A.  Facilitate an organization’s continuous accreditation compliance process as you determine the readiness for the accreditation audit of the healthcare facility in the attached Accreditation Audit Case Study-Artifacts by doing the following:

1.  Discuss the current compliance status of the healthcare facility(attachment named FSA findings) by including the compliance status of each of the 18 Joint Commission standard focus areas.

2.  Discuss these two trends(fire drill history, prohibited abbreviation audit) evident in the Accreditation Audit Case Study – (attached) that may cause the organization to not be compliant with the Joint Commission standards for patient care.

3.  Review the performance improvement standard regarding staffing in the healthcare facility’s patient care unit by doing the following: 

a.  Analyze the data to determine the staffing patterns of the patient care unit. (Use the Falls and staffing report attachment)

b.  Develop a staffing plan to minimize the number of falls in the patient care unit. 

 

B.  Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.


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