DOC-1179XLSXChapter ACC
Needs review

orientation_record_v2.xlsx

Owner: Dr. Kwame Asante
Uploaded: 16 Aug 2026
Version: v1
Size: 5.3 MB
0%Quality
Document Gaps Summary:1 Gaps FoundCritical: 1Major: 0Minor: 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:2023
Review due:Q2 2027

What this document proves

Measurable element alignments and explainability trace

ACC.2Critical Gap (GAP-1179)

Access to care and continuity — control 2: documented process, responsible owner and evidence of practice (paraphrased)

ACC.2
orientation_record_v2.xlsx
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
orientation_record_v2.xlsx
Documented Policy Evidence
High Confidence (88%)

Open findings related to this document (1)

critical
GAP-1179
Open

Documentation gap in orientation_record_v2.xlsx: Policy requires verified committee endorsement and alignment with JCI ACC Measurable Elements.

Target requirement: ACC.2

Machine-generated observation. Every item requires human review and sign-off before it is acted on.