US · guidance
CMS SOM App. A, Tag A-0321
§482.21(f)(1) The unified and integrated QAPI program is established in a manner that
takes into account each member hospital's unique circumstances and any significant
differences in patient populations and services offered in each hospital; and
Interpretive Guidelines §482.21(f)(1)
Although a hospital system has the flexibility to develop a unified and integrated QAPI program
for all of the separately certified hospitals within its system, there must be evidence that the
system wide program has taken into account the differences in patient populations and services
offered that provide unique circumstances for each member hospital.
Survey Procedures §482.21(f)(1)
• Review the QAPI program and identify unified
and integrated QAPI elements. How these
elements take into account the hospitals population and services offered?
• Identify the process for which the hospital’s population and services are integrated into
the QAPI program.
History
Rev. 238; Issued: 03-20-26; Effective: 09-05-25; Implantation: 09-05-25
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
3c5e36bd058cdb4cdaa361a709fd9e056aaa7980bd98ab93ceb757a5c558e4ab
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