Readiness overview
Where Metropolitan General Hospital stands against every JCI 8th Edition chapter, and what actions will move your score before the 18 Nov 2026 survey.
Cumulative across 5 solutions · published 78
8,412 items documented
10 critical severity
120 of 146 evaluated
Cumulative accreditation readiness
The weighted contribution of all five solutions across 15 departments and 14 JCI chapters. Observed signal — evidence, live surveyor and 360° walkthrough — carries 70% of the weight; self-reported signal carries 30%.
Readiness matrix
Every department against every JCI chapter. Select a cell to see the five solution scores behind it.
AccrediSense Integrated Readiness Engines
5 EnginesSelect any tab above to filter the matrix, or launch a solution engine directly:
| Department | IPSG | ACC | PFR | AOP | COP | ASC | MMU | PFE | QPS | PCI | GLD | FMS | SQE | MOI |
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| Biomedical | ||||||||||||||
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| Maternity | ||||||||||||||
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| Radiology |
• A dot marks a cell falling back to published chapter readiness.
12-Month readiness progression
Hospital trajectory toward the 90% accreditation readiness bar
Top critical findings & gaps
Highest risk areas requiring immediate hospital remediation
Independent double-check for high-alert medications not consistently performed at administration; self-assessment claimed 94% but evidence supports 71% and observed practice 68%.
Hand-hygiene dispenser empty at ICU bay 4; compliance monitoring gaps in evening shift.
Fire exit on level 3 obstructed by stored equipment during walkthrough.
Sharps container observed above the fill line; disposal policy lacks defined replacement threshold.
Several equipment calibration labels expired; CMMS records not reconciled with floor inventory.