Comprehensive and Detailed Explanation From Exact Extract:
In the Organizational Leadership domain, preparation for accreditation requires a systematic approach. During the first year of the accreditation cycle, the top priority is to perform a standards compliance gap analysis.
This assessment identifies where the organization currently meets or falls short of accreditation requirements, guiding the development of improvement and corrective action plans throughout the cycle.
Developing programs or policies follows after identifying gaps. Just-in-time training is used closer to survey readiness but not as the initial step.
[References:, NAHQ CPHQ Content Outline – Organizational Leadership: Accreditation, Regulatory Readiness, and Compliance Management, NAHQ Healthcare Quality Competency Framework – Leadership: Accreditation Preparation and Continuous Readiness, ]
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