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Validation Process

On-site Validation

By engaging in the onsite validation process, organizations demonstrate that they are transparent and accountable to their stakeholders. A team of professionals external to the organization spends 3 to 4 days ‘validating’ the organization’s quality improvement efforts. Having an onsite validation is a requirement for accreditation. Before scheduling an onsite validation, organizations typically spend 18 – 36 months preparing. The organization should be demonstrating that it is meeting at minimum 75% of standards in each domain for at least 3 months leading up to the onsite validation. Based on the evidence collected by the validation team and presented to the external Accreditation Committee, an organization receives either a:

  • 4 year Accreditation
  • Deferred Accreditation – This applies to organizations that may not be meeting enough, or certain standards that are of particular concern.  The organization will have up to 12 months to meet specific conditions, as determined by the Accreditation Committee, and if successful will be awarded an accreditation.
  • Non accreditation – This applies to organizations that did not meet the required number of standards and/or did not demonstrate that it has a learning culture, one that is proactive and responsive to the needs of its stakeholders.