Date of Award

1-1-1992

Document Type

Dissertation

Degree Name

Doctor of Education

Department

Child and Youth Care Administration

Advisor

P. Ebbs

Committee Member

Ronald A. Newell

Committee Member

David S. Flight

Keywords

accreditation, administrators, central office administration, developmental disabilities, facility recertification, funding compliance, government services, hospital health care, management, management efficiency, Medicaid reimbursement, mentally handicapped, organizational change, program development, quality control, rehabilitation services, residential facilities, residential care, special education, staff attitudes, staff supervision, staff turnover, standards of care, training success rate, voluntary accreditation

Abstract

In March of 1989. Greene Valley Developmental Center was found substantially out of compliance with the standards of care required by its voluntary accreditation agency, the Accreditation Council for Parsons with Developmental Disabilities (ACDD). This Major Applied Research Project (MARP) documents the causes of that noncompliance and presents a methodology for Improving services and switching from the ACDD accreditation to another more appropriate accrediting agency, the Council on Accreditation of Rehabilitation Facilities (CARP).

Of major significance in this project is the documentation and discussion of how organizational and societal expectations changed over time. How. on a national scale, many residential facilities for the mentally retarded found themselves out of synchronization with their quality control agencies is discussed along with the resultant risk of decertification by their funding source - Medicaid.

This research project served as a blueprint for positive organizational change based on the accomplishments of specified objectives. Results of this project's Implementation Included accomplishment of one-year CARP accreditation. Improvement of staff attitude toward supervision, reduction in staff turnover, improvement in the resident training success rate, and the recertification of the Greene Valley Developmental Center for Medicaid reimbursement.

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Dissertation of Distinction