US · guidance
CMS SOM App. A, Tag A-0788
§482.42(d)(3) The unified and integrated infection prevention and control and antibiotic
stewardship programs have mechanisms in place to ensure that issues localized to
particular hospitals are duly considered and addressed; and
Interpretive Guidelines §482.42(d)(3)
Each hospital must also demonstrate that the unified and integrated programs have mechanisms
in place to ensure that issues localized to particular hospitals in the system are also considered
and addressed. Therefore, each hospital should be able to identify and address QAPI issues,
particularly specific to their hospital in addition to any of the issues being addressed in the
unified and integrated programs.
Survey Procedures §482.42(d)(2)
• Review the QAPI program and identify unified QAPI elements and 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
339323ebfc67773eb352f41c2ee3578ae027c77dca9b8e51a2085a9c99f80be4
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