Dynamic List Information
Dynamic List Data
Title
Revisions to Hospital – Appendix A of the State Operations Manual
Memo #
QSO-25-24-Hospitals
Posting Date
2025-09-05
Fiscal Year
2025
Title
Memorandum Summary
• Updates to the State Operations Manual (SOM) Appendix A - Guidance for Surveyors: Hospitals – The Centers for Medicare & Medicaid Services (CMS) is releasing revisions to Appendix A of the SOM to include new interpretive guidelines and survey processes, reflecting updates to the hospital Conditions of Participation (CoPs) from rules released in 2019 and 2020.
• This document update will benefit both surveyors and the broader hospital community by providing sub-regulatory interpretive guidance and the applicable survey procedures for evaluating compliance with the hospital CoPs.
• The update also incorporates guidance from QSO memos S&C-16-29, 19-13 (revised), QSO-20-04, 22-20, 23-09, and QSO-23-19 into the SOM. These previously published memos involve life safety code updates, co-location, electronic reporting for deaths in restraint and seclusion, infection prevention and control, Quality Assessment and Performance Improvement (QAPI), and ligature risk and assessments.
• Updates to the State Operations Manual (SOM) Appendix A - Guidance for Surveyors: Hospitals – The Centers for Medicare & Medicaid Services (CMS) is releasing revisions to Appendix A of the SOM to include new interpretive guidelines and survey processes, reflecting updates to the hospital Conditions of Participation (CoPs) from rules released in 2019 and 2020.
• This document update will benefit both surveyors and the broader hospital community by providing sub-regulatory interpretive guidance and the applicable survey procedures for evaluating compliance with the hospital CoPs.
• The update also incorporates guidance from QSO memos S&C-16-29, 19-13 (revised), QSO-20-04, 22-20, 23-09, and QSO-23-19 into the SOM. These previously published memos involve life safety code updates, co-location, electronic reporting for deaths in restraint and seclusion, infection prevention and control, Quality Assessment and Performance Improvement (QAPI), and ligature risk and assessments.