Enhancing people’s lives
CARF® International is an independent, nonprofit accreditor of health and human services. Through accreditation, CARF assists service providers in demonstrating value by the quality of their services and meeting internationally-recognized organizational and program standards.
Accredited programs and services
Persons served annually
Countries, states, territories, and provinces on five continents recognize one or more of our areas of accreditation, and many mandate CARF accreditation exclusively.
Background information about the basis of our success.
CARF International is an independent, nonprofit accreditor of health and human services.
Founded in 1966 as the Commission on Accreditation of Rehabilitation Facilities. We use the acronym CARF when referring to our organization.
The mission of CARF is to promote the quality, value, and optimal outcomes of services through a consultative accreditation process and continuous improvement services that center on enhancing the lives of persons served.
Through responsiveness to a dynamic and diverse environment, CARF serves as a catalyst for providing access to services and improving the quality of life for persons served.
CARF believes all people have the right to be treated equitably with dignity, respect and inclusion; should have access to needed services that achieve optimum outcomes; and should be empowered to exercise informed choice.
CARF’s accreditation, research, continuous improvement services, and educational activities are conducted in accordance with these core values and with the utmost integrity.
In addition, CARF is committed to:
- The continuous improvement of both organizational management and service delivery.
- Diversity and cultural competence in all CARF activities and associations.
- Enhancing the involvement of persons served in all of CARF’s activities.
- Persons served being active participants in the development and application of standards of accreditation.
- Enhancing the meaning, value, and relevance of accreditation to persons served.
In support of CARF’s mission, vision, and core values, CARF’s purposes are:
- To develop and maintain current, field-driven standards that improve the value and responsiveness of the programs and services delivered to people in need of life enhancement services.
- To recognize organizations that achieve accreditation through a consultative peer-review process and demonstrate their commitment to the continuous improvement of their programs and services with a focus on the needs and outcomes of the persons served.
- To conduct accreditation research emphasizing outcomes measurement and management, and to provide information on common program strengths as well as areas needing improvement.
- To provide consultation, education, training, and publications that support organizations in achieving and maintaining accreditation of their programs and services.
- To provide information and education to persons served and other stakeholders on the value of accreditation.
- To seek input and to be responsive to persons served and other stakeholders.
- To provide continuous improvement services to improve the outcomes for organizations and the persons served and their community of influence.
CARF International was formed in 1966 by two national organizations — the Association of Rehabilitation Centers (ARC) and the National Association of Sheltered Workshops and Homebound Programs (NASWHP) — that had been developing standards for their respective memberships for about a decade. In September 1966, the two organizations agreed to merge their interests in setting standards and formed the Commission on Accreditation of Rehabilitation Facilities, now known as CARF International.
In the years since its formation, the organization has steadily grown in size and stature. The following are some of the significant highlights in our history:
The ARC and the NASWHP (which later merged into the National Association of Rehabilitation Facilities) incorporated the Commission on Accreditation of Rehabilitation Facilities in the state of Illinois as a nonprofit organization.
CARF accredited its first program in Canada.
The Council of State Administrators of Vocational Rehabilitation passed a resolution urging state agencies to work toward the goal of requiring all organizations providing rehabilitation services to be accredited by CARF. This was one of the key developments in the history of the Commission.
CARF published a new section of the standards manual for Rehabilitation Facilities, specifically identifying program evaluation standards. These standards became a springboard for extensive future activities by CARF in program evaluation.
Goodwill Industries of America moved to terminate its longstanding and exemplary efforts in standards setting and accreditation and recognized CARF as the accrediting organization for all Goodwill organizations.
CARF celebrated its first ten years of service and received a special congratulatory letter from President Ford in which he said, “The tenth anniversary of the Commission on Accreditation of Rehabilitation Facilities marks an important milestone for all Americans, and most particularly our disabled citizens. I welcome this opportunity to commend your leadership in this vital field.”
President Carter recognized CARF for its significant efforts to upgrade the delivery of rehabilitation services to the nation’s citizens with disabilities.
The Association of Trial Lawyers of America adopted a resolution urging state workers’ compensation agencies to require CARF accreditation for rehabilitation organizations serving workers with occupational disabilities.
President Reagan congratulated CARF on its fifteen years of service and leadership in improving services for citizens with disabilities and recognized CARF as a national example of the private sector meeting public needs.
Standards for two new program areas were published in the 1986 Standards Manual for Organizations Serving People With Disabilities. The new program areas were Respite Programs and Alcoholism and Drug Abuse Treatment Programs.
The 1988 Standards Manual for Organizations Serving People With Disabilities included new standards in the areas of Post-Acute Brain Injury Programs and Community Mental Health Programs. In addition, the Commission renewed its emphasis on standards for program evaluation systems that emphasize quality.
Letter from President Reagan congratulating CARF on 20 years of serving people with physical and developmental disabilities.
CARF celebrated 25 years of service with a two-day conference in Washington, D.C. President Bush sent a letter of congratulations on this special occasion.
Letter from President Bush congratulating CARF on 25th anniversary of helping open doors of opportunity for Americans with disabilities and focusing greater public attention on issues of special concern to Americans with disabilities.
CARF reorganized its staffing pattern to emphasize three fields: Vocational and Employment/Developmental Disabilities, Medical Rehabilitation, and Alcohol and Other Drugs/Mental Health. For the first time a National Leadership Panel for each field was convened to assist CARF to proactively plan for and address current issues and trends impacting the provision of services to people with disabilities.
CARF published a separate volume of its 1995 Standards Manual and Interpretive Guidelines for each of its divisions — Behavioral Health, Employment and Community Support, and Medical Rehabilitation.
New standards in the areas of Occupational Rehabilitation Programs and Comprehensive Pain Management Programs went into effect in the Medical Rehabilitation Division.
The CARF Board of Trustees approved CARF’s ongoing collaboration with the Professional Services Board of the American Speech-Language-Hearing Association.
CARF published the first edition of the Accreditation Sourcebook.
In the Medical Rehabilitation Division, standards for a new program area, Home- and Community-Based Rehabilitation Programs, went into effect, along with revised standards in the areas of Brain Injury Programs, both Comprehensive Inpatient and Community Integrative, and Spinal Cord Rehabilitation System of Care.
CARF accredited its first program on the European continent.
CARF signed a contract with the U.S. Department of Veterans Affairs to accredit all of its rehabilitation programs over a five-year period.
New standards in the areas of Health Enhancement Programs and Pediatric Family-Centered Rehabilitation Programs went into effect in the Medical Rehabilitation Division.
CARF was awarded a contract by the Department of Health and Human Services, Substance Abuse and Mental Health Services Administration (SAMHSA) for the development and implementation of Opioid Treatment Program accreditation.
All the standards were rewritten to be unidimensional, which represented a step in CARF’s initiative in implementing the Standards Conformance Rating System.
The Accreditation Principles and the Accreditation Criteria were removed as separate sections in the manuals and incorporated into the standards. An Accreditation Condition was added that required an organization to submit a Quality Improvement Plan (QIP) within 90 days following notice of accreditation. CARF ceased offering a Twelve-Month Abeyance to organizations that fell short of a One-Year Accreditation on their first survey.
The pilot project of the collaborative partnership between CARF and the Workers’ Compensation Board in Alberta began. The project addressed the quality and value of rehabilitation services that are delivered to injured workers in the province of Alberta.
CARF published standards manuals for Adult Day Services programs and also the Veterans Health Administration Comprehensive Blind Rehabilitation Services.
CARF began accrediting networks in Behavioral Health and Employment and Community Services fields through its Network Administration standards.
The practice of disclosing information to the public regarding an organization’s survey report, which previously applied only to organizations surveyed with the Medical Rehabilitation Standards Manual, was extended to organizations surveyed with the Behavioral Health Standards Manual and the Adult Day Services Standards Manual.
CARF published a standards manual for Assisted Living programs.
In the Employment and Community Services Division, standards for a new service area, Workforce Development Services, went into effect. Standards were published for One-Stop Career Centers.
CARF was recognized by the Substance Abuse and Mental Health Services Administration (SAMHSA)/Center for Substance Abuse Treatment (CSAT) as an approved accrediting organization for Opioid Treatment Programs.
CARF Canada was incorporated in Edmonton, Alberta.
CARF acquired the Continuing Care Accreditation Commission (CCAC). Founded in 1985, CCAC accredits aging services continuums, including continuing care retirement communities and other organizations. CCAC was founded by the American Association of Homes and Services for the Aging (AAHSA) in Washington, D.C.
The combination of two nonprofit accrediting organizations has created an independent resource that helps to identify high quality care providers — from children’s services to those for older adults.
The public information policy was extended to the Employment and Community Services unit and all others to which it did not already apply.
CARF published the Child and Youth Services Standards Manual from a compilation of existing standards already in use. Areas highlighted include Child- and Family-Centered Care, Transition Support Services, Early Childhood Development, Behavioral Consultation, Child/Youth Day Care, Support and Facilitation, Child/Youth Protection, Congregate and Group Home Care, and Legal Permanency.
CARF accredited its first program in South America.
CARF published the Aging Services Standards Manual with Survey Preparation Questions for providers with Continuing Care Retirement Communities, Aging Services Networks, Adult Day Services, Assisted Living, or Stroke Specialty Programs. New program standards were developed for this manual for Person-Centered Long-Term Care Community. Stroke Specialty Programs standards were also implemented for Medical Rehabilitation providers.
Standards for Dementia Care were published for application to this special population in many settings, including adult day services, assisted living residences, nursing homes, and continuing care retirement communities.
CARF celebrated its 40th anniversary of accreditation services in the human service field. City of Tucson Mayor Walkup presented a plaque to the company.
The Comprehensive Blind Rehabilitation Services Standards Manual was updated and republished as the Vision Rehabilitation Services Standards Manual with two programs, Comprehensive Blind Rehabilitation Services and Comprehensive Vision Rehabilitation Services.
CARF began accrediting suppliers of certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS). CARF’s entry into this accreditation area followed the Centers for Medicare & Medicaid Services’ (CMS) approval of CARF as a national deeming authority for DMEPOS suppliers.
uSPEQ® released the Consumer Experience Survey — a turnkey data collection and reporting system designed to assist organizations with performance improvement.
CARF launched its extranet Customer Connect (customerconnect.carf.org).
uSPEQ released the Employee Climate Survey — a data collection and reporting system designed to assist organizations with performance improvement.
Other 2007 milestones
The following sets of new standards were released:
- Amputation Specialty Programs.
- Autism Spectrum Disorders.
- Comprehensive Benefits Planning
- Crisis and Information Call Centers
- Employment Recovery Centers
- Integrated Behavioral Health/Primary Care
- Medication Monitoring and Management
- Mentor Services
- Self-Directed Community Supports and Services
CARF’s ASPIRE to Excellence® quality framework is introduced in all standards manuals. In this framework, CARF’s existing business practice standards were restructured to provide a logical, action-oriented approach to ensure that organizational purpose, planning, and activity result in the desired outcomes.
Many of the program-specific standards for Medical Rehabilitation were significantly revised and new standards were added to expand accreditation opportunities across the continuum of services and specialty programs.
CARF introduced the ability to submit a Survey Application online.
CARF accredited its first program in Oceania.
CARF accredited its first program in the Middle East.
CARF International accreditation was recognized by the Ontario Ministry of Health and Long-Term Care.
CARF Europe was incorporated in London, England, United Kingdom.
Other 2008 Milestones
In early 2008, uSPEQ underwent another round of data. Both qualitative and quantitative analyses were conducted to validate the psychometric properties of the Consumer Experience Survey questionnaire. As a result, the Tier 1 universal items on the survey were streamlined to 20 questions. The Tier 2 optional items were enriched for various service providers.
CARF’s Child and Youth Services customer service unit’s growth prompted hiring the unit’s first managing director.
URAC and CARF International announced a new survey tool for healthcare case management studies. Developed using uSPEQ, uSPEQ-CM is a confidential, anonymous, and scientifically tested reporting system that gathers participants’ experiences with their case management program.
CARF accredited its first program on the Asian continent.
CARF International accreditation was recognized by the Alberta Ministry of Health and Wellness.
CARF accredited its first programs on the African continent.
New standards for Home and Community Services went into effect in the Aging Services, Behavioral Health, CARF-CCAC, Child and Youth Services, Employment and Community Services, and Medical Rehabilitation accreditation areas. Home and Community Services standards were designed as a unique, broad, flexible framework and were published in multiple standards manuals.
CARF introduced Medically Complex Population Designation standards for Behavioral Health and Child and Youth Services accreditation areas. Child and Youth Services also introduced Adoption standards. The new sets of standards can be applied on surveys beginning July 2011.
CARF Canada opened an office space in Toronto, Ontario.
CARF International introduced standards for accreditation of Student Counseling, Independent Evaluation Services, and Supported Education. The new standards were published in the 2012 editions of the Behavioral Health, Medical Rehabilitation, and Employment and Community Services standards manuals, respectively. New standards for Case Management were also published in the 2012 editions of the Aging Services and CARF-CCAC standards manuals.
New standards for Health Home Services went into effect in the Behavioral Health accreditation area.
CARF introduced standards for Eating Disorder Treatment programs in the Behavioral Health accreditation area.
CARF introduced standards for Cancer Rehabilitation Specialty Program in the Medical Rehabilitation accreditation area. New standards for Peer Support Services were also published in the Behavioral Health, Child and Youth Services, Employment and Community Services, and Opioid Treatment Program standards manuals.
CARF Europe opened office space in London, England, United Kingdom.
CARF published the CARF Standards Manual Supplement for Networks and the CARF Standards Manual Supplement for Employment Services Centres in Canada.
The CARF–CCAC Standards Manual was renamed the Continuing Care Retirement Community Standards Manual.
CARF celebrated its 50th anniversary!
Letter from President Obama congratulating CARF on 50th anniversary.
CCAC entity and accreditation process fully integrated into CARF. CCAC name as an entity and the logo are no longer in use.
Board of Directors
Eleven elected members of the CARF Board of Directors approve policies regarding standards development and the accreditation process and fiscal matters governing the operation of CARF. The board’s composition reflects individuals whose expertise, experience, and perspectives are invaluable to CARF’s business interests and success:
- Board Chair: Donald J. Dew, MSW, ACSW, Chicago, Illinois
- Susanne M. Bruyère, PhD, CRC, Ithaca, New York
- Thomas J. Buckley, EdD, La Puente, California
- Richard Forkosh, Kirkwood, Missouri
- G. Thomas Heath, Salt Lake City, Utah
- Kayda Johnson, Naples, Florida
- Marvin Mashner, CPA, Maple Glen, Pennsylvania
- Paul Prem Nathenson, DNP, APRN, NP-C, ND, Oregon City, Oregon
- D. Sharon Osborne, Bainbridge Island, Washington
- Robert H. Short, Salt Lake City, Utah
- Herb Zaretsky, PhD, New York, New York
CARF Canada and CARF Europe are governed by their respective boards
Board Chair: Brian J. Boon, PhD, Tucson, Arizona
Brian J. Boon, PhD, president/CEO, joined CARF in 2001 after serving as an at-large trustee on the CARF Board of Trustees between 1998 and 2000. Prior to joining CARF, he was a CARF surveyor for six years and participated in many CARF advisory committees and leadership panels dating back to 1990. Brian holds a doctorate in counseling psychology from the University of Alberta and was formerly a practicing/registered psychologist. He also held many progressive leadership positions with the Alberta Workers’ Compensation Board, culminating as the vice president of claims and healthcare services. Brian’s broad professional experiences as a payer, provider, and regulator have contributed to his “systems solution” leadership approach—an orientation well suited in his role at CARF in working with the many key stakeholders to advance quality for persons served in the global health and human service industry.
Terrence Carolan, MSPT, MBA, managing director of the Medical Rehabilitation and Aging Services accreditation areas, has more than 20 years of experience as a provider, administrator, and educator in the human services field. Prior to joining CARF in 2021, he worked in clinical and administrative leadership positions within Select Medical and Kessler Institute for Rehabilitation. Terrence was a CARF surveyor for 10 years. He holds a master’s degree in business administration at the University of Wisconsin-Eau Claire, a master-of-science degree in physical therapy from Simmons University in Boston, and did his undergraduate work in biology at The College of New Jersey.
Chasity Chamberlin, managing director of the Employment and Community Services accreditation area, brings 20 years of experience to her role having worked as a provider, administrator, and executive director for residential, employment, and community integration organizations. She served on a county board and oversaw funding for individuals receiving services. She was also a CARF surveyor for seven years.
Michael J. Connolly, DO, chief medical officer, provides medical leadership across CARF’s accreditation areas, including behavioral health and substance use treatment, medical rehabilitation, and aging services. An awarded clinician with more than 30 years’ experience in health and human services, Michael has a long history of developing and improving patient care models, and optimizing clinical and financial outcomes in value-based care models. Michael received his doctorate in Osteopathic Medicine from the New York College of Osteopathic Medicine in Old Westbury, New York, and completed his residency in Internal Medicine at Yale University and a Geriatric Medicine fellowship at Stony Brook University.
Jodi M. Dedrick, SPHR, SHRM-SCP, GTML, CDP, chief human resources officer, leads the organization’s human resources, learning and development, and accreditation education functions. Prior to joining CARF in 2011, Jodi served in various corporate leadership and field operations roles with the world’s largest private sector employer. Jodi is a certified human resources professional with specialty credentials in global talent management, diversity and inclusion, and risk management and holds a master’s degree in human resources management. She currently serves on the board of directors for a state-level association of equal employment opportunity, affirmative action, and diversity practitioners.
Leslie Ellis-Lang, MSEd, LMFT, managing director of the Child and Youth Services accreditation area, joined CARF in 2009. Leslie’s career spans more than 35 years in the behavioral health field with an emphasis on services for children, youth, young adults, and families. Prior to joining CARF, she served as the clinical director for behavioral health and child welfare services and the quality improvement leader for a state-wide organization in Florida. Leslie is a licensed marriage and family therapist and holds a master of science degree in counselor education from Northern Illinois University.
Penny Gagnon, MA, chief advisor, accreditation standards, CARF Canada, has more than 20 years of executive leadership experience specializing in nonprofit, and health and human services organizations, and expertise in the development of person- and family-centered practices and quality frameworks for organizations across Canada. Penny’s depth of experience in operationalizing administrative and care standards within organizations continues with CARF as she is involved in a wide array of international standards-development processes and committees representing Canadian interests, trends, and legislation. She is highly motivated in collaborating with others to create systems that promote a stronger vision for and commitment to the quality of services in enhancing the lives of persons served.
Emily Hosea, MEd, NCC, managing director of the Behavioral Health and Opioid Treatment Programs accreditation areas, joined CARF in 2012. Other positions held at CARF were the administrator for opioid treatment programs, and a senior resource specialist in the behavioral health, child and youth services, and opioid treatment programs customer service units. Prior to CARF, Emily’s career was in direct service and utilization management in a variety of settings that focused on substance use disorders, mental health, crisis intervention, and education. She holds a master’s degree in education from Northern Arizona University and undergraduate degrees in psychology and sociology from the University of Arizona.
Cindy L. Johnson, CPA, chief resource officer since 2006, provides executive leadership over finance, information technology, research and quality improvement, publications and communications, human resources, and education and training functions. Cindy joined CARF in 1999 as director of finance and administration after several years of financial and leadership experience in the aerospace and mining industries.
Michael W. Johnson, MA, CAP, senior managing director of the Behavioral Health accreditation area, joined CARF in 2013. Michael is a certified addictions professional and has more than 30 years of experience as a clinician, manager, and executive working in mental health, substance abuse, and intellectual disabilities. He was a CARF surveyor for 16 years. Michael holds a bachelor’s degree in interpersonal communications and a master’s degree in communications, both from the University of Central Florida.
Shanna Lawson, MPA, account manager, is directly responsible for account services operations across all customer service units. Before joining CARF in 2008, Shanna’s professional experience spanned quality improvement management in health and human services, accreditation readiness, and direct service provision. She earned a master’s degree in public administration from Upper Iowa University.
Darren M. Lehrfeld, JD, chief accreditation officer and general counsel, provides direct executive leadership over all accreditation operations, legal affairs, public policy and compliance matters. Prior to joining CARF in 2003, Darren was the sole shareholder of a professional corporation that provided business and legal counsel to CARF and other international, national, regional, and local organizations in healthcare and other industries. He earned his juris doctor and business administration degree from the University of Arizona and is an active member of the State Bar of Arizona and Pima County Bar Association.
Julia Meashey, MA, senior business development specialist of the Aging Services accreditation area, joined CARF in 2015. She has experience working in aging services advocacy, program management and grant administration focused on ensuring quality health care for older adults and their families. Prior to CARF, she served as director of operations for the Hartford Change AGEnts Initiative and managed the National Center on Gerontological Social Work Excellence. Julia began her career as a local long-term care ombudsman in North Carolina before moving to Washington, D.C. to work for the National Ombudsman Resource Center. She has a master of arts in gerontology from Appalachian State University, and bachelor of science in psychology from Guilford College.
Di Shen, PhD, chief research and quality improvement officer, spearheads accreditation research and quality improvement efforts, performance indicator and outcomes management, and has oversight responsibility for internal performance improvement systems and research data infrastructure for CARF since 1997. He oversees the uSPEQ stakeholder feedback surveys, including instrument design, development, benchmark analysis, and comparison. Dr. Shen has published and presented at numerous national and international conferences and workshops in his areas of expertise. He has served on several U.S. and Canadian national committees on measurement methodology and performance indicators. His doctoral degree in psychology is from the University of Arizona.
The International Advisory Council (IAC) creates a partnership for CARF and IAC members to promote quality in human services and enhance the lives of persons served. The IAC is a forum for its members to provide guidance and input into standards development and the accreditation process and also provide insight on issues affecting the fields in which CARF provides accreditation services. The IAC represents a broad spectrum of stakeholders, including persons served, providers, and professionals, in the health and human services field. IAC members support CARF’s mission, purposes, values, and vision. The IAC liaison may be contacted at firstname.lastname@example.org.
CARF is pleased to include the following organizations as members of IAC:
- Academy of Spinal Cord Injury Professionals
- American Academy of Neurology Institute
- American Academy of Orthopaedic Surgeons
- American Academy of Pain Medicine
- American Academy of Physical Medicine and Rehabilitation
- American Congress of Rehabilitation Medicine
- American Hospital Association
- American Kinesiotherapy Association, Inc.
- American Medical Rehabilitation Providers Association
- American Music Therapy Association, Inc.
- American Network of Community Options and Resources
- American Occupational Therapy Association, Inc.
- American Physical Therapy Association
- American Psychiatric Association
- American Psychological Association
- American Seniors Housing Association
- American Speech-Language-Hearing Association
- American Therapeutic Recreation Association
- Association of Children’s Residential Centers
- Association of Rehabilitation Nurses
- Best Buddies International
- Brain Injury Association of America, Inc.
- Case Management Society of America
- Child Welfare League of America
- Children’s Home Society of America
- Department of Veterans Affairs
- Easter Seals, Inc.
- Family Focused Treatment Association
- Goodwill Industries International, Inc.
- International Society of Physical and Rehabilitation Medicine
- Mental Health Corporations of America, Inc.
- National Adult Day Services Association
- National Association for Children’s Behavioral Health
- National Association of Social Workers
- National Association of Therapeutic Schools and Programs
- National Council for Mental Wellbeing
- National Organization of State Associations for Children
- Network of Jewish Human Service Agencies
- Paralyzed Veterans of America
- Psychiatric Rehabilitation Association
- United Cerebral Palsy
- United Spinal Association
- Youth M.O.V.E. National
Choosing a retirement community to live in requires a thorough review of the many options available. Key to this decision is an analysis of its long-term viability. CARF’s Financial Advisory Panel conducts ongoing analyses within the industry and publishes resources that can be used by provider organizations and consumers alike.
The Financial Advisory Panel (FAP) comprises leading finance experts, including CFOs and consumers from accredited organizations, investment banking, accounting, and other related firms.
2024 Financial Advisory Panel Members:
- A.V. Powell & Associates, LLC – Alwyn V. Powell, Founder & CEO
- Baker Tilly US, LLP – Patrick Heavens, Partner.
- Baptist Senior Family – Tim Myers, President & CEO
- Eventus Strategic Partners – Alan Wells, President
- Frasier – John Jenkins, Person Served/Resident
- Herbert J. Sims & Co., Inc. – Jim Bodine, Executive Vice President
- Moorings Park – Mary Morton, CFO
- Presbyterian SeniorCare Network – Todd Boslau, Senior Vice President & CFO
- RKL, LLP – Jeffrey Boland, Partner, Senior Living Services Consulting Group
- St. Catherine’s Village – Scott Kersh, CFO
- Ziegler – Thomas Meyers, Senior Managing Director, Senior Living Finance
The FAP provides input on development of financial standards and strategic educational resources, including:
- Developing operational indicators.
- Enhancing financial standards for all areas of Aging Services within CARF’s purview.
- Reviewing aggregate data to identify financial trends and issues in the field.
The FAP produces two publications, the Financial Ratios & Trend Analysis of CARF-accredited Continuing Care Retirement Communities (produced annually and distributed in the fall) and the Consumer Guide to Life Plan Communities: Quality and Financial Viability, which are highly acclaimed resources for service providers and consumers, respectively.
Financial Ratios & Trend Analysis of CARF-accredited Continuing Care Retirement Communities — This publication includes information about the financial position of organizations that have been through CARF’s accreditation process for CCRCs. A valuable benchmarking resource, the information serves as a point of reference for developing internal targets of financial performance. This publication is offered for purchase through CARF’s Online Store.
Consumer Guide to Life Plan Communities: Quality and Financial Viability — Given the long-term commitment involved in choosing an LPC or CCRC, this objective resource booklet reviews important criteria for consideration. It describes and compares various fee structures and contract types for CCRCs. It is a collaborative effort of CARF’s FAP, provider organizations, and involved residents. This guide may be downloaded for free (PDF).
Giving Quality a Voice
uSPEQ® (pronounced “you speak”) stands for Universal Stakeholder Participation and Experience Questionnaire. It supports continuous improvement in health and human services by gathering focused feedback. uSPEQ surveys were developed by experts with input from providers and researchers to collect data in a standardized way regarding consumer experience and employee climate.
An organization needs data to measure its performance and demonstrate the effectiveness of its services. CARF’s ASPIRE to Excellence® standards for performance measurement, management, and improvement require ongoing assessment of stakeholder satisfaction. uSPEQ provides a tool that is statistically proven to be reliable.
uSPEQ data is kept separate from the accreditation activities of CARF and using uSPEQ surveys alone will not satisfy all requirements of the CARF standards. You must demonstrate how you collect data on an ongoing basis as well as how you analyze and use the information to create action plans.
uSPEQ surveys yield clear, reliable, and measurable information that empowers you to:
- Prioritize areas for improvement to develop targeted action plans.
- Monitor effectiveness of your action plans and year-over-year progress.
- Utilize benchmarks to compare yourself to organizations just like yours.
Visit www.uspeq.org for more information.
Since 1966, the CARF seal has been the hallmark of quality in human services. CARF’s reputation for advancing excellence in the industry is founded on its unique consultative peer-review survey model, conformance focus, and evolving field-driven standards.
Areas that we accredit: aging services, behavioral health, child and youth services, continuing care retirement communities, employment and community services, medical rehabilitation, opioid treatment programs, and vision rehabilitation services.
There are CARF-accredited programs/services in countries in North and South America, Europe, Asia, and Oceania.
Persons served, as defined below, shall be the moral owners of CARF.
Persons served are the primary consumers of services. They are the principal decision maker throughout the course of a program/service. Persons served have the right to choose whether members of the family, support system, or advocates may participate in that decision-making process. In circumstances when the person served is unable to exercise self-representation at any point in the decision-making process, person served is interpreted to also encompass those persons legally authorized to make decisions on behalf of the person served.
Nonprofit, independent organization.
Accreditation. CARF officially recognizes health and human service providers as having met standards for quality of service.
Education, research, publishing.
More than 1,500 in North and South America, Europe, the Middle East, and Asia.
Survey fees from applicant service providers, registration fees from seminars and conferences, sales of publications, contributions from International Advisory Council (IAC) members, and grants from public and private agencies.
Introduction to CARF Accreditation
This module provides an overview of the peer-review model, the value and benefits of accreditation, the standards development process, an introduction to the quality framework, areas we accredit, preparing for a survey, and the survey process.