CAEP conducts a review of Transformation Initiative (TI) Plans three to five years in advance of the site visit, allowing confirmation that the sponsoring providers will be able to pursue accreditation in this pathway.  While shorter advance submissions may be arranged, the preference is to have agreement sufficiently far in advance of the site visit so that Visitor Teams can investigate progress during the accreditation formative and on-site reviews.  In addition, early confirmation provides an opportunity for a provider to reconsider the array of three choices among pathways. 

Self-Study Report


Timelines\Provider actions

CAEP actions

1. Application

Only if applying for first accreditation, provider prepares and submits on-line application.

CAEP staff consults with the provider.

Providers seeking accreditation for the first time should contact CAEP staff.

2. Specialty / License Area Review

3 years prior to the site visit, provider submits assessment / scoring guides.

Provider integrates changes into assessments / surveys and results are included in the self-study for component 1.1.

Assessment experts review assessments/scoring guides and provide feedback to the provider.

3. TI Proposal Submission

• Provider representatives attend CAEP conference sessions on writing the TI Proposal.

• Provider submits TI Proposal for approval - preferably, up to five years prior to the accreditation visit.

• CAEP staff reviews draft TI RFP and returns drafts for revisions and resubmission as needed.

• TI commissioners review the TI proposal and submit their recommendations for approval and revisions.

4. Call-for-comment

6 to 8 months prior to the site visit, provider distributes call-for-comment announcement to all specified parties

• CAEP staff places upcoming spring or fall visits on website’s “call-for-comment” page

•  CAEP staff uploads it into AIMS and notifies the provider that the testimony is available for a response

5 TI Self-Study Report including TI progress since its proposal was approved; Formative Feedback Report (FFR)

8 months prior to the site visit, provider submits TI self-study report, including the TI progress since its proposal was approved.

2 +/- months after the self-study report is submitted CAEP Visitor Team reviews self-study, including a review of the TI plan.

2 +/ - weeks after the meeting, the team's Formative Feedback Report (FFR) to the provider is posted in AIMS.

6. TI Self-Study addendum

Provider submits its response to the Formative Feedback Report no less than 60 days before the scheduled site visit and uploads supplemental evidence, as requested and appropriate.

CAEP site visit team reviews addendum and supplementary evidence in advance of the site visit.

7. Site visit with CAEP Visitor Team

• Provider works with the team lead to schedule interviews and observations as requested from pre-visit and/or FFR

• Provider hosts Visitor Team

• Visitor Team verifies submitted evidence and formulates further questions for the visit

• Team completes visit to the Provider site(s), including a review progress on the TI proposal plan.

• Visitor Team prepares the site visit report, including an evaluation of the progress on the TI proposal plan.

• Lead site visitor conducts exit interview with provider

• Visitor Team prepares final site visit report (submitted 4 weeks after the conclusion of the site visit)

• CAEP staff review report.

Team lead submits final site visit report in AIMS and notifies provider and state representatives as applicable of its availability.

8. Provider Response

• Within 7 days of receipt, the provider responds to accuracy of site visit report (factual corrections)

• Within 2 weeks, the provider submits its response to the final site visit report in AIMS

• Lead site visitor receives factual corrections and makes changes as appropriate

• Visitor Team reviews provider response to the site visit report

• Lead site visitor submits a response to the provider’s comments in AIMS (within 7 days)

9. TI Commission Initial Review Panel

• Provider representatives and/or state representatives attend meeting (optional – and at provider/agency expense).

• TI Review Panel meets to review documentation, affirm or revise areas of improvement and stipulations, if any, and makes recommendation regarding standards met or unmet

10. Accreditation Joint Review Panel

No provider action taken.

• Accreditation Council Joint Review Panel reviews documentation, accepts or revises the Initial Review Panel recommendation, and submits an accreditation recommendation to the Accreditation Council of the whole.

11. Accreditation Council Decision

No provider action taken.

• Accreditation Council meets to determine the accreditation decision of the provider

• CAEP sends Accreditation Council’s decision to the provider and state representatives, as applicable. Accreditation Action letter and reports are posted in AIMS.

12. Public announcement

In case of an adverse decision (denial or revocation of accreditation), provider accepts or appeals CAEP’s action (within 30 days)

• CAEP announces accreditation and probation decisions on its website and informs other stakeholders

• CAEP sends the provider a certificate of accreditation or schedules the probationary visit.

13. Reconsideration

When accreditation is granted with a stipulation or probation, the provider has the option to submit a petition for reconsideration.

The Accreditation Council Chair and Vice Chairs, advised by CAEP staff, determine if there is sufficient merit to submit the request to the full Council for review.

14. Appeals Process

If provider decides to appeal a decision of denial or revocation of accreditation, the provider submits an appeal petition.

If the decision is to deny or revoke accreditation and the provider appeals the decision, the appeal process is initiated.

15. Annual Report

Program faculty submits annual report and fees to CAEP

CAEP’s Annual Report  is reviewed and feedback is provided to the provider annually. CAEP reviewers provide feedback on the SI plan and  informs the provider if there are concerns.