surrounding this process improvement, the hospital has been able to reduce the number of deliveries to less than 5% for the last 6 months (Gateway Medical Center, 2015). The hospital has also become a member of the Joint Commission (Gateway Medical Center, 2015). The Joint Commission accreditation will conduct surveys to evaluate the facility’s compliance with national standards (Gateway Medical Center, 2015). These improvements can only be achieved by having strong leadership within the hospital
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networks. Decisions are made by top executives, which are vision and strategic-based and therefore enforced throughout several tiers within the organization. Accreditation: The hospital is accredited by the Commission on Accreditation of Rehabilitation Facilities (CARF), The Joint Commission and licensed by the District of Columbia Regulatory Affairs Department. Financial Stability: The George Washington University Hospital is a for-profit organization and is currently struggling to achieve its
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Executive Summary Joint Commission Standards Compliance Prepared by: AK- Joint Commission Priority Focus Area: Communication RAFT Task 1 The Joint Commission Priority Focus area for Nightnigale included the four areas: • • • • Information Management Medication Management Infection Control Communication All these priorities focus on the national patients safety goal as the most important in patient management and treatment, and guide the hospitals toward appropriate policies and protocols
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patients, N.C.H gets the joint commission periodically to come in and rate all the departments as well as the quality of care that the hospital provides. This evaluation by the joint commission is important because its seal of endorsement on a hospital means that the hospital rates highly in all aspects of care. Patients and their families constantly look for that supreme seal of excellence. Therefore N.C.H wants to make sure its services measure up to the joint commission standards. The previous
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Sentinel Event: Child Abduction Description of Event A three-year-old patient presented to the hospital for outpatient surgery of bilateral myringotomies with mother. After the patient was registered, consent for surgery signed by mother, and prepped for surgery, the mother gave the pre-op nurse her phone number and left to run an errand with instructions to be called if her daughter was finished with surgery sooner than expected. The mother was expecting the patient would be ready to go home
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needs to improve upon. Improving these areas would be just one step toward increasing patient care and satisfaction at this hospital. There are three areas to focus on that Nightingale Community Hospital is not in compliance with according to the Joint Commission standards. These areas are reporting critical results within 60 minutes, labeling medication containers and relations with anticoagulation therapy. One is in reporting of critical results hospital-wide. The survey results showed the hospital’s
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Assignment 1-2: Accreditation by the Joint Commission Using a current Joint Commission Manual for any of the Joint Commission’s (JC) accreditation programs and the JC’s Website (www.jointcommissions.org) respond to the following questions. 1. List the accreditation programs and the types of facilities accredited by each accreditation program. * Ambulatory Care Accreditation Program – This accreditation program was established in 1975. Organizations accredited by this program are free
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Healthcare Quality, the Joint Commission, the Healthcare Facilities Accreditation Program, and Det Norske Veritas Healthcare Inc.,’s program (Thompson, 2013). Healthcare organizations must consider their needs when determining which nationally accredited organizations to enter into agreements with. Thompson (2013) states, “The Joint Commission dominates the field. In 2010–11, the report states, 90% of hospitals with so-called deemed status obtained it from the Joint Commission. The rest of the hospitals
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Michelle Purcell Ms. Williams EBP Project One of the most dangerous activities for hospital patients is the seemingly simple act of getting out of bed; it can lead to a hard fall, serious injuries and several thousands of dollars in added medical bills. Studies show that falls are most likely to happen between 7 p.m. and 7 a.m. and are commonly the result of patients getting up to use the bathroom. Patient’s most at risk for falls are those who are elderly, forgetful, or possibly
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Executive Summary Nightingale Community Hospital (NCH) is currently preparing for its triennial Joint Commission survey which is expected in approximately 13 months. The Joint Commission primary focus areas for NCH are Information Management, Medication Management, Communication, and Infection Control. The primary focus area outlined in this summary is Communication. The Joint Commission has three standards in which NCH is evaluated. Currently, NCH is non-compliant with standards UP.01.01
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