Nightingale community hospital current compliance status: communication western governors university a: executive summary nightingale community hospital is expecting a review from the joint commission within the next 13 months. Quarterly compliance and 45-day status report for pennsylvania hospitals and ambulatory surgical facilities 2006q3 through 2007q2 pennsylvania health care cost containment council december 2007 aliquippa community hospital general acute.
Nightingale community hospital is compliant with the joint commission standards except the following areas: accreditation function of environment of care and life safety, it was documented that more than 3 smoke wall penetrations were found on the 1st floor and one on the 4th floor.
Status preparing for the joint commission, nightingale community hospital reviews areas of compliance and non-compliance a periodic performance review, which is a self-evaluation, is utilized by nightingale community hospital, to prepare for the joint commission. Nightingale community hospital accreditation audit paper instructions: the accreditation process seeks to help organizations identify and resolve problems and to inspire them to improve the safety and quality of care and services provided the process focuses on systems critical to the safety and the quality of care, treatment, and services.
The following pages will provide a summary of the current compliance status of nightingale community hospital based on the information management priority focus area from the information provided by nightingale community hospital [the hospital] or readily available to the audit team, many joint commission standards are not currently being met and will require corrective action prior to an audit to ensure success. A compliance status nightingale community hospital is not-for-profit, acute care hospital that houses 180 beds nightingale provides services in many areas such as general medicine, critical care, emergency services, oncology, cardiology, etc nightingale has four core values: safety, community, teamwork, and accountability. Compliance status focus standard assessment was conducted at nightingale community hospital (nch) to evaluate if the facility meets the joint commission standards the facility meets specific listed requirements to participate in the accreditation process and continue to maintain accreditation which is specified by the joint commission standards.
Accreditation audit raft task 1 executive summary nightingale community hospital (nch) is a hospital that states they are leaders in quality healthcare to remain a leader in hospital care it is crucial for the hospital to adhere to standards developed by the joint commission accreditation on healthcare organizations (jcaho. Preparing for the joint commission, nightingale community hospital reviews areas of compliance and non-compliance a periodic performance review, which is a self-evaluation, is utilized by nightingale community hospital, to prepare for the joint commission the joint commission has eighteen accreditation requirements. Compliance status of nightingale community hospital: information management the following pages will provide a summary of the current compliance status of nightingale community hospital based on the information management priority focus area.
Compliance status source: (nightingale community hospital, 2014) as the preceding graph shows, the adverse events related to anticoagulation therapy is trending downward however, this leaves ample room for improvement of current processes to continue the downward movement to zero incidents. 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. Dmk accreditation audit task 1 current compliance status of nightingale community hospital: nightingale community hospital needs to bring several area up to joint commission standards.