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PRINTED: 07/16/2021 FORM APPROVEDDEPARTMENT OF HEALTH AND HUMAN SERVICES CENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION(X1) PROVIDER/SUPPLIER/CIA IDENTIFICATION
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How to fill out an on-site follow up

How to fill out an on-site follow up
01
Review the notes or documentation from the initial visit to understand the context and purpose of the follow up.
02
Schedule a convenient time with the individual or party requiring the follow up.
03
Prepare any necessary materials or tools needed for the follow up, such as assessment forms or presentation materials.
04
Arrive on time and greet the individual or party professionally.
05
Begin the follow up by summarizing the key points discussed during the initial visit.
06
Address any questions or concerns the individual may have.
07
Provide updates or additional information as needed.
08
Collaborate with the individual to create a plan of action or next steps.
09
End the follow up meeting with a clear summary and follow up schedule if necessary.
10
Thank the individual for their time and provide contact information for further communication.
Who needs an on-site follow up?
01
Anyone who has had an initial visit or consultation and requires further follow up or clarification.
02
Individuals or parties who have ongoing projects or relationships that need monitoring or evaluation.
03
Clients or customers who have expressed interest in a product or service and require additional information or support.
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What is an on-site follow up?
An on-site follow up is a visit or inspection conducted at the location of a previous event or activity to assess compliance or gather additional information.
Who is required to file an on-site follow up?
The responsible party or organization involved in the original event or activity is required to file an on-site follow up.
How to fill out an on-site follow up?
To fill out an on-site follow up, one must provide detailed information about the visit or inspection, including any findings or observations.
What is the purpose of an on-site follow up?
The purpose of an on-site follow up is to ensure compliance with regulations, gather additional information, and address any issues or concerns identified during the original event.
What information must be reported on an on-site follow up?
Information such as date and time of visit, location, findings, observations, and any corrective actions taken must be reported on an on-site follow up.
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