Section 441.24.26. Accreditation.

The administrator for the division of mental health and disability services shall determine whether to grant, deny or revoke the accreditation of the centers and services as determined in Iowa Code section 225C.6(1)“c.”

         24.26(1) The organization shall meet the standards of subrule 24.5(1), with the addition of crisis response service organizations.

         24.26(2) The organization shall meet the standards in subrules 24.5(2) and 24.5(3).

         24.26(3) Performance outcome determinations are as follows:

            a.               Quality assurance staff shall determine a performance compliance level based on the number of indicators found to be in compliance.

             (1)             For service indicators, if 25 percent or more of the files reviewed do not comply with the requirements for a performance indicator, that indicator is considered out of compliance and corrective action is required.

             (2)             Corrective action is required when any indicator under policies and procedures or activities is not met.

            b.               In the overall rating, the performance rating for policies and procedures shall count as 15 percent of the total, activities as 15 percent of the total, and services as 70 percent of the total.

             (1)             Each of the three indicators for policies and procedures has a value of 5.0 out of a possible score of 15.

             (2)             Each of the 34 indicators for activities has a value of .44 out of a possible score of 15.

             (3)             Each service has a separate weighting according to the total number of indicators applicable for that service, with a possible score of 70, as follows:

            c.               Quality assurance staff shall determine a separate score for each service to be accredited. When an organization offers more than one service under this chapter, there shall be one accreditation award for all the services based upon the lowest score of the services surveyed.

Service	Number of Indicators	Value of Each Indicator
24-hour crisis response	19	3.9
Crisis evaluation	20	3.5
24-hour crisis line	23	3.0
Warm line	20	3.5
Mobile response	18	3.9
23-hour observation and holding	44	1.6
Crisis stabilization, community-based	39	1.8
Crisis stabilization, residential	50	1.4

         24.26(4) The organization shall meet the standards in subrules 24.5(5) to 24.5(7).

[ARC 1660C, IAB 10/15/14, effective 12/1/14]