and align its goals in order to better serve the community at large. In short, it means the hospital needs to maintain compliance with the Joint Commission standards and provide consistent and quality care to its recipients. Compliance is a difficult task to achieve. It requires great effort on the part on the administrators and work force and requires the collaboration of interdisciplinary teams to bring about the desired effect. In order to monitor compliance, the hospital utilizes a periodic performance
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Organizational Leadership and Inter-professional Team Development The Patient and Family Care Organizational Self-Assessment Tool (PFCC) for current practice setting will be completed as well as the organization in its entirety. The results will be analyzed based on a one to five scoring system with one being the lowest. The areas where the organization could improve its PFCC care will be discussed. The analysis of how business practices and regulatory requirements impact patient
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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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focused on improving surgical care by significantly reducing surgical complications. One complication is surgical site infections SCIP has developed recommendations for hair removal. There are several SCIP measures, antibiotic within one hour before incision, received prophylactic antibiotic consistent recommendations, prophylactic antibiotic discontinued within 24 hours, control of postoperative serum glucose and appropriate hair removal. (Patterson, 2011, p. 120) What is appropriate hair removal
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| Task 4 | | | Monica DeWitt | | | Current Compliance Status The hospital is compliant in with the National Patient Safety Goals (NPSG) in the following areas: staff is using 2 identifiers when providing care, correctly transfusing patients, maintaining a healthy patient care environment by complying with the Center for Disease Control (CDC) and World Health Organization (WHO) hand hygiene guidelines, continuing evidence-based best practice to prevent or
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December 2, 2013 RAFT Task 1 Executive Summary for Joint Commission Standards Compliance Nightingale Community Hospital is a 180-bed acute care hospital that is a not-for profit entity. The hospital is community based and provides leadership in quality health services in which they provide. Their vision is to be the hospital that people choose, the place employees, physicians and volunteers want to work and a hospital of choice for the community. They are committed to providing a healing environment
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A Proposal Undertaking Commissioning Services For Prime Medical College & Hospital Prepared by Bangladesh Institute of Healthcare Management & Research (BIHM&R) Contents 1. 2. 3. INTRODUCTION…………………………………………………………………….1 KEY ISSUES AND OBJECTIVES…………………………………………………2 STAGE 1: DEVELOPMENT OF A 5 YEAR OPERATIONAL PLAN………. …3 3.1 3.2 INTRODUCTION THE FIVE YEAR OPERATIONAL PLAN 4. STAGE 2: COMMISSIONING OF THE HOSPITAL……………………............7 4.1 4.2 4.3 4.4 4.5 4.6
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Executive Summary Accreditation Audit- Task 1 Maggie Miklos January 25, 2014 Executive Summary At Nightingale Community Hospital (NCH) one of our core values is to provide superior service and outstanding clinical care as noted in our safety statement. We welcome The Joint Commission (TJC) to survey our facility on a triennial basis to ensure compliance with their established standards and Priority Focus Areas: Infection control, Communication, Medication Management, and Information
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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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of a person or organization to implement due diligence and identify any potential issue and develop policies and security measures to combat these risks. Risk management is comprised of three phases: risk identification, risk assessment, and risk control (Michael E. Whitman, Herbert J. Mattord, 2012, p. 119.). Risk Identification Risk identification is simply the identification and documentation of the assets and the threats to those assets. Risk identification is an
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