Because performance improvement activities are information intensive, organizations must provide the proper resources and systems to support improvements. It’s important to recognize that PI programs need to meet accreditation standards such as The Joint Commission and Medicare and Medicaid Conditions of Participation, which require access to national comparative data collections. This assignment will help students to understand Joint Commission information management standards.

1) What issues does the consultant’s report raise that may have an impact on PI activities in this facility?

2) What issues does your analysis raise, will the Hospital’s information system as described meet Joint Commission standards?

3) Assess where there could be gaps and explain how those gaps could be filled.