DOC-1033JPGChapter ACC
Low quality
egress_inspection_v4.jpg
Owner: Dr. Julian Mercier
Uploaded: 24 Aug 2026
Version: v3
Size: 355.9 MB
0%Quality
Quality Assessment
Quality is below the acceptable evidence threshold. Lacks required verification elements and requires immediate hospital revision.
Classification:egress inspection
Effective year:2025
Review due:Overdue
What this document proves
Measurable element alignments and explainability trace
ACC.2Critical Gap (GAP-1033)
Access to care and continuity — control 2: documented process, responsible owner and evidence of practice (paraphrased)
ACC.2
egress_inspection_v4.jpg
Documented Policy Evidence
Verification Gap Detected
ACC.3Verified · Requirement Met
Access to care and continuity — control 3: documented process, responsible owner and evidence of practice (paraphrased)
ACC.3
egress_inspection_v4.jpg
Documented Policy Evidence
High Confidence (88%)
ACC.4Verified · Requirement Met
Access to care and continuity — control 4: documented process, responsible owner and evidence of practice (paraphrased)
ACC.4
egress_inspection_v4.jpg
Documented Policy Evidence
High Confidence (88%)
critical
GAP-1033Open
Documentation gap in egress_inspection_v4.jpg: Policy requires verified committee endorsement and alignment with JCI ACC Measurable Elements.
Target requirement: ACC.2