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EDMUND G. BROWN JR.
Governor

Health and Human Services Agency
California Department of Public Health


AFL 25-30
November 18, 2025


TO:
General Acute Care Hospitals (GACHs)
Critical Access Hospitals (CAHs)
Skilled Nursing Facilities (SNFs)

SUBJECT:
Health Services Advisory Group (HSAG) Invitation to Partner on Centers for Medicare and Medicaid Services (CMS) Quality Improvement Initiatives

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​All Fac​ilities Letter (AFL) Summary​

  • This AFL notifies providers that the California Department of Public Health (CDPH) encourages CMS-selected hospitals and nursing facilities to partner with HSAG to access no-cost, enhanced support for advancing quality improvement efforts. 
  • HSAG serves as the CMS Quality Innovation Network – Quality Improvement Organization (QIN-QIO) for California.​

Background 

HSAG serves as the West CMS QIN-QIO Region 7 in Arizona, California, Hawaii, Nevada, and the Pacific Territories. In California, HSAG will provide healthcare quality improvement services to more than 200 hospitals and 680 nursing facilities. CMS selected these facilities to receive no-cost, enhanced support based on quality metrics, enforcement and survey data, gaps in quality reporting, and/or location in underserved areas.​

What to Expect 

CMS-selected providers partnering with HSAG can expect no-cost, enhanced support to advance quality improvement for their selected measures including, but not limited to the following: 
  • Assistance in conducting assessments and root cause analysis
  • Support in co-designing action plans that drive improvement
  • Access to on-demand resources, best practices, and guidance to improve quality 
  • Data-driven insights to improve high-impact CMS metrics
  • Opportunities to collaborate with top-performing peers in a robust learning community
  • Real-time National Healthcare Safety Network support to meet infection reporting requirements 

Next Steps 

HSAG is contacting CMS-selected hospitals and nursing facilities to seek participation in quality improvement efforts. There is no cost to participate. CMS has directed HSAG to obtain a signed participation agreement from each selected provider to confirm commitment.

Resources and Questions

CDPH appreciates your ongoing commitment to advancing quality care for patients in California. Providers seeking more information may view HSAG’s electronic fliers for hospitals (PDF) and nursing facilities (PDF).

For questions about this AFL or to find out if your facility was selected by CMS, please contact Jennifer Wieckowski, MSG, Senior Executive Director at HSAG, via email at jwieckowski@hsag.com​ or by phone at (818) 427-4378.




Sincerely,

Original signed by Mandi Posner

Mandi Posner
Deputy Director

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