Survey & Certification Focus on Patient Safety and Quality - Draft Surveyor Worksheets
The Centers for Medicare & Medicaid Services (CMS) is testing three new surveyor worksheets for assessing compliance with
three hospital Conditions of Participation. Discharge Planning, Infection Control, and Quality Assessment and Performance
Improvement. A separate document containing instructions for the Infection Control worksheet is also included. We are focusing
on compliance with these CoPs as a means to reduce healthcare-acquired conditions and hospital readmissions. Via this memorandum
we are making these draft worksheets publicly available. We emphasize that we expect to revise these worksheets over the course
of FY 2012 and that they will not be made a formal part of the federal hospital survey process before FY 2013.