The California Department of Public Health has issued a new All Facilities Letter (AFL) that supersedes AFL 17-11 and revises AFL 18-05. The letter clarifies that district offices will not refer entity-reported incidents (ERIs) directly to accreditation organizations (AOs). Instead, healthcare facilities, including nursing homes, should continue to report ERIs to their district office for triage and prioritization. If the district office determines that the ERI is eligible for AO referral, they will inform the facility that they may contact the applicable AO. This change aims to align the process with the current guidance in the Centers for Medicare and Medicaid Services' State Operations Manual, Chapter 5, sections 5075.3 and 5075.4. Facilities should be aware of this new process and ensure they are reporting ERIs to their district office as required.
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