1279.6.
(a) A health facility, as defined in subdivision (a), (b), (c), or (f) of Section 1250, shall develop, implement, and comply with a patient safety plan for the purpose of improving the health and safety of patients and reducing preventable patient safety events. The patient safety plan shall be developed by the facility, in consultation with the facility’s various health care professionals.(b) The patient safety plan required pursuant to subdivision (a) shall, at a minimum, provide for the establishment of all of the following:
(1) A patient safety committee or equivalent committee in composition
and function. The committee shall be composed of the facility’s various health care professionals, including, but not limited to, physicians, nurses, pharmacists, and administrators. The committee shall do all of the following:
(A) Review and approve the patient safety plan.
(B) Receive and review reports of patient safety events as defined in subdivision (c).
(C) Monitor implementation of corrective actions for patient safety events.
(D) Make recommendations to eliminate future patient safety events.
(E) Review and revise the patient safety plan, at least once a year, but more often if
necessary, to evaluate and update the plan, and to incorporate advancements in patient safety practices.
(2) A reporting system for patient safety events that allows anyone involved, including, but not limited to, health care practitioners, facility employees, patients, and visitors, to make a report of a patient safety event to the health facility, including anonymous reporting options.
(3) A process for a team of facility staff to conduct analyses, including, but not limited to, root cause analyses of patient safety events. The team shall be composed of the facility’s various categories of health care professionals, with the appropriate competencies to conduct the required analyses. The process
shall also include analyses of patient safety events, including the following sociodemographic factors, to identify disparities in these events:
(A) Age.
(B) Race.
(C) Ethnicity.
(D) Gender identity.
(E) Sexual orientation.
(F) Preferred language spoken.
(G) Disability status.
(H) Payor.
(I) Sex.
(4) For the purposes of paragraph (3), it is the intent of the Legislature that a health facility use the same stratification categories as developed and defined by the Department of Health Care Access and Information for purposes of Section 127372, which is part of the Medical Equity Disclosure Act (Article 3 (commencing with Section 127370) of Chapter 2 of Part 2 of Division 107). With respect to the information set forth in subparagraphs (D) and (E) of paragraph (3), a health facility shall only be required to disclose information that is voluntarily provided by the patient or client.
(5) A reporting process that supports and encourages a culture of safety and reporting patient safety events.
(6) A process for providing ongoing patient safety training for facility personnel and health care practitioners.
(7) A process for addressing racism and discrimination, and its impacts on patient health and safety, that includes, but is not limited to:
(A) Monitoring sociodemographic disparities in patient safety events and developing interventions to remedy known disparities.
(B) Encouraging facility staff to report suspected instances of racism and discrimination.
(c) Commencing January 1, 2026, and biannually thereafter, health facilities shall submit patient safety plans to the department’s licensing and certification division.
(1) The department may impose a fine not to exceed five
thousand dollars ($5,000) on health facilities for failure to adopt, update, or submit patient safety plans.
(2) The department may grant a health facility an automatic 60-day extension for submitting biannual patient safety plans.
(d) The department shall make all patient safety plans submitted by health facilities available to the public on its internet website.
(e) For the purposes of this section, patient safety events shall be defined by the patient safety plan and shall include, but not be limited to, all adverse events or potential adverse events as described in Section 1279.1 that are determined to be preventable, and health-care-associated infections (HAI), as defined in the federal Centers for Disease
Control and Prevention’s National Healthcare Safety Network, or its successor, unless the department accepts the recommendation of the Healthcare Associated Infection Advisory Committee, or its successor, that are determined to be preventable.