this group has ultimate responsibility for maintaining the quality and safety of patient care provided by
its Healthcare organization - Answers board of directors
the document in which the leadership of a healthcare organization identifies the organization's overall
mission, vision, and goals to help set the long-term direction of the organization as a business entity is
called - Answers strategic plan
strategic planning may include a process called SWOT analysis where the leaders complete assessment
of what four areas - Answers strengths, weaknesses, opportunities, threats
the regular presentation of concise, appropriately displayed monitoring data for Hospital board of
directors that provides minute-to-minute data and an organized, comparative format that maximizes
the use of the board's time and assist its members and accomplishing oversight activities is called -
Answers dashboard
oversight process by like professionals established according to an organization's medical staff bylaws,
organizational policy and procedure, or the requirements of state law that allows the candid critique of
colleagues without fear of reprisal is called - Answers peer review
the senior leadership and board of directors are meeting to determine the key priorities for Community
Hospital for the year ahead. During this time they also used a SWOT analysis to validate the mission. The
resulting document of this session is called a - Answers strategic plan
the data the organization's collects about its own performance should be analyzed and considered when
setting Improvement priorities only if a sentinel event has occurred. true or false? - Answers false
this organization has been responsible for accrediting Health Care Organization since the mid-1900s and
determines whether the healthcare organization is continually monitoring and improving the quality of
care it provides - Answers Joint Commission
this accrediting body has become an alternative option for healthcare organizations because of its
facility friendly yet stringent annually occurring accreditation process - Answers DNV
this type of healthcare organization review is performed to fulfill legal or licensure requirements -
Answers compulsory review
every organization that provides services to Medicare and Medicaid beneficiaries must demonstrate its
compliance with this set of standards - Answers CMS CoP
is certification required or voluntary - Answers required
is accreditation required or voluntary - Answers voluntary
is licensure required or voluntary - Answers required