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Colorado Department of Public Health and Environment | Health Facilities

Provider Resources - Ambulatory Surgical Centers

Licensure and Certification Requirements 

Letter of Intent



Fees pdf file

Occurrence Reporting Manual pdf file


Medicare/Medicaid Certification 

Guidance Regarding Initial Certification Surveys pdf file

State Operations Manual (SOM) - Appendix L pdf file


Health facility-acquired infections or healthcare-associated infections (HAIs) are among the top ten leading causes of death in the United States. Colorado recognizes the seriousness of this public health problem and passed the Hospital Acquired Infections Disclosure Act in 2006. House Bill 1045 requires hospitals, hospital units, ambulatory surgery centers and dialysis centers to report healthcare-associated infections using the National Healthcare Safety Network (NHSN). This act created the Patient Safety Program at the Colorado Department of Public Health and Environment (CDPHE) to implement this legislation by ensuring that health facilities disclose their HAIs and by producing public standard reports of HAIs in Colorado healthcare facilities.


In June of 2009, the Patient Safety Program applied for American Recovery and Reinvestment Act (ARRA) funding through the Centers for Disease Control (CDC) and the Department of Health and Human Services (HHS). In August of 2009, the department was notified they had received the funding. This funding will allow the program to: (1) add program staff to assist in education efforts and add dialysis centers as reporting facilities to NHSN, (2) conduct validation to improve the quality of data reported and, (3) use the data validation results to modify surveillance definitions and develop education programs for infection prevention staff.


An additional component of our request included funding to partner with an organization experienced in infection prevention to assist program staff in meeting certain goals. These goals are to: 1) provide essential infection prevention education for our less experienced infection prevention staff at healthcare facilities, and (2) form a prevention collaborative to help our facilities make progress toward meeting two of the HHS Action Plan 5-year prevention targets and lower their infection rates.


For more information about program implementation see Health-Associated Infections Background Information pdf file

Colorado Revised Statute title 25, article 3, part 7 mandated a comprehensive hospital information system be created to allow consumers, health providers and lawmakers review important quality of care information online. The Colorado Hospital Association was selected to develop a mechanism to communicate quality indicators and clinimcal outcomes known as the Colorado Hospital Report Card.


Consumer Resources