Corrections and follow-up

A correction can arrive after an accreditation cycle has already been executed. The preparation team needs to fix the issue while retaining the evidence that supported the earlier outcome. Accreditation Management Operator starts the documented correction process, explaining what changed and why. The process preserves the earlier revision, completed steps and decisions while creating a successor for independent review.

Follow-up actions make the outstanding work assignable. Each action belongs to a cycle and a named person, with a due date and working status. The resolution and completion date explain how the action was finished. This lets the quality team distinguish open corrections from resolved tasks while keeping the successor’s independent review separate.

Use the correction path when changing an executed revision. A superseded delivery needs an explicit compensating follow-up action so the team can track what must happen because the earlier outcome has already left the institution. The successor revision still requires an independent decision before another delivery.

• Describe the correction. Retain the reason and the source evidence that changed so the reviewer can compare the earlier and revised work.
• Assign the follow-up. Name the person responsible and agree the due date before treating the action as a meaningful handoff.
• Record resolution. Complete the action with an explanation, while keeping the cycle’s separate review decision visible.

Agree who can initiate a correction and who will review the successor revision. Decide what a compensating action means for the institution’s delivery destination, including the person responsible for confirming the earlier submission’s treatment. Keep that responsibility explicit when an external portal or recipient requires a separate correction procedure.

Choose a consistent practice for due dates and cancellations. If an action is cancelled, explain why the work is no longer required. A completed task means its assigned work has been resolved; the reviewer still decides whether the revised cycle can proceed. Review both meanings with the pilot team.

After delivery, a department reports that a supporting observation used the wrong period. Accreditation Management Operator opens a correction with the explanation and revised evidence. The earlier revision retains its document and decision, allowing Accreditation Management Reviewer to compare the original submission with the new material.

Because the delivered outcome is being superseded, the team records a compensating follow-up action for the person handling the receiving organization. That person documents the result and completion date. The reviewer then decides on the successor revision using the corrected evidence and the recorded treatment of the previous delivery.

Rehearse a cancellation as well as completion. Ask the action owner to explain why a task was cancelled and ask the reviewer whether that reason resolves the accreditation issue. The history should show both answers without rewriting the earlier delivered cycle.

• Open follow-up actions — Review outstanding corrections with their owners and due dates.
• My follow-up actions — Work assigned actions and record their resolution.
• My review decisions — Revisit the independent decision associated with a corrected cycle.

Correct a delivered revision describes the handoff. Use execution reconciliation when the original delivery result is uncertain.