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A. Review the tracer patient information:
1. Evaluate and discuss an outstanding patient care issue for the organization made evident by the tracer patient. The outstanding patient care issue that needs to be evaluated and discussed is History and Physical report not done within 24 hours (it was done > 72 hours). Discuss that completing History and Physical greater than 72 hours is not compliant with The Joint Commission Standards (see attached “The Joint Commission Standards_History and Physical”), discuss what you want in place to be compliant. History & Physical should be completed within 24 hours after registration or inpatient admission. Just elaborate.
2. Develop a corrective action plan to address the patient care improvement needs for the organization based on The Joint Commission Standards (see attached “The Joint Commission Standards_History and Physical”). To remediate the issue, you will need to identify action steps, who will be accountable, the time frame for completion as well as the way in which you will monitor the activity. To monitor or measure that the action plan is done, randomly audit 3 charts weekly to determine if the History and Physical report is completed within 24 hours after registration or inpatient admission. Just elaborate.
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