Element 4 - Monitoring of Corrective Actions
Element 4 states: "How the facility will monitor its corrective actions/performance to ensure the deficient practice is being corrected and will not recur, i.e., what program will be put into place to monitor the continued effectiveness of the systemic change to ensure that solutions are permanent."
For this element, facilities should consider:
- whether they need to develop or modify a monitoring system;
- when the monitoring will occur;
- how often the monitoring will occur; and
- who will conduct the monitoring.