​(Sample – Not all CARF standards are included)

This tool is designed to help organizations reflect on a few key CARF-related standards. The questions below represent a sample only and are not intended to cover the full scope of accreditation requirements.

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Corporate Compliance

Have you documented a designated staff member to serve as the organization’s compliance officer?
☐ Yes   ☐ Somewhat   ☐ No

Do you have written procedures for reporting compliance concerns, including anonymous reporting options?
☐ Yes   ☐ Somewhat   ☐ No

Are compliance issues and resolutions documented and reviewed by leadership or the compliance officer?
☐ Yes   ☐ Somewhat   ☐ No

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Legal Compliance

Has your organization implemented written procedures to guide personnel in responding to subpoenas, search warrants, investigations, and other legal actions?
☐ Yes   ☐ Somewhat   ☐ No

Do you have written procedures that address timeframes for documentation in client records (e.g., intake, progress notes, service plan updates, discharges)?
☐ Yes   ☐ Somewhat   ☐ No

Are staff trained and knowledgeable about these legal procedures (including documentation timeframes and response protocols)?
☐ Yes   ☐ Somewhat   ☐ No

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Risk Management

Has your organization implemented a written risk management plan?
☐ Yes   ☐ Somewhat   ☐ No

Does the risk management plan include identification of loss exposures (e.g., financial, operational, clinical, legal, reputational)?
☐ Yes   ☐ Somewhat   ☐ No

Does the plan include analysis of loss exposures (likelihood and impact, root causes, mitigation strategies)?
☐ Yes   ☐ Somewhat   ☐ No

Is the risk management plan reviewed and updated regularly (at least annually, or sooner if significant risks are identified)?
☐ Yes   ☐ Somewhat   ☐ No

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Performance Measurement & Management

Has your organization implemented a Performance Measurement and Management (PMM) Plan?
☐ Yes   ☐ Somewhat   ☐ No

Does the plan identify measures for service delivery objectives in each program/service seeking accreditation (Effectiveness, Efficiency, Access)?
☐ Yes   ☐ Somewhat   ☐ No

Does the plan include the experience of services received and other feedback from persons served?
☐ Yes   ☐ Somewhat   ☐ No

Does the plan include the experience of services and other feedback from other stakeholders (e.g., referral sources, community partners, payers)?
☐ Yes   ☐ Somewhat   ☐ No

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Business Continuity & Disaster Recovery

Has your organization conducted a business continuity/disaster recovery test within the past 12 months?
☐ Yes   ☐ Somewhat   ☐ No

Was the test analyzed for effectiveness and did it identify areas needing improvement?
☐ Yes   ☐ Somewhat   ☐ No

Were actions to address identified improvements implemented and evaluated for effectiveness?
☐ Yes   ☐ Somewhat   ☐ No

Did the organization provide necessary education and training to personnel related to business continuity/disaster recovery?
☐ Yes   ☐ Somewhat   ☐ No

Is the test and analysis documented in writing (e.g., reports, meeting minutes, or corrective action plans)?
☐ Yes   ☐ Somewhat   ☐ No

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Note:

This CARF Readiness Assessment tool covers a small selection of CARF standards across compliance, legal requirements, risk management, performance measurement, and disaster recovery. If gaps are identified, a more comprehensive gap analysis may be necessary to ensure full organizational readiness for accreditation.

⚠️ Important: This snapshot is just the starting point. It does not replace a full CARF self-assessment and does not review all standards.