Sessions

Responding to survey findings: How to develop a strong correction plan and knowing your options

Speakers:

Michele Bosworth, MD, FAAFP, LSSGB, Physician Principal (Austin, TX), Health Management Associates

Trisha Bielski, RN, BSN, MSN, CCRN, CEN, ACCNS-AG, Senior Consultant (Austin, TX), Health Management Associates

Robert Ross, MHSA, FACHE, Managing Director, Delivery Systems, Health Management Associates

This module focuses on effective strategies for responding to DOH, CMS, TJC and DNV survey findings. Participants will understand the critical elements of developing clear and achievable plans of correction that address survey findings while establishing sustainable and reliable improvements.

Through case studies, real-world examples and interactive discussions, this module highlights key trends impacting healthcare organizations at the state and national levels, such as evolving CMS Conditions of Participation, TJC’s focus on patient safety goals and DNV’s risk-based standards. Participants will leave with actionable insights to develop strong, compliant POCs, mitigate risks and maintain continuous readiness for future surveys.

Learning objectives

• identify national and statewide trends in accreditation findings and their implications for healthcare organizations;
• compare and contrast DOH, TJC, CMS and DNV corrective action plan expectations;
• develop a comprehensive and actionable POC that addresses survey findings and meets compliance standards;
• evaluate the strength of actions in terms of their potential for long-term sustainability and reliability; and
• describe ways to strengthen weaker action to ensure approval and your organization’s ability to maintain compliance.