US · guidance
CMS SOM App. H, Tag V756
§ 494.180(a)(4) Allocation of necessary staff and other resources for the facility’s quality
assessment and performance improvement program as described in § 494.110.
Interpretive Guidance § 494.180(a)(4):
Requirements for the minimum professional membership in the QAPI process are delineated at
V626. If those professional members are not given enough time or support to participate in QAPI
activities, this tag should be considered. Routine absence of a member in QAPI committee
engagements and/or inability to meet certain performance improvement goals may be an
indication that necessary staff and/or resources are not adequately assigned for the facility’s
QAPI program due to competing responsibilities. There must be communication between the
medical director and the governing body regarding QAPI. The governing body must provide
resources (e.g., time, staff or funding) for QAPI audits, staff education, refurbishing, etc. as
needed to support correction of identified problems. The facility CEO or administrator assigned
by the governing body should review information related to significant problems identified and
their causes, and provide guidance and support for proposed needed corrections.
History
Rev.
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
95d8ddd599d822e5bb1e11969da790b3e429da0b4b46b38883ef482fb94242e7
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