Transcription of State Operations Manual - CMS
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State Operations Manual - CMS
State Operations Manual Appendix L - Guidance for Surveyors: Ambulatory Surgical Centers Table of Contents (Rev. 200, 02-21-20). Transmittals for Appendix L. Part I - Ambulatory Surgical Center survey Protocol Introduction Regulatory and Policy References Tasks in the survey Protocol 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 Part II - General Provisions and Definitions; General Conditions and Requirements - Definitions Basic Requirements Specific Conditions for Coverage Condition for Coverage: Compliance With State Licensure Law Condition for Coverage: Governing Body and Management Condition for Coverage: Surgical Services Condition for Coverage: Quality Assessment and Performance Improvement Conditions for Coverage: Environment Condition for Coverage: Medical Staff Condition for Coverage: Nursing Service Condition for Coverage: Medical Records Condition for Coverage: Pharmaceutical Services Condition for Coverage: Laboratory and Radiologic Services Condition for Coverage: Patient Rights Conditions for Coverage: Infection Control Conditions for Coverage: Patient Admission, Assessment and Discharge Condition for Coverage: Emergency Preparednes
In general, a survey team for a standard, i.e., full, survey should include two health standards surveyors and one Life Safety Code (LSC) surveyor, who are on-site for 2 days, but individual circumstances may call for a smaller or larger team, or a shorter or
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