Accountability & Performance Improvement

By Nicole Fuglsang | Added March 2

In its infancy, Calo sought and received Joint Commission Behavioral Healthcare accreditation. Calo sought accreditation primarily as a way to enhance our organization performance, focus on organization-wide quality improvement, increase our outside accountability, and support our families seeking reimbursement from outside payors such as private insurance, Medicaid, adoption subsidies, school boards, etc.

Joint Commission accreditation is the "gold-star" in the industry due to the stringency of the standards and the in depth on-site survey process.  The Joint Commission develops all its standards in consultation with behavioral health care experts, providers, measurement experts, clients and their families.  The standards-based performance areas for all behavioral health care organization are as follows:

Management of the Environment of Care; Management of Human Resources; Surveillance, Prevention and Control of Infection; Management of Information; Leadership; Life Safety; Medication Management; National Patient Safety Goals; Provision of Care, Treatment and Services; Improving Organization Performance; and Ethics, Rights and Responsibilities.

The Joint Commission's accreditation process concentrates on operational systems critical to the safety and quality of student care.  To earn and maintain accreditation as a behavioral health care organization, Calo must undergo an on-site survey by a Joint Commission survey team at least every three years as well as completing annual Periodic Performance Reviews.  The survey process and periodic performance reviews evaluate actual student care, treatment and services provided by tracing students through the continuum of care and analyzing the key operational systems that directly impact the quality and safety of student care.  All Joint Commission surveys are conducted by experienced behavioral health care professionals including psychologists, social workers, behavioral health care nurses and administrators.  The majority of the Joint Commission surveyors are actively working in a range of behavioral health care settings.  Surveyors must also pass a certification examination. 

Calo is proud to be accredited by the Joint Commission as a behavioral health care organization and continues to strive for ongoing quality improvement and accountability.

About the Author

Nicole Fuglsang, MA, LPC, NCC Owner, Co-Founder, Vice President of Admissions & Business Development

Nicole has worked for over 20 years with adolescents and their families as a youth leader, therapist and Admissions Director. She holds a Bachelor of Arts degree in Psychology from the University of Northern Colorado, and a Master of Arts degree in Counseling from Denver Seminary. Her graduate focus was in child, adolescent, and family psychotherapy, and course work allowed her to complete all academic requirements for licensure as a Professional Counselor in the State of Missouri. Nicole's clinical experience includes work in community and crisis counseling centers, national youth service and ministry organizations, long-term residential treatment programs, and short-term behavioral health care facilities. In these environments she has provided a broad range of mental health and general support services including individual, group, and family psychotherapy, clinical assessments, treatment planning, case management, and referral services. Her areas of clinical expertise include facilitation of adolescent behavioral interventions, treatment of mood and motivational difficulties, eating disorder treatment and prevention, and family crisis management. Nicole is a Nationally Certified Counselor and a Licensed Professional Counselor. As a trained and experienced clinician, she provides a depth of expertise to inquiring families and referral sources not often found in admissions departments. Nicole and her husband Matt, live in Osage Beach, Missouri with their three children, Jacob, Abigail and Matalyn.

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