Kimberly Kirchmeyer, Executive Director
PENDING LEGISLATION

Senate Bill 396 – currently pending Governor signature
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Allows outpatient surgery centers (both those who
are certified by CMS and those accredited by an
AA approved by the Board to obtain 805
information on physicians (both MD and DO),
dentists, and psychologists
Allows inspections, after the initial inspection, to
be unannounced; the AA will provide a 60-day
window to the OSS
Requires peer review (every 2 years) for all
physicians who perform procedures in an OSS
even if there is only one physician performing
procedures in the OSS
AA = Accreditation Agency; OSS = Outpatient Surgery
Setting/Ambulatory Surgery Setting
REQUESTED BY BOARD
NOT INCLUDED IN SB 396
• Requiring the same reporting CDPH licensed
facilities have to do for OSHPD under H&S
code section 1216 for accredited agencies
• Requiring initial certifications of accreditation
to be valid for only two years, instead of three
ADVERSE EVENT
REPORTING

Statistics for 111 adverse event reports
received:

Surgical Event:
 11 surgeries performed on the wrong body part,
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inconsistent with the documented informed consent
2 wrong surgical procedures performed on a patient
7 retentions of foreign object in a patient after surgery
or other procedure
6 deaths during or up to 24 hours after induction of
anesthesia in a normal, healthy patient
55 surgical events identified as “other”
○ 14 of those were perforation issues
ADVERSE EVENT
REPORTING

Product or Device Event:
 10 Patient deaths or serious disabilities associated
with the use of a contaminated drug, device, or
biologic provided by the facility
 2 product or device event identified as “other”

Care Management Event:
 1 patient death or serious disability associated with a
medication error
 1 patient death or serious disability due to spinal
manipulative therapy performed at the facility
 12 care management events identified as “other”

Environmental Event:
 1 environmental event identified as “other”

5 Unidentified Events
COMPLAINT PROCESS
OUTPATIENT SURGERY
SETTING DATABASE
INSPECTION REPORTS
QUESTIONS
Thank you!