credentialing_v4.png

Owner: Dr. Fatima Al-Mansoor

Uploaded: 13 Aug 2026

Version: v1

Size: 298.4 MB

0%Quality

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

Quality Assessment

Quality is below the acceptable evidence threshold. Lacks required verification elements and requires immediate hospital revision.

Classification:credentialing

Effective year:2025

Review due:Q4 2026

Measurable element alignments and explainability trace

MOI.2Critical Gap (GAP-1107)

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

MOI.2

credentialing_v4.png

Documented Policy Evidence

Verification Gap Detected

critical

GAP-1107

Open

Documentation gap in credentialing_v4.png: Policy requires verified committee endorsement and alignment with JCI MOI Measurable Elements.

Target requirement: MOI.2