Quality and Timeliness of Documentation

During the last accreditation survey, the hospital had findings related to quality and timeliness of documentation. The facility is due for another survey. To ensure that your organization is in compliance with the Joint Commission documentation standards, you need to conduct a quality audit. You have assigned one of your staff to collect data from patient records to accomplish this task. The staff member collected data for the month of December for quality and timeliness of documentation. The data are presented in figure 17.5.
1.Review the collected data.
2.Assign the appropriate quality code using the key provided in figure 17.5
3.Analyze the data:

o Which code is most common?
o Is there one service that seems to be a problem?
o What can you conclude from the data?
4. Establish a plan. How are you going to fix this problem?

 

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