Health Informatics Continuing Accreditation
Accredited programs will undergo the annual reporting and monitoring process through the Annual Program Assessment Report (APAR). Additionally under the Standard for Administrative Requirements for Maintaining Accreditation the program must participate in a CAHIIM Comprehensive Accreditation Review with a site visit as determined by CAHIIM. Programs may also be assigned a Focus Review if APAR outcomes consistently trend below an unacceptable level or there is credible evidence of noncompliance within the Standards. Programs are notified a minimum of one year in advance in order for the program to assess its compliance with the Standards and for budgeting purposes.
CAS (CAHIIM Accreditation System) is the online system for Comprehensive Accreditation Review for Continuing Accreditation applicants. Upon notification of the review process the program is immediately provided access to the Self-Assessment stage and must complete all questions and Items of Evidence by the provided Due Date.
Self-Assessment Stage: Program Submits information Based on the Standards
1. Program Evaluation Plan (required template for Standard #4. Program Assessment Plan)
2. Student and Graduate Table (required template for Standard #9 Faculty)
3. Student and Graduate table
4. Faculty Table (required template for Standard #9 Faculty)
6. Synopsis of Curriculum (required template for Standard #12 Core Concentration)
7. CSET required for Standard #13, Program-Specific Curriculum
8. Learning Management System (required template for Standard #15 Online Content Delivery)
9. Budget Template (required template for Standard #18 Financial Resources)
1. Remove text formatting using a Text editor or Notepad software.
2. PDF documents should uploaded unless its a specific CAHIIM form.
A formal staff review and assessment of the information submitted. An assessment will be provided within 90 days. A request for clarification or additional information may be requested and is reviewed by CAHIIM quality education staff in the order received.
An onsite visit of the program verifies the accuracy of documentation submitted by the program. The site visit team will meet with program officials to seek conformity with the CAHIIM Accreditation Standards. After the site visit is concluded the site visit team will complete a Site Visit Report stage in the CAHIIM Accreditation System (CAS).
The program is invoiced the Site Visit Processing Fee in this stage.
Download the following documents for this stage:
1. Site Visit Checklist
2. Site Visit Itinerary Template
A formal response to the site visit results is requested from the program director within 30 days.
Council and Board Review
An accreditation recommendation and accreditation decision is provided to the program at the next available meetings. Any program may be awarded a 6 month Progress Report to be submitted if there exists Standard deficiencies that remain that require time for implementation. This information will be required to be completed in the CAHIIM Accreditation System by the CAHIIM specified due date.
Progress Report Requirement
In order to maintain accreditation status the program must submit a progress report that satisfies the remaining Standard deficiencies that resulted from the review process.
The Board Report will reflect the current Not Met or Partial Met Standard deficiencies that require the institution’s attention and provides guidelines for resolution and evidence of implementation in order to achieve full compliance for the program.
Progress Report Deficiency Validation Tool template: This format must be used for completing partial met and not met curricula considerations for Standard 24.
Failure to submit this report by the due date may place the program on Administrative Probationary Accreditation. An unsatisfactory progress report or a Substantive Change in Program Director during the progress report process may result in a Focused Review and site visit of the program.
Information Regarding Access to and Retention of Documentation in the CAHIIM Accreditation System (CAS)
Programs need to print copies of each section of the self-assessment in the CAHIIM Accreditation System (CAS) while going through the continuing accreditation process. Access to CAS is terminated after the program receives a final accreditation decision and Standard deficiencies noted in the Progress Report, if applicable, have been resolved. Documents are not permanently accessible and may not be available on short notice. If a program needs copies of the self-assessment submissions, at least 30 days’ notice must be given to CAHIIM and fees will apply for reproduction and shipping of the documentation.
Situations that Adversely Affect the Application Process
Change in Program Director: A change in program director is prohibited during the application process and will lead to removal of Candidate Status and application rejected if the Self Assessment stage has already been submitted in the CAHIIM Accreditation System.
A stable program with no deficiencies may appoint a new permanent program director that is a full time faculty person that meets the qualifications of Program Director in the Standards. The new program director candidate must have been employed and have had involvement in the program for a minimum of 12 months.