Tjc Executive Summary

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Executive Summary Nightingale Community Hospital is a not-for-profit community hospital with a vision to be the hospital of choice for the members of the community. The hospital has a commitment to patient safety, the community, teamwork and accountability. The hospital is an acute care facility with advanced care service lines such as oncology, cardiology, neurosciences unit, obstetrics and a level II NICU. The hospital works to provide cost-effective, compassionate care in a healing environment. The Joint Commission (TJC) surveyed Nightingale Community Hospital two years ago. The Joint Commission is a non-profit organization that accredits and certifies healthcare organizations. The mission of The Joint commission is “To continuously improve health care for the public, in collaboration with other stakeholders, by evaluating health care organizations and inspiring them to excel in providing safe and effective care of the highest quality and value”(The Joint Commission, 2012). The previous Joint Commission survey results found opportunity with six standards at Nightingale Community hospital. The area of greatest opportunity, with four findings, was within the Provision of Care, Treatment and Services: · PC.01.01.07 Pain is assessed in all patients(The Joint Commission, 2012). · PC.01.03.01 Care and treatment are planned to ensure that they are appropriate to the patient’s needs and severity of disease, condition, impairment, or disability. Care is planned in an interdisciplinary, collaborative manner by qualified individuals (The Joint Commission, 2012). · PC.02.03.01 The hospital provides patient education and training based on each patient’s needs and abilities (The Joint Commission, 2012). · PC.03.01.01 The hospital plans operative or other high-risk procedures, including those that require the administration of moderate or deep sedation (The

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