Governance, leadership, direction
Assesses hospital governance, standardized clinical protocols, staff adherence, and documented evidentiary compliance for governance, leadership, direction.
Trend Direction
flat (0%)
Requirements & Measurable Elements
16 total requirementsRequirement | Standard text (paraphrased) | Criticality | Measurable Elements | Status |
|---|---|---|---|---|
| GLD.2 | Governance, leadership, direction — control 2: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | low | 3 of 4 met80% | Partial |
| GLD.3 | Governance, leadership, direction — control 3: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | low | 2 of 3 met81% | Partial |
| GLD.4 | Governance, leadership, direction — control 4: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 2 of 3 met78% | Partial |
| GLD.5 | Governance, leadership, direction — control 5: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 3 met88% | Met |
| GLD.6 | Governance, leadership, direction — control 6: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 4 of 5 met70% | Partial |
| GLD.7 | Governance, leadership, direction — control 7: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 5 of 6 met78% | Partial |
| GLD.8 | Governance, leadership, direction — control 8: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 3 of 3 met98% | Met |
| GLD.9 | Governance, leadership, direction — control 9: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 4 of 5 met81% | Partial |
| GLD.10 | Governance, leadership, direction — control 10: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | low | 3 of 3 met91% | Met |
| GLD.11 | Governance, leadership, direction — control 11: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 5 of 6 met81% | Partial |
| GLD.12 | Governance, leadership, direction — control 12: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 4 of 6 met72% | Partial |
| GLD.13 | Governance, leadership, direction — control 13: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 4 met83% | Partial |
| GLD.14 | Governance, leadership, direction — control 14: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | critical | 5 of 6 met89% | Met |
| GLD.15 | Governance, leadership, direction — control 15: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | medium | 3 of 4 met64% | Gap |
| GLD.16 | Governance, leadership, direction — control 16: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 3 of 4 met67% | Partial |
| GLD.17 | Governance, leadership, direction — control 17: documented process, responsible owner and evidence of practice (paraphrased) policyaudit | high | 4 of 5 met83% | Partial |