The California Department of Public Health (CDPH) Licensing and Certification surveyors may visit a hospital at any time to determine whether the hospital is in compliance with state licensing requirements. Visits may result from a complaint by a patient, employee or other third party; a newspaper article; or a report by the hospital itself regarding an unusual occurrence, privacy breach or adverse event.
The California Department of Public Health has issued an All Facilities Letter (AFL) to notify hospitals that the Office of Administrative Law has approved new regulations in Title 22 of the California Code of Regulations relating to general acute care hospital, acute psychiatric hospital and special hospital administrative penalties. The new regulations, which go into effect April 1, allow administrative penalties to be issued for deficiencies that do not rise to the level of immediate jeopardy. The regulations include the methodology for calculating administrative penalties based on licensing deficiencies, as well as those based on noncompliance with hospital fair pricing policy requirements. For more information, see the attached AFL and accompanying attachment.
In late December CDPH issued new regulations regarding hospital penalties. The new penalties will apply to incidents which occur on or after April 1, 2014. Previously, penalties were levied against hospitals for incidents which caused immediate jeopardy (IJ) to the health or safety of a patient. Under the new regulations penalties may extend to non-IJ violations and the penalties for IJ violations will increase.
In mid-August, CDPH released their most recent data on HAI reporting through an improved website. This website presents the material in a more user-friendly format and groups the reporting hospitals into like categories for a more balanced analysis and comparison. Learn about changes to the website, recent release and analysis of HAI data, and what it says about the performance of California hospitals to date.
The surveyors have arrived, unannounced, at your hospital. What do you do first? What will the surveyors do?
The California Hospital Survey Manual is intended to help hospital staff understand and prepare for the survey process, from start to finish. It was written specifically for California’s hospital licensing and accreditation professionals, compliance officers, legal counsel, risk managers, and other members of the hospital’s licensing and compliance teams.