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CMS SOM App. A, Tag A-0751

§482.42(a)(4) The infection prevention and control program reflects the scope and

activein force · 2026-07-22 – presentas-observed

complexity of the hospital services provided.

Interpretive Guidelines §482.42(a)(4)

All hospitals are required to have an infection prevention and control program. The program

should reflect the scope of services offered throughout the organization. The hospital is expected

to demonstrate how its infection prevention and control program adequately represents the

services provided to the community it serves. In addition, the hospital program should have

mechanisms in place for assessment and reevaluation of the infection prevention and control

program to ensure it responds to changes in the hospital environment on an ongoing basis.

Survey Procedures §482.42(a)(4)

• Determine whether the infection control and prevention program is hospital-wide and

program-specific in gathering and assessing infection and communicable disease data

and in taking steps to reduce the risks of infections.

• Review the hospital infection control and prevention program for evidence of the

parameters of the active surveillance program to determine whether it is consistent with

infection control standards of practice and is suitable to the scope and complexity of the

hospital’s services.

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
16ed8419001a2053f69275a5da73d0f2223bbbf7d4e8717723db54d7a08cb97b
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