Summary: Carmel Branch Audit

The Joint Commission defines the Periodic Performance Review as an assessment tool created to assist health organizations improve and monitor their performance throughout the year. This tool focuses on the processes that influence patient care and safety while providing the structure for unremitting standards fulfillment. Nightingale Community Hospital is compliant with most standards as set forth by the Joint Commission. However, upon inspection and in an effort to stay focused on compliance, our standards committee has located a few discrepancies that must be resolved to maintain our accreditation with the Joint Commission.

Participation in any selected planning and program activities in order to help with observations will be required of all staff. (Yuen, Terao, 2003) There will be interviews required of staff and program participants, in addition to biannual questionnaires, in order to document fulfillment of the program procedures and any other concerns. The staff training, workshops, and conferences will also be documented through records of involvement and minutes of deliberations. Encounter forms and attendance sheets that will document participation and amount of service will be available and used for each participant. (Yuen, Terao, 2003)

In 2015, the Legislative Joint Auditing Committee audited Hector School District. In the Summary of Auditor’s Results and Financial Statement Findings, the auditors did indicate a material weakness in internal control. Here, the specific requirement noted that management is where the responsibility falls for implementing sound accounting policies and maintaining internal control over financial procedures that are consistent with their own assertions found in the financial statements. The stated condition for this material weakness was that the district failed to segregate financial duties among qualified employees. Instead, one sole employee was in charge of all of the financial accounting duties. Thus, the school

5. The Patient Safety Officer will train the risk assessment team members on the proactive risk assessment process and how to conduct a proactive risk assessment, including the assessment of risk, itself.

Auditor, an instructional novella written by James K. Loebbecke, tells the story of Jack Butler, a man from the San Francisco Bay area, who goes to college, majors in accounting, and goes to work for a large accounting firm referred to as “The Firm.” The story is loosely based upon the real world experiences of the author, and is written to give students a look into the world of public accounting that goes beyond a textbook. The Auditor not only gives students a chance to follow Jack Butler’s journey up the company ladder at The Firm, but also reiterates the relative importance of conventional lessons learned in school.

Joint Commission clearly explained that a Periodic Performance Review is as an assessment tool designed to help in assisting the healthcare organization contributes greatly in the improvement and monitoring performance all through the year. The periodic performance focuses more on the measures that has to do with patients safety and care and at same time given the facility for unremitting standards fulfillment. NCH is 100% compliance with most standards of Joint Commission in the following area; Emergency Management, Human resources, Infection Prevention and Control, Performance Improvement, Right and Responsibilities of the Individuals, Transplant Safety. During the inspection

There were 3 departments audited for Pain Reassessment compliance over a 12 month period, NIGHTINGALE COMMUNITY HOSPITAL averaged

The Auditor by James K. Loebbecke tells a story about the life and career of an auditor named Jack Butler. The book shows Jack’s career from his education all the way to his promotion to partner. Loebbecke designed this story about Jack as a teaching tool to give students an understanding about the life of an auditor.

Next, we interviewed a member of the Peat Marwick audit team who conducted the Crazy Eddie audits. He disclosed that Eddie Antar was a very charming man and went above and beyond to make their visits fun and accommodating. He stated that Eddie took them out to lunch and after work drinks. Even though, they knew it was wrong, Eddie was a hard man to refuse.

During the first safety audit of the season, the Village of Orland Park Centennial Park Aquatic Center earned a five-star rating. A surprise risk management audit was conducted by the water safety organization, Starfish Aquatics Institute. Aside from performing risk management audits, the institute offers training courses.

When a patient checks into Nightingale Community Hospitals they believe the hospital will put there care first and provide quality medicine. Looking at the recent compliance reports there are areas of patient care this hospital needs to improve in. Reporting critical results within 60 minutes, labeling medication containers and reactions with anticoagulation therap.0y are areas that this hospital needs to improve upon. Improving these areas would be just one step toward increasing patient care and satisfaction at this hospital. 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

Please take some time to review the attached agenda. If there are any potential issues that you would like to self-report, please introduce them during this meeting (refer to the attached Self-Identified Issue Procedures and Form).

Last October 9, 11 & 12 [2017], the SHS Theater Arts Club held an audition for the Grades 11 & 12 Isabelans under the nine (9) categories; Modeling, Dancing, Acting, Speech, Singing, Writing, Designing/Crafting, Directing, and Technical Prod. Due to the overwhelming number of talents that reached the quoted score, there are 35 accepted members out of 53 who auditioned. Moreover, five (5) Isabelans are chosen as reserves for reconsideration and substitution in case someone from the 35 backed out or is removed from the list.

The audit team met prior to conducting this audit, reviewed the audit checklist, reviewed WI-001-ENV-RAD “Radiation Alarm Scale House-Scrap Yard, WI-003-ENV-RAD “Melt Shop Chem Lab NucSafe Radiation Detector Operation, Nucor Birmingham Malfunction Plan EAF, and discussed the audit parameters.

Quality Objectives - The quality objectives define measurable goals relative to the company's quality management system. Requirements on the quality objectives are in ISO 9001:2008 section 5.4.1.