Customer Story | Alvis 180, Ohio

Turning CARF Re-accreditation Into a Governed Quality Assurance System

Alvis 180 used Presto PDCA to transform a complex company-wide accreditation exercise into structured quality assurance work, connecting audits, observations, evidence and corrective action in one governed environment.

400+Pages in the original CARF audit.
25Macro audit categories created.
75%Reported time saving from the structured approach.
1 placeFor audits, findings and follow-up work.
ConnectedObservations and corrective actions.
RepeatableQuality assurance for future audit cycles.
Heather Fegan
"Presto PDCA delivers a level of value we have not seen from other continuous improvement platforms on the market. The combination of the platform and the team supporting it is truly unique."
Heather Fegan
Head of IT, Alvis 180, Ohio, USA
The Challenge

Turn a 400+ Page Accreditation Requirement Into Manageable Work

CARF re-accreditation requires an organization to demonstrate that standards are understood, assessed and supported by evidence. For a company-wide quality assurance exercise, the challenge is not simply completing an audit. It is keeping hundreds of requirements, observations, responsibilities and follow-up actions organized in a way that management can govern.

Alvis used Presto PDCA to bring that work into one structured environment. The original CARF audit, reported across more than 400 pages, was grouped into 25 macro audit categories so the accreditation workload could be managed as a practical operational process.

The Approach

Move From Accreditation Standards to Structured Audit Execution

The CARF requirements were translated into a more manageable audit structure inside Presto. This allowed quality assurance activity to be organized around repeatable checklists and clearly defined audit categories rather than managed through disconnected files and follow-up.

As reviews were completed, observations and non-conformances could be captured alongside the underlying audit work. Where follow-up was required, corrective action projects could be managed through the same environment, connecting the finding directly to the work required to address it.

One Governed Quality System

Connect Audit, Evidence and Corrective Action in One Place

A major benefit of the approach was consolidation. Checklists, observations and non-conformance projects could be managed in one easy-to-access place, giving the organization a clearer view of accreditation readiness while reducing the administrative burden of coordinating the exercise.

Instead of treating re-accreditation as a one-off documentation project, the structure creates a foundation for repeatable quality assurance. Audit activity can be governed, findings can be followed through and corrective work can remain visible to the people responsible for closing it.

The Results

A More Structured Accreditation Process With Significant Time Savings

  • 400+ pages consolidated from the original CARF audit into a more manageable operating structure.
  • 25 macro audit categories created to organize the accreditation workload.
  • 75% reported time saving from the structured approach.
  • Audit checklists standardized so requirements could be assessed through repeatable quality assurance work.
  • Observations and non-conformances connected directly to managed corrective action projects.
  • Company-wide visibility improved by bringing audit activity, findings and follow-up into one environment.
Why It Matters

Turn Audit Preparation Into Continuous Quality Assurance

Accreditation work creates the most value when findings do not disappear after the audit. By connecting audit execution with observations, non-conformances and corrective actions, Presto helps turn compliance activity into an ongoing management process.

For leadership, this means greater visibility over what has been reviewed, what still requires attention and where corrective action is underway. For teams, it provides a clearer and more repeatable way to prepare for accreditation without rebuilding the process from scratch.

What This Case Demonstrates

Quality assurance becomes easier to govern when the audit and the action live together

Alvis moved away from treating accreditation as a large documentation exercise and created a repeatable management structure that connects standards, evidence, findings and corrective work.

Structure complex requirements

Break a large accreditation framework into practical audit categories and repeatable checklists.

Connect findings to action

Keep observations, non-conformances and corrective action linked instead of managing them in separate files.

Build repeatable governance

Create a quality assurance system that can support future audit cycles rather than starting again each time.

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