WHO IS ACCREDITED?

Private Organization Accreditation

Stillwater-based FamilyMeans provides services in budget and credit counseling, mental health, collaborative divorce, caregiver support, youth programming, and an employee assistance program. 
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ORGANIZATION TESTIMONIAL

Family Services of the North Shore

Kathleen Whyte, Manager of Human Resources / Accreditation Coordinator

Family Services of the North Shore is about to enter our third accreditation cycle with COA. Accreditation has provided us with a framework that enables us to demonstrate accountability to our clients, our funders and our donors. There is no question that the accreditation process and COA have benefited our agency.
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Purpose

Proactive, comprehensive, and systematic risk management practices reduce the agency’s risk, loss, and liability exposure.

FOC
PA-RPM 3: Child Fatality and Near Fatality Review

The agency is accountable to the public and manages risk associated with child maltreatment and fatalities.

NA The agency does not provide child and family services.

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
    • Procedures for participation on and coordination with child fatality/near fatality review team
    • Reports for the previous year from:
      1. Child fatality/near fatality review team (PA-RPM 3.01) 
      2. Administrative reviews following child fatalities/near fatalities (PA-RPM 3.03)
    • Public Disclosure law/policy regarding child fatalities and near fatalities (PA-RPM 3.01)
    • Examples of improvement/prevention activities related to any child fatalities or near fatalities in the current long-term planning period (PA-RPM 3.02)
    State Administered Agency (Regional Office)
    • Procedures for participation on and coordination with the local child fatality/near fatality review team, as applicable (PA-RPM 3.01) 
    • Examples of regional improvement/prevention activities related to any child fatalities or near fatalities in the current long-term planning period (PA-RPM 3.02)
    All Agencies
    • Child fatality/near fatality review team meeting minutes
    County/Municipality Administered Agency, State Administered Agency (Central Office), or other Public Entity
    • Interview: 
      1. Agency head
      2. In-house counsel
      3. Risk management personnel
    State Administered Agency (Regional Office)
    • Interview: 
      1. Regional Director
      2. Agency leadership

  • FP
    PA-RPM 3.01

    The agency increases accountability to the public, promotes safety, and manages risk by:

    1. aggregating information on fatalities and near fatalities from multiple data sources;
    2. actively participating on a multi-disciplinary child fatality and near fatality review team;
    3. participating in investigations of child fatalities and near fatalities, as appropriate, including assessing the safety of surviving children in the home; and
    4. ensuring adherence to the public disclosure policy, which reflects federal statute.


  • FP
    PA-RPM 3.02

    The agency incorporates recommendations from the child fatality and near fatality review team into its risk prevention, quality improvement, and long-term planning activities by:

    1. developing a customized improvement plan to implement recommendations;
    2. tracking progress toward plan implementation; and
    3. monitoring and periodically reporting back to the review team on the status of planned improvements.


  • FP
    PA-RPM 3.03

    The agency conducts internal administrative reviews following a fatality or near fatality of any child known to the agency to:

    1. assess the agency’s internal operations including adherence to policies and procedures; and 
    2. identify and respond to the social and emotional support needs of staff. 

    Interpretation: Conducting administrative reviews of fatalities or near fatalities of “any child known to the agency” means an open case is not required in order to pursue an internal investigation.   Agencies should follow state definitions regarding what it means to be “known to the agency” (e.g. how long ago contact last was made, the type of contact).  

    Interpretation: The agency should also conduct aggregate reviews of child fatalities or near fatalities to identify trends or patterns of concern as part of the quarterly review process in PA-RPM 2.03.
        
    Interpretation:
    See PA-RPM 2.04 for additional incident review requirements, including requirements for corrective action.

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