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 purpose of the proposed regulations is to implement California Health and Safety Code section 1280.3 by adopting criteria for assessment of administrative penalties against general acute care hospitals, acute psychiatric hospitals and special hospitals for violation of any requirement of hospital licensure. The 15-day comment period is being conducted because CDPH is proposing changes to the originally proposed regulation text. CHA submitted extensive comments last December and will submit additional comments to these changes to the proposed regulations. Members may submit comments to CHA or directly to CDPH.
The Centers for Medicare & Medicaid Services (CMS) has issued a reminder to state survey agencies about access and visitation rights for residents for long-term care facilities (LTCs), including skilled-nursing facilities. The CMS memorandum reviews current interpretive guidelines that require that all individuals seeking to visit a resident be given full and equal visitation privileges, based on resident preference and within reasonable restrictions for resident safety. Residents must be notified of their rights to have visitors on a 24-hour basis, including but not limited to spouses (including same-sex spouses), domestic partners (including same-sex domestic partners), other family members and friends.
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.
Many questions arise when confronted with an unannounced survey. Whether or not the survey goes smoothly will depend heavily upon hospital staff having a solid understanding of the types of surveys, and the laws, regulations and guidelines that surveyors will use to assess compliance. Whether you are a seasoned veteran, or new to the survey process, this webinar will provide clarity and practical guidance on the licensing and certification survey process.
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.