US · guidance
CMS SOM App. A, Tag A-1104
§482.55(a) - [If emergency services are provided at the hospital --]
(3) The policies and procedures governing medical care provided in the
emergency service or department are established by and are a continuing
responsibility of the medical staff.
Interpretive Guidelines §482.55(a)(3)
The hospital’s medical staff must establish policies and procedures governing the medical
care provided in the emergency service or emergency department. The medical staff
must have had ongoing/continuing assessment of the medical care provided in the
emergency service or department. Emergency service or emergency department policies
must be current and revised as necessary based on the ongoing monitoring conducted by
the medical staff and the emergency service or department QAPI activities.
Survey Procedures §482.55(a)(3)
Verify that procedures and policies for emergency medical services (including triage of
patients) are established, evaluated, and updated on an ongoing basis.
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
7b08ab478684d8ff167ef39548cdf70f72b290f46e9fd8edf4d310adad99f837
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