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How to use compliance auditing to demonstrate trauma loop closure

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What is required to demonstrate the effectiveness of a corrective action plan using compliance auditing in trauma?

 

Authored by Angie Chisolm, MBA, BSN, RN, CFRN, TCRN. As published by Trauma System News, January 17, 2020.

 

The heart of trauma loop closure is corrective action. Trauma program leaders need to take concrete steps to ensure a past quality problem is less likely to affect future patients. However, action alone is not enough. To truly close the loop on an identified event, you need to demonstrate that corrective actions have been effective.

 

This article was developed by Trauma System News in cooperation with our advertiser, Philips Consulting.

How do you demonstrate the effectiveness of a performance improvement (PI) action plan? According to the Orange Book, the key is ongoing monitoring: “Effective performance improvement demonstrates that a corrective action has had the desired effect as determined by continuous monitoring and evaluation.”

 

Based on my work with trauma centers nationwide, many program managers and PI coordinators are unsure how to put this concept into practice. In this article, I will show how to demonstrate the effectiveness of a corrective action plan using compliance auditing.

 

A strong compliance auditing plan is essential to documenting event resolution. It can also energize the loop closure process itself by helping trauma leaders identify hidden problems that lead to low-quality care and suboptimal patient outcomes.

 

Read the full article how to use compliance auditing to demonstrate trauma loop closure

About the author

Beth Fuller

Angie Chisolm, MBA, BSN, RN, CFRN, TCRN

Consulting Manager

Angie is a nationally recognized expert in trauma program and emergency services management. She is a results-driven leader with expertise in trauma program operations, providing mentoring and consulting focused on coding and billing, site survey readiness, performance improvement, and operational efficiency.