Discussion includes quality managers, staffs from Ward 13, Ward 6, MDW, and SOPD. The session focused on addressing low-rating standards, improving file management (filing), and refining the submission process.

A comprehensive review was conducted on policies and documentation, with a particular focus on standards that demand clear or demonstrable evidence of compliance.

Review and assessment of facility safety measures and environmental management protocols to ensure compliance with healthcare standards and regulations.

Comprehensive evaluation of patient care protocols and documentation practices to maintain high-quality healthcare service delivery standards.