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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Hospital is compliant with most standards as set forth by the Joint Commission. However‚ upon inspection and in an effort to stay focused on compliance‚ our standards committee 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
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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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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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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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Accreditation Audit AFT Task 4. A1. Compliance Status The ongoing survey readiness audits that are conducted in the hospital on a daily basis have identified areas we will focus on to ensure that our accreditation survey results are exceptional. Audits are performed on an ongoing basis with a focus on trends that are most commonly cited by the Joint Commission. Nightingale hospital has proven to have made great improvements over prior survey findings in Emergency Management‚ Human Resources
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Running head: ACCREDITATION AUDIT CASE STUDY/ TRACER PATIENT TASK Accreditation Audit Case Study/ Tracer Patient Task III Crystal Shanaman WGU Accreditation Audit Case Study/ Tracer Patient Task III A1. At Nightingale Community Hospital‚ our value regarding safety is “we believe that excellence begins with providing a safe environment. We put our patients first as we seek to exceed the expectations of our customers with superior service‚ outstanding clinical care
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