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Accreditation Audit - Research Paper Example

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Executive summary for senior leadership outlining the current compliance status of the organization based on the attached “Accreditation Audit Case Study” for one priority focus area of the Joint Commission standards (e.g., infection control, communication,medical management, information management)…
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Accreditation Audit
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Accreditation Audit

Download file to see previous pages... One of the most focused priority communication area of the joint commission standards that needs to be addressed immediately is “patient safety”. It is a priority because using the survey information it is found that “patient safety” is one of the priority focus process. It is necessary to review the organization’s patient safety norms from time to time to review the audit compliance standards related to patient safety. Some of the publicly available data which has called for the priority focus area are med par for hospitals and Nursing home compare reports. While all the areas in the hospital accreditation program are important like the assessment and care/ services, quality improvement expertise/Activities, communication, infection control and patient safety. The most important priority focus area which calls for an immediate accreditation audit is “patient safety” initiative. Therefore an accreditation audit is especially needed for the hospital accreditation program and the priority focus area is patient safety.
1. Develop a corrective action plan that would ensure compliance with
the Joint Commission standards for the identified area.
The priority focus identified area is patient safety. Accreditation audit is done to measure the quality and practices followed by a company to achieve its result. The national patient safety goal is a corrective action plan that ensures compliance with the joint commission standards. It is important to conduct an accreditation audit on patient safety because the prime motive of hospitals and health care organizations is patient safety. The National Patient Safety Goals (NPSG), University of Michigan Hospitals and Health Centers (UMHHC) are some of the integrated programs focused on patient safety initiatives. This should be in compliance with the joint commission standards for patient safety. “The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them” (Hospital National Patient Safety Goals, 2011). The national patient safety goals motive is to improve patient safety. The main purpose of the National patient safety is to focus on patient safety and find ways to resolve their problems. Efficient patient safety implies identification of all the risks that affect the safety of the patients. Efficient patient safety is a systematic process which involves examining of different activities that is needed to ensure the safety of patients. The patient safety program is to reduce medical hazards and errors so that patient safety can be increased. The accreditation audit for patient safety needs careful planning and analysis such as reviewing and modifying the organizational processes so that there is compliance with the joint commission standards on national patient safety initiative. Patient safety reports should be prepared bi weekly and monthly to ensure proper review of the existing patient safety initiatives and the required improvement needed in patient safety. It is necessary to effectively communicate with the hospital staff on proper compliance with the accreditation auditing standards on patient safety so that they are fully versant with accreditation audit standards. It is also necessary to communicate effectively the patient safety standards to the patients, the family members of the ...Download file to see next pagesRead More
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