Part four of a five-part education series on the Center for Medicare and Medicaid Services Conditions of Participation (CoPs) presented by Sue Dill Calloway. Topics covered include: Quality Assessment and Performance Improvement (QAPI), medical staff and hospital leadership, food and dietary services, radiology, laboratory and look back program, utilization review, and physical environment. By the end of this presentation, learners should be able to: • Recall that CMS has patient safety requirements in the QAPI section that are problematic standards • Describe that CMS requires many radiology policies include one on radiology safety and to make sure all staff are qualified • Discuss that a hospital can credential the dietician to order a patient’s diet if allowed by the state