US · guidance
CMS SOM App. A, Tag A-0322
§482.21(f)(2) The unified and integrated QAPI program establishes and implements
policies and procedures to ensure that the needs and concerns of each of its separately
certified hospitals, regardless of practice or location, are given due consideration, and that
the unified and integrated QAPI program has mechanisms in place to ensure that issues
localized to particular hospitals are duly considered and addressed.
Interpretive Guidelines §482.21(f)(2)
Each hospital must also demonstrate that the unified and integrated program has mechanisms in
place to ensure that the needs and concerns of particular hospital(s) in the system are
considered and addressed. This means that each hospital must be able to identify and address or
communicate any hospital-specific QAPI issues in addition to any of the issues being addressed
in the unified and integrated program of the system.
Survey Procedures §482.21(f)(2)
• Review the QAPI program and identify unified
and integrated QAPI elements and identify
QAPI elements that are unique to the particular hospital.
• Identify the process for which these unique elements 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
7b4188fde2c1358aa8b76c4e0953b347f08d19bf501952623b8c8581d5206b42
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