Accreditation Task 4

In: Business and Management

Submitted By jojoj1709
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Nightingale Community Hospital has subjected itself to a rigorous examination of its policies and practices to keep up with the latest Joint Commission standards. Clinical practice is constantly affected by changes in the health care system and other factors. It is the responsibility of the hospital to be aware of such changes and modify its practice and align its goals in order to better serve the community at large. In short, it means the hospital needs to maintain compliance with the Joint Commission standards and provide consistent and quality care to its recipients. Compliance is a difficult task to achieve. It requires great effort on the part on the administrators and work force and requires the collaboration of interdisciplinary teams to bring about the desired effect. In order to monitor compliance, the hospital utilizes a periodic performance review (PPR) tool to assess its performance by continuous monitoring and performance improvement activities. The PPR provides the chassis for continuous standards compliance and focuses on the essential systems and practices that affect patient care and safety. The hospital self-evaluates its adherence with all Joint Commission Accreditation Participation Requirements, National Patient Safety Goals, related Elements of Performance (EPs), and develops a Plan of Action for all areas of performance identified as being non-compliant. The hospital also develops Measures of Success (MOS) for determining whether the organization is successful in resolving identified problems. Nightingale Community Hospital provides various medical, surgical, ambulatory care, laboratory, pediatric and emergency services and is thereby accountable for maintaining compliance as per accreditation policies. Areas of…...

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