Code of Federal Regulations

Title 42

Chapter IV

Subchapter G

Section 482.21

Conditions of Participation (COP)

(Eligible for Medicare payment)

Hospital Quality Assessment and Performance Improvement

Brief Summary:

1. "Show measurable improvement in indicators for which there is evidence that it will improve health outcomes ..."

482.21(a)(1).

2. "Must use the data . . . to monitor effectiveness and . . . identify opportunity for improvement and changes. . . "

482.21(b)(2)

3. "Frequency and detail of data collection . . . specified by the hospital's governing body."

482.21(b)(3)

4. "Focus on high-risk, high-volume, or problem-prone areas:

482.21(c)(1)

5. "Must conduct performance improvement projects"

482.21(d)

6. "Must document what quality improvement projects are being conducted, the reasons for conducting these projects, and the measurable progress achieved on these projects."

482.21(d)(3)

State Operations Manual (SOM) Appendix A

QAPI A Tags

A-0263; A-0273; A-083; A-0286; A-0297; A-0308; A-0309; A-0315; A-0320; A-0321; A-0322

Accessed 4/9/2024:  no interpretive guidelines are available for any of the A tags.

State Operations Manual (SOM) Appendix A

QAPI A Tags

A-0263; A-0273; A-083; A-0286; A-0297; A-0308; A-0309; A-0315; A-0320; A-0321; A-0322

Accessed 4/9/2024:  no interpretive guidelines are available for any of the A tags.