CARF 2016 Survey

Commission on Accreditation of Rehabilitation Facilities (CARF) Survey Results - 2016

Origami Achieved 3 Year Accreditation in:

  • Residential Rehabilitation Programs: Brain Injury Program (Adults)

  • Interdisciplinary Outpatient Medical Rehabilitation Programs: Brain Injury Program (Adults)

  • Interdisciplinary Outpatient Medical Rehabilitation Programs: Brain Injury Program (Children & Adolescents)

  • Home and Community Based Programs: Brain Injury Program (Adults)

  • Vocational Services: Brain Injury Program (Adults)

Comments From CARF Survey - 2016

CARF International identified Origami as demonstrating exemplary conformance to the standards in the following areas:

• Origami has recently completed Phase I of its expansion and building plan, and the new and redesigned physical plant is exceptional in design, size, usability, and decor.  The inclusion of multiple stakeholders, including persons served, in the planning of this space is commended.  Origami spent multiple sessions with its architect to ensure that she understood the organization's mission and the needs of the person served.  This is reflected in all aspects of the design, including expanding gym space for greater accessibility, adding small office spaces for privacy and minimization of distractions and color schemes that are fresh and soothing.  Persons served assisted in designing an assisted living home that provides comfortable common areas from which entries to bedrooms are not visible, enhancing privacy and independence. Employees were consulted throughout the process, notably obtaining input about security and safety design.  The care taken in the design of the space to highlight privacy and respect and make use of the natural surroundings is exceptional.    

CARF International identified Origami as having strengths in many areas:


• Organizational leaders, from both a clinical and business perspective, are integrally involved in day-to-day program operations. Leaders follow an open-door policy, making themselves available to both staff and persons served on a formal and informal basis. Such involvement is reflected in the development of strategy and operations of the organization and has a positive impact for persons served. 


• Origami demonstrates a culture of inclusion and interdisciplinary collaboration as demonstrated by the participation of many varied staff members on important committees and workgroups.For example, quality committee members include not only licensed clinicaI team representatives but also direct care staff. In addition, the comprehensive strategic plan is shared with all staff members who are able to provide input from their personal and/or work perspectives. 


• The organization has proactively and creatively developed facilities and programs to fill gaps in the continuum of services available in Central Michigan.  This includes the addition of the assisted living program on the Origami campus to provide a step between the neurorehabilitation program and the supported independent living program. In addition, Origami has developed a creative relationship with a skilled nursing facility to be able to serve individuals who have greater medical needs than can be served in the Origami residential program. Stakeholders are extremely excited about these developments. 


• Origami supports the acquisition of equipment to meet the needs of persons served. The organization has recently added resources such as a driving simulator, visual perceptual training device, and golf cart to build skill development of persons served. In addition, the clinical team at Origami has expertise in a number of specialty areas relevant to persons served, including vision, driving, vestibular, manual therapy, and cognitive perceptual therapy. It also offers behavioral optometrist and psychiatry services on site. An external case manager noted that this makes things easy and is greatly appreciated.


• The organization utilizes technology to support efficient and lean business functions, such as care documentation tools, attendance monitoring software, and an internal portal for information sharing with staff, addition to hardware such as an iPad device loaner program for persons served.  Technology resources have also been deployed from a security perspective in protecting and managing both the physical plant and cyber security. Clinical team members understand the importance of social media to persons served and frequently incorporate thisresource into treatment plans for safe and effective utilization. 


• Origami has a well-developed mission that is present in all aspects within the organization. Staff members understand the mission and how their work relates to the organization's ability to meet that mission. In addition, Origami has done an excellent job of tying performance improvement to its mission. 


• The risk management plan is comprehensive in depth and breadth and utilized to drive primary and contingency planning needs for the organization. 


• The organization is complimented for its implementation of a medicaI transportation position to not only provide transportation to medical appointments in the community but, more importantly, serve as an information liaison between the care provider and organization for integration and carry-through of all care plans. 


• The organization is committed to providing resources and opportunities for staff development in the form of continuing education, program development, career growth and development, and new skill acquisition. The benefits of this approach are seen in the number of staff members who have transitioned to new roles and responsibilities over the course of their tenure with Origami.


• Origami has a well-designed and welcoming website that allows for easy navigation and provides clients with clear information regarding programs and services. Quotes from the persons served, family members, staff, and external stakeholders highlight each page, bringing a personal touch and warmth to the information. This same design is incorporated into its outreach and educational materials, such as “The Road to Recovery." 


• Origami maintains experienced and qualified personnel who are dedicated and demonstrate a commitment to the core values and mission of the organization. The interdisciplinary treatment teams exhibit professionalism, enthusiasm and compassion while thoroughly addressing the physical, communicative, cognitive, leisure, and functional needs of the persons served and their family members. Team members demonstrate knowledge of and dedication to the rehabilitation process and a genuine concern for the outcomes achieved by the persons sewed. 


• Origami is recognized for the high level of expertise and specialty certifications of its staff, to include all clinicaI staff obtaining Certified Brain Injury Specialist (CBIS) certification, therapists with vestibular and manual therapy certifications, behavioral optometry services, and cognitive perceptual retraining.