When findings are received, they are reviewed with the Compliance Committee as well as the departments/units involved with the findings. Corrective action is taken on all findings and progress is reported to AHS and the auditors. Once fixes are in place, we only revisit them preceding the next EQRO audit. In 2019, we learned that some policy or handbook changes were reverted back to their pre-corrective action language because we did not develop a persistent way to document the reason for the changes. Fixing this will be a major compliance strategy goal for the second half of CY2019.