Challenges to Step 4: Assign Accountability for the Issue and Its Resolution

  • Powerful interest groups, local municipalities and provider agencies reluctant to change
  • No clear ownership of the issue and/or its cause
  • Line of authority not clearly defined
  • Issuing written notification of findings
  • Determining resolution that is doable and ensures correction
  • Not linking what is needed for "correction" with the level/extent of issue and root cause
  • Developing focused, functional and measureable corrective action plans that result in correction of noncompliance