Wgu Accreditation Audit Aft2 Task 3

employees to sign them acknowledging their reception of the policy as well as their intent to

6. The risk assessment team will conduct an inspection of the department/area being assessed for risk or observe the process being assessed for risk in action. The members of the risk assessment team will individually document their findings on the “ABC Proactive Risk Assessment Worksheet” (Attachment A). To determine the appropriate score for each identified risk, the reviewer will consider information obtained through a physical tour of the facility, review of annual incident

The history of the Joint Commission on Accreditation of Hospitals is a story of the health professions’ commitment to patient care of high quality in the 20th century. According to Dr. Ernest Codman, founder of the accreditation system, which would enable hospitals to track every patient it treat long enough to determine whether or not the treatment was effective. If not, the hospital would figure out how to prevent similar failures in the future (Roberts, Coale & Redman, 1987).

There are standardized policies and procedures developed through collaboration with the Division of Licensing of the Medical Board of California and the Board of Registered Nursing may jointly approve or design new policy and procedures. If put into effect by

During safety rounds on Tuesday we noticed a few things I wanted to sit down and discuss our current process as well as the expectations of both dietary and nursing team.

According to Mason, Gardner, Outlaw, and O’Grady (2016), the accreditation process is a voluntary process an organization participates in to demonstrate the standards established by the profession. Consequently, accreditation is complex as health care providers and organizations must follow trends and issues about health policy and standards of care (Mason et al., 2016). For many providers and organization, the benefits of obtaining accreditation often outweigh the costs (Klein & Grace, 2009).

If a problem has been identified at any point the Infection Control Practitioner will consult with the Infection Control Committee, along with the Quality Department to develop a plan of action. Action plans will include conclusions, recommendations, and action taken, with follow-up and re-evaluation noted. Assessment of all corrective action will be conducted continuously following implementation. Conclusions will be developed after corrective actions have been in place long enough to result change. Follow-up will continue for a specified period of time to ensure resolution.

Once my recommendations are accepted by the administrator and human recourses and we get approval from the corporate office. Cooperate will create a new handbook that details new policy and procedure. I would then recommend we hold an in service to discuss the changes that would be coming. This meeting would include all employees at the center including full time and part time employees. The new policy and procedure would be discussed in detail and each employee would be required to sign a document that states that he or she has received the new policy and understands what is required. I will preferred to evaluate my intervention quarterly based on the quality of care improvement, patients outcomes and employees

The development of organization polices is required to achieve certain goals. When goals are not met, policies may need to be reevaluated and a different approach initiated. Often when this happens, the goals are reestablished without indication of why the new policy had to be created. A policy that has changed is the service treatment record and non-service treatment record life cycle management process. When there are new policies, there can be positive and negative outcomes due to learning curves. A very big contributor to a seemliness transition is to have those that will be doing the job involved in the policy change process.

I performed my chart audit on chart 9699 with Yumi Eykelbosch as clinician. I was impressed with how well Yumi had marked and documented as instructed. She had appropriately recorded all the patient privacy and consent forms both in the chart and in the software. We had only recently been reminded to double check these items in an email from the front office staff. I thought that this would be an area that was missed because this chart was completed prior to the reminder. All of the vitals, medication worksheet, ASA classification, dental hygiene diagnosis, periodontal charting, self-care recommendations and instructor signatures were accurately documented. There were only two discrepancies; one was a missing doctor evaluation form

The nursing staff will have the most important role in this process change. The nurses are the ones who see the patients first. The nurses will need to be onboard and understand that this process change will help us give our patients the knowledge they need as well as increasing their satisfaction. Each nurse will be responsible for maintaining the educational materials while making sure the information is accessible to our patients. An important part of this process change is to make sure the staff is onboard and the patients are receiving the information. The nurses will be able to influence and hold each other accountable for this process change. The nursing staff has the best interest of the patients and want to provide the best care they can. The nurses have the power to either bring this project along or they can hinder this

The final step is the improvement process; which utilizes the appropriate preventative actions such as adopting a new policy and creating a different plan of care to accommodate the new changes (AHRQ,

Second step is to decide the interest of population, which varies from a set of particular clients to the broader community. Third step deals with the specifications to recognize whether the modification is an effect of enhanced measures to test that modification. The final and the fourth step is to observe the difference that you might do that is what modifications that you might try to create a development and then involve in “modification tests” where all these modifications are done with an intention to develop.

Clinical audit is a change process therefore all audits must include a programme for change activity as a consequence of audit findings (Burgess, 2011). This process begins with the analysis of the data collected, identifying the clear areas of underperformance, and how it can be improved as well as areas of over performance (Shankar et al., 2011).

I certify that I have received, read and clearly understand this Employee Handbook. The Company has the discretion to change any policy in the Employee Handbook at any time. I agree to comply with all of the policies in the Employee Handbook. At any time, if I have any questions, I will go to my General Manager.