Florida Statutes
Part I - Hospitals and Other Licensed Facilities (Ss. 395.001-395.3041)
395.1012 - Patient safety.


(1) Each licensed facility must adopt a patient safety plan. A plan adopted to implement the requirements of 42 C.F.R. s. 482.21 shall be deemed to comply with this requirement.
(2) Each licensed facility shall appoint a patient safety officer and a patient safety committee, which shall include at least one person who is neither employed by nor practicing in the facility, for the purpose of promoting the health and safety of patients, reviewing and evaluating the quality of patient safety measures used by the facility, and assisting in the implementation of the facility patient safety plan.

(3)(a) Each hospital shall provide to any patient or patient’s representative identified pursuant to s. 765.401(1) upon scheduling of nonemergency care, or to any other stabilized patient or patient’s representative identified pursuant to s. 765.401(1) within 24 hours of the patient being stabilized or at the time of discharge, whichever comes first, written information on a form created by the agency which contains the following information available for the hospital for the most recent year and the statewide average for all hospitals related to the following quality measures:
1. The rate of hospital-acquired infections;
2. The overall rating of the Hospital Consumer Assessment of Healthcare Providers and Systems survey; and
3. The 15-day readmission rate.

(b) A hospital shall also provide to any person, upon request, the written information specified in paragraph (a).
(c) The information required by this subsection must be presented in a manner that is easily understandable and accessible to the patient and must also include an explanation of the quality measures and the relationship between patient safety and the hospital’s data for the quality measures.

(4) Each licensed facility must, at least biennially, conduct a patient safety culture survey using the applicable Survey on Patient Safety Culture developed by the federal Agency for Healthcare Research and Quality. Each facility shall conduct the survey anonymously to encourage completion of the survey by staff working in or employed by the facility. Each facility may contract to administer the survey. Each facility shall biennially submit the survey data to the agency in a format specified by rule, which must include the survey participation rate. Each facility may develop an internal action plan between conducting surveys to identify measures to improve the survey and submit the plan to the agency.
History.—s. 6, ch. 2003-416; s. 43, ch. 2016-10; s. 4, ch. 2019-138; s. 1, ch. 2020-134.

Structure Florida Statutes

Florida Statutes

Title XXIX - Public Health

Chapter 395 - Hospital Licensing and Regulation

Part I - Hospitals and Other Licensed Facilities (Ss. 395.001-395.3041)

395.001 - Legislative intent.

395.002 - Definitions.

395.003 - Licensure; denial, suspension, and revocation.

395.004 - Application for license; fees.

395.0056 - Litigation notice requirement.

395.009 - Minimum standards for clinical laboratory test results and diagnostic X-ray results; prerequisite for issuance or renewal of license.

395.0091 - Alternate-site testing.

395.0161 - Licensure inspection.

395.0162 - Inspection reports.

395.0163 - Construction inspections; plan submission and approval; fees.

395.0185 - Rebates prohibited; penalties.

395.0191 - Staff membership and clinical privileges.

395.0192 - Duty to notify physicians.

395.0193 - Licensed facilities; peer review; disciplinary powers; agency or partnership with physicians.

395.0195 - Access of chiropractic physicians to diagnostic reports.

395.0197 - Internal risk management program.

395.1011 - Identification, segregation, and separation of biomedical waste.

395.1012 - Patient safety.

395.1021 - Treatment of sexual assault victims.

395.1023 - Child abuse and neglect cases; duties.

395.1024 - Patients consenting to adoptions; protocols.

395.1025 - Infectious diseases; notification.

395.1027 - Regional poison control centers.

395.1031 - Emergency medical services; communication.

395.1041 - Access to and ensurance of emergency services; transfers; patient rights; diversion programs; reports of controlled substance overdoses.

395.1051 - Duty to notify patients.

395.1052 - Patient access to primary care and specialty providers; notification.

395.1053 - Postpartum education.

395.1054 - Birthing quality improvement initiatives.

395.1055 - Rules and enforcement.

395.1056 - Plan components addressing a hospital’s response to terrorism; public records exemption; public meetings exemption.

395.106 - Risk pooling by certain hospitals and hospital systems.

395.1061 - Professional liability coverage.

395.1065 - Criminal and administrative penalties; moratorium.

395.107 - Facilities; publishing and posting schedule of charges; penalties.

395.10973 - Powers and duties of the agency.

395.2050 - Routine inquiry for organ and tissue donation; certification for procurement activities; death records review.

395.301 - Price transparency; itemized patient statement or bill; patient admission status notification.

395.3015 - Patient records; form and content.

395.302 - Patient records; penalties for alteration.

395.3025 - Patient and personnel records; copies; examination.

395.3035 - Confidentiality of hospital records and meetings.

395.3036 - Confidentiality of records and meetings of entities that lease public hospitals or other public health care facilities.

395.3037 - Definitions.

395.3038 - State-listed stroke centers; notification of hospitals.

395.30381 - Statewide stroke registry.

395.3039 - Advertising restrictions.

395.3041 - Emergency medical services providers; triage and transportation of stroke victims to a stroke center.