The state licensing bureau recently conducted a survey at Community Hospital. During this review, the surveyors determined that the hospital was not meeting its established standard for timely operative report documentation. Now that Community Hospital is fully aware of this deficiency in documentation compliance, this situation presents the hospital with a(n).

Opportunity for Improvement

Explanation:

Any healthcare organization, service, or process that does not reach the established standard or the customer's expectations, is an opportunity for improvement. Furthermore, the Improving Medicare Post-Acute Care Transformation Act (IMPACT) established a quality reporting program aimed to find those opportunities for improvement. Once the problem has been established, is prudent to place an action plan to achieve the desired performance improvement aim.

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