credentialing_v3.docx

Owner: Dr. Mateo Hernandez

Uploaded: 11 Aug 2026

Version: v3

Size: 409.2 MB

0%Quality

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

Quality Assessment

This document satisfies the core requirement baseline but would benefit from a refreshed review signature before survey.

Classification:credentialing

Effective year:2024

Review due:Q1 2027

Measurable element alignments and explainability trace

This document has not yet been aligned with an accreditation requirement.

medium

GAP-1237

Open

Documentation gap in credentialing_v3.docx: Policy requires verified committee endorsement and alignment with JCI AOP Measurable Elements.

Target requirement: AOP.1