensive When a standard element requires an activity to occur, the performance of the activity is insufficient to address the full scope of the activity.

Financial ratio calculation below the median

When the standard element rating is based on the calculation of a specific financial ratio, such ratio is below the 50th percentile.

Forms inadequate When a standard element requires use of a specific form or that the form contain specific information, the form is not used or does not contain the specific information.

Frequency inadequate When a standard element requires that an activity occur with a specific frequency or some unspecified regularity, the performance of the activity does not occur, occurs less frequently than required, or occurs less frequently than appropriate if regularity unspecified.

Information not communicated understandably

When a standard element requires that information be shared with certain persons, the information is either not shared or not shared in a manner that allows for comprehension by the recipient.

Involvement by appropriate person(s) inadequate

When a standard element requires the involvement of certain persons, those persons are either not involved or not involved in a sufficient manner.

Noncompliance with law, regulation, or other rule

When a standard element requires compliance with a legal requirement or a process for achieving legal compliance, sufficient evidence of compliance or the compliance process is not demonstrated.

Policy/plan/procedure/practice not consistently implemented

When a standard element requires a policy/plan/procedure/practice, it exists but the actual performance does not occur with sufficient regularity to be deemed standard operating procedure.

Policy/plan/procedure/practice not developed

When a standard element requires a policy/plan/procedure/practice, it is not in existence.

Policy/plan/procedure/practice not implemented

When a standard element requires a policy/plan/procedure/practice, it exists but there is no actual performance.

Policy/plan/procedure/practice recently implemented

When a standard element requires a policy/plan/procedure/practice, it exists but the actual performance has not been in place for sufficient time to establish a track record.

Training inadequate When a standard element requires that certain training occur, it either does not occur or does not occur with sufficient regularity to be deemed standard operating procedure.

Evidence of conformance inadequate When the requirement of a standard element is not satisfied, or is inconsistently satisfied and no other reasons apply.


Standard Number Standard Text Details

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1.H.13.a. Unannounced tests of all emergency procedures: Are conducted at least annually on each shift.

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office.2.A.21.a. Documented ongoing

supervision of clinical or direct service personnel addresses, when applicable: Accuracy of assessment and referral skills.

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2.A.21.b. Documented ongoing supervision of clinical or direct service personnel addresses, when applicable: The appropriateness of the treatment or service intervention selected relative to the specific needs of each person served.

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2.A.21.c. Documented ongoing supervision of clinical or direct service personnel addresses, when applicable: Treatment/service effectiveness as reflected by the person served meeting his or her individual goals.

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2.A.21.d. Documented ongoing supervision of clinical or direct service personnel addresses, when applicable: The provision of feedback that enhances the skills of direct service personnel.

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2.A.21.e. Documented ongoing supervision of clinical or direct service personnel addresses, when applicable: Issues of ethics, legal aspects of clinical practice, and professional standards, including boundaries.

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Reasons for Partial or Nonconformance



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2.A.21.g. Documented ongoing supervision of clinical or direct service personnel addresses, when applicable: Cultural competency issues.

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2.B.8.h.(2) The primary assessment process gathers sufficient information to develop an individualized person-centered plan for each person served, including information about the person’s: Information about medication including: Efficacy of current or previously used medication.

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2.B.9.a. The assessment process includes the preparation of an interpretive summary that: Is based on the assessment data.

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2.B.9.b. The assessment process includes the preparation of an interpretive summary that: Identifies any co-occurring disabilities and/or disorders.

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2.B.9.c. The assessment process includes the preparation of an interpretive summary that: Is used in the development of the individual plan.

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2.C.2.a. The individual plan: Is prepared using the information from the assessment process.

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2.C.5.a. When the person served has co-occurring disabilities and/or disorders: The individual plan specifically addresses those issues in an integrated manner.

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2.E.3.c. When the organization physically controls medications (including medications self-administered by the person served or the use of samples), written procedures are implemented and include: Transportation and delivery, when applicable.

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2.E.3.d. When the organization physically controls medications (including medications self-administered by the person served or the use of samples), written procedures are implemented and include: Safe storage.

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2.E.3.e. When the organization physically controls medications (including medications self-administered by the person served or the use of samples), written procedures are implemented and include: Safe handling.

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2.E.5.a. An organization that provides prescribing, dispensing, or administering of medications implements written procedures that include: Compliance with all applicable local, state or provincial, and federal laws and regulations pertaining to medications and controlled substances, including on-site pharmacy services and dispensing.

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2.E.5.e.(1) An organization that provides prescribing, dispensing, or administering of medications implements written procedures that include: Review of past medication use, including: Effectiveness.

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2.E.5.e.(2) An organization that provides prescribing, dispensing, or administering of medications implements written procedures that include: Review of past medication use, including: Side effects.

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2.E.5.e.(3) An organization that provides prescribing, dispensing, or administering of medications implements written procedures that include: Review of past medication use, including: Allergies or adverse reactions.

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2.E.5.l. An organization that provides prescribing, dispensing, or administering of medications implements written procedures that include: When applicable, documented assessment of abnormal involuntary movements at the initiation of treatment and every six months thereafter for persons served receiving typical antipsychotic medications.

X

4.A.1.f.(1) Assessments of each child or adolescent served include information on his or her: Language functioning, including: Speech functioning.

X


Benchmarking This section of the Accreditation Report benchmarks your organization’s conformance to standards. By comparing strengths and areas for improvement with various comparator groups, benchmarking encourages your organization to improve effectiveness, efficiency, satisfaction, and access. This information should also stimulate discussions among stakeholders focused on better meeting the needs and preferences of the persons served. In addition, benchmarking:

♦ Encourages a culture of continuous evaluation and improvement. ♦ Accelerates understanding of and agreement on areas for improvement. ♦ Helps prioritize improvement opportunities. ♦ Shifts internal thinking toward a focus on outcomes. ♦ Provides a reference to increase performance expectations. ♦ Motivates your team to work collaboratively to surpass benchmarks.

This report provides benchmarks (mean % of conformance) for each section of the ASPIRE to Excellence® quality framework.* When available, benchmark comparison groups include:

♦ All surveyed organizations. ♦ All surveyed organizations in the same primary CARF customer service unit. ♦ Surveyed organizations with the same ownership type. ♦ Surveyed organizations in the same geographic region. ♦ Surveyed organizations with similar number of persons served annually. ♦ Surveyed organizations with similar staff size.

In addition, standards conformance for each organization undergoing resurvey is benchmarked against its previous survey in all standards areas.

Benchmark Comparison Groups

Primary area of accreditation: Behavioral Health (BH)

Ownership type: Private, Not for Profit

Geographic region: US - Midwest

Staff size (FTEs): 20–49

Persons served annually: 1,000–4,999

To receive the information contained in this section in an alternate format, please contact [email protected].

* Excluding Governance and Strategic Integrated Planning.


All surveyed organizations

A: Assess the Environment

78.6%

90.8%

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0% 20% 40% 60% 80% 100%

Nonaccreditation

CARF One-YearAccreditation

CARF Three-YearAccreditation

Arab-American andChaldean Council

Lead

ersh

ip

% of Conformance

P: Persons Served and Other Stakeholders - Obtain Input

61.2%

86.2%

99.7%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Inpu

t fro

m S

take

hold

ers

% of Conformance


All surveyed organizations – continued

I: Implement the Plan

86.4%

92.9%

98.8%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Lega

l Req

uire

men

ts

% of Conformance


76.0%

92.1%

99.3%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Fina

ncia

l Pla

nnin

g an

d M

anag

emen

t

% of Conformance




58.5%

79.4%

96.0%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Risk

Man

agem

ent

% of Conformance


69.7%

84.9%

96.5%

99.5%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Hea

lth

and

Safe

ty

% of Conformance




77.4%

89.3%

97.4%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Hum

an R

esou

rces

% of Conformance


59.2%

78.8%

98.1%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Tech

nolo

gy

% of Conformance




86.6%

91.7%

98.0%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Righ

ts o

f Per

sons

Ser

ved

% of Conformance


51.7%

70.7%

95.3%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Acc

essi

bilit

y

% of Conformance



R: Review Results

44.1%

68.9%

97.2%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Info

rmat

ion

Man

agem

ent a

nd

Mea

sure

men

t

% of Conformance

E: Effect Change

25.4%

51.3%

95.5%

100.0%

0% 20% 40% 60% 80% 100%

Nonaccreditation




Perf

orm

ance

Impr

ovem

ent

% of Conformance


Other benchmarks


98.9%

98.0%

98.0%

97.9%

97.3%

100.0%

0% 20% 40% 60% 80% 100%

1,000 to 4,999Persons Served

20 to 49 FTEs

US - Midwest

Private, Not forProfit

Behavioral Health


Lead

ersh

ip

% of Conformance


99.6%

98.8%

99.5%

99.5%

97.9%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Inpu

t fro

m S

take

hold

ers

% of Conformance


Other benchmarks – continued


99.3%

98.3%

98.0%

97.8%

98.3%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Lega

l Req

uire

men

ts

% of Conformance


99.6%

98.9%

99.2%

99.0%

98.5%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Fina

ncia

l Pla

nnin

g an

d M

anag

emen

t

% of Conformance




96.4%

94.8%

94.3%

94.4%

92.7%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Risk

Man

agem

ent

% of Conformance


96.2%

95.8%

96.0%

95.8%

94.1%

99.5%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Hea

lth

and

Safe

ty

% of Conformance




97.6%

96.6%

97.2%

96.9%

95.9%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Hum

an R

esou

rces

% of Conformance


99.3%

96.4%

97.0%

96.6%

95.2%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Tech

nolo

gy

% of Conformance




98.0%

97.5%

97.6%

97.3%

97.6%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Righ

ts o

f Per

sons

Ser

ved

% of Conformance


93.7%

92.6%

94.0%

93.4%

89.6%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Acc

essi

bilit

y

% of Conformance



R: Review Results

97.5%

95.6%

96.8%

96.3%

93.2%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Info

rmat

ion

Mea

sure

men

t an

d M

anag

emen

t

% of Conformance

E: Effect Change

95.7%

92.6%

94.5%

93.8%

88.9%

100.0%

0% 20% 40% 60% 80% 100%


20 to 49 FTEs

US - Midwest


Behavioral Health


Perf

orm

ance

Impr

ovem

ent

% of Conformance


Previous survey


100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Lead

ersh

ip

% of Conformance


100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Inp

ut fr

om S

take

hold

ers

% of Conformance


Previous survey – continued


100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Lega

l Req

uire

men

ts

% of Conformance


100.0%

100.0%

0% 20% 40% 60% 80% 100%

PreviousSurvey

Current Survey

Fina

ncia

l Pla

nnin

g an

d

Man

agem

ent

% of Conformance




100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Risk

Man

agem

ent

% of Conformance


93.1%

99.5%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Hea

lth

and

Saf

ety

% of Conformance




98.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Hum

an R

esou

rces

% of Conformance


100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Tech

nolo

gy

% of Conformance




100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Righ

ts o

f Per

sons

Ser

ved

% of Conformance


91.3%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Acc

essi

bili

ty

% of Conformance



R: Review Results

97.3%

100.0%

0% 20% 40% 60% 80% 100%

PreviousSurvey

Current Survey

Info

rmat

ion

Mea

sure

men

t an

d M

anag

emen

t

% of Conformance

E: Effect Change

70.6%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

Perf

orm

ance

Imp

rove

men

t

% of Conformance



Section 2: General Program Standards

100.0%

92.5%

0% 20% 40% 60% 80% 100%

PreviousSurvey

Current Survey

A. P

rogr

am/S

ervi

ce S

truc

ture

% of Conformance


100.0%

97.6%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

B. S

cree

ning

and

Acc

ess

to

Serv

ices

% of Conformance




100.0%

98.2%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

C. I

ndiv

idua

l Pla

n

% of Conformance


100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

D. T

rans

itio

n/D

isch

arge

% of Conformance




100.0%

93.4%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

E. M

edic

atio

n U

se

% of Conformance


100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

G. R

ecor

ds

of th

e Pe

rson

s Se

rved

% of Conformance




100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

H. Q

ualit

y Re

cord

s Re

view

% of Conformance

Section 3: BH Core Program Standards

100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

C. C

ase

Man

agem

ent/

Ser

vice

s C

oord

inat

ion

% of Conformance



Section 3: BH Core Program Standards

100.0%

100.0%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

R. O

utp

atie

nt T

reat

men

t

% of Conformance

Section 4: BH Specific Population Designation Standards

100.0%

97.7%

0% 20% 40% 60% 80% 100%

Previous Survey

Current Survey

A. C

hild

ren

and

Ad

oles

cent

s

% of Conformance


Documents

CARF Report Template - MyACC.org · Arab-American and Chaldean Council Accreditation Report 2. Survey Summary ... ♦ Leadership in this organization pays great attention to financial