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Strategies for Success in Regulatory Readiness
Brigid DiSciullo1, Donna Calfin, Kirsten A Hickerson
1Author Affiliations: Safety Quality Specialist Officer (Ms DiSciullo); Manager, Cardiac Preparation and Recovery Unit (Ms Calfin); Vice President and Associate Chief Nursing Officer (Dr Hickerson); Director, Cardiac Care (Ms Kubis); Manager, Operating Room (Mss Patton and Simpson); and Director of Nursing Safety, Regulatory and Performance (Dr Figueroa-Altmann), Nursing and Clinical Care Service, Children's Hospital of Philadelphia, Pennsylvania.
A new Regulatory Advisory Council was formed to improve healthcare regulatory preparedness. Utilizing quality improvement methods and mock survey data, the council developed targeted work streams for enhanced organizational readiness.
Area of Science:
- Healthcare Administration
- Quality Improvement Science
- Regulatory Compliance
Background:
- Healthcare organizations face increasing regulatory scrutiny.
- Previous mock surveys identified areas needing improvement in regulatory readiness.
- Proactive strategies are essential for maintaining compliance and operational standards.
Purpose of the Study:
- To establish a dedicated council for enhancing regulatory preparedness.
- To implement quality improvement methodologies for addressing compliance gaps.
- To develop structured approaches for achieving organizational regulatory readiness.
Main Methods:
- Formation of a Regulatory Advisory Council.
- Application of quality improvement principles to analyze mock survey data.
- Creation of specific work streams focusing on environment of care and clinical standards.
Main Results:
- Development of targeted checklists and work streams.
- Structured approach to address identified regulatory deficiencies.
- Enhanced framework for organizational success in regulatory compliance.
Conclusions:
- The council's formation and structured approach effectively address regulatory preparedness.
- Quality improvement methods are valuable for enhancing healthcare regulatory readiness.
- The established work streams provide a roadmap for sustained organizational compliance.
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