Accreditation audit executive summary nightingale

Mark Hammar March 17, In ISOthe process for internal audits is one of the most important ways for you to ensure that your quality management system QMS is functioning properly and efficiently, but what is the role of the audit report in this process? Many people who are not well versed in audits or the overall quality management system may not fully understand how important an audit report can be. Here is the information you need to know.

Accreditation audit executive summary nightingale

Research reports Policies, standards and service delivery guidelines As noted, the Program also developed a performance measurement strategy. The strategy contains six expected results and seventeen indicators.

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A sample of these indicators include measurements related to the percentage of the on-reserve population accessing home care and community HCC services; the total number of hours of HCC services provided; the percentage distribution of hours of HCC services provided by type of service; the ratio of nurses to personal care workers; the number and percentage of eligible communities that have achieved accreditation for HCC services.

The Program provides annual reporting under the Departmental Program Activity Architecture - Performance Measurement Strategy and submits statistics for inclusion in the Departmental Performance Report.

Communities are required to submit detailed service delivery information and staff information under the terms of the funding agreement. As well, in its ten-year strategic plan, the Program commits to continuous quality improvement based on high quality, consistent and standardized data collection and assessments.

In its short-term actions, the Program intends to develop analytical reports, present trends in home and community care delivery and service utilization and one-page snapshots or highlights of key indicators.

Going forward, the Program intends to analyze collected data to identify service needs and service gaps. Over the medium term yearsthe Program intends to develop service delivery home support standards with associated indicators. The Program has established a logic model and a performance measurement strategy and is collecting data against a set of performance indicators.

External and internal risks associated with the First Nations and Inuit Home and Community Care Program are identified, assessed and managed. The Program continues to play a vital role in improving First Nations and Inuit health and to help prevent or delay health deterioration and complications.

Community-based home care programs and services can relieve the pressures on provincial and territorial health systems by supporting individuals in their homes and communities rather than having to be admitted to hospital. Given the significance of the Program, it is important to manage the risks accordingly, in order to continue to meet program objectives.

In fiscal yearthe branch implemented a new approach to the risk management process whereby risk management is integrated in the planning and reporting cycle. This is a top-down approach. As a first step, the Branch Planning Steering Committee reviewed the previous year's risks, associated year-end performance data and other sources of evidence audits and program evaluations.

In Januarya revised set of risks was presented to the Senior Management Committee for final validation and approval. Finally, a crosswalk exercise was performed to link the relevant sections of the Department's Report on Plans and Priorities, and the Branch Operational Plan to the revised Branch Risk Registry.

The branch reports that by integrating the risk assessment into the planning, it is better positioned to tie objectives to the management of risk; to help managers to take risk management into account in the operational planning process; and to help link performance monitoring and reporting to risks.

The Branch Risk Registry identifies ten branch risks. Of these risks, the audit notes six that are relevant to home and community care. The branch notes that because the risk management strategy is now integrated with FNIHB's operational planning process, the activities and initiatives contained within the operational plans are linked to applicable risks, and therefore serve as risk management responses and actions.

The actionable items short, medium and long term to address the challenges are outlined in the plan. As the ten-year plan is an evergreen document and will be regularly updated, the Program has an opportunity to monitor the risks identified so that it continues to meets its objectives.

The Program notes that it is in the process of developing monitoring tools that can be used to monitor the risks and challenges identified.

FNIHB has operational plans and systems that demonstrate the use of its resources to support program delivery. Operational planning An operational plan or work plan is an important tool for identifying tasks, aligning financial and human resources and setting deadlines.

The Program develops an annual work plan for its operations.

Accreditation audit executive summary nightingale

The headquarters work plan has six activities and 28 sub-activities for nine full-time equivalent employees.

Each activity and sub-activity has an expected outcome. As well, each sub-activity aligns with a timeline and is assigned human and financial resources.

In earlythe regions began an integrated operational planning and reporting process whereby each region submitted a master regional work plan for to the Assistant Deputy Minister of Regional Operations for approval and budget release.

It is expected that the regions will continue to be directly involved in the operational planning and reporting process in the years ahead. For the regions to manage the Program, a detailed and program-focused work plan is developed every fiscal year and approved by the respective regional senior management.

Accreditation audit executive summary nightingale

A review of these regional work plans showed that all regions except the Atlantic region, list their activities along with their outputs or expected outcomes and a completion date for the deliverables.AUDIT MANUAL _____ Table of Contents POLICY • Internal Audit Charter • Mission-Vision Statement • Support for the President's Internal Control Certification - issued to the President and Director of Financial Services.

The “Executive Summary” should not reference the specific audit as to preserve the intent of the law. In. Executive Summary - Preparation for Accreditation Audit AFT2 Accreditation Audit September 26th, Executive Summary - Preparation for Accreditation Audit Nightingale Community Hospital (NCH) offers comprehensive care for a wide range of conditions and is a leader amongst its peers in providing compassionate and quality care.

executive summary All learners are required to maintain Satisfactory Academic Progress (SAP) toward graduation. Also, Satisfactory Academic Progress must be maintained in order to remain eligible to receive assistance under the Title IV, HEA programs. of accreditation. SUMMARY AND DISCUSSION To evaluate effectiveness and efficiency of the operation, IAID reviewed and evaluated the following sections: Latent Prints Unit Performance Audit Executive Summary Page iii of iv quality assurance programs would more effectively utilize limited resources (See Recommendation.

T HIS IS A BRIEF SUMMARY of the proceedings and recommendations of the Nursing Minimum Data Set (NMDS) Conference, held May , in Milwaukee, Wisconsin, under the sponsorship of the University of Wisconsin-Milwaukee School of Nursing, to develop an initial minimum health data set for nursing.

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