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Health Facilities State Enforcement Actions
__Note:__ This web page provides data on health facilities only. To file a complaint against a facility, please see: https://www.cdph.ca.gov/Programs/CHCQ/LCP/Pages/FileAComplaint.aspx The California Department of Public Health (CDPH), Center for Health Care Quality, Licensing and Certification (L&C) Program licenses more than 30 types of healthcare facilities. The Electronic Licensing Management System (ELMS) is a CDPH data system created to manage state licensing-related data and enforcement actions. The “Health Facilities’ State Enforcement Actions” dataset includes summary information for state enforcement actions (state citations or administrative penalties) issued to California healthcare facilities. This file, a sub-set of the ELMS system data, includes state enforcement actions that have been issued from July 1, 1997 through June 30, 2024. Data are presented for each citation/penalty, and include information about the type of enforcement action, violation category, penalty amount, violation date, appeal status, and facility. The “LTC Citation Narrative” dataset contains the full text of citations that were issued to long-term care (LTC) facilities between January 1, 2012 – December 31, 2017. DO NOT DOWNLOAD in Excel as this file has large blocks of text which may truncate. For example, Excel 2007 and later display, and allow up to, 32,767 characters in each cell, whereas earlier versions of Excel allow 32,767 characters, but only display the first 1,024 characters. Please refer to instructions in “E_Citation_Access_DB_How_To_Docs”, about how to download and view data. These files enable providers and the public to identify facility non-compliance and quality issues. By making this information available, quality issues can be identified and addressed. Please refer to the background paper, “About Health Facilities’ State Enforcement Actions” for information regarding California state enforcement actions before using these data. Data dictionaries and data summary charts are also available. __Note:__ The Data Dictionary at the bottom of the dataset incorrectly lists the data column formats as all Text. For proper format labels, please go [here](https://data.chhs.ca.gov/dataset/healthcare-facility-state-enforcement-actions/resource/e38dd6e0-31a6-46f8-a9a0-8f48a410ee74).
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Enforcement Actions, Trend
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This data is from the Office of Enforcement in the California Department of Managed Health Care (DMHC). It contains enforcement actions with the information of the organization type, organization name, action date, penalty amount, related party, and violation section (California Health and Safety Code and the California Code of Regulations, title 28) since July 1, 2000. The DMHC Office of Enforcement investigates alleged violations of the Knox-Keene Health Care Service Plan Act of 1975 (the Knox-Keene Act) under the DMHC's administrative powers as a California state licensing agency. The DMHC Office of Enforcement exercises its jurisdiction to prosecute violators in an administrative action before the Director of the DMHC, the Office of Administrative Hearings, or in the California Superior Courts. When the DMHC finds the Knox-Keene Act is violated, the Director is authorized to take a variety of actions, including, assessing administrative penalties and issuing a cease and desist order requiring the subject of the order to stop the offending action. All subjects are afforded appropriate Due Process protections. For additional information, please visit http://www.dmhc.ca.gov/LawsRegulations/EnforcementActions.aspx.
Hospitalization Counts and Rates of Selected Adverse Hospital Events by California County
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(See Note below regarding 2015 data). The dataset contains hospitalization counts and rates (age 18+), statewide and by county, for 7 potentially-preventable adverse events that occur during a hospital stay. They provide a perspective on complications and iatrogenic events and help assess total incidence within a region. The measures, based upon the Agency for Healthcare Research and Quality’s (AHRQ’s) Patient Safety Indicators (PSIs), include: retained surgical item or unretrieved device fragment, iatrogenic pneumothorax, central venous catheter-related blood stream infection, postoperative wound dehiscence, accidental puncture or laceration, transfusion reaction, and perioperative hemorrhage or hematoma. Note: HCAI is only releasing the first 3 quarters of 2015 data due to a change in the reporting of diagnoses/procedures from ICD-9-CM to ICD-10-CM/PCS effective October 1, 2015, and the inability of the AHRQ software to handle both code sets concurrently.
Notice of Inaction (NOI) Report
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This dataset includes monthly counts of Notice of Inaction (NOI) sent to Medi-Cal applicants whose pending application is reaching 45 days due to an improper delay by the county that is processing the application. A NOI is not issued when the application delay is due to the applicant failing to provide requested information to the county, which is considered a proper delay. The monthly counts include the total Medi-Cal and Covered California applications received and the total number/percentage of Medi-Cal applications pending 45 days, including both proper and improper application processing delays. Data Sources: California Healthcare Eligibility, Enrollment and Retention System (CalHEERS) and Statewide Automated Welfare Systems (SAWS).
Enforcement Actions, Trend
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This data is from the Office of Enforcement in the California Department of Managed Health Care (DMHC). It contains enforcement actions with the information of the organization type, organization name, action date, penalty amount, related party, and violation section (California Health and Safety Code and the California Code of Regulations, title 28) since July 1, 2000. The DMHC Office of Enforcement investigates alleged violations of the Knox-Keene Health Care Service Plan Act of 1975 (the Knox-Keene Act) under the DMHC's administrative powers as a California state licensing agency. The DMHC Office of Enforcement exercises its jurisdiction to prosecute violators in an administrative action before the Director of the DMHC, the Office of Administrative Hearings, or in the California Superior Courts. When the DMHC finds the Knox-Keene Act is violated, the Director is authorized to take a variety of actions, including, assessing administrative penalties and issuing a cease and desist order requiring the subject of the order to stop the offending action. All subjects are afforded appropriate Due Process protections. For additional information, please visit http://www.dmhc.ca.gov/LawsRegulations/EnforcementActions.aspx.