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:

 

 

2025 - Quarter One (1):

 

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

 

2024 - Quarter One (1):

• MCA Inpatient Documentation Report 
• MCA 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

 

2024 - Quarter Two (2):

• MCA Inpatient Documentation Report 
• MCA 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

 

2024 - Quarter Three (3):

• MCA Discharge and Death Summary Documentation Report
• MCA Outpatient Audits Report
• MCA Inpatient Documentation Report
• MCA Medication Reconciliation Report
• OTC Medication Reconciliation Report
• OTC Inpatient Documentation Report
• OTC Discharge and Death Summary Documentation Report
• Surgical Clinical Documentation Report

 

2024 - Quarter Four (4):  

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

 

2023 - Quarter One (1):

• MCA Discharge and Death Summary Documentation Report 
• MCA 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):

• MCA Discharge and Death Summary Documentation Report
• MCA 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):

• MCA Discharge and Death Summary 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