b'An auditor must maintain professional skepticism, shouldInternal audits should add value and improve an ASK, OBSERVE, LEARN, and DOCUMENT.The phases of anorganizations operations. The internal audit activity helps audit include Initiation an organization accomplish its objectives by bringing a systematic, disciplined approach to evaluate and improve Preparation the effectiveness of risk management, control, and Execution governance processes.Reporting Process Based AuditsFollow-upAs part of our internal audit program, we are required to A first party auditor may conduct this. perform process-based internal audits. A process audit determines whether process requirements (methods, First Party Audit is conducted by someone from theprocedures) are being met. It examines the resources organization itself audits a process of the Management(equipment, materials, people) applied to transform inputs System to ensure it is working effectively and providinginto outputs. The environment, the methods (procedures, the expected results.instructions) followed, and the measures collected are also used to determine process performance. The adequacy and effectiveness of the process controls established by procedures, work instructions, flowcharts, and training and Integrity process specifications are evaluated.Data/evidence collection: At a minimum, organizations Risk- Fairshall ensure that at least two data/evidence collection based Presentationmethods are employed in performance of a process-based Principlesinternal audit. Audit methods include document/record review, staff interviews, observation of work in progress, of Internalcustomer feedback and environmental criteria.Evidence- AssuranceDueClause 10: ImprovementProfessionalbased AuditingCareRequires using a standardized corrective and preventive action (CAPA) plan when processes are not working well or when we are not meeting our patient/family needs and expectations. Our health system uses this process Independence Confidentiality to correct the issue, eliminate the cause, and prevent reoccurrence. ISO 9001:2015 Basic TermsBasic ISO terminology used in standards are customer, Internal Audits customer service, leadership, quality policy, quality objectives, and competence.This includes defining the frequency, methods,Customer: Individual that receives our service responsibilities, planning requirements and reporting. ThePatient/Family criteria and scope for the audit shall be established and communicated to the auditee. Auditors shall be selectedCustomer Service: Customers perception of the degree to ensure the integrity of the audit process (objectivityto which the Patient/Family requirements have been and impartiality).fulfilled. Audits shall be conducted according to planned intervalsLeadership: Group responsible for setting the established by NCH. There is no requirement for auditshospitals direction and create conditions which allow to be performed at a certain frequency or for a minimumpeople to achieve objectives number of audits to be performed. However, we mustQuality Policy: Overall intentions and direction of an focus our audit program on criticality of processes andorganization related to quality as formally expressed by consider risk and prevalence of issues, changes affectingtop management. the organization, and results of previous audits. 14 Nicklaus Childrens Health System'