staffing effectiveness. Trend within the hospital indicates the Nightingale has made significant progress towards fulfilling the standards of the Joint Review Commission. However, the trends in staffing effectiveness are limiting the organization’s compliance. Periodic Performance Review (PPR) The PPR is based on data collected in the Joint Commission Survey. The survey utilized the priority focus methodology to evaluate the compliance of Nightingale Community Hospital. The priority focus process
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AFT Task 3 As our Joint Commission audit approaches, Nightingale Community Hospital has conducted a tracer patient survey to assess our compliance. The tracer methodology tracks a selected patient's care from admission to discharge, allowing us to evaluate our systems of providing care and to ensure that we are meeting the Joint Commissions standards of providing safe, quality healthcare. Our tracer patient was a 67 year old female who presented with a fever and drainage five weeks after
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Accreditation Audit Task 1 AFT2 May 2015 Accreditation Audit Task 1 A.Nightingale Community Hospital is attempting to be in complete compliance with Joint Commission’s “communications” standards. Prior to the Joint Commission survey, Nightingale Community Hospital wanted to focus on items UP.01.01.01 through UP.01.03.01 of the Joint Commission handbook. According to the handbook, these items focus on the universal protocols for preventing wrong site, wrong procedure, wrong person surgery (2015)
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of Phoenix HCS 430 October 22, 2012 This paper will better inform how the Joint Commission Accreditation of Healthcare Organizations (JCAHO) came into existence. The JCAHO is responsible for the accreditation of healthcare organizations nationwide. JCAHO’s goal is to ensure that specific guidelines are meet and that the organizations operate in a safe manner for their patient’s and its employees. The Joint Commissioned Accreditation of Healthcare Organizations (JCAHO) came along side of
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AFT2 Task 1 Christian Fisher Western Governors University AFT2 Task 1 A. Compliance Status During the last Joint Commission survey two years ago, there were several areas of deficiency surrounding the use of moderate or deep sedation or anesthesia. These noted deficiencies gave Nightingale Community Hospital the opportunity to revamp and strengthen our procedures in all areas of peri-operative services. These include the Main OR, CVOR (Cardiovascular OR), Interventional Labs (Cardiac
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Facility Joint Commission Accreditation Long term care facilities use Joint Commission Accreditation as a benefit to show the quality and commitment to the health care organization. A long term care facility that is Joint Commission accredited will have a more appealing look to reimbursement centers and to the patient and families that they care for. Having this accreditation is also a risk management tool. The likelihood of a bad outcome is reduced if a facility is accredited by the Joint Commission
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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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regulatory agencies which outline specific, goaloriented sets of standards. The Joint Commission is one such agency that provides assistance and support to health care facilities to ensure that certain standards are met, education for implementing new standards and feedback of current healthcare practices as part of the accreditation process. According to Facts about Hospital Accreditation (2014), the “Joint Commission standards address the hospital’s performance in specific areas, and specify requirements
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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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To: Board of Directors of Middlefield Hospital From: Vitalina Tatach Date: August 15, 2015 Re: Evaluation and Recommendations for Improvement I have been diligently working on reassessing our present situation with loss of revenue and other bellow described weakness. After thoroughly studying past years’ reports, I came up with a few thoughts that I would like to share with you which should make positive income and decline out quality assurance problems. With that in mind, I came up with
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