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Health Quality Assurance

The Division of Health Quality Assurance


Molly McKinstry
Deputy Secretary for Health Quality Assurance
(850) 412-4400
Molly.Mckinstry@ahca.myflorida.com

The Division of Health Quality Assurance protects Floridians through oversight of health care providers.  The Division is funded with more than $49 million in state and federal funds.  Health Quality Assurance licenses and/or certifies and regulates 40 different types of health care providers, including hospitals, nursing homes, assisted living facilities, and home health agencies.  In total, the Division licenses, certifies, regulates or provides exemptions for more than 42,000 providers. 

The Division consists of six bureaus:

The Bureau of Central Services - Provides services and support to the other five bureaus within the Division of Health Quality Assurance. The Bureau of Central Services is comprised of four units: The Background Screening Unit, The Financial Analysis Unit, The Central Intake Unit, and the Training and Support Unit. These units are responsible for the receipt and distribution of all health care facility applications and associated fees; the background screening of facility owners, administrators, and personnel; the financial analysis of health care facilities; and the data support and training within the Division of Health Quality Assurance.

The Bureau of Field Operations - Completes onsite surveys to determine compliance with state licensure requirements, but also compliance with federal certification requirements for certified facilities. Additionally, this bureau is responsible for handling consumer complaints.

The Bureau of Health Facility Regulation - Handles health care licensure, Medicare and Medicaid certification, and regulation for hospitals, ambulatory surgical centers, home health agencies, hospices, clinical laboratories, nursing homes, assisted living facilities and all other types of health care providers. The Bureau also includes hospital/ambulatory surgical center risk management program and the organ donor education/registry program.

The Bureau of Managed Health Care  - Regulates managed care organizations including commercial Health Maintenance Organizations (HMOs), workers' compensation managed care arrangements, Medicaid HMOs, exclusive provider organizations, provider service networks and prepaid health clinics.

The Bureau of Plans and Construction  - Reviews and approves health care facilities' plans and specifications and surveys their construction.

The Florida Center  - Promotes the adoption of electronic health record systems through health information exchange, electronic prescribing and personal health records software in partnership with health care stakeholders statewide. The Florida Center collects adverse incident reports from hospitals, ambulatory surgery centers, HMOs, nursing homes, and assisted living facilities. The Florida Center is also the location of the certificate of need (CON) program, which reviews applications for new facilities and certain specialized services at hospitals, nursing homes, hospices and intermediate care facilities for the developmentally disabled.

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Florida Center for Health Information and Policy Analysis

Florida Commission on Taxpayer Funded Hospitals

FloridaHealthFinder.gov - compare and locate healthcare facility / providers

Medicaid

Letter to Providers: Reporting Suspicion of a Crime

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Regulated Providers


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Assisted Living Unit

Background Screening Unit

Central Services

Certificate of Need

Financial Analysis

Field Offices

Health Care Clinic Unit

Home Care Unit

Hospital and Outpatient Services Unit

Laboratory Licensure Unit

Long Term Care Unit

Managed Health Care

Plans and Construction

Reportable Diseases/Conditons in Florida NEW

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The following providers are licensed or certified by the Division of Health Quality Assurance. Click the links below to view license and certification related information and forms.

Data Submission/Online Reporting


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Assisted Living Unit

Background Screening Unit

Florida Center for Health Information and Policy Analysis

Hospital and Outpatient Services Unit

Long Term Care Unit

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The resources below allow online data submission and reporting for regulated health care providers.

Adverse Incident Reporting

Federal Immediate & Five Day Reports and Adverse Incident Reports for Nursing Homes - A secure website for nursing home providers to file reports required by Code of Federal Regulations 483.13. The site requires user registration and AHCA approval. Training and help document.

Background Screening Results Website - A secure website for viewing criminal history screening results processed by the Agency. Site requires a user code and password.

Emergency Status System - Web-based system for reporting and tracking health care facility status before, during and after an emergency.

Facility Quality Assessment (Nursing Home and Intermediate Care Facility for the Developmentally Disabled (ICF/DDs)) - Online reporting forms for nursing homes and ICF/DDs to submit required information each month.

Patient Data Submission - Reporting of Hospital, Ambulatory Surgery Center, and Emergency Department patient data each quarter.



Health Quality Assurance has eight Field Offices within eleven regions that serve as local liaisons to providers. The Field Offices offer facility quality assurance services to Florida's 67 counties.




                        Click here for locations 1 1 & 2 1 & 2 3 4 7 5 & 6 5 & 6 9 & 10 11 8 9 & 10


Training / Other Resources

If you have any questions or comments regarding the ALF Survey Process, please send those to ALFcomments@ahca.myflorida.com.


2014 HQA Presentations

2014 Health Quality Assurance Joint Training (February 2014)

The Agency for Health Care Administration, Florida Health Care Association, Leading Age of Florida, and the Florida Assisted Living Association combined efforts to host the 2014 Joint Training for Nursing Home and Assisted Living Facility Providers, AHCA surveyors, and other health care staff.

This year’s Joint Training was held in February in Ft. Lauderdale, Orlando, Tallahassee, and Tampa.  The two day training focused on Nursing Home and Assisted Living Facility Best Practices and Regulatory Changes as well as Quality Outcomes, and Medicaid Managed Care Program Review.

Day 1 -- Nursing Homes

Nursing Home Joint Training Handbook [PDF, 6.24 MB]
  • Medicaid Managed Care LTC Program Update for Skilled Nursing Facilities, Beth Kidder, AHCA, Medicaid, Assistant Deputy Secretary, Medicaid Operations

  • Top 10 Deficiencies and Hot Topics – Including Life Safety Citations, F309, Transfer/Discharge, and Resident Rights, Polly Weaver, AHCA, Bureau Chief, Field Operations and Eddie Alday, AHCA, Survey and Certification Support Branch

  • Successful Practice Guidelines for Quality Outcomes, Deborah Afasano, Avante Group, Inc.

  • Survey Enforcement and Civil Money Penalties, Polly Weaver, AHCA, Bureau Chief, Field Operations and Kimberly Smoak, AHCA, Field Office Manager, Survey and Certification Support Branch

Day 2 -- Assisted Living Facilities

Assisted Living Facility Joint Training Handbook [PDF, 8.64 MB]
  • Medicaid Managed Care LTC Program Update for Assisted Living Facilities, Beth Kidder, AHCA, Medicaid, Assistant Deputy Secretary, Medicaid Operations and Cheryl Young, Department of Elder Affairs

  • Top 10 Deficiencies and Major Regulatory Concerns – Including Tuberculosis Requirements, Background Screening, and Bed Bugs, Polly Weaver, AHCA, Bureau Chief, Field Operations and Anne Avery, AHCA, ALF Enforcement Team

  • Successful Practice Guidelines: Assisted Living Facilities’ Quality Outcomes, Deborah Afasano, Avante Group, Inc.

  • Rights of Assisted Living Facility Providers and Assisted Living Facility Residents: Contracts and Negotiations with Managed Care Organizations, James Barclay, Hayward Grant & Rumph P.A.

  • Directed Plans of Correction, Quality Reviews, and Adverse Incident Reporting, Kimberly Smoak, AHCA, Field Office Manager, Survey and Certification Support Branch and Anne Avery, AHCA, ALF Enforcement Team

2013 HQA Other Resources

Assisted Living Facility Resource Manual, Revised October, 2013

Assisted Living Facility and Adult Family Care Home Unlicensed Activity Checklist

2013 HQA Presentations

2013 Health Quality Assurance Joint Training (February/March 2013)

The Agency for Health Care Administration, Florida Health Care Association, Leading Age of Florida, and the Florida Assisted Living Association combined efforts to host the 2013 Joint Training for Nursing Home and Assisted Living Facility Providers, AHCA surveyors, and other health care staff.

Day 1 -- Nursing Homes [ZIP, [4.15 MB]

Day 2 -- Assisted Living Facilities [ZIP, 6.89 MB]

Other Training and Presentation Information


2012 HQA Presentations

2012 Joint HQA and Medical Assisted Living Facility Awareness and Observation Training (March/April 2012)

2012 Health Quality Assurance Joint Training (March/April 2012)

The Agency for Health Care Administration, Florida Health Care Association, Leading Age of Florida, and the Florida Assisted Living Association combined efforts to host the 2012 Joint Training for Nursing Home and Assisted Living Facility Providers, AHCA surveyors, and other health care staff.

Day 1 -- Nursing Homes [ZIP, [868 KB]

Day 2 -- Assisted Living Facilities [ZIP, 618 KB]


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Reporting Medicaid Fraud