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IMPALA Update 2019CMS Most Cited Deficiencies for Hospitals Nov. 15, 2019; 8:30 a.m. to 4:30 p.m. Crown Plaza Minneapolis West, Plymouth Every hospital that has an emergency department and accepts
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Review the list of frequently cited deficiencies provided by the regulatory agency.
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Determine the root cause of each deficiency and take corrective action.
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Document the corrective actions taken and any additional measures implemented to prevent future deficiencies.
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Continuously monitor and assess compliance to prevent future frequently cited deficiencies.

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Organizations or facilities that are subject to regular inspections or audits by regulatory agencies.
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Compliance officers, quality control teams, and managers responsible for ensuring ongoing compliance with regulations.
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Any entity looking to maintain a good standing with regulatory agencies and avoid penalties or sanctions.
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Frequently cited deficiencies are typically referencing areas of non-compliance or issues that are repeatedly identified during inspections or audits.
Organizations or entities subject to inspections or audits that result in the identification of deficiencies are required to file frequently cited deficiencies.
Frequently cited deficiencies are typically documented on a specific form or report provided by the overseeing authority. The form usually requires detailed information about the deficiency, potential impact, corrective actions taken, and preventive measures implemented.
The purpose of frequently cited deficiencies is to track and address recurring issues or areas of non-compliance to improve overall compliance, quality, and safety.
Information such as the nature of the deficiency, location, date identified, potential impact, corrective actions taken, responsible parties, and status of resolution must be reported on frequently cited deficiencies.
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