Assume the role of the manager of the QI Department in a hospital. Recently, the Healthcare Facilities Accreditation Program (HFAP) conducted a survey on the hospital. The survey results have been made available.
Instructions:
Navigate to the HFAP website.
Open and review the pdf of survey results entitled, HFAP Top Cited Standard level Deficiencies of 2012.
Identify three standards that were cited.
Create an action plan for each citation. The action plan should include:
The standard with expectations
A timeline for implementation
Details as to how the hospital can reduce this issue so when the organization comes through for a recheck in 3 months, the citation will be eliminated.