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Title
Patient Safety Initiative Pilot Phase – Revised Draft Surveyor Worksheets
Memo #
12-32-Hospital
Fiscal Year
2012
Summary
•Patient Safety Initiative: The Centers for Medicare & Medicaid Services (CMS) is testing three revised surveyor worksheets for assessing compliance with three hospital Conditions of Participation (CoPs): Quality Assessment and Performance Improvement (QAPI), Infection Control, and Discharge Planning. We are focusing on compliance with these CoPs as a means to reduce hospital-acquired conditions (HACs), including healthcare associated infections (HAIs), and preventable readmissions. •Draft Worksheets Made Public: Via this memorandum we are making these revised draft worksheets publicly available. We emphasize there may be additional revisions based on information gathered during the pilot test phase, which will end sometime in FY 2013.