Accreditation Audit Task 1 Western Governors University A. Compliance Status Nightingale Community Hospital is not-for-profit, acute care hospital that houses 180 beds. Nightingale provides services in many areas such as general medicine, critical care, emergency services, oncology, cardiology, etc. Nightingale has four core values: safety, community, teamwork, and accountability. Nightingale’s vision is that patients, employees, physicians, volunteers, and community choose Nightingale’s
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WGU Accreditation Audit: RAFT Task 1 Nightingale Community Hospital (NCH) has thirteen months until their next Joint Commission audit. This report will evaluate Nightingale Hospital’s compliance in The Priority Focus Area of Communication using the Universal Protocol Standards from the Joint Commission Handbook. “The Universal Protocol was created to address the continuing occurrence of wrong site, wrong procedure and wrong person surgery and other procedures in Joint Commission accredited organizations”
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Task 4 Nightingale Community Hospital is preparing for a periodic performance review by The Joint Commission. Prior to The Joint Commission coming to complete its unannounced audit, the commission sends the hospital a handbook of standards guidelines each department of the hospital is expected to meet. The accreditation is a very important process to the daily operations of the hospital. The Center for Medicare and Medicaid Services, (CMS) requires hospital to meet and operate to the accreditation
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Accreditation Audit: AFT Task 3 Western Governor’s University Abstract AFT Task 3 allows the examination of data from a patient while hospitalized at Nightingale Hospital and utilizes a tracer methodology to identify trends, patterns, and pertinent problems for healthcare improvement. We plan to develop a corrective action plan to address the organization’s improvement while maintaining compliance from a Joint Commission standard. Accreditation Audit: AFT Task 3 Nightingale Hospital is
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Accreditation Audit AFT2 Task 1. Herman Big Mawanda Western Governors University Contents COMPLIANCE STATUS. 3 PLANS OF COMPLIANCE 7 JUSTIFICATION 8 BIBLIOGRAPHY 10 Nightingale Community Hospital provides leadership in quality health services. Its core values focus on safety, community, teamwork and accountability with a vision of being a hospital of choice for all and a mission to create a healing environment with a passionate commitment to health care excellence. This executive
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The focus of the Joint Commission is patient care and organizational functions that are necessary to provide a high quality of care without putting patients, individuals, or residents in harm. That is why it is very important for organizations to follow the standards outlined. As Diane began to prepare for the Joint Commission visit, she found several deficiencies in Willow Bend Hospitals’ policy that needed attention. • Standard IM .02.02.01-Collection of Health Information states the hospital
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not the best. There was oxygen tanks found on the floor and not secured. There was also dusty air vents in the patients room and in the clean utility room. The tracer tips states that all oxygen tanks need to be stored in secure stands. The Joint Commission hospital accreditation requirements for environment of care (EC.02.06.01), requires that the hospital establishes and maintains a safe, functional environment, which includes how the environment is arranged and maintained to foster patient safety
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identified in which the hospital is will need to address to meet the Joint Commission (JC) standards. The list is divided into direct and indirect impact. There are 4 indirect impact issues that need to be addressed and 1 direct impact issue. Indirect Impact Trends Verbal Orders-Verbal orders are not being authenticated within the 48 hours on several units. The hospital audits should show a 100% compliance regarding verbal orders. The audit shows the hospital has not been compliant during the past 12
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Continuous Accreditation Compliance - Task 4 AFT2 Accreditation Audit October 31st, 2014 Continuous Accreditation Compliance - Task 4 Nightingale Community Hospital (NCH), like many other health care facilities, uses a Periodic Performance Review (PPR) as an assessment tool that assists in examining performance on a consistent basis to ensure compliance with Joint Commission standards. A PPR concentrates attention on procedures, methods, and processes that contribute an environment
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AFT Task 3 As our Joint Commission audit approaches, Nightingale Community Hospital has conducted a tracer patient survey to assess our compliance. The tracer methodology tracks a selected patient's care from admission to discharge, allowing us to evaluate our systems of providing care and to ensure that we are meeting the Joint Commissions standards of providing safe, quality healthcare. Our tracer patient was a 67 year old female who presented with a fever and drainage five weeks after
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