NY OBS Adverse Event

To New York State Office-Based Surgery Organizations Accredited by AAAHC

According to the New York State Department of Health, each designated accrediting agency is required to collect adverse event data from office-based surgery (OBS) practices it accredits. If your organization is accredited by AAAHC, the following procedure applies to you.

At the time a reportable adverse event, as defined by New York State Public Health Law, is reported to the New York State Department of Health. You must also report certain information to AAAHC.  Do not submit to AAAHC a duplicate copy of completed form NY DOH-4431.

Feel free to print a copy for your records.

How to submit this form:

• Complete this form online in its entirety and once it is complete, click the “submit” button in the upper right corner.

If you have questions about the New York Adverse Event Reporting, please contact the New York Department of Health or review the Office-Based Surgery Frequently Asked Questions http://www.health.ny.gov/professionals/office-based_surgery/obs_faq.htm

The following link is to the New York Guidelines for Reporting Adverse Event http://www.health.ny.gov/forms/doh-4431.pdf