US · guidance
CMS SOM App. A, Tag A-0941
§482.51(a) Standard: Organization and Staffing
The organization of the surgical services must be appropriate to the scope of the services
offered.
Interpretive Guidelines §482.51(a)
When the hospital offers surgical services, the hospital must provide the appropriate equipment
and the appropriate types and numbers of qualified personnel necessary to furnish the surgical
services offered by the hospital in accordance with acceptable standards of practice.
The scope of surgical services provided by the hospital should be defined in writing and
approved by the medical staff.
Survey Procedures §482.51(a)
Review the hospital’s organizational chart displaying the relationship of the operating room
service to other services. Confirm that the operating room’s organization chart indicates lines of
authority and delegation of responsibility within the department or service.
History
Rev. 37, Issued: 10-17-08; Effective/Implementation Date: 10-17-08
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
fb31fcf553ec9873ff01253d1c4435297793f777559cde20deb15c74994f3377
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