Accreditation Section

Accreditation Management Plan

Accreditation Section Team:

Achieved Accreditation/Certifications/Designations

Courses/workshop Activities Schedule

New planned Accreditations

Hospital Wide Accreditations:

• JCI
• CBAHI

Departmental /Services Accreditations

Clinical Documentation Review Process

Clinical Documentation Compliance Review Reports:

2023 - Quarter One (1):

• Medical Affairs Inpatient Documentation Report 
• Discharge and Death Summary Documentation Report
• Medication Reconciliation Report
• OTC Inpatient Documentation Report
• OTC Discharge and Death Summary Documentation Report
• Nursing Affairs Inpatient Documentation Report

2023 - Quarter Two (2):

• Medical Affairs Inpatient Documentation Report
• Discharge and Death Summary Documentation Report
• Medication Reconciliation Report
• OTC Inpatient Documentation Report
• OTC Discharge and Death Summary Documentation Report
• Nursing Affairs Inpatient Documentation Report

2023 - Quarter Three (3):

• Medical Affairs Inpatient Documentation Report
• Medical Affairs Outpatient Audits Report
• Medical Affairs Inpatient Documentation Report
• Medical Affairs Outpatient Audits Report
• Discharge and Death Summary Documentation Report
• Medication Reconciliation Report
• OTC Inpatient Documentation Report
• OTC Discharge and Death Summary Documentation Report
• Nursing Affairs Inpatient Documentation Report

2023 - Quarter Four (4):

• Medical Affairs Inpatient Documentation Report
• Discharge and Death Summary Documentation Report
• OTC Inpatient Documentation Report
• OTC Discharge and Death Summary Documentation
• Nursing Affairs Inpatient Documentation Report
• Nursing Affairs Outpatient Documentation

Report 2024 - Quarter One (1):

• Medication Reconciliation Report
• Nursing Affairs Inpatient Documentation Report
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