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Corrective action

A step taken to correct deficiencies found by an oversight activity. The COA universe records whether one was required.

COA Column K records Y if any deficiencies required a corrective action, N if none did, or TBD if this is not yet decided for an ongoing activity. Tracer case summaries must give a timeline of corrective actions implemented, or say when they are expected to be completed.

Source: CPE protocol, COA Column K, p. 15; Tracer Case Summary Submissions item g, p. 17.

Corrective action — CMS Glossary | UniVerify