Once your assessment is complete, there are a few steps to take before your pharmacy’s accreditation or reaccreditation can be confirmed
Following your Quality Care 2020 Assessment, you will receive an Interim Report detailing any corrective actions that may be required following your assessment.
For a detailed overview of the key steps to take post-assessment, check out the Quality Care 2020 Post Assessment Guide for more information.
The Introducing Corrective Actions short course provides a detailed look at the new categories of corrective action and the process of responding to corrective actions, including completing a root cause analysis. The short course takes approximately 10 - 15 minutes to complete. Get started today!
For a quick overview of the root cause analysis process, check out the Completing a Root Cause Analysis Fact Sheet (1.30 min read) with examples of appropriate responses to a non-conformance.
One of the most common causes of corrective action is a failure to redact personal information. Learn more about what is acceptable evidence in Protecting Private Information.
Quality Care 2020 introduces Corrective Actions (previously known as remedial actions) which identify areas where improvements to a pharmacy’s systems, processes or procedures are required to eliminate causes of non-compliance and avoid possible long-term business practice failure.
Corrective Actions are divided into three categories (outlined below) based on the level of risk they pose to consumers and the pharmacy business.
- Major risk
- To remedy, pharmacies must provide a Root Cause Analysis within 60 days of receiving the interim report.
Remedial Action Required
- Moderate risk
- To remedy, pharmacies must identify a corrective action within 90 days of receiving the interim report.
- Low risk
- Positive observation or consideration for potential improvement
- Only present in the on-site assessment model
Closing a non-conformance
When a non-conformance is issued, the pharmacy will have 60 days from the date the Interim Report is available to complete a Root Cause Analysis on the QCPP Customer Portal and close the non-conformance.
What is a root cause analysis?
A root cause analysis is used to further understand why the non-conformance occurred and identify how it will be prevented in the future.
To successfully complete a root cause analysis, your pharmacy must
- Provide evidence of action to correct the incident
- Identify why the incident occurred; and
- Develop and provide evidence of how the risk will be prevented in future
Closing a remedial action required
When a Remedial Action Required has been issued, the pharmacy will have 90 days from the date the Interim Report is available to provide evidence on the QCPP Customer Portal and close the corrective action.
Corrective Action Review
Should you wish to dispute a corrective action you can do so by submitting a Corrective Action Review Request on the QCPP Customer Portal. Your request will be reviewed by the QCPP Interpretations and Rulings Panel within four weeks. If you are not satisfied with the outcome of your Corrective Action Review Request, you may lodge an appeal by emailing firstname.lastname@example.org.
Remedial Action Required Extensions
If you require more time to complete your remedial actions required due to extenuating circumstances, you may apply for an extension on the QCPP Customer Portal. Please note this may impact your eligibility for certain CPA payments and contractual arrangements. Please note extensions are not available for non-conformances.