SOM Appendix A - KDHE

State Operations Manual Appendix A - survey Protocol, Regulations and Interpretive Guidelines for Hospitals (Rev.) Issued with S&C 08-18 survey Protocol Introduction Task 1 - Off-Site survey Preparation Task 2 - Entrance Activities Task 3 - Information Gathering/Investigation Task 4 - Preliminary Decision Making and Analysis of Findings Task 5 - Exit Conference Task 6 Post- survey Activities Psychiatric hospital survey Module Psychiatric Unit survey Module Rehabilitation hospital survey Module Inpatient Rehabilitation Unit survey Module hospital Swing-Bed survey Module Regulations and Interpretive Guidelines Provision of Emergency Services by Nonparticipating Hospitals Condition of Participation: Compliance with Federal, State and Local Laws Condition of Participation.

The SA (or the RO for Federal teams) decides the composition and size of the team. In general, a suggested survey team for a full survey of a mid-size hospital would include 2-4 surveyors who will be

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