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

Brewer-Porch Children's Center

James W. Thompson, Executive Director

The COA standards as applied to the operations at Brewer-Porch Children’s Center at The University of Alabama has given the administration an opportunity to examine best practice and improve the quality of care provided to clients.
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Purpose

Comprehensive, systematic, and effective risk prevention and management practices reduce the organization’s risk, loss, and liability exposure.

RPM 4: Insurance Protection

The organization is adequately insured.

Rating Indicators
1
The organization's practices fully meet the standard, as indicated by full implementation of the practices outlined in the RPM 4 Practice standards.
2
Practices are basically sound but there is room for improvement, as noted in the ratings for the RPM 4 Practice standards.
3
Practice requires significant improvement, as noted in the ratings for the RPM 4 Practice standards; and/or 
  • RPM 4.01 received a 3 or 4 rating.
4
Implementation of the standard is minimal or there is no evidence of implementation at all, as noted in the ratings for the RPM 4 Practice standards.

Table of Evidence

Self-Study Evidence On-Site Evidence On-Site Activities
    • Written notification to staff describing insurance coverage including the extent and limits of such coverage
    • Network procedures for identifying and verifying provider insurance
    • Network copy of written communication to providers regarding required insurance
    • Current insurance policies, with descriptions, amounts and dates of coverage
    • Minutes of meetings related to the organization’s annual review and approval of insurance coverage
    • Network documentation of insurance verification
    • Interview:
      1. Governing Body members
      2. CEO/CFO
      3. Personnel at all levels
    • Network Interview:
      1. Provider Governing Body members

  • FP
    RPM 4.01

    The organization annually assesses insurance needs, and obtains coverage that is commensurate with the scope and complexity of its services.

    Interpretation: Relevant types of insurance can include:

    1. general liability;
    2. workers’ compensation;
    3. disability;
    4. fire and theft;
    5. medical;
    6. indemnification;
    7. professional liability;
    8. officer’s or director’s liability;
    9. automobile liability;
    10. property and casualty;
    11. malpractice;
    12. cybersecurity of cyberliability; and
    13. bonding or other forms of employee theft insurance, as appropriate, for all staff and governing body members who sign checks, handle cash or contributions, or manage funds.
    Interpretation: Organizations should consult insurance professionals or experienced legal counsel to ensure appropriate coverages are in place. 

    For example, general liability insurances vary with regard to whether data breaches or similar incidents are covered by the policy. Furthermore, business associate and IT vendor agreements may not provide the level of coverage necessary for the organization to be in compliance with the Health Insurance Portability and Accountability Act (HIPAA) and other legal and regulatory provisions. 

     
    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.

    The organization obtains professional consultation about appropriate coverage.
    2
    Practices are basically sound but there is room for improvement; e.g., 
    • Insurance needs are reviewed annually;  however coverage may be insufficient in some areas.
    3
    Practice requires significant improvement; e.g.,
    • Insurance coverage is clearly inadequate in one area.
    4
    Insurance coverage in two or more key areas is inadequate.

  • RPM 4.02

    The organization:

    1. provides written notification to the governing body and personnel of the amount and type of insurance coverage related to the scope of their activities performed on the organization’s behalf; and
    2. advises the governing body and personnel of the extent and limits of liability coverage.

    Interpretation: All personnel and governing body members must receive this information at the initiation of their association with the organization and when any changes to the level and/or type of insurance coverage occur.

    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.
    2
    Practices are basically sound but there is room for improvement; e.g., 
    • The organization generally provides a written description but on occasion the disclosure is verbal and informal.
    3
    Practice requires significant improvement; e.g.,
    • Provides information only upon request or provides partial disclosure.
    4
    Implementation of the standard is minimal or there is no evidence of implementation at all.

  • RPM 4.03

    The network identifies and specifies the level and type of insurance required by its providers, and annually verifies that provider coverage is current.

    NA The organization is not a network management entity.

    Rating Indicators
    1
    The organization's practices reflect full implementation of the standard.
    2
    Practices are basically sound but there is room for improvement; e.g.
    • Procedures for identifying/specifying level and type of insurance or for annually verifying coverage need strengthening.
    3
    Practice requires significant improvement; e.g.,
    • Annual verification not documented for all providers; or
    • Some providers did not meet insurance requirements yet continue to provide network services.
    4
    Implementation of the standard is minimal or there is no evidence of implementation at all.
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