Revised Quality Indicator Survey (QIS) Training Process and Clarification of
Trainer Roles and Responsibilities
Revisions to the QIS Training Process – The Centers for Medicare & Medicaid Services (CMS) has revised the training procedures
for State Survey Agencies (SA) and Regional Offices (ROs) utilizing the QIS to:
• Eliminate the mock survey and replace it with a survey of record;
• Eliminate the T3.5 process formerly called “The Trainer Instructor Training”;
• Update the compliance process and associated tool used for evaluating surveyors; and,
• Clarify the role of Certified Trainers.
This revised QIS training protocol does not replace the structured training program each SA and RO is required to have as
outlined in Exhibit 42 of the State Operations Manual (SOM).