US · guidance
CMS SOM App. B, Tag G642
§484.65(a) Standard: Program scope
(1) The program must at least be capable of showing measurable improvement in
indicators for which there is evidence that improvement in those indicators will
improve health outcomes, patient safety, and quality of care.
(2) The HHA must measure, analyze, and track quality indicators, including
adverse patient events, and other aspects of performance that enable the HHA to
assess processes of care, HHA services, and operations.
Interpretive Guidelines §484.65(a)
The HHA selects the indicators that it will utilize in its QAPI program based upon
identified adverse or negative patient outcomes or agency processes that the HHA wishes
to monitor and measure. Each indicator must be measurable through data to evaluate any
HHA change in procedure, policy or intervention.
The HHA QAPI program must include procedures for measurement and analysis of
indicators and address the frequency with which such measurement and analysis will
occur.
Per §484.70(b) the HHA must maintain a coordinated agency-wide program for the
surveillance, investigation, identification, prevention, control and investigation of
infectious and communicable diseases as an integral part of the QAPI program.
History
Rev. 219; Issued: 04-12-24; Effective: 04-12-24; Implementation: 04-12-24
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
8c17c214b4a1a2c0f0e4b5cd8b71fc282908c214da2277501ee128a99ded30dd
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