Plan for Improvement/Plan of Correction Preparation

Plan for Improvement/Plan of Correction Preparation


Whether your accrediting body requires a Plan for Improvement (PFI) or Plan of Correction (POC) either one requires considerable time and expertise to prepare. In today’s health care environment, facility managers are being asked to do more with less leaving little extra time for a thoroughly prepared PFI/POC. How to keep up with the multitude of ever-changing applicable codes and understanding how to apply them to your buildings can be an even more daunting task than finding the time to prepare your PFI/POC. RTM Consultants, Inc. has the time and the expertise needed to get the job done and to do it well. Our firm has been assessing facilities and preparing PFI’s/POC’s for over 20 years all across the United States. Our PFI’s/POC’s are prepared by experienced and knowledgeable people who assess health care buildings on a daily basis; it’s all they do and that makes them very good at it!

When we prepare your PFI/POC it will be based on a thorough inspection of the above and below ceiling components of your facility. We will evaluate the location and condition of your smoke and fire barrier walls as well as the condition of your facility’s fireproofing and firestopping. Door, smoke and fire damper requirements, shafts, smoke compartmentation, hazardous room protection, suites, means of egress corridors, exits, alarm systems, smoke detection, fire suppression systems and numerous other features will be assessed for compliance with the Life Safety Code (NFPA 101.)

No one likes it when the accrediting surveyor finds a noncomplying condition during the survey, especially if the deficiency has not been documented in your PFI/POC. Our personnel strive to create a comprehensive PFI/POC so that doesn’t happen. Our PFI/POC documentation is written in plain English with enough detail that you and your staff can understand the deficiency and the required corrective action. Your PFI/POC will be available to you in a variety of formats including Excel spreadsheets and, for Joint Commission accredited organizations, a CSV file formatted for uploading your ePFI to the Joint Commission’s web site. Additionally each deficiency is documented with photographs and a unique identifier placed on a deficiency location drawing allowing you to easily find and identify the deficiency in the field.

You can approach your accreditation survey with confidence when RTM Consultants’ experts have developed your PFI/POC! But even more importantly, you can have the peace of mind that comes with knowing your facility’s true condition and developing a plan to achieve and maintain a safe environment for your staff and patients.

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