Monitoring and evaluation STANDARD 8: The healthcare organisation monitors and evaluates the implementation of all the ENSH-Global standards at regular intervals. SELF AUDIT Summary of current situation and plans for next 12 months More than No / Not Less than half Yes / Fully IMPLEMENTATION CRITERIA (Please describe the current situation for each implementation half implemented implemented implemented criteria. This will provide a context for your planned actions for the implemented next 12 months) (0) (1) (2) (3) The healthcare organisation has An internal process is in place internal and external review to review the implementation processes to monitor the of the standards at least implementation of all standards annually. and takes into account feedback from staff and service The review process takes into users. account feedback from service users and staff. The healthcare organisation participates in external review activities. The healthcare organisation has Data collection processes are processes to collect key data, in place, including the including the self-audit results, to monitor to inform the annual action plan implementation of the and to ensure quality tobacco free policy. improvement. Data collected is used to improve implementation and the annual policy action plan. Current audit: Subtotal score for Standard 8 (Maximum possible score: 15) GRAND TOTAL Current audit: / 144 (Maximum possible score: 144)
STANDARD 8: Monitoring and evaluation The healthcare organisation monitors and evaluates the implementation of all the ENSH-Global standards at regular intervals. IMPLEMENTATION CRITERIA SELF AUDIT Summary of current situation and plans for next 12 months (Please describe the current situation for each implementation criteria. This will provide a context for your planned actions for the next 12 months) No / Not implemented Less than half implemented More than half implemented Yes / Fully implemented (0) (1) (2) (3) The healthcare organisation has internal and external review processes to monitor the implementation of all standards and takes into account feedback from staff and service users. An internal process is in place to review the implementation of the standards at least annually. The review process takes into account feedback from service users and staff. The healthcare organisation participates in external review activities. The healthcare organisation has processes to collect key data, including the self-audit results, to inform the annual action plan and to ensure quality improvement. Data collection processes are in place, including the to monitor implementation of the tobacco free policy. Data collected is used to improve implementation and the annual policy action plan. Subtotal score for Standard 8 (Maximum possible score: 15) Current audit: GRAND TOTAL (Maximum possible score: 144) Current audit: / 144
ensh-global-standards-self-audit-template-fillable-version-wflzkeweuxsu.docx