Wgu Aft2 Accreditation Examine Task you

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Aft2 Activity 1

. Certification Audit Task 1 AFT2 May 2015 Accreditation Taxation Task one particular A. Nightingale Community Medical center is looking to be in full compliance with Joint Commission’s communications standards. Prior to the Joint Commission study, Nightingale Community Hospital wished to focus on items UP. 01. 01. 01 through UP. 01. 03. 01 with the Joint Commission handbook. In line with the handbook, these materials focus on the universal protocols for preventing wrong web page, wrong method, wrong person surgery (2015). In response to universal protocols, the hospital implemented a pre-procedure hand-off tool, which is finished and agreed upon off by both the registered nurse handing off of the patient plus the nurse taking the patient. The hospital also began implementing a time out form to become completed by the surgeon, most assisting medical staff plus the patient, when possible, just prior to surgical procedure. Both of these varieties follow Joint Commission’s recommendations for best practice. According to the Joint Commission Guide, National Sufferer Safety Desired goals (NPSGs) were established by the Joint Commission payment to help accredited organizations treat specific areas of concern in regard to patient security (2015). Nightingale Community Hospital obtained NPSGs data regarding their compliance with sales and marketing communications standards, with hopes of improving their particular effectiveness of communication. Info was accumulated over the span of one 12 months. Hospital-wide compliance of credit reporting critical results within 60 minutes and.

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Accreditation Audit Task 1

. Running Header: Task My spouse and i 1 Task I Abigail M. Garcia Western Governor’s University: Certification Audit Running Header: Process I 2 Executive Brief summary Nightingale Community Hospital is definitely committed to rendering quality attention and aims to be the first choice medical center for sufferers in the community. 4 core beliefs represent the passion Nightingale provides for excellence: Safety, Community, Teamwork and Accountability. The goals with the hospital in order to uphold a great atmosphere of healing, enhance the benefits of well being, and to offer a compassionate experience for all. Summary In order to reach the aforementioned desired goals, values and commitments, Nightingale Community Medical center must be in compliance of regulatory companies which describe specific, goaloriented sets of standards. The Joint Commission payment is one agency that delivers assistance and support to health care facilities to ensure that specific standards happen to be met, education for putting into action new requirements and reviews of current healthcare practices as part of the certification process. Relating to Details of Hospital Accreditation (2014), the Joint Commission rate standards talk about the hospital’s performance in specific areas, and specify requirements to make sure that patient attention is presented in a secure manner and a protect environment (p. 1).  This company uses a Concern Focus Procedure methodology to recognize areas within just healthcare companies which have a substantial impact on patient safety and quality of care. Certainly one of.

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Accreditation Task one particular

. Accreditation Review AFT2 Process 1 Business Summary Current Compliance Position A. Conformity Status Executive Overview Nightingale Community Hospital’s is actually a healthcare facility with a perspective to end up being the hospital of preference for people, employees, doctors, volunteers, plus the community.  We also state our task is to create a healing environment, with a ardent commitment to healthcare excellence. Creating this vision and staying true to the stated objective requires that individuals adhere to certain requirements set forth by the Joint Percentage. In preparing for the Joint Commission go to there are concentrate priority areas that will have to be addressed if Nightingale will be compliant. The actual focus place addressed with this summary is definitely medication administration. There are three standards which come under the medication management area. The standards are listed in the table below along with their descriptions and summary of whether Nightingale Hospital gets the documentation/data to be Joint Commission rate compliant for the given standard. Regular | Information | Joint Commission Complying | MM. 01. 01. 01 | The hospital programs its medicine management techniques. | MetNightingale PoliciesPatient Attention Polices: 1 ) Medication Managing, Patient Specific Information 2 . Medication Supervision | NPSG. 03. 04. 01 | Label all medications, medicine containers (for example, syringes, medicine cups of, basins), or perhaps other solutions on and off the sterile field. | MetNightingale.

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The 10 most usual sentinel events

In the end the sentinel was found and he therefore performed his duty quickly and efficiently. The urgeon who visit website on Raft2 sentinel for Nightingale Medical center stated that he is the 1 ENT Raft2 at the medical center.

That indicates he is very good at what he really does. He explained that his office got records that state the case is the major event Raft2 of the individual and that the clinic did not get those records.

While the medical center could have obtained the sentinels, simply adding the question for the sentinel procedure would correct the situation. The surgeon is very angry that the incident happened and he does have the right as this is his patient of course, if these things still happen he event not have patients.

The surgeon Raft2 the medical procedures and care of the patient as part of his task. This person is responsible for [URL] about anything that occurs in the event by a medical standpoint.

This means that anything that goes right or wrong that they deal with.

Wgu Accreditation Examine Aft2 Process 4

. Ongoing Accreditation Compliance – Activity 4 AFT2 Accreditation Review October 31st, 2014 Ongoing Accreditation Complying – Activity 4 Nightingale Community Hospital (NCH), just like many other health care facilities, runs on the Periodic Efficiency Review (PPR) as an assessment application that aids in analyzing performance on the consistent basis to ensure conformity with Joint Commission specifications. A PPR concentrates attention on procedures, methods, and processes that contribute a place that provides for proper care and emphasizes sufferer safety. NCH has shown to get 100% compliant with the most standards which include: Infection Reduction and Control, Right and Responsibilities to Patients, Recruiting, Transplant Safety, Emergency Supervision, and Performance Improvement. During the last inspection NCH was found to become noncompliant inside the following areas: National Affected person Safety Desired goals, Record of Care, Environment of Treatment, Nursing, Treatment and Providers, Leadership, Life Safety, Dotacion of Attention, and Common Protocol. Trending Areas of Concern The PPR revealed several issues in most areas of NCH. In order to talk about issues that have an effect on patient basic safety and certification it is necessary to give attention to issues that are found to be present in several aspects of the facility. These patterns and trends of non-compliance often reveal a weak point in insurance plan, procedure, or training which needs to be addressed in order to ensure individual safety and accreditation.

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Accreditation Examine Task one particular

. Accreditation Audit Task 1 . A1. Connection, this is the essential focus area that is evaluated in this overview. Communication is known as a key target area of the joint commission audit and is also a key region in which Nightingale Community could make enhancements. Marketing communications must be a two method free flow of information. The data exchanges arise between services, staff, and patients or clients. This was an area that needed improvement was known in the previous certification audit. Some noted before issues by 2 years before included individual and family members education and information not being properly disseminated to the breastfeeding staff. They are areas where we have targeted and currently satisfy. Some areas that we carry on and work on happen to be as follows. All of us currently ought to address the time out policy. During the last 12 months there were 3 months that Nightingale Community do poorly in this area. We must be sure that the time outs are not only done properly yet more importantly recorded in the patients chart. In the event the time out is usually not properly documented inside the patients chart the organization will not likely receive credit, it will be that it never occurred. We should make sure that all providers and clinical personnel have ideal training and training materials provided for enough time out policy. We will certainly continue to quantify our initiatives monthly through this key place. We because an organization must make this objective monthly. Critical results are a concern of concern to get the organization. Essential.

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Aft2 Task two

. Accreditation Taxation: AFT2 task 2 you Accreditation Review: AFT2 Task 2 ConfidentialFor internal just use to support overall performance improvement actions. This information is definitely provided inside the confidentiality rights of point out statute. Not necessarily to be allocated outside the quality assurance, performance improvement, peer assessment process. Accreditation Audit: AFT2 task two 2 Evaluation of Important Components RCA: Child Écartement Please note which the root cause evaluation and action plan must display evidence of an analysis inside the key parts as discussed on the cause analysis matrix for the actual type of event. An area for the matrix that may not have a great identified procedure breakdown should still be summarized to ascertain that the element was evaluated. Brief description of event Briefly sum it up the circumstances encircling the happening including the individual outcome (e. g., death, loss of function). A 3-­year-­old female the chidhood.

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Accreditation Audit Activity 1

. Certification Audit Job 1 . A1. Communication, this can be a key concentrate area that is evaluated through this summary. Conversation is a essential focus part of the joint commission audit and is also a key area through which Nightingale Community can make innovations. Communications must be a two way totally free flow details. The information exchanges occur among providers, personnel, and sufferers or clientele. This was a place that needed improvement was noted in the last accreditation examine. Some mentioned prior concerns from a couple of years ago included patient and family education and data not being effectively disseminated to the nursing staff. These are locations where we have targeted and presently meet. Some areas that people continue to work on are as follows. We at present need to addresses our break policy. During the last year there have been three months that Nightingale Community did poorly in this area. We have to make sure that enough time outs are not only conducted effectively but most importantly documented in the patients graph and or chart. If the time out is not really properly documented in the people chart the organization will not acquire credit, it will probably be as though it never happened. We must be sure that all services and medical staff have got appropriate teaching and schooling materials provided for the time out policy. We all will still quantify the efforts regular monthly in this crucial area. We all as an organization must make this goal month-to-month. Critical the desired info is an issue of interest for the organization. Critical.

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Accreditation Audit Task you

. Running Header: Task We 1 Process I Abigail M. Garcia Western Governor’s University: Accreditation Audit Jogging Header: Job I 2 Executive Overview Nightingale Community Hospital is committed to offering quality attention and should be the first choice hospital for people in the community. Several core ideals represent the eagerness Nightingale has for brilliance: Safety, Community, Teamwork and Accountability. The goals from the hospital are to uphold a great atmosphere of healing, encourage the benefits of health, and to supply a compassionate knowledge for all. Overview In order to reach the aforementioned desired goals, values and commitments, Nightingale Community Clinic must be in compliance of regulatory agencies which summarize specific, goaloriented sets of standards. The Joint Percentage is one such agency providing you with assistance and support to health care facilities to ensure that selected standards will be met, education for implementing new requirements and opinions of current healthcare methods as part of the certification process. According to Information about Hospital Certification (2014), the Joint Commission payment standards addresses the hospital’s performance in specific areas, and stipulate requirements to ensure patient care is presented in a secure manner and a safeguarded environment (p. 1).  This agency uses a Priority Focus Procedure methodology to spot areas within just healthcare companies which have an important impact on sufferer safety and quality of care. Among.

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Wgu Accreditation Taxation Aft2 Process 3

. Dire Patient Review AFT2 Certification Audit Oct 10th, 2014 Tracer Affected person Audit With an examine by the Joint Commission (JC) in the near future, Nightingale Community Medical center (NCH) is usually performing a tracer sufferer survey to measure our compliance and identify issues that are in need of remediation. The practice of this form of survey tracks a patient’s care for the duration of all their stay starting from the admission process and ending when discharged. This technique allows us to evaluate our pros and cons concerning coverage, procedures, and systems set up to provide top quality care in conjunction with the standards set forth by the JC. Summary of Tracer Sufferer Audit Studies This particular survey was executed concerning a patient that is a 67 year old female, presenting with fever and drainage around 5 several weeks after an open hysterectomy. The tracer sufferer was eventually admitted for any possible postoperative infection. The tracer sufferer then endured another surgical procedure to treat the infection that began after the initial surgery. The patient also received a central line which is often used to administer long lasting antibiotics. NCH is planning to discharge the sufferer to go home with home health, with the aid of her husband, to help provide her antibiotic therapy after discharge. The audit of this particular patient’s care revealed areas that present a chance for correction and improvement. Specifically, the individual.

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Dissertation on examine letter week 1

Watershed CPAs, LLC. We worth your business and definitely will strive to satisfy all of your anticipations. Our company offers different kinds of auditing services, including operational, conformity, and economical audits, and also several attestation services, including reviews and audits of historical economical documents and audits of internal control over financial confirming. The notification is to inform you of the different auditing and guarantee services provided by our firm, the benefit each one of these services provides to

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Aft2 Task 2

. Accreditation Audit 4 June 2015 Articles A. Sentinel Event three or more A2. Employees Involved some A3. Employees Issues 6th Interactions improvement 6 A4. Quality Improvement 7 B1. Risk Management Plan 8 Resources 9 Functions Cited 10 A. Sentinel Event This sentinel event involves child abduction from your surgical unit of Nightingale Community Clinic on Thurs night, September 13, 2014 by approximately 1230hrs. The patient, a three-year outdated female, showed up accompanied by her mother, for an outpatient surgical procedure at 0800hrs and proceeded to registration where all currently required documentation was finished and authorized by the mom; this included the authorization forms for the medical procedures. After registration, the patient and her mom were taken to the pre-op area pertaining to the preparation for the surgery. After completion of pre-op screening nevertheless prior to the affected person entering the operating place, the mother stated that she was leaving campus to address a private matter regarding her different child as the patient was at surgery. Contact information was extracted from the mom prior to her leaving the hospital grounds. After this discussion, the individual proceeded to the operating room. After a good and uneventful surgery, the patient was taken up the Post Anesthesia Proper care Unit (PACU) for restoration. At this time, the mother was paged over head to the PACU, but was found to have not returned towards the hospital. The recovery method was finished and the affected person was.

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ACCREDITATION REVIEW (AFT2) MARIANA MARQUEZ SITAL EXECUTIVE OVERVIEW ACCREDITATION AUDIT (AFT2) Data Management According to Wikipedia, health information managing is the practice of controlling health information by hospitals, that give health care or maintenance of well being records. The gathering and utilization of well being records information is crucial to the improvement of patient proper care. Information Supervision is crucial to the every day operations management

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Accreditation Review Task some

. Running head: ACCREDITATION AUDIT- TASK 5 COMPLAINCE STATUS Joint Commission clearly explained that a Regular Performance Review is as an assessment tool designed to aid in assisting the healthcare business contributes greatly in the improvement and monitoring performance through the year. The periodic performance focuses even more on the actions that has to perform with patients safety and care including same period given the facility to get unremitting specifications fulfillment. NCH is 100% compliance with most requirements of Joint Commission inside the following region; Emergency Administration, Human resources, Contamination Prevention and Control, Performance Improvement, Correct and Responsibilities of the Individuals, Transplant Safety. During the inspection at the center, the hospital was found to become non- up to date in this outlined areas; Environment of Proper care, Leadership, Lifestyle Safety, widespread protocol, Medicine Management, Medical Staff, Countrywide Patient Basic safety Goals, Nursing, Record of Care, Treatment and Solutions, and supply of treatment During the PPR, the hospital was found with an increase bunch in the hallways, it is a fireplace hazard and a safety concern. The nurses are not familiar with verbal order procedures, using the variety of orders that received as well as the abbreviations that are prohibited inside the documents. From your trend, there are areas when the hospital must implement appropriate education and audit. A task plan should be implemented by the administration to address the.

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Essay regarding Raft Process 2

NUMBER Task two Sharon Walb Western Governor’s University NUMBER Task two A. you Sentinel Event A sentinel event is an unexpected occurrence involving loss of life or serious physical or perhaps psychological personal injury, or the risk thereof (http://www.jointcommission.org/sentinel_event). Root Cause Research: Potential Child Abduction Just lately a three yr old female was brought to Nightingale Hospital intended for an outpatient surgical procedure accompanied by her mom. They presented to the archivar who entered

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Wgu Accreditation Audit Aft2 Task a few

. Tracer Sufferer Audit AFT2 Accreditation Audit October tenth, 2014 Dire Patient Taxation With a great audit by Joint Percentage (JC) soon, Nightingale Community Hospital (NCH) is performing a tracer patient survey to evaluate our conformity and identify issues that require remediation. The practice of the type of survey tracks a patient’s look after the life long their stay starting from the admission process and ending when they are dismissed. This system permits us to assess each of our strengths and weaknesses with regards to policy, techniques, and systems in place to supply quality treatment in conjunction with the requirements set forth by the JC. Summary of Tracer Patient Examine Findings This kind of survey was conducted concerning a patient this is a 67 yr old female, showing with fever and draining approximately 5 weeks following an open hysterectomy. The tracer patient was subsequently confessed for a conceivable postoperative illness. The dire patient then endured another surgery to deal with the infection that started after the original surgery. The patient as well received a central series which is used to manage long-term remedies. NCH can be arranging to release the patient to look home with home overall health, with the aid of her husband, to help administer her antibiotic remedy after relieve. The review of this particular patient’s care revealed areas that present an opportunity for correction and improvement. Particularly, the patient.

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Accreditation Review Task a few

. administering medicine to individuals. Pain medications are to be look for effect inside 1 hour after ingestion but documentation revealed the last 4x that looking at for result exceeded 1 hour after applying pain medication to the individual. It is recommended to begin with the lowest dose ordered and work up if possible. Finally, the hand-off method noted inside the survey as disjointed as well as the use of hand-off form was inconsistent. Based on the Joint Commission payment, passing important and important information during the time of transfer has become a pain stage for many health care organizations. Approximately 80% of significant medical problems involve miscommunication when people are transferred between caregivers. (Kulczycki, 2012) 2 . Corrective Action Plan: Nightingale Community Medical center is deficient in next certain protocols and keeping documentations of treatment provided to affected person. Guidelines of necessary process and records procedures are essential from the period a patient is definitely admitted towards the hospital to the time of relieve. Following protocols and documenting it can benefit the organization by improving patient treatment. Furthermore, it will show the clinic demonstrate complying with the specifications set by Joint Commission payment. In order to attain an effective modification action plan, the CEO and Chief Medical Officer will give you training to healthcare employees focusing mainly on subsequent specific process during individual admission, giving pain.

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