1. The Commission has established a standard procedure for accreditation review and monitoring ongoing compliance with ACPE standards:

1.1 Annual Center Report: a primary mechanism for monitoring ongoing compliance.
1.2 Five Year Review: documentation of compliance review.
1.3 Ten Year Review: self-study, documentation of compliance and site visit review.
1.4 Called Review: site visit and review required by the Accreditation Commission.
1.5 Ongoing Reporting: Accredited centers also are responsible for submitting forms, reports, and fees in a timely manner.

1.5.1 Student Unit Reports: due to ACPE within 45 days of the end of each unit. Reports are filed electronically only through the members-only section of the ACPE website. If unit reports are not registered with ACPE within 45 days following the end of each unit of CPE Level I/Level II and Certified Educator CPE, the Center receives a notation for Standard 300.1.
1.5.2 Changes in Centers and Programs (Appendix 2): submit to ACPE Accreditation for changes in center, program, and supervisor.
1.5.3 Annual Accreditation Fee
1.5.4 Student Units Assessment Fees

1.6 Additional requirements

1.6.1 Standard 305.5 a peer group of at least three CPE Level I/Level II students engaged in small group process and committed to fulfilling the requirements of the educational program. The intent is that there are no fewer than three CPE students enrolled in a unit of CPE Level I/Level II. If the number falls below three after a unit begins, the supervisor is responsible to ensure that the remaining CPE students are assured access to all program components, including a peer group. The supervisor must consult with and receive approval from the regional accreditation chair to determine how this is addressed and document it in the center’s next ACPE annual report.
1.6.2 Standard 308.11 When there is geographic distance between the CPE supervisor and students, electronic presence, i.e., video conferencing, is allowed as an alternative to physical presence.

To use video conferencing as an alternative modality for students, a center must have:

  • a written agreement (Standard 302.3) that specifies the supervisor will conduct site visit(s) or use other means to verify the clinical placement site complies with ACPE Standards and the frequency for such visits or measures.
  • a plan to ensure access to technology and orientation to use of the technology for students and the CPE supervisor. Educational seminars interrupted by technological problems may not be counted toward the 100-hour requirement for a unit of CPE.
  • a process for evaluating the effectiveness of utilizing video conferencing in addressing outcomes and student learning goals.
  • on site preceptor(s) (Definition of Terms) to communicate with the student’s supervisor about the student(s)’ work. The supervisor must communicate with the student(s)’ preceptor(s) throughout the unit about the student(s) clinical work, work habits and investment in the CPE process.
  • all individual and group supervision must be done through synchronous learning methods, i.e. video conference. Asynchronous formats, such as discussion forums or other online methods may be used for didactic or reading seminars.

2. The Commission works closely with the Regional Accreditation Committees in each region. The Commission meets every spring and fall face-to-face and by teleconference, as needed to discuss accreditation issues and vote on recommendations by the regional accreditation committees and Commission reviewers.

Some components of the review cycle are completed through regional accreditation and some at the Commission level.

2.1 At the Commission level, the Accreditation Commission Chair

2.1.1 assigns National Site Team Chairs for Ten Year Reviews due nationally each year to:

Conduct and lead Site Visit Reviews (Ten Year, Candidacy, etc.) in collaboration with regional reviewers.
Complete and submit Site Team Report Part I and Part II to the Commission Chair and Commission reviewer.

2.1.2 receives from NSTC at the completion of each Ten Year Review: Site Team Report I, Center Response, Site Team Report Part II with recommendations.
2.1.3 assigns a Commission Reviewer for:

Ten Year Reviews
Pre-accredited Center,
Pre-accredited to Accredited Center,
Addition of Satellite Program,
Satellite Program to Accredited Center,
center response to notations,
Called Review, and
Addition of Certified Educator CPE
additional processes that require a commission reviewer.

2.1.4. receives reports from Area Accreditation Chairs on all accreditation issues that require Commission vote.
2.1.5. consults as needed with Area Chairs and NSTC.
2.1.6. receives student and/or other agencies’ Educational Complaint against a center.

2.2. At the Area Accreditation Committee level, the Area Accreditation Committee Chair:

2.2.1. receives all Annual Center Reports by January 15 annually.
2.2.2. identifies all Five and Ten Year Reviews due each year in the region.
2.2.3. assigns regional reviewers for all Five Year Reviews by March 1st.
2.2.4. assigns regional reviewers to join the NSTC in forming the Site Team for Ten Year Reviews which are due each year.
2.2.5. sets the date for Ten Year site visit reviews in collaboration with center, NSTC, and regional site team members.
2.2.6. submits to the Commission a report of actions on Annual Center Reports (Spring Meeting) and Five Year Reviews (Fall Meeting) for a vote by the Commission.

2.3. At the Center level, the ACPE Certified Educator:

2.3.1. monitors ongoing Center’s accreditation issues and needs, and is familiar with current Standards and the Accreditation Manual.
2.3.2. submits complete Annual Center Report annually via BoardEffect
2.3.3. submits Student Unit Reports for each unit of CPE Level I/Level II and Certified Educator CPE.
2.3.4. submits Accreditation Review Request and Face Sheet (Appendix 3) to request and initiate Accreditation reviews and/or processes.
2.3.5. prepares for periodic accreditation reviews and submits complete materials.
2.3.6. submits Changes in Centers and Programs for all changes impacting center and program.
2.3.7. consults with Area Accreditation Chair as appropriate.

3. Accreditation Materials Submitted by Centers and chairs

Accreditation materials and documentation are required in response to each specific accreditation review request, periodic review, and Commission Action Report. Centers, Area Accreditation Chairs, NSTCs, and others working with Accreditation are responsible to submit professional level materials and documentation in compliance with Accreditation Standards and policies.

Centers may submit accreditation review documents electronically, but centers are not required to use electronic submission. The Commission will continue to accept hard copies of documents. If a digital device is the selected medium, the following serves as a guide:

3.1. Contact the National Site Team Chair or regional representative to ensure all team members can access the content from the selected device.
3.2. Include a cover letter informing reviewers of how the documents are organized and accessed on the device.
+3.3. Submit the student handbook, the self study (if required), Appendix 5 Part I
3.4. Submit a copy of all devices or documents to all assigned reviewers.

4. Accredited centers, which because of institutional changes, mergers, etc. wish to change their accreditation status, will apply for and undergo the required review process for the appropriate desired status as detailed in the Accreditation Manual.