orientation_record_scan.tiff

Owner: Dr. Sarah Jenkins

Uploaded: 6 Aug 2026

Version: v4

Size: 337.6 MB

0%Quality

Document Gaps Summary:1 Gaps FoundCritical: 0Major: 1Minor: 0

Quality Assessment

This document is missing an explicit revision cadence or committee approval stamp, which a surveyor will typically ask for.

Classification:orientation record

Effective year:2024

Review due:Q1 2027

Measurable element alignments and explainability trace

COP.2Major Gap (GAP-1104)

Care of patients — control 2: documented process, responsible owner and evidence of practice (paraphrased)

COP.2

orientation_record_scan.tiff

Documented Policy Evidence

Verification Gap Detected

high

GAP-1104

Open

Documentation gap in orientation_record_scan.tiff: Policy requires verified committee endorsement and alignment with JCI COP Measurable Elements.

Target requirement: COP.2