Private Organization Accreditation

Heartland for Children is the not-for-profit agency responsible for the foster care system in Polk, Highlands, and Hardee Counties.


ClearPoint Credit Counseling Solutions

Tim Spearin, Vice President, Quality Assurance

ClearPoint Credit Counseling Solutions has been accredited by the Council on Accreditation (COA) since 1996.  Reaccreditation attests that a member organization continues to meet the highest national operating standards as set by the COA.  It also provides assurance that ClearPoint Credit Counseling Solutions is performing services which the community needs, conducting its operations and funds successfully.
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Adults and children who receive integrated care experience improved health care quality, an improved client care experience, and improved clinical and non-clinical outcomes.

ICHH 1: Administrative Practices

The organization’s administrative practices support:

  1. program quality and the achievement of positive outcomes; and
  2. effective health care integration.
Rating Indicators
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.
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
  • For the most part, established timeframes are met; or
  • Proper documentation is the norm and any issues with individual staff members are being addressed through performance evaluations (HR 6.02) and training (TS 2.03); or
  • Active client participation occurs to a considerable extent.
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
  • Timeframes are often missed; 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.
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
    • Service Philosophy
    • Include program outcomes and outputs in the Narrative
    • A description of mechanisms for linking behavioral health and primary care services
    • Copies of informational materials provided to clients and other stakeholders
    • Interview:
      1. Program director 
      2. Relevant personnel 
      3. Persons served 
    • Review case records 
    • Observe health information technologies

  • ICHH 1.01

    The organization is guided by a service philosophy that:
    1. sets forth a logical approach for how program activities and interventions will meet the needs of persons served;
    2. guides the development and implementation of the program based on program goals and the best available evidence of service effectiveness; and
    3. establishes a holistic, person- or family-centered, resilience and recovery-focused approach to service delivery.

    Interpretation: A practice model, or similar tool, guides program development and implementation by linking the organization’s service philosophy and mission with the strategies, practices, and tools needed to integrate these into daily work.  A practice model can also help staff think systematically about how the program can make a measureable difference by drawing a clear connection between the service population’s needs, available resources, program activities and interventions, program outputs, and desired outcomes.

  • ICHH 1.02

    Tracking the impact of integrated services on client outcomes is incorporated into the organization-wide performance and quality improvement program and reflects applicable regulatory requirements.

    Interpretation: Recommended quality measures for integrated programs serving adults include, but are not limited to:

    1. body mass index;
    2. screening for clinical depression;
    3. hospital admissions and readmissions;
    4. emergency room visits;
    5. skilled nursing facility admissions;
    6. initiation and engagement of alcohol and other drug use treatment; 
    7. tobacco use;
    8. appointment attendance; and
    9. measures related to chronic medical conditions such as hypertension, diabetes, and asthma. 

    Recommended quality measures for integrated programs serving children include, but are not limited to: 

    1. body mass index;
    2. immunization status;
    3. well-child visits;
    4. school attendance;
    5. placement disruptions in child welfare;  
    6. juvenile justice recidivism; 
    7. residential placements;
    8. hospital admissions and readmissions;
    9. measures related to chronic conditions such as asthma, diabetes, and ADHD; and
    10. other clinical and functional outcomes found on standardized, child-oriented tools such as the Child and Adolescent Needs and Strengths (CANS).

  • ICHH 1.03

    The organization has developed clear mechanisms for linking behavioral health and primary care services through: 

    1. shared access to the person’s health information consistent with applicable privacy regulations; 
    2. documentation techniques that utilize common terms and concepts to facilitate clear and effective communication; and 
    3. systems for tracking referrals and needed follow-up.

  • FP
    ICHH 1.04

    Persons served are informed of: 

    1. how information will be shared both internally and externally among collaborating providers; 
    2. their right to refuse integrated services; and 
    3. what will happen if services are refused.

  • FP
    ICHH 1.05

    The organization clearly defines for its stakeholders: 

    1. the scope of services offered directly by the organization; and 
    2. the nature of the relationship that exists between providers when direct services are provided through contract or other agreement between separate legal entities.

  • ICHH 1.06

    The organization uses health information technologies to:

    1. link services; 
    2. organize, track, and analyze critical program information; and
    3. satisfy applicable reporting requirements.
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