Documentation: Quality Assessment/Performance Improvement Studies (Directions Only)

The Governance Manual table of contents has a tab for studies 
or reports on outcomes of quality assessment/performance 
improvement activities.  Or you can use this area to point 
the surveyor to where those documents are filed.
Such outcomes are an integral part of the entire study 
process and are, probably, the single most important aspect 
of the entire accreditation process.  The value of quality 
assessment/performance improvement activities is the 
provision of an objective means (or template) for solving ANY 
problem, without the problems of individual personality and 
task assignment issues.
As time goes by, the amount of studies may become to 
cumbersome for the governance binder and the organziaton may 
wish to start a Quality Assessment/Performance Improvement 
Log or binder.
Although the governance volume is located in the Policy and 
Procedure manual, documentation that surrounds Governance 
should be in its own 3 ring binder.
The Governance Volume was created to as a double check to 
assure that the organization is completing all of its tasks 
surrounding Governance.  
The Governance Manual Table Of Contents in the Governance 
section of the forms repository has directions for setting up 
tabs for the documents which prove you are a business entity; 
i.e., articles of incorporation, partnership agreement, etc. 
This table of contents on the forms repository is meant for 
your separate binder titled Governance.
You can use this area and the other areas (GE.1 through 
GE.16) within this volume to indicate to staff and the 
surveyor where those documents are filed; i.e., Corporate 
Records Book stored in Administrative file, Governance 
Binder, Minutes Binder, Drills Binder, Safety Inspections 
This page can be modified without the need of the 
consultant's approval.  Once you have read these 
instructions, and made any modifications, you must click the 
accept button.

Approved By Governing Board    
Control #102.1