US · guidance
CMS SOM App. FC, Tag M0274
§485.917(b)(1) The program must use quality indicator data, including client care, and
other relevant data, in the design of its program.
Interpretive Guidelines §485.917(b)(1)
Program data, used for the facility QAPI program, come from many sources. The
specific data to be collected are defined by the facility QAPI plan. Examples include:
1. Client Non-Compliance with Treatments;
2. Type and Frequency of Specific Adverse Events Such as Suicide Rates; and
3. Client Admissions/Readmissions to an inpatient psychiatric facility.
The impact of the facility’s program may be assessed by looking at data gathered and
compared at different points in time, and actions taken based on that comparison. The
CMHC analyzes the QAPI data periodically (based on CMHC policy and procedure) and
uses the analysis to evaluate the effectiveness of its program.
History
Rev. 196, Issued: 01-10-20, Effective: 01-10-20, Implementation: 01-10-20
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
d0d5ed6ea51ce548aec6f918904ba36866aedda123ac0439ce45bbd5fa938897
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