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09/27/2024PRINTED: DEPARTMENT OF HEALTH AND HUMAN SERVICESFORM APPROVEDCENTERS FOR MEDICARE & MEDICAID SERVICES STATEMENT OF DEFICIENCIES(X1) PROVIDER/SUPPLIER/CLIAAND PLAN OF CORRECTIONIDENTIFICATION
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How to fill out this plan of correction
How to fill out this plan of correction
01
Identify the specific issues that need correction.
02
Gather relevant documentation and data related to the issues.
03
Develop clear, measurable objectives for each identified issue.
04
Outline the steps that will be taken to resolve each issue.
05
Assign responsibilities to specific team members for each corrective action.
06
Establish a timeline for implementation and follow-up.
07
Review and finalize the plan of correction with relevant stakeholders.
08
Submit the plan to the appropriate authority for approval.
Who needs this plan of correction?
01
Healthcare facilities seeking to address deficiencies.
02
Regulatory bodies evaluating compliance standards.
03
Staff members involved in quality improvement processes.
04
Management teams responsible for implementing policy changes.
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What is this plan of correction?
A plan of correction is a formal document that outlines the steps an organization will take to address identified deficiencies in compliance with regulations or standards.
Who is required to file this plan of correction?
Organizations or facilities that have been found to be non-compliant with regulatory standards during an inspection or audit are required to file a plan of correction.
How to fill out this plan of correction?
To fill out a plan of correction, organizations should clearly describe the deficiencies identified, the actions to be taken to correct them, assign responsibilities, and set a timeline for completion.
What is the purpose of this plan of correction?
The purpose of this plan of correction is to ensure that deficiencies are addressed in a timely manner to restore compliance with applicable regulations and improve quality of service.
What information must be reported on this plan of correction?
The plan of correction must include details on the specific deficiencies, corrective actions planned, responsible personnel, timelines for completion, and methods for monitoring progress.
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