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 in its entirety, then e-mail it to NYReporting@aaahc.org, or fax to 847.853.9028.

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 

Click here for the New York Guidelines for Reporting Adverse Event

If you have any questions about the AAAHC NYS OBS Adverse Incident reporting form, contact NYReporting@aaahc.org.