What are the new CMS attestation requirements? And how do you go about navigating them? This was the topic of an on-demand webinar featuring a panel of medical directors, legal experts, and hospital leaders from our partners at Hardenbergh Group.
In this article, we’ll explore the new CMS rules and why now is the time to learn from the experts at Hardenbergh, who provide a practical roadmap to compliance.
First, some background.
Hospitals across the country are facing a pivotal moment in healthcare regulation and patient safety. With the Centers for Medicare & Medicaid Services (CMS) adding seven new measures to the Hospital Inpatient Quality Reporting (IQR) Program, providers must act swiftly to prepare for a new level of operational scrutiny and clinical accountability.
Chief among these updates is the Patient Safety Structural Measure (PSSM), which took effect in January 2025. This isn’t just a policy change, it’s a systemic shift toward measurable, proactive patient safety.
The Hospital Inpatient Prospective Payment System Final Rule includes seven new quality measures, with the PSSM at the center of it. This attestation-based measure asks hospitals to confirm they are implementing 25 best practices across five key domains:
These are not vague checkboxes. Each domain contains specific attestation statements that the hospital’s governing board must sign. Failure to comply won’t just affect internal quality metrics—it will be public and may result in financial penalties starting in 2027.
As Dr. Brock Bordelon states in the webinar,
“CMS is not just requesting compliance—they’re requiring proof of a hospital-wide, documented commitment to safety as a strategic priority.”
In the Hardenbergh webinar, “Navigating the New CMS Attestation Requirements,” a panel of medical directors, legal experts, and hospital leaders provides a practical roadmap to compliance.
Some key takeaways include:
If your teams aren’t yet involved with your PSO, rounding out your documentation strategy within this protected legal infrastructure could be critical to long-term compliance and reduced liability.
According to the CMS 2024 National Impact Assessment, patient safety declined significantly during the pandemic and has yet to fully recover. CMS’s goal is to return to pre-pandemic safety levels by 2025 and cut patient harm by 25% by 2030.
Hospitals can’t afford to miss this moment.
That’s why we’re inviting you to watch our exclusive on-demand webinar about the CMS attestation requirements. The webinar features expert perspectives from physicians, hospital executives, and compliance leaders. You’ll walk away with a clearer understanding of the requirements—and a practical roadmap for action.
And if you previously missed our eBook on how digital rounding solutions help support compliance, you’ll find it below as well. In it, you’ll learn why investing in digital rounding is more than a tech upgrade—it’s a strategic shift toward measurable, sustainable patient safety.
For hospitals that want to not only comply but also lead, digital rounding technology offers the infrastructure and insight to meet these rigorous new standards.
So while most hospitals already work toward patient safety—documenting, tracking, and proving those efforts to CMS requires infrastructure that many lack. This is where digital rounding platforms come in to provide:
Whether it’s documenting that 20% of board meetings include safety discussions or confirming that executives are notified of serious safety events within three business days, digital rounding enables hospitals to prove they’re following CMS mandates—not just assume they are.
In essence, it’s a system-wide engine that powers Domains 1 through 5 in real-time—not retroactively after something goes wrong.
The new CMS Patient Safety Structural Measure is not a bureaucratic hurdle—it’s a call to action. Hospitals that embrace this opportunity will not only avoid penalties—they’ll foster a culture of excellence that patients, regulators, and staff can trust.
🎯 In case you missed it, download the ebook to learn how digital rounding supports CMS compliance.
Let’s get your hospital ready.
This webinar is approved for CME credit. For CME credit, use this link to Register Here for free, on-demand access to the webinar recording.
After viewing the recording, the quiz and questionnaire must be completed in order to receive CME credit. Click here to access the quiz and questionnaire.
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of CME Consultants and Hardenbergh Group. CME Consultants is accredited by the ACCME to provide continuing medical education for physicians.
CME Consultants designates this enduring material activity for a maximum of 1.25 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Release Date: February 10, 2025; Termination Date: February 9, 2027