Criterion #4

The fourth criterion of an acceptable PoC is:

How the corrective actions will be monitored to ensure the deficient practice is being corrected and will not recur and who will be responsible for monitoring.

For this criterion, the facility must devise a way to monitor the PoC.

The facility must ensure the PoC is working effectively and that the deficiency remains corrected. Monitoring of corrections involves documenting answers to the following questions:

• Does the facility need to develop or modify a monitoring system?
• When will the monitoring occur?
• How often will the monitoring occur?
• Who will conduct the monitoring?

The facility should specify at what minimum frequency the monitoring will occur.

Facilities must write the title of the person conducting the monitoring, not the proper name.