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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|SECTION: |EFFECTIVE DATE: October 1‚ 2006 | |SUBJECT: |PAGE 1 of 8 | |Proactive Risk Assessment Policy | | Scope: This policy applies to all direct and indirect
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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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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 and the maintenance
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Executive Summary Nightingale Community Hospital prides itself on their values‚ such as safety‚ community‚ teamwork and accountability. Yet‚ we now understand the more has to be done to provide a safer place for our patients. Nationwide‚ hospitals are trying to find innovative ways to provide safer care and less complication for their employees. Establishing and encouraging standard practices within the infrastructure of the hospital will reduce chances of human error. With so many physician
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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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that influence patient care and safety while providing the structure for unremitting standards fulfillment. Nightingale Community 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
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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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Executive Summary Even though Nightingale Hospital has a very detailed Site Identification and Verification Protocol‚ some areas do not meet JHACO’s standards. Updating the Universal Protocol and Preprocedure Hand-Off Check sheet will not only bring the facility into compliance but may eliminate any potential failure in communication between patient‚ caregiver and provider. Areas that require further documentation will be on the following Elements of Performance: A. Compliance Status UP.01
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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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