US · guidance
CMS SOM App. FC, Tag M0292
§485.917(d)(1) The number and scope of distinct performance improvement projects
conducted annually, based on the needs of CMHC’s population and internal
organizational needs, must reflect the scope, complexity, and past performance of the
CMHC’s services and operations.
Interpretive Guidelines §485.917(d)(1)
The CMHC identifies a performance issue from sources such as adverse events tracking
documents, reports from staff and/or clients, complaints from clients or families, and
feedback from affiliated programs or organizations.
There is no requirement for CMHCs to conduct a specific number of performance
improvement projects. The CMHC should select the number and topics of projects based
on the results of their internal quality monitoring and other quality information outcomes,
such as the results of State surveys.
When determining the number and scope of performance improvement programs to be
conducted in a year, the CMHC should consider its past performance of services and
operations. Performance improvement projects must be documented in written form and
include the elements outlined in this standard.
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
eda9e5e1fe9c1903a7f66625e0a6183f01201a8a4c9e1774dcce6c8872297e7f
The link goes to the issuing authority’s own document — the one we read to produce this record. Where a source publishes whole titles rather than sections, your browser may need a moment to jump to the provision.
Unofficial copy of government-published law, reproduced from official sources with full provenance. Not an official publication; verify against official sources before relying on it in a filing. Records in the 'guidance' corpus, and only that corpus, are sub-regulatory (interpretive guidelines, survey procedures) and are not binding law. Validity bounds follow each jurisdiction's declared temporalBasis.