Accreditation Audit Task 4 Western Governors University Accreditation Audit AFT2

Table of Contents A1. Compliance Status 3 A2. Noncompliant Trends 6 A3a. Staffing Patterns 7 A3b. Staffing Plan 8 Staffing Table: 10 B. Sources 11 Accreditation Audit Task 4

A1. Compliance Status In order for a hospital to be accredited by The Joint Commission (TJC) there is certain accreditation requirements that need to be met. There are eighteen different categories in the accreditation requirements. After reviewing the FSA findings of Nightingale Community Hospital, it appears that the hospital is compliant in seven areas and noncompliant in eleven.
Accreditation Participation Requirements (APR), currently complaint. This is important since meeting accreditation requirements are...