While the Accreditation Commission is responsible for all accreditation issues throughout the organization, it depends on robust communication with the regions and with the national office. Accreditation matters flow back and forth between the Commission, regional accreditation committees, and the national office. In the spirit of collegiality, face-to-face interaction, and clarity, most accreditation matters begin at the regional level. Because centers are located within regions and because regional accreditation committees know regional matters best, center-centric matters should be reported to the regional accreditation committee prior to being moved to the Commission or national level. Of highest importance is that communication be clear and complete in these matters, and that the processes and procedures outlined in the Accreditation Manual and in these policies and procedures be followed. The Commission is always interested in hearing feedback on processes, policies, and procedures that do not support center-centric focus.