Accreditation Section

Accreditation Management Plan

Accreditation Section Team:

 

Achieved Accreditation/Certifications/Designations

New planned Accreditations

Hospital Wide Accreditations:

• JCI
• CBAHI

Departmental /Services Accreditations

 

CBAHI Readiness tips:

CBAHI Readiness tips were prepared by Quality Management team in collaboration with different Department/ Services’ representatives to summarize some of key policies and important practices for your reference and to be shared with the staff as applicable Learn More..

Clinical Documentation Review Process

Clinical Documentation Compliance Review Reports:

 

Report 2024 - Quarter One (1):

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

 

2024 - Quarter Three (3):

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

 

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