RI.1.3 The hospital demonstrates respect
for the following patient needs:RI.1.3.5 pastoral care and other spiritual
services.
LD.2.3 Directors develop and implement policies and procedures that guide and support
the provision of services.
LD.2.6 Directors continuously assess and improve their departments
performance.
LD.4 The hospitals leaders set expectations, develop plans, and manage
processes to measure, assess, and improve the quality of the hospitals governance,
management, clinical, and support activities.
PI.3.1 The hospital collects data on important processes or outcomes related to patient
care and organization functions.