Accreditation Audit RAFT Task 1 Executive Summary Nightingale Community Hospital (NCH) is a hospital that states they are leaders in quality healthcare. To remain a leader in hospital care it is crucial for the hospital to adhere to standards developed by the Joint Commission Accreditation on Healthcare Organizations (JCAHO). JCAHO is the organization that accredits and certifies hospitals that meet
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Accreditation Audit-AFT Task 4 Western Governors University Discuss the current compliance status of the healthcare facility. Nightingale Community Hospital (NCH); a 180-bed‚ acute care‚ not for profit organization provides services in critical and emergency care‚ Oncology‚ cardiology‚ general medical and surgical services and neuroscience‚ vascular‚ level II nursery units amongst a few others. Providing these services Nightingale has held
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has located a few discrepancies that must be resolved to maintain our accreditation with the Joint Commission. Rather than focus on the discrepancies found within each unit‚ we will look at the trends that affect the hospital’s compliance with the Joint Commissions recommendations regarding patient care. Armed with the trends‚ we will then explore staffing patterns and how they relate to patient care in order to establish a plan that will assist our hospital to minimize patient safety issues as
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Accreditation Audit AFT Task 1 Lisa R. Green A. Compliance Status Nightingale Community Hospital (NCH) recently implemented processes to meet standards put forth by the Joint Commission to meet and exceed in five primary focus areas. (The Joint Commission.org) The primary focus area that NCH will highlight and potentiate will be in the area of communication. NCH is committed to the core values of safety‚ accountability‚ teamwork‚ and community. These core values cannot be met without clear
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Accreditation Audit AFT Task 3 Lisa R. Green A1. Evaluation Nightingale Community Hospital (NCH) is committed to upholding the core values of safety‚ accountability‚ teamwork‚ and community. In preparation for the upcoming readiness audit‚ NCH will be launching a corrective action plan in direct response to the recent findings in the tracer patient. Background information on the tracer patient is as follows: 67 year old female postoperative patient recovering from a planned laparoscopic
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Commission focuses on during the accreditation audits for a hospital: Information Management which involves the efficient management of health information and accuracy‚ Medication Management involving labeling and sterility‚ Communication involving verification‚ and Infection Control to minimize spread and infection. We will be performing an accreditation audit to confirm that compliance standards are met for Nightingale Community Hospital. This accreditation audit will focus on Nightingale Hospital
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markers UP.01.03.01: A time-out is performed before the procedure • Procedure does not document that a time-out must occur when two or more procedures are performed on the same patient and the individual performing the next procedure changes A1. Plan for Compliance UP.01.01: Conduct a preprocedure verification process • Update Preprocedure Hand-Off Checklist to include nursing and preanesthesia assessments were completed and in the patient’s chart
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Sources of Candidates 1. Corporate Website 2. Online Recruiting 3. Executive Search Firms In search for the vacant position of a Recruitment Specialist‚ and also keeping in mind future hiring the company will need to do in the next 3 months to two years. The sources‚ which can be greatly helpful in finding the right talent for our company from‚ are our Corporate website‚ Online recruiting websites and Executive search firms. With ample number of candidates that come from online recruiting
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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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Preoperative/Preprocedure Verification Process is addressed. There is also a Preprocedure Hand-Off form present. This form is a bit misleading as it is essentially a hand-off form in general with a few extra boxes possible for check-off. To prepare for inspection and audit‚ NCH should create and implement a form for use within the Operating Theater or wherever procedures are performed‚ such as bedside procedures. This form needs to be more specific in addressing at least the minimum requirements by JC. The form needs
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