Writing a Successful Plan of Correction

WEBINAR: On Demand through December 31, 2027

Speaker(s): Sandra J. Jones, MBA, MSM, CPHRM, CHCQM, CASC

Continuing Education:
Eligible for 1 hour of AEU/CE | AEU Content Area: Regulatory and Legal Issues
Eligible for 1 Nursing CH

Crafting and executing an effective plan of correction (PoC) can be a challenging task. State agencies, CMS and accrediting organization surveyors may require a PoC when a deficiency in compliance is discovered. This session will walk you through the entire process, from analyzing the cited deficiency and addressing the cause to determining corrective actions, implementing the plan and measuring improvement.

However, the process doesn’t end there. Validating the improvement and effectively communicating the results are key components to demonstrate that your plan was successful. These steps ensure that both your staff and governing body are informed, and that surveyors can confirm the effectiveness of your actions. In this session, you’ll also learn which deficiencies can lead to immediate jeopardy, how the volume of deficiencies can impact survey results and the key elements of an acceptable PoC.

Pricing

*These webinars are included in 2026 ASCA membership. Members must register for the webinar to receive access. If you register for the webinar before your facility has renewed its membership for 2026, you will be charged the nonmember registration rate; refunds will not be provided.

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This webinar is included in the 2026 All-Access Pass, which provides access to every webinar in the 2026 series for one low price.

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Speaker(s)

Sandra J. Jones, MBA, MSM, CPHRM, CHCQM, CASC
Executive Advisor, Ambulatory Strategies

Sandra Jones is the executive advisor at Ambulatory Strategies, providing management, development, regulatory compliance, accreditation preparation, ASC licensing and CMS certification compliance consulting, and risk management services to surgery centers. She is a Certified Professional in Health Care Risk Management, Certified Administrator Surgery Center certificant, Certified in Health Care Quality and Management, and is a fellow of the Healthcare Financial Management Association.

Sandra is a contributor on the subjects of risk management, regulatory compliance and operational issues for several professional publications. She is a surveyor for AAAHC and Medicare Deemed Status accreditations, serves on AAAHC’s Standards Development Committee, and is a former AAAHC board member. For nine years, she served on the ASCA board as well as several of its committees, including Governance, Strategic Planning, and Quality & Patient Safety.

Sandra recently served on the board of the Florida Society for Healthcare Risk Management and Patient Safety and currently serves on the organization’s Advocacy and Education Committees.