What is the expected timeframe from application to accreditation?

Accreditation is a very dynamic and rigorous process requiring attention to details and commitment.  In general, the accreditation process takes from nine (9) to twelve (12) months depending on the preparation and responsiveness of the applicant.

 1.  Application and Supplemental Documentation

  • The time to complete the application is generally three hours depending on the number of state licenses held by the practice.
  • Organizations applying for accreditation for multiple practice locations provide the business and ownership information and personnel and facility licensure for all the applicable sites so the application completion time will be longer.
  • A welcome letter, a letter of agreement and an invoice is sent to you upon receipt of the application.

2.  Document Assessment

  • After your application and supplemental documentation have been processed and your payment is received, you will receive the Document Assessment Checklist via email. 
  • An accreditation staff member name and contact information will be provided.
  • The Document Assessment is a tool provided for self-reporting policies and procedures demonstrating compliance with the standards. It will assist you in collecting and organizing policies and procedures for submission.
  • The Document Assessment and the referenced policies and procedures should be submitted to the secure cloud box.com folder provided within 120 calendar days of receiving the assessment.
  • The applicant alerts the accreditation staff member when the Document Assessment tool and all documents have been submitted.
  • The policies are reviewed over a 4-6 week time period and you will be notified if any policies and procedures are missing or require clarification. You should send in any other requested documentation as soon as possible.
  • This notification is followed by a phone call to verify receipt of the Document Assessment Review Outcomes Report, and to arrange for you to ask questions regarding how to achieve compliance.
  • You are notified via email or by phone that you are eligible for on-site survey as soon as the documentation is complete.


3.  Site Survey

  • You are provided with guidance regarding the upcoming survey process.
  • The unannounced survey generally occurs within 6 weeks of survey eligibility notification. While on site, the surveyor may request additional documents/documentation to be sent after the survey is completed.
  • The surveyor submits an internal report, which is reviewed for any items that are non-compliant or require clarification.
  • Within four to six weeks following the survey of the Pharmacy, applicant will receive a post-survey letter stating their site survey is complete or there are outstanding items to address. If there are outstanding items to address, the letter will include a request for a plan of action and a designated timeline.  The plan of action is due within 30 days and does not typically require another on-site survey.
  • When the plan of action is received, and all outstanding items from the site survey are complete, your accreditation report is reviewed by the CPPA Accreditation Oversight Committee. The committee is a volunteer group of pharmacists with expertise in community pharmacy practice who have been appointed by each of the partner organizations. This Committee meets quarterly. The committee determines your accreditation status.
  • The CPPA Executive Director notifies you or your accreditation decision within a week of the Board decision.