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CARF Accreditation

The CARF seal represents the highest quality of care.

When considering a neurorehab program, do you know how to evaluate it or to whom to turn for answers? Most people – even those who work in health care – don’t. That’s why there’s CARF, the Commission on Accreditation of Rehabilitation Facilities. CARF is an independent, nonprofit accrediting body that is considered the gold standard for medical rehabilitation programs whose focus is to advance quality of services to meet customers’ needs for the best possible outcomes.

CARF logo Rehab Without Walls

Value of CARF Accreditation

Organizations that are CARF-accredited meet leading-edge internationally recognized standards. Accreditation with CARF signals the organization’s commitment to continually improving quality through stakeholder feedback and service the community.

It’s noticeable that the CARF philosophy and Rehab Without Walls® NeuroSolutions’ approach to care are remarkably similar. At its core, CARF strives to ensure that the patient remains at the center of the rehabilitation program’s focus. It mandates that the persons served and their families are key members of the treatment team and that they take an active role in their treatment and recovery. The same is true with Rehab Without Walls NeuroSolutions.

Our accreditation status

Currently, Rehab Without Walls NeuroSolutions locations across the country hold Three-Year accreditation for Home and Community and/or Outpatient Medical Rehabilitation (Adults and Children/adolescents) and Brain Injury Specialty (Adults).

More about CARF

CARF provides accreditation not just for medical rehabilitation services but for other human services as well, including employment and community services, child and youth services, behavior health and aging. All share the same approach that of being in partnership. This means that the survey process is not centered on inspection but rather on consultation, where the CARF survey team works with the service provider to improve service resources and outcomes.

CARF sees itself as a catalyst for enhancing the quality of life of the persons served by CARF-accredited organizations. In fact, consumers play an active and vital role in the entire accreditation process, from helping to develop and apply the national performance standards to giving input on the quality of services received by individual rehabilitation programs. In doing so, CARF casts a wide net, placing particular emphasis on diversity and cultural competence in all CARF activities and associations. This contributes to what CARF sees as its core values: ensuring that all people have the right to be treated with dignity and respect; that all people have access to needed services that achieve optimum outcomes; and that all people are empowered to exercise informed choice.

CARF standards are continually developed and revised through a series of leadership panels, national advisory committees, focus groups and field reviews relying heavily on active involvement at all levels by persons served.

Accreditation levels

CARF offers several levels of accreditation:

  • Three-Year Accreditation – This indicates that the provider is meeting or exceeding CARF standards and will not need to be reviewed again for another three years. This is what all established Rehab Without Walls NeuroSolutions locations have.
  • One-Year Accreditation – This indicates that while there are still some existing deficiencies in conforming to CARF standards, the program shows capability and commitment toward correcting the deficiencies and making progress.
  • Provisional Accreditation – This means the provider is still functioning at the One-Year level the following year, and has one year to correct the deficiencies and meet CARF standards or it will receive an outcome of non-accreditation.

Accreditation process

During the survey process, CARF looks at clinical practices, business practices, policies and procedures, market and strategic planning, retention and recruitment efforts, quality assurance, safety standards, committee meeting minutes, advocacy initiatives in the community, employee credentialing and information management. CARF pays particular attention to the data. It is interested in how we collect data and how we use it to improve services and provide durable outcomes for our patients.

Rehab Without Walls NeuroSolutions uses four different tools to collect data:

  • An annual performance evaluation
  • Customer satisfaction surveys sent at discharge to every person who received services, as well as to every payer representative and physician
  • A professional advisory committee – made up of the executive director of each office, the marketing representative, payers and patients – that meets several times a year to review practices
  • A safety and quality assurance committee that confidentially reviews patient records, personnel files and administration records to ensure Rehab Without Walls NeuroSolutions is meeting its standards. At this time, the committee also sets new goals and standards for each office.

In addition, when the surveyors are on-site at each location, they spend time speaking with everyone involved in the rehabilitation process. For example, they will interview one or more of the field staff and talk with the executive director, the director of clinical management, the marketing director and the area vice president. They will also talk with external sources, including physicians, a payer case manager, a referrer and several patients and their families. They will observe a treatment session and may sit in on a team conference.

There is only one way to prepare for a CARF survey: to build the CARF standards into everything you do. That, is why Rehab Without Walls NeuroSolutions continues to receive the highest CARF accreditations.