COMPETENCIES
Regulatory Audits
The graduate ensures a healthcare organization is in compliance with mandatory regulatory audit guidelines pertaining to the organization.
Compliance
The graduate identifies and helps a healthcare organization comply with applicable healthcare statutes and regulations.
INTRODUCTION(Preferably healthcare setting )
In this task, you are preparing for an accreditation audit. There are many variables that must be considered to ensure compliance with Joint Commission standards. In order for the audit to be successful, you must be aware of the accrediting agency’s guidelines.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
- Create an executive summary for senior leadership outlining the current compliance status of the organization based on the attached Accreditation Audit Case Study – Task 1 Artifacts for one priority focus area of the Joint Commission standards (e.g., infection control, communication, medical management, information management).
- Develop a corrective action plan that would ensure compliance with the Joint Commission standards for the identified area.
- Justify why the review area that you selected is important to the hospital.
- Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
- Demonstrate professional communication in the content and presentation of your submission.
