The Site Visit Summary Report report consists of four main sections: (1) organizational profile; (2) survey summary; (3) findings and recommendations; and (4) next steps for the applicant. The ARC reviews the report, meets to discuss the findings and ask questions, and makes the final accreditation determination to CAPRSS staff. Once the final determination is made, CAPRSS will formally issue the accreditation status award to the program.
Completed by the CAPRSS staff, the organizational profile is a “snaphot” of the organization, adapted from the profile submitted by the organization. It includes basic information about the size and scope of the organization: mission; participants and peer recovery support services; staffing; facilities and sites; governance; and budget.
In four short subsections, the Survey Summary provide a brief overview of the peer reviewer scoring and findings. It lists the overall scores given by each reviewer, the average scores for each domain, and the findings for each standard. This is completed by the Peer Review Team Leader.
This section begins with a summary of the overarching organizational strengths. The findings are then presented for each standard. There are three possible findings: (1) Exceeds Standards, (2) Meets Standards, or (3) Requires Performance Improvement. The basis for the finding is briefly explained. Completed by the Peer Review Team Leader.
The final section of the report outlines the consultative and performance improvement recommendations. Consultative Recommendations are important findings that merit the attention of the applicant but do not rise to the level of a requirement for improvement (no formal response required). Performance Improvement Requirements are critical findings that need attention of the applicant, for which a formal response (in the form of a Performance Improvement Plan) may be required. It also discusses the next steps that the applicant organization needs to take to upon receipt of the summary report. Completed by the CAPRSS staff.
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