US · guidance
CMS SOM App. A, Tag A-0778
§482.42(c)(3) Standard: Leadership responsibilities
(3) The leader(s) of the antibiotic stewardship program is responsible for:
(i) The development and implementation of a hospital-wide antibiotic stewardship
program, based on nationally recognized guidelines, to monitor and improve the use of
antibiotics.
Interpretive Guidelines §482.42(c)(3)(i)
The hospital’s designated antibiotic stewardship program leader, similar to the responsibilities
of the hospital’s designated infection preventionist(s) and/or infection control professional(s),
ensures the appropriate antibiotic use for reducing adverse drug events, treatment failures, and
antibiotic resistance, including deadly C. difficile infections. The antibiotic stewardship
program must have dedicated and expert leadership responsible and accountable for its success,
whose responsibilities include the development and implementation of a hospital-wide antibiotic
stewardship program, based on nationally recognized guidelines, to monitor and improve the use
of antibiotics.
Survey Procedures §482.42(c)(3)(i)
• Verify that the hospital’s designated antibiotic stewardship program leader develops and
implements the hospital-wide antibiotic stewardship program, based on nationally
recognized guidelines, to monitor and improve the use of antibiotics.
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
6c0c9db4e5930ea9fab259d15f2f3db1d1b874468b918886a0dbdbfa4c7be634
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