DOC-1212XLSXChapter PFE
Low quality
credentialing_v4.xlsx
Owner: Dr. Carlos Mendez
Uploaded: 13 Aug 2026
Version: v3
Size: 485.8 MB
0%Quality
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:Q2 2027
What this document proves
Measurable element alignments and explainability trace
No standard mappings
This document has not yet been aligned with an accreditation requirement.
critical
GAP-1212Open
Documentation gap in credentialing_v4.xlsx: Policy requires verified committee endorsement and alignment with JCI PFE Measurable Elements.
Target requirement: PFE.1