Task 1—Accreditation Audit Evidence of Standards Compliance Assessment Code: AFT 2—Task 1 Kerri Laughlin WGU-429495 January 8, 2015 Mentor: Michelle Caldwell Nightingale Community Hospital Executive Summary With the upcoming survey by The Joint Commission (TJC) within the next 13 months, four areas of primary focus are recognized: Information Management, Medication Management, Communication, and Infection Control. In this document, the focus will cover the compliance status, plan for compliance and justification for Communication within Nightingale Community Hospital (NCH). An internal audit has been performed in order to take an in-depth look at our preparedness for our upcoming TJC survey. A. Compliance Status
Western Governors University RTT1, Task 1 The following essay will identify how nursing-sensitive indicators could improve the care of Mr. J. The paragraphs below will discuss how application and tracking of these indicators can be beneficial to the overall care provided at the hospital. In addition, there will be discussion of how the lead nursing supervisor can use the identified principles to resolve ethical issues in care. A. Nursing-Sensitive Indicators Nursing-sensitive indicators were developed by the American Nurses’ Association (ANA) to reflect the structure, process and outcome of nursing care. Structure is measured by the staff: amount, skill-level, and education or certification.
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. The Priority Focus Areas for Nightingale include information management, medication management, communication, and infection control. This summary will assess the area of communication. Communication is the process by which information is exchanged between individuals, departments, or organizations. Effective communication successfully permeates every aspect of a heath care organization, from the provision of care to performance improvement, resulting in a marked improvement in the quality of care delivery and functioning.
Once a patient has been admitted to a particular ward, it is the responsibility of the Medical and Senior Nursing team to develop a monitoring system tailored to each individual patient in relation to their specific medical needs. The policy “Recognition and Response to Acute Illness in Adults in Hospital” outlines the responsibilities of all staff involved in the recording of physiological measurements (North Tees and Hartlepool NHS Foundation Trust 2012). The observations must be recorded in the in the Physiological Track and Trigger Chart, and carried out by other healthcare staff such as Healthcare Assistants at the intervals specified on this chart. The Physiological Track and Trigger Chart, utilises a system in which all measurements are given a score between 0 and 3, the higher the overall score is the clearer the indication of how unwell the patient is. This score is known as the Early Warning Score (EWS) and is used in order to ensure all staff can recognise and report when a patient is becoming more poorly.
(See Chapter 14, page 238–239 of your text for the reasons.) Medical records are an important part of the patient/Doctor relationship. The medical record has all of the medical notes, findings, test results, medications, and diagnoses of the patient that the Doctor uses treat the patient. They are the stepping stones that the physician has used to get to the heart of the health issue the patient has been experiencing. Medical records are the written history of the care and treatment given to the patient by the current physician and can be accessed by any future physicians (Adams, 2013).
Interpretation of the ECG reading is the responsibility of the Doctors not the nursing/ care support staff. Doctors who are unsure of how to interpret the ECG reading must seek advice from another Doctor who is competent before administrating any treatment. Doctors/Consultants wishing to change a patient’s medications prescribed by another consultant following an ECG should seek advice from the named consultant first.
Executive Summary Nightingale Community Hospital is preparing for its upcoming Joint Commission accreditation audit. The next Joint Commission visit is anticipated to be in approximately 13 months. In preparing for the approaching audit, the hospital is assessing the compliance status of each of the Joint Commission’s priority focus areas which include information management, medication management, communication, infection control. In this summary, communication will be the targeted priority focus area that will be reviewed for compliance. Effective and accurate communication within the healthcare setting is the most important aspect in regards to patient safety.
Clinical Considerations FDA recognizes that clinical evaluation may be involved in the validation of the design of a modified device. Manufacturers are reminded that all clinical investigations must conform to the applicable regulations, including 21 CFR Parts 812, 50 and 56. Therefore, collection of clinical data to support a Special 510(k) may require submission of an investigational device exemptions (IDE) application to FDA. The fact that a significant risk device investigation was conducted to support any of the activities listed above, however, does not necessarily preclude the submission of a Special 510(k). 7 Manufacturers who intend to conduct clinical investigations of a modified device as part of design validation are encouraged to contact the appropriate ODE review division before preparing a Special 510(k).
Running Head: Module 5- GAH Quality, Ethical and IT Controls [STUDENT NAME] [INSTITUTION] [COURSE NAME] [DATE] Module 5- GAH Quality, Ethical and IT Controls With the major core components of the Golden Age Hospital complete as well as for the Community Center, it is time to focus on the other aspects that are found in a health care organization environment. These aspects include quality control and accreditation, ethical issues in regards to HIPAA, and an IT system. The health care organizations core organizational competencies and functions will be defined in order to set a goal for the health organization to achieve. Further, methods of controls will be implemented into the newly established organization
HIPAA does not require a practice to purchase a computer-based system as it applies only to electronic medical transactions. HIPAA requires that all patients be able access their own medical records, correct errors or omissions, and be informed how personal information is shared used. Other provisions involve notification of privacy procedures to the patient. HIPAA provisions that have led in many cases to extensive overhauling with regard to medical records and billing systems” (April 2013). The HIPPA law was passed in 1996 to protect the privacy of the client.