Accreditation Audit

Accreditation Audit

A1.
Joint Commission is dedicated to ensuring the continuous improvement with regulatory compliance. Accreditation offers reassurance to patients, staff and visitors that the healthcare facility has met and exceeded standards in providing quality care. Nightingale Community Hospital, utilized a periodic performance review to prepare for Joint Commission. This self-evaluation pointed out the following areas that were compliant;
Emergency management-Nightingale Community Hospital provides safe and effective patient care environment during an emergency. They evidently define and train their staffs’ roles and responsibilities through departmental communication. Joint Commission requires hospitals to demonstrate they have proper plans in the event of a disaster. 
Right and responsibilities of the individuals-These standards focus on the importance of respecting the wishes of patients and conducting business in an ethical manner. These standards, for example, deal with issues such as end-of-life decisions, communicating with patients who speak another language or are hard of hearing or have poor eyesight. Additionally, the standards address patient confidentiality, resolving complaints, and pain management. The standards also cover the importance of patients taking responsibility as members of the health care team.
Infection prevention and control- this standard revolves around the risks for acquiring and spread of infection. Nightingale has implemented prevention plans to minimize the transmission of disease and infection that have been evaluated for effectiveness.
Performance improvement- The performance data gathered from previous trial and error has enabled Nightingale to consistently monitor internal quality for improvement. Their adaptation to monitoring accountability demonstrate the positive impact of improvement in areas of accuracy, research, care and adverse effects.
Human resources-Nightingale has been able to provide competent and sufficient...

Similar Essays