• REQUEST FOR ENGAGEMENT

    Please note: Confirming that CQL is an approved accrediting body for services offered by the organization is the responsibility of the organization. 
  • Name to be used on correspondence, certificates, plaques, etc.*
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  • Executive Contact

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  • Accreditation Contact

    Primary Contact for Coordination
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  • Billing Contact

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  • SELECTION OF DESIRED ACCREDITATION TYPE

     

  • You will select the accreditation type that best suits your organization's needs. Please note that CQL must approve the accreditation type you select.

    Descriptions of the accreditation types can be found on our website.

    CQL Systems Accreditation

    Systems Accreditation is reserved for agencies NOT YET providing services of any kind and do not intend to begin providing services until accreditation has been awarded. 

    CQL Quality Assurances Accreditation

    Quality Assurances Accreditation is a three-year accreditation for organizations new to CQL, want to reinvigorate their quality framework, or have had significant leadership changes.

    CQL Person-Centered Excellence Accreditation

    CQL's Person-Centered Excellence Accreditation is a four-year accreditation that expands upon the use of Basic Assurances, Personal Outcome Measures, and Shared Values. To be eligible for the accreditation, the organization MUST be actively using the Personal Outcome Measures.

    CQL Person-Centerd Excellence Accreditation, With Distinction

    CQL's Person-Centered Excellence Accreditation, With Distinction, is a four-year accreditation that applies the most stringent standards for human service organizations, requiring measurable results. Please note that the webpage lists additional requirements for Person-Centered Excellence Accreditation with Distinction.

  • Select your desired accreditation type here (Eligibility requirements must be met):*

  • SYSTEMS ACCREDITATION ONLY

  • Scheduling Preference

    Please click in the boxes below to select the preferred month and year for your accreditation. If the month you prefer is not available, our schedule is currently full. To ensure sufficient preparation time and the availability of our staff, CQL recommends you submit your RFE as far in advance as you are able. CQL's availability is listed below. Once an organization is scheduled, if date changes are requested, a rescheduling fee will be charged. Thank you for your cooperation.

  • Types Of Services Provided by The Organization

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  • I affirm that all people receiving services from {typeA} are included in the numbers provided in this section. I understand that CQL will include all services relevant to the accreditation in visit activities.

    Organizations new to accreditation with CQL: If the organization wishes to exclude any relevant services from the accreditation process, approval must be requested from and approved from CQL VP of Services and Systems Excellence.

       

  • Does the organization own or lease any properties where services are provided?*
  • Indicate if you provide services in multiple counties, states, provinces:*
  • Would you like us to consider providing part of your accreditation virtually if applicable and approved by CQL?*

  • Additional Information

  • Is your organization currently accredited by CQL?*
  • Current Expiration Date:*
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  • Has your organization changed names, merged, split, or otherwise structurally changed since the last review?*

  • Personal Outcome Measures.

    Describe your organization's experiences with the Personal Outcome Measures
  • Does your organization currently utilize CQL’s Personal Outcome Measures?*

  • About Certification

  • CQL Certification is a multi-step process that increases the validity and reliability of information-gathering and data collection when conducting POM interviews. After someone takes part in the POM Workshop, conducts practice interviews, goes through the coaching activities, and successfully passes their inter-rater reliability (IRR) assessment, they will achieve CQL Certification and begin their two-year certification term. All of those steps are required to achieve CQL Interviewer Certification. Additional steps are required to achieve CQL Trainer Certification.

    Participation in the POM Workshop alone does not mean that the participant has achieved CQL Certification.

    Only current CQL staff members are to able conduct the CQL Certification process and grant CQL Certification. Neither Certified Interviewers or Certified Trainers are able to grant CQL Certification – either internally at their organization or externally at other organizations. If someone is currently an active Certified Trainer in the Personal Outcome Measures, they are also a Certified Interviewer.

    To maintain CQL Certification status, every two years the Interviewer must pass a new IRR assessment, and have met the current recertification requirements. Those requirements can be found on our website here. If these requirements are not met every two years, they are no longer a current, active Certified Interviewer or Trainer.

  • Does your organization have any Certified Personal Outcome Measures Trainers or Interviewers employed at your organization?*

  • Certification Of Compliance

  • The Certification of Compliance is for organizations already providing services.*
  • I confirm that our organization is in compliance with all required local, state, and federal regulations relevant to the supports and services checked below:*
  • I confirm that there are no current open or unresolved issues related to any of the below checked items:*
  • I confirm that we have:*

  • If your regulating/licensing body publishes licensure or certification information, please include the website/hyperlink or other means to access that information here:   

    With my signature below I agree to provide completed copies of evidence of compliance for any external monitoring reports and if appropriate, approved corrective plans to CQL as requested. I also attest that all information in the section titled "Certification of Compliance" is accurate as of the date submitted.

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  • List Of Organization Leadership Staff 

  • Travel Advice for CQL Team

  • Engagement Agreement

  • The undersigned hereby agrees to work with CQL | The Council on Quality and Leadership for CQL Accreditation and/or related activities, agrees to pay the established fee, and grants permission to licensing agencies and any other relevant examining or reviewing entity or group to release official records and information to CQL for its consideration during the accreditation process.

    Upon receipt, CQL will process this request and, if accepted upon review of documentation, set dates for the initial accreditation. In the event that the scheduled accreditation is canceled or postponed by the organization, the organization is responsible for payment of any expenses incurred by CQL.

    Organization Name:      *   


    Signature of Chief Executive Officer/Designee:   *   

    Date:   Pick a Date*   

  • PCE-D ENGAGEMENT REQUIREMENTS

  • Reminder

    Please visit the webpage for Person-Centered Excellence Accreditation, with Distinction (PCE-D), if you are applying for that type of accreditation. It lists additional requirements and evidence that must be submitted with this request for engagement. 

    The following documentation must be submitted with this Request for Engagement to be considered for Person-Centered Excellence Accreditation, with Distinction.

    • Quality Management Plan and Organizational Stragic Plan
    • Verification of CQL Interviewer Certification, Including Employee names and certification dates
      • During the accreditation term, the agency is expected to have a CQL Certified interviewer conduct POM interviews and enter them into the CQL PORTAL Data System. There needs to be a representative sample of people interviewed involving an unduplicated number of people served in accredited service lines by the agency. The agency must currently have a CQL Certified Interviewer to apply for PCE-D.
    • Evidence of Positive Organizational and Individual Impact on the Greater Community
    • Evidence of Enhanced Commitment to Advocacy and Self-Advocacy Efforts
    • Evidence that the Agency does not have Systems and Practices in place that allow use of corporal punishment, seculision, noxious or aversive stimuli, forced exercise, denial of food or liquids that are part of a persons nutritionally adequate diet, floor restraints, "take downs", standing orders for restraint, use of "as needed" psychotropic medications for behavior control, use of time out rooms
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  • Submitting Payment

  • The total cost for Systems Accreditation is US$5,250.

    For all other Accreditation types, the total cost is based on several factors, including the number of people you provide services for, the diversity of services you offer, and the geographical size.

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    • Next Steps

      You will receive a letter of engagement with the dates and cost of accreditation along with preparation guidance and support (this includes access to the PORTAL Data System, planning meetings, manuals, etc.) once the request has been processed and accepted and your organization has been scheduled.

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