One of the benchmarks an agency has to meet before its official onsite assessment is a comprehensive Pre-Assessment File Review. This review is performed by specially trained and experienced Accreditation managers called Compliance Officers. It is the job of the Compliance Officer to thoroughly review each assigned accreditation file for compliance issues, problem, and irregularities. The Compliance Officer is not a consultant. They are trained to call balls and strikes. They will prepare a comprehensive confidential report, deliverable only to the agency’s Chief Executive Officer and Accreditation Manager that will list standard by standard, bullet by bullet, if the files policy and proof minimally meet the intent of the applicable accreditation standard. Compliance Officers will, from time to time, note if a file is weak and may make a suggestion on how to strengthen it. However, this is the exception rather than the norm. A Pre-Assessment Review should be scheduled with the PAC no later than four (4) months prior to the official assessment’s off-site file delivery to assessors date. This will assure adequate time for the Pre-Assessment File Review to be conducted and provide enough time for the agency to review and analyze the report and decide which changes they want to make. The suggestions noted in the Pre-Assessment File Review are not binding on an agency.
When an agency receives their Pre-Assessment Reports from their Compliance Officers the Accreditation Manager and their team will assess what needs to be changed. If they have any questions or need further guidance the Compliance Officer team is always available for a conference call.
After your Pre-Assessment File Review you will need to have a Facility Inspection performed near your official assessment on-site visit date. To learn more about Facility Inspections and their role in the pre-assessment preparation phase click here.
To schedule a Pre-Assessment File Review click here.