Introduction 

It will be critical for you to be able to understand how accreditation, certification, and licensing standards provide a framework for establishing a level of quality and performance in a healthcare organization. For this Assignment, you will analyze a case study describing an IT evaluation for a healthcare facility. You will identify the Joint Commission standards that are in question at the facility.

Instructions

Part 1:

Read the Case Study of SCR.

Download the JC Standards.

Create a table that lists each of the issues the consultant found at the hospital. Then,analyze each issue and decide which Joint Commission IM standard is in question.Then, in the Excerpt column, provide a short statement from the standard or intent to describe why you chose the IM Standard that you did.

Part 2:

Imagine you are the HIM Director and write a memo to the Quality Improvement Manager about your findings. Your memo should:

• Describe where this hospital needs the most improvement and why.
• Describe what you think the most important opportunity for improvement is.
• Recommend where to focus the next performance improvement project.