US · guidance
CMS SOM App. B, Tag G654
§484.65(c)(2) Performance improvement activities must track adverse patient
events, analyze their causes, and implement preventive actions.
Interpretive Guidelines §484.65(c)(2)
“Adverse patient events” are those patient events that are negative and unexpected,
impact a patient’s HHA plan of care, and have the potential to cause a decline in a
patient’s condition.
HHAs must track all adverse patient events, to determine through subsequent analysis
whether they were the result of errors that should have been preventable, to reduce the
likelihood of such events in the future. HHAs should also consider a way to identify
errors that result in near misses, since such errors have the potential to cause future
adverse events.
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
5066517a3d443e16cccf85647d79e001ea30beb85e32ecc6bb6114cf6bda1d27
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