WHO IS ACCREDITED?

Private Organization Accreditation

HeartShare assist individuals with developmental disabilities through education, day, residential and recreation programs, case management, and health services, and provides foster care/adoption services, counseling, after school and energy assistance programs, and programs for people with HIV/AIDS.
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ORGANIZATION TESTIMONIAL

Catholic Charities, Diocese of Covington

Wm. R. (Bill) Jones, ACSW, MDiv, Chief Executive Officer

Catholic Charities in Covington has been COA accredited since 1996. Though the time spent in completing the self study and hosting the site visit can sometimes feel sometimes daunting, the rewards far outweigh the effort. In our agency, the self-study is a group process that involves every member of the staff from the CEO to the building maintenance staff.
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Purpose

The agency earns and sustains the public trust through honest, truthful, and responsible transactions, partnerships, and relationships with individuals, communities, providers, businesses, donors, and government entities.

FOC
PA-ETH 5: Professional Conduct

The agency conducts business and delivers services in an honest, ethical, objective manner and is guided in making decisions by professional responsibility as opposed to personal interests.

Note: Please see Conflict of Interest Policy and Procedure Template - Private, Public, Canadian, Network for additional assistance with this standard.

Rating Indicators
1
Full Implementation, Outstanding Performance
A rating of (1) indicates that the agency's practices fully meet the standard and reflect a high level of capacity.  
  • All elements or requirements outlined in the standard are evident in practice, with rare or no exceptions: exceptions do not impact service quality or agency performance. 
2
Substantial Implementation, Good Performance
A rating of (2) indicates that an agency's infrastructure and practices are basically sound but there is room for improvement.
  • The majority of the standards requirements have been met and the basic framework required by the standard has been implemented. 
  • Minor inconsistencies and not yet fully developed practices are noted; however, these do not significantly impact service quality or agency performance.
3
Partial Implementation, Concerning Performance
  • A rating of (3) indicates that the agency's observed infrastructure and/or practices require significant improvement.  
  • The agency has not implemented the basic framework of the standard but instead has in place only part of this framework.  
  • Omissions or exceptions to the practices outlined in the standard occur regularly, or practices are implemented in a cursory or haphazard manner.  
  • Service quality or agency functioning may be compromised.  
  • Capacity is at a basic level.
4
Unsatisfactory Implementation or Performance
  • A rating of (4) indicates that implementation of the standard is minimal or there is no evidence of implementation at all.  
  • The agency’s observed administration and management infrastructure and practices are weak or non-existent; or show signs of neglect, stagnation, or deterioration.
Please see Rating Guidance for additional rating examples. 

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity
    • Written statement provided to persons served that clarifies the relationship between the private practitioner and the agency
    • Policy regarding ethical referral practices (PA-ETH 5.02)
    • Policy prohibiting preferential treatment
    State Administered Agency (Regional Office)
    • Documentation of policy communication with staff (e.g. memos, staff meeting minutes, training documents)
    County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity
    • Review service-related referral procedures
    • Network client files to review reasons for referrals to particular providers
    • Network Management Manual
    • Network utilization
    • Data regarding referral and utilization patterns
    State Administered Agency (Regional Office)
    • No On-site Evidence
    County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity
    • Interview:
      1. Agency head
      2. Personnel at all levels
      3. Persons served/community stakeholders
    • Network interview:
      1. Management Entity head
      2. Network Advisory/Governing Body
      3. Directors of agencies that contract with the managing entity
      4. Network personnel involved in assessments and referral
    State Administered Agency (Regional Office)
    • Interview:
      1. Agency leadership
      2. Personnel at all levels
      3. Persons served/community stakeholders

  • PA-ETH 5.01

    Personnel know and follow the code of ethics of their respective professions, and of the agency, as applicable. 


  • PA-ETH 5.02

    The agency prohibits:

    1. making or accepting payment or other consideration in exchange for referrals;
    2. steering, directing referrals to, or giving preference to clients easier or less costly to serve for specific agencies and practitioners within the agency;
    3. unfairly steering or directing referrals to, or "creaming" clients for specific network service provider agencies, such as network owners, or individual practitioners within the network, as applicable to networks; and
    4. steering or directing referrals to private practices in which personnel, consultants, or the immediate families of personnel and consultants are engaged.

    Interpretation: It is permissible to include on referral lists personnel and consultants with private practices, or family members of personnel and consultants, but the agency may not actively direct service recipients to the practices of these individuals.

    Note: Element (c) only applies to network management entities.


  • PA-ETH 5.03

    The agency prohibits preferential treatment of members, community partners, advisory groups, personnel, or consultants in applying for and receiving the agency’s services.


  • PA-ETH 5.04

    An agency requires practitioners with a private practice on its premises to provide their clients with a written statement that clarifies the relationship between the private practitioner and the agency.

    Interpretation: As an example, the statement would make it known if a practitioner is also an employee of the agency, and clearly indicate that the client is not being served by the agency.

    NA Private practice is not permitted on the agency’s premises.

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