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.