CARF Standards

Records Management
CARF Standard 1.E.3. CARF requires that there be appropriate safeguards on records.

  • CAMS has two logon password protected access mechanisms: one is to logon to the server and the second is to logon as a user. Each user must set a complex password to use CAMS, every account is uniquely identified for that user.
  • Workers only have access to case files they are attached to. Only managers have access to program reports. Hiding records or case notes requires administrative approval.
  • Backups on the system are done constantly with full daily backups happening every night. Incremental back ups happen every 15 minutes.
  • Backup data is stored on a separate blade as well as a separate server located at an external site.
  • All data transferred over the internet is encrypted and uses 2048 bit encryption SSL Certificates.

Health and Safety related to Critical Incidents (CARF Standards 1.H.9). CARF requires there be a written analysis of all critical incidents.

  • Critical incidents can be recorded and tracked in CAMS which provides the user with the ability to determine trends related to incidents including examining year over year whether incidents have increased.
  • Critical Incident reports can be viewed either by program or type of incident.

Rights of Persons Served (CARF Standard 1.K.1).

  • CAMS can track that rights of persons served have been communicated and can document when this occurs. Data in CAMS is recorded with a time date stamp and author name.

'Performance Measurement and Management' and 'Performance Improvement' (CARF Standard sections 1.M and 1.N.)

  • CAMS has been used to support all of our data tracking and to help develop appropriate outcome measures and to support outcome measurement and analysis.
  • CAMS can help track comprehensive information about the persons who are served; track statistics for any period of time both by case and by person served.
  • The system also has to ability to compare assessments for example we can compare the results of initial assessments to discharge assessments to determine if our services have helped to promote positive change.
  • CAMS can also track wait times for service (CARF Standard 2.B.6.).

Assessment (CARF Standard 2.B.8.)

  • CAMS helps us to meet assessment standards through the use of the SNAP (Strength Needs Assessment Plan) which allows the user to identify strengths, needs related to leisure, family relationships, friends, school, health, substance use and more. All reports allow strengths to be reported to promote strength based work.
  • The Interpretive Summary which is part of the assessment is automatically populated into the service plan.
  • The system has a report that informs how old reports are, such as the needs assessments or service plans are and is helpful for tracking and ensuring work is up to date.

Individual Plan (CARF Standard 2.C.)

  • CAMS has been very helpful to us in helping record and manage the development and review of assessments and service plans.
  • Our continuously updated service plan is developed based on information from the assessment as well as through goals that are identified by a worker and those expressed in the words of the child/youth or family served. The system can track progress on goals as well.

Transition/Discharge Planning (2.D.)

  • The system provides space for transition/discharge planning as part of service planning as well as discharge reports.

File Review Data (2.H. Quality Records Review)

  • CAMS provides an ability to audit cases by worker, program or agency wide.
  • CAMS assists in meeting Quality Records Review Standards 2.H.1-3 regarding ongoing monitoring of the quality, appropriateness, and utilization of the services provided.