Which department typically assures that the organization is meeting all regulatory requirements and maintaining accreditation status? 

Governance of a healthcare organization is comprised of the board of directors and the ____.

Strategic planning may include a process call SWOT analysis where the leaders complete assessment of what four areas?

There are five categories of decisions that Joint Commission can make upon completing the accreditation process.  Name and briefly describe two of them: 1. 2.

An accrediting agency’s published rules, which serve as the basis for comparative assessment during the review or survey process is called _____.

Before the on-site survey team leaves the healthcare facility they meet with the organization’s leadership team and provide a report of their findings. This meeting is called _____.

A multidisciplinary outline of anticipated care within an appropriate time frame to aid a patient in moving progressively through a clinical experience that ends in a positive outcome is called a _____.

A graphic display tool used to communicate the details of performance improvement activities is called _____.

The principal process by which organizations optimize the continuum of care for their patients is_____.

BONUS 2 pts –  A performance measure that enables healthcare organizations to monitor a process to determine whether it is meeting process requirements is called: