In 2020, CMS published updated QAPI standards, but the interpretive guidelines for the regulation were delayed. Some of the changes included a section in the QAPI standards that addresses patient safety and risk management. In March 2023, CMS issued new interpretive guidelines with information and directions for surveyors on assessing a hospital’s QAPI program. This program will discuss the revised CMS hospital QAPI standards and the new applicable interpretive guidelines. Included will be a discussion on CMS expectations for hospital leadership and the governing body for oversight and execution of the QAPI. Learning Objectives • Discuss that the governing body and hospital leadership are responsible for the QAPI program, its implementation, and its completion. • Recite key requirements for a QAPI program that will be reviewed and assessed during a survey. • Describe areas to be assessed during a survey and what surveyors will be reviewing. • Recall that CMS surveyors will review policies in place and observe implementation of such policies and procedures.
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