US · guidance
CMS SOM App. M, Tag L569
§418.58(c)(2) Performance improvement activities must track adverse patient
events, analyze their causes, and implement preventive actions and mechanisms that
include feedback and learning throughout the hospice.
Interpretive Guidelines §418.58(c)(2)
Hospices may choose to develop their own definition for the term “adverse event” or use
a definition developed by a national accrediting organization or industry organization.
Once a hospice has identified the definition of an adverse event, it is responsible for
adhering to the definition when tracking and analyzing these events and when
implementing preventive actions. In general, an adverse event would be any action or
inaction by a hospice that caused harm to a hospice patient. However, hospices are not
bound to use this generic description.
History
Rev. 210; Issued:02-03-23; Effective:02-03-23; Implementation:02-03-23
Provenance
- Source
- cms.gov
- Retrieved
- 2026-07-22
- Edition
- som-2026-07-22
- Content hash
1e2a6460c99415e536607e94bb5a5ca6735fbe1a90692d5c395381038ba98b62
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