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September 13, 2011
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September 13, 2011

CDPH Licensing & Enforcement

Overview

CDPH Licensing & Enforcement

July 5, 2011

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.

CHA News Article

CDPH Develops LTC HAI Data Collection Tool

February 22, 2013 Patricia Blaisdell BJ Bartleson

The California Department of Public Health (CDPH) Healthcare Associated Infections Program (HAI) has developed a self-assessment tool for long-term care facilities (LTCFs) to help them collect data and evaluate their infection control practices. The HAI program will also use the online tool to collect and summarize data — aggregated from all LTCFs that volunteer to participate. According to CDPH, the goals of using the tool are to better understand infection control needs and challenges in the long-term care setting and help CDPH plan educational programs and consultative services. The tool was developed in consultation with the Centers for Disease Control and Prevention. More information, including a link to the tool, is available in attached CDPH letter.

CHA News Article

CDPH Updates Title 22 Licensing Fee, Diesel Generator Regulations

January 31, 2013 Roger Richter BJ Bartleson

The California Department of Public Health has updated sections of Title 22 of the California Code of Regulations related to licensing fees and diesel generator testing so they conform to changes previously enacted in statute. Because the changes were enacted through statute, they do not have a “regulatory effect” and are not required to go through the standard regulatory development process. A list of the affected Title 22 sections that have been amended or repealed is attached. Also attached are the updated sections.

Recording

CDPH’s Website on HAI Reporting Webinar CD
Improved website, fresh data on HAI, validation process update

Image of CDPH’s Website on HAI Reporting Webinar CD
October 9, 2012

Webinar Recorded Live October 9, 2012

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.

Recording

Licensing and Certification Survey Basics Webinar CD and Free Manual
Includes free California Hospital Survey Manual

Image of Licensing and Certification Survey Basics Webinar CD and Free Manual
August 21, 2012

Webinar Recorded Live August 21, 2012

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.

Publication

California Hospital Survey Manual — A Guide to the Licensing & Certification Survey Process
Now includes free basics webinar CD

Image of California Hospital Survey Manual — A Guide to the Licensing & Certification Survey Process
February 1, 2012 Lois Richardson

Overview

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.

General information

CHA Medication Safety Guidelines for Fentanyl Patch

Image of CHA Medication Safety Guidelines for Fentanyl Patch
October 14, 2011 BJ Bartleson

Despite warnings from the Food and Drug Administration, manufacturers and various patient safety agencies, fentaNYL transdermal patches continue to be prescribed inappropriately to treat patients with acute pain who are not opioid tolerant. CDPH has issued several Immediate Jeopardy administrative penalties for inappropriate use of fentaNYL transdermal patches.

Commands