Accreditation Audit AFT Task 1 Roland Helmuth Western Governors University Accreditation Audit AFT Task 1 Medication Management A. Compliance Status I will be reviewing three specific areas dealing with medication management. They are the following with the correlating Joint Commission Standard following each one: 1. The hospital plans its medication management process, (MM.01.01.01). 2. Label all medications, medication containers, or other solutions on and
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Melissa L. Nelcha AFT2- Task 1 Western Governors University October 25,2013 The Joint Commission has identified four distinct areas of concern within our accreditation audit. They are Communication, Information Management, Infection Control and Medication Management. While each of these is important, and vital in running Nightingale, the focus of this Summary will be on Medication Management. The reasons are as follows: * Errors can lead to increased hospital stays, possible lawsuits, and
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Executive Summary Accreditation Audit - Communication Nightingale Community Hospital A. Compliance Status Nightingale Community Hospital (NCH) has a vital role as a not-for-profit community hospital providing health care and services in various areas such as critical care, general medical and surgical services, oncology etc. This executive summary provides overview in terms of NCH`s compliance of priority focus area on communication: * The current status of the NCH`s communication compliance
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Summary - Infection Control and Prevention Current Compliance Status for Joint Commission Accreditation Nightingale Community Hospital is committed to providing healthcare excellence, a healing environment and to be the choice for patient care. In order to continue to provide quality healthcare services in accordance with our values of safety, community, teamwork, and accountability Joint Commission Accreditation provides guidelines and standards for the Priority Focus Areas (PFA) for the welfare
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The safe and effective care of our patients depends greatly on the efficacy of our communication methods between staff in the same discipline and interdisciplinary staff. Communication among staff about patient care is so important that it is one of the Joint Commission’s National Patient Safety Goals. Joint Commission has elements of performance that has to be met to remain in compliance with their standards. In the area of pre-procedure verification, Nightingale is in compliance with making
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Accreditation Audit Task 1. A1. Communication, this is the key focus area that is evaluated in this summary. Communication is a key focus area of the joint commission audit and is also a key area in which Nightingale Community can make enhancements. Communications must be a two way free flow of information. The information exchanges occur between providers, staff, and patients or clients. This was an area that needed improvement was noted in the previous accreditation audit. Some noted prior
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Tracer Patient Audit AFT2 Accreditation Audit October 10th, 2014 Tracer Patient Audit With an audit by the Joint Commission (JC) in the near future, Nightingale Community Hospital (NCH) is performing a tracer patient survey to measure our compliance and identify issues that are in need of remediation. The practice of this type of survey tracks a patient’s care for the duration of their stay starting from the admission process and ending when they are discharged. This system allows
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Running Header: Task I 1 Task I Abigail M. Garcia Western Governor’s University: Accreditation Audit Running Header: Task I 2 Executive Summary Nightingale Community Hospital is committed to providing quality care and aims to be the first choice hospital for patients in the community. Four core values represent the passion Nightingale has for excellence: Safety, Community, Teamwork and Accountability. The goals of the hospital are to uphold an atmosphere of healing, promote the benefits
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1. Outstanding Patient Care Issue: There were several deficiencies made evident by the tracer patient during the survey conducted at Nightingale Community Hospital. There was no documentation of a medical history for the 67-year-old female patient who was admitted to the hospital. Furthermore, the female patient did not receive a physical until 72 hours after she was admitted. In addition, a function assessment was triggered based on the patient’s admission assessment but no record was found.
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Introduction In preparation for an accreditation audit, I will discuss the current communication compliance status of the organization based on the Nightingale Community Hospital’s previous Joint Commission Survey. A corrective action plan will be submitted to ensure compliance with the Joint Commission along with a brief summary on why a communication review is important to the hospital. Body A. In reviewing the Joint Commission (TJC) survey results on Nightingale Community Hospital from 2
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