Function: Human Resources
Policy:

Appendix 26 - Accreditation Team - Terms of Reference

CMHO Standard(s):  
Approved: January 2009

Appendix 26  ACCREDITATION TEAM - TERMS OF REFERENCE
Approved January 2009

  1. MANDATE

To lead the Agency in the process of achieving and maintaining CMHO accreditation.

  1. COMPOSITION

The team will consist of:

    • Executive Director (Chair)
    • Director of Children’s Residential Services
    • Director of Addiction & Mental Health Services (Accreditation Co-ordinator)
    • Manager - Justice Services
    • Director of Employment Services
    • Board Member
    • Executive Assistant (Secretary)
    • Human Resources Administrator
  1. TERM

Until accreditation is achieved on or about May 2009.

  1. QUORUM

             A quorum will consist of not less than 5 members

  1. DECISION MAKING

All decisions will be determined by consensus.

  1. SCHEDULE

The team will meet monthly with the exception of July, August and December.

  1. AUTHORITY

The Accreditation Team is a standing committee of St. Leonard’s Community Services reporting to the Management Team.

  1. ROLES AND RESPONSIBILITIES

    • To determine program areas eligible for accreditation.
    • To develop a work plan.
    • To undertake a self-evaluation study.
    • To promote and facilitate participation of all levels of organization.
    • To liaise with CMHO accreditation group.
    • To co-ordinate site reviews.
    • To respond to the site review report.
    • To communicate with staff on progress.
    • To develop a plan to ensure continued compliance.
    • The Chair of the team is to notify the Human Resources Administrator of any changes to the membership.

HRManual

 
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