Writing a Successful Plan of Correction

WEBINAR: August 18, 2026, 1:00 pm ET (On Demand August 19, 2026–December 31, 2027)

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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

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 with 2026 ASCA membership. Members must register for each webinar to receive access. If you register before your facility renews its 2026 membership, you will be charged the nonmember rate and refunds will not be issued.

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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 President of Ambulatory Strategies, providing management, development, regulatory compliance, accreditation preparation, ASC licensing and CMS certification compliance consulting, and risk management services to surgical centers. Sandra is a Certified Professional in Healthcare Risk Management, Certified Administrator Surgery Center, Certified in Health Care Quality Management, and Fellow of the Health Care Financial Management Association.

She is a contributor on the subjects of risk management, regulatory compliance and operational issues for several professional publications. Sandra is an AAAHC accreditation and Medicare Deemed Status surveyor, serves on the Standards Development Committee for the AAAHC and is a former AAAHC board member. For nine years, she served on the board of the ASCA where she served on Governance, Strategic Planning, HIPAA Compliance and other committees.

She recently was on the board of the Florida Society for Healthcare Risk Management and Patient Safety and now serves on the Advocacy and Education Committees.