State Operations Manual (Pub. 100-07), Ch. 2 § 2063
Relationship Between the Transplant CoPs and Hospital CoPs.
2063 - Relationship Between the Transplant CoPs and Hospital CoPs.
(Rev. 190, Issued: 06-14-19, Effective: 06-14-19, Implementatiom: 06-14-19)
The transplant program must be in compliance with all hospital CoPs as well as all
transplant program CoPs. Certain hospital requirements are inherently included in the
transplant program survey process. When hospital requirements are thought to be out
of compliance and in need of investigation the transplant program survey team must
contact their supervisor to consult with the CMS RO for further instructions on citing
the hospital deficiencies and must notify the hospital administration of any such
citation.
The transplant program and hospital survey findings are documented on separate
CMS-2567 forms even though the surveys are conducted together.