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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.
For this task, you will assume the role of director of accreditation.
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