WHO IS ACCREDITED?

Private Organization Accreditation

Debt Education and Certification Foundation (DECAF), a private non-profit 501(c)(3) organization, provides high-quality financial education and counseling, with nationwide outreach throughout the U.S. DECAF is HUD-approved, and recognized as one of the 100 Best Companies to Work for in Texas.
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VOLUNTEER TESTIMONIAL

Audrey Coleman, RN-MSN

Volunteer Roles: Military Reviewer; Peer Reviewer; Team Leader

My first experience with COA was in 1999 with what was a NC Area Program. I started as a peer reviewer in 2005, doing two to four site visits a year. I am also a team leader and have recently been approved to be a military reviewer.
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Purpose

Individuals who receive Home Care and Support Services obtain a maximum level of independence, functioning, and health, and extend the time it is possible to live safely at home and in the community.

CA-HCS 7: Case Closing

Case closing is a planned, orderly process.

Rating Indicators
1
All elements or requirements outlined in the standard are evident in practice, as indicated by full implementation of the practices outlined in the Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the Practice standards; e.g.,   
  • Minor inconsistencies and not yet fully developed practices are noted, however, these do not significantly impact service quality; or
  • Procedures need strengthening; or
  • With few exceptions procedures are understood by staff and are being used; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (CA-HR 6.02) and training (CA-TS 2.03); or
  • In a few instances the organization terminated services inappropriately; or
  • Active client participation occurs to a considerable extent; or
  • A formal case closing summary and assessment is not consistently provided to the public authority per the requirements of the standard.
3
Practice requires significant improvement, as noted in the ratings for the Practice standards. Service quality or program functioning may be compromised; e.g.,
  • Procedures and/or case record documentation need significant strengthening; or
  • Procedures are not well-understood or used appropriately; or
  • Services are routinely terminated inappropriately; or
  • A formal case closing summary and assessment is seldom provided to the public authority per the requirements of the standard.; or
  • A number of client records are missing important information; or
  • Client participation is inconsistent; or
  • One of the Fundamental Practice Standards received a rating of 3 or 4.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the Practice standards; e.g.,
  • No written procedures, or procedures are clearly inadequate or not being used; or
  • Documentation is routinely incomplete and/or missing; or  
  • Two or more Fundamental Practice Standards received a rating of 3 or 4.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Case closing procedures
    • Procedures that address continuation of services for persons whose third party benefits have ended
    • Interview:
      1. Program director
      2. Relevant personnel
      3. Individuals or caregivers served
    • Review case records

  • CA-HCS 7.01

    Case closing is a clearly defined process that includes assignment of staff responsibility and involves the care provider, family members, and others, as appropriate.


  • CA-HCS 7.02

    Upon case closing, the organization notifies any collaborating service providers, including the courts, as appropriate.


  • CA-HCS 7.03

    When a person’s third-party benefits or payments end, the organization determines its responsibility to provide services until appropriate arrangements are made and, if service ends due to non-payment, the organization works with the person or family to identify other options.

    Interpretation: The organization must determine on a case-by-case basis its responsibility to continue providing services to families whose third-party benefits have ended and who are in critical situations.

    NA The organization does not receive third-party benefits or payments for service.


  • CA-HCS 7.04

    When services end involuntarily the organization makes every effort to ensure that individuals are linked with appropriate services.


  • CA-HCS 7.05

    When the organization has a contract with a public authority that does not include aftercare planning or follow-up, the organization:

    1. conducts a formal final evaluation and assessment of unmet needs; and
    2. informs the public entity of the findings, in writing, as appropriate to the contract and with the permission of the family.

    NA The organization has a mission and mandate that dictate the provision of early stage services, only or does not have a relevant contract with a public authority.

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