Overview
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.
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 - Task 4 Artifacts by doing the following:
1. Discuss the current compliance status of the healthcare facility by including the compliance status of each of the 18 Joint Commission standard focus areas.
2. Discuss at least two trends evident in the Accreditation Audit Case Study - Task 4 Artifacts 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.
b. Develop a staffing plan to minimize the number of falls in the patient care unit.
Note: If you have problems opening the Audit Case Study - Task 4 Artifacts file, download the file first, and then open it.
B. Acknowledge sources, using in-text citations and references, for content that is quoted, paraphrased, or summarized.
C. Demonstrate professional communication in the content and presentation of your submission.
A1:COMPLIANCE STATUS
Not Evident The candidate does not provide a logical discussion of the current compliance status of the healthcare facility, including the compliance status of each of the 18 Joint Commission standard focus areas. | Approaching Competence The candidate provides a logical discussion, with insufficient detail, of the current compliance status of the healthcare facility, including the compliance status of each of the 18 Joint Commission standard focus areas. | Competent The candidate provides a logical discussion, with sufficient detail, of the current compliance status of the healthcare facility and includes the compliance status of each of the 18 Joint Commission standard focus areas. |
A2:NONCOMPLIANT TRENDS
Not Evident The candidate does not provide a logical discussion of at least 2 trends evident in the case study that may cause the organization to not be compliant with the Joint Commission standards for patient care. | Approaching Competence The candidate provides a logical discussion, with insufficient detail, of at least 2 trends evident in the case study that may cause the organization to not be compliant with the Joint Commission standards for patient care. | Competent The candidate provides a logical discussion, with sufficient detail, of at least 2 trends evident in the case study that may cause the organization to not be compliant with the Joint Commission standards for patient care. |
A3a:STAFFING PATTERNS
Not Evident The candidate does not provide a plausible analysis of data to determine the staffing patterns of the patient care unit. | Approaching Competence The candidate provides a plausible analysis, with insufficient support, of data to determine the staffing patterns of the patient care unit. | Competent The candidate provides a plausible analysis, with sufficient support, of data to determine the staffing patterns of the patient care unit. |
A3b:STAFFING PLAN
Not Evident The candidate does not provide a staffing plan to minimize the number of falls in the patient care unit. | Approaching Competence The candidate provides a staffing plan, with insufficient detail, to minimize the number of falls in the patient care unit. | Competent The candidate provides a staffing plan, with sufficient detail, to minimize the number of falls in the patient care unit. |
B:Sources
Not Evident The submission does not include both in-text citations and a reference list for sources that are quoted, paraphrased, or summarized. | Approaching Competence The submission includes in-text citations for sources that are quoted, paraphrased, or summarized and a reference list; however, the citations or reference list is incomplete or inaccurate. | Competent The submission includes in-text citations for sources that are properly quoted, paraphrased, or summarized and a reference list that accurately identifies the author, date, title, and source location as available. |
C:Professional Communication
Not Evident This submission includes pervasive errors in professional communication related to grammar, sentence fluency, contextual spelling, or punctuation, negatively impacting the professional quality and clarity of the writing. Specific errors have been identified by Grammarly for Education under the Correctness category. | Approaching Competence This submission includes substantial errors in professional communication related to grammar, sentence fluency, contextual spelling, or punctuation. Specific errors have been identified by Grammarly for Education under the Correctness category. | Competent This submission includes satisfactory use of grammar, sentence fluency, contextual spelling, and punctuation, which promote accurate interpretation and understanding. |