CMS: Proposed Rules for Prospective Payment Systems and Quality Reporting Programs (4/30/2025)

CMS: 2025 NHSN Antimicrobial Use and Resistance (AUR) Updates for the Medicare Promoting Interoperability Program (01/2025)

CMS Hospital Infection Control Worksheet

An on-site survey, in order to determine compliance with the Infection Control Condition of Participation

CMS

IPC Intermediate Level

English

Fillable PDF

Checklist

Downloadable

Nonclinical / Indirect Healthcare Personnel 

Clinical / Direct Healthcare Personnel 

Infection Preventionist 

Acute Care Rehabilitation Hospital or Long-term Care Acute Hospital (LTACH)

Acute Care Hospital

Pediatric/NICU

Ambulatory Surgery

Hand Hygiene

Personal Protective Equipment (PPE)

Risk Assessment

Antimicrobial & Diagnostic Stewardship

Standard Precautions

Transmission-Based Precautions

Injection Safety

Employee / Occupational Health

Regulatory Compliance

Construction

Emergency Preparedness & Operations

Vaccination

Auditing/ Observation/ Monitoring/ Assessment Tools

Physical Environment / Environment of Care (EOC)

Cleaning & Disinfection

High-Level Disinfection

Sterile Processing

Urinary Catheter

Central Line

Ventilator

Multidrug Resistant Organisms (MDRO)

Bloodborne Pathogens

Tuberculosis

Influenza

Ambulatory Surgical Center (ASC) Infection Control Surveyor Worksheet

This is a 17 page worksheet/checklist that would be used in an on-site survey to determine compliance with CMS Infection Control Condition of Participation in an ambulatory surgical center. A facility can also use it to perform a gap analysis for program completeness and survey readiness.

CMS

IPC Intermediate Level

English

Checklist

Downloadable

Nonclinical / Indirect Healthcare Personnel 

Clinical / Direct Healthcare Personnel 

Infection Preventionist 

Ambulatory Surgery

Hand Hygiene

Personal Protective Equipment (PPE)

High-Level Disinfection

Injection Safety

Sterile Processing

Physical Environment / Environment of Care (EOC)

Cleaning & Disinfection

Regulatory Compliance