For an outcome claim, ask for the numerator, denominator, measurement period, population included, exclusions, follow-up interval, missing-data method, and whether an independent party reviewed the result. Clarify what “success,” “completion,” or “recovery” means. A discharge, transfer, survey response, or later outcome can measure very different events. If the facility cannot provide a written method, mark the claim not established rather than arguing about whether it sounds plausible.
For accreditation or certification claims, request the accrediting body, exact organization and location covered, program or service scope, effective dates, and a way to verify status with the issuing body. Do not assume accreditation of a parent company, another address, or one service applies everywhere. California DHCS records and private accreditation also answer different questions. SAMHSA quality guidance supports asking about licensing, accreditation, evidence-supported care, medications when clinically appropriate, family involvement, and continuing-care planning. Ask each question without assuming a particular answer is required or available.
- What exactly was measured, among whom, during what period, and at what follow-up point?
- How were people with no follow-up data counted? Was the result independently reviewed?
- Which legal entity, address, service, and dates does an accreditation or certification cover?