Hospital Topics

Overview

2014 Ballot Initiatives
Two initiatives of great importance to California hospitals

CHA has taken positions on two ballot initiatives — listed below with links to their campaign sites. The most recent updates on ballot measures are displayed below.

  • Oppose Proposition 45, which would grant the state Insurance Commissioner the authority to regulate health plan and insurance company premium rates.
    www.stophighercosts.com
  • Oppose Proposition 46, which would quadruple the non-economic damages cap on California’s Medical Injury Compensation Reform Act.
    www.micra.org
CHA News Article

Proposition Numbers Assigned to Rate Regulation, MICRA Ballot Initiatives

The California Secretary of State’s Office on Monday assigned proposition numbers to the six ballot initiatives that will appear before voters on the Nov. 4 general election ballot. Among the measures are Proposition 45, which would grant the state Insurance Commissioner the authority to regulate health plan and insurance company premium rates, and Proposition 46, which would quadruple the non-economic damages cap on California’s successful Medical Injury Compensation Reform Act.

CHA News Article

Campaign to Defeat Anti-MICRA Ballot Initiative Will Host Media Trainings

Representatives from the campaign coalition working to defeat the anti-Medical Injury Compensation Reform Act (MICRA) initiative on the November ballot will conduct speaker’s bureau and media trainings next month throughout the state.

CHA News Article

Anti-MICRA Initiative Qualifies for November Ballot
Oppose to protect access to quality health care

The California Secretary of State announced yesterday that a ballot initiative that would increase the cap on pain-and-suffering damages in medical malpractice lawsuits and require hospitals to drug and alcohol test doctors qualified for the November 2014 ballot.

News Release

CA Hospitals, SEIU-UHW Reach Agreement to Improve Health Care, Create New Model of Labor Relations

A broad range of California hospitals and hospital systems and the state’s largest union of hospital workers, SEIU-United Healthcare Workers West (SEIU-UHW), have signed a breakthrough agreement to form a strategic relationship that will change the face of healthcare in California and serve as a new national model for how employers and unions interact. 

Overview

CDPH Licensing & Enforcement

The California Department of Public Health (CDPH) Licensing and Certification surveyors may visit a hospital at any time to determine whether the hospital is in compliance with state licensing requirements. Visits may result from a complaint by a patient, employee or other third party; a newspaper article; or a report by the hospital itself regarding an unusual occurrence, privacy breach or adverse event.

CHA News Article

CDPH Issues AFL on 2014-15 License Renewal Fees

The California Department of Public Health has issued an All Facilities Letter (AFL) on fiscal year 2014-15 license renewal fees set to take effect July 1. A renewal notice and application will be sent to the licensee of each facility 45-120 days prior to the license expiration date. Licensees that do not receive a notice within 45 days of the expiration date should contact the Grant and Fiscal Assessment Unit at RCollection@cdph.ca.gov, or by telephone at (916) 552-8700 or (800) 236-9747. All fees must be paid in full on or before the license expiration date even if the renewal notice was not received. Late payment penalties cannot be waived. For more information, see the attached AFL.

Recording

Responding to Licensing and Certification Deficiencies Webinar
New CDPH penalties, working with surveyors, plans of correction, appeal process

Webinar Recorded Live on May 21, 2014

Overview

You’ve received a licensing violation. You may have been expecting it from a recent survey, or it may have come as a complete surprise. One thing is for certain, survey activity — and subsequent violations — will be more common now that California Department of Public Health (CDPH) has issued new regulations for hospital penalties, including non-immediate jeopardy violations.

CHA News Article

CDPH Explains Informed Consent Process for SNFs

The California Department of Public Health (CDPH) has issued an All Facilities Letter (AFL) to skilled-nursing facilities (SNFs) explaining the informed consent process. The letter supplements previously issued guidance and reflects revisions that include physician assistants in the process of obtaining informed consent in SNFs. The AFL also reaffirms that when admitting a patient to a SNF with unchanged preexisting orders for psychotherapeutic drugs, physical restraints or the prolonged use of a device that may lead to the inability to regain use of a normal bodily function, the SNF must verify that the patient’s health records contain documentation that the patient gave informed consent for the ordered treatment. A preexisting order is an order written by the attending licensed health care practitioner (including nurse practitioners and physician assistants) prior to and encompassing the admission of a patient to a SNF. For more information, see the attached AFL and its accompanying FAQ regarding informed consent.

CHA News Article

New Administrative Penalties Regulations Effective April 1

The California Department of Public Health has issued an All Facilities Letter (AFL) to notify hospitals that the Office of Administrative Law has approved new regulations in Title 22 of the California Code of Regulations relating to general acute care hospital, acute psychiatric hospital and special hospital administrative penalties. The new regulations, which go into effect April 1, allow administrative penalties to be issued for deficiencies that do not rise to the level of immediate jeopardy. The regulations include the methodology for calculating administrative penalties based on licensing deficiencies, as well as those based on noncompliance with hospital fair pricing policy requirements. For more information, see the attached AFL and accompanying attachment.

CHA News Article

CDPH Updates Title 22 Licensing Fee, Diesel Generator Regulations

The California Department of Public Health has updated sections of Title 22 of the California Code of Regulations related to licensing fees and diesel generator testing so they conform to changes previously enacted in statute. Because the changes were enacted through statute, they do not have a “regulatory effect” and are not required to go through the standard regulatory development process. A list of the affected Title 22 sections that have been amended or repealed is attached. Also attached are the updated sections.

Overview

Community Benefit Programs
Hospitals give back to their communities

Health care is undergoing tremendous change and uncertainty as California implements the federal Affordable Care Act (ACA). Hospitals are working to ensure there will be enough beds and an adequate supply of health care professionals to meet the demands of the millions of Californians who are signing up for health insurance coverage under the ACA. In addition, California hospitals are meeting the needs of their communities through locally developed community benefit plans by supporting health care programs that provide preventative care to those in need.

Tax-Exempt Status of Nonprofit Hospitals

The tax-exempt status of nonprofit hospitals is being reviewed by policymakers, regulators and public interest groups. There are various proposals to impose burdensome and inflexible standards on nonprofit hospitals in order to obtain tax-exempt status and financing. CHA supports the development of appropriate guidelines that are not unduly burdensome and will allow sufficient flexibility to ensure nonprofit hospitals are able to carry out their mission. They must be based on broad measures of community benefit without establishing rigid formulaic thresholds.

News Release

Innovative Medical Career Program Sponsored by Bay Area Hospital at Risk if AB 503 is Enacted
New Video Profiles Medical Biotechnology Academy at John Muir Hospital in Concord

SACRAMENTO (June 9, 2014) -  The California Hospital Association (CHA) today released a new video highlighting a successful community benefit program that is designed to expose students to possible careers in the medical and health care field.  The program, operated jointly by John Muir Hospital in Concord and Mt. Diablo High School’s Medical Biotechnology Academy, is designed to place students on a career path through a rigorous, hands-on internship program.  Its future is threatened, however, by Assembly Bill (AB) 503 (Wieckowski/Bonta).

CHA News Article

Charity Care Bill Proponents Long on Rhetoric, Short on Facts
CHA fact check shows misinformation prominent in AB 1952 Health Committee discussion

CHA has released a fact check to correct inaccurate claims about AB 1952 (Pan, D-Sacramento), a measure that would impose a 5 percent mandate for charity care on most nonprofit hospitals and create a one-size-fits-all charity care requirement across diverse communities in California.

CHA News Article

Hospitals Oppose AB 503
Legislation would cripple critical health care services, conflicts with ACA

CHA announced yesterday its opposition to AB 503 (Wieckowski, D-Fremont and Bonta, D-Alameda), a bill that is nearly identical to 2013’s AB 975 (Wieckowski/Bonta), which was debated and soundly defeated in the Assembly last year. AB 503 is an unreasonable and costly attempt to redefine charity care for all hospitals and community benefit standards of nonprofit hospitals in California. The bill would negatively impact the implementation of the Affordable Care Act (ACA) and result in cuts to a wide variety of community health care services.

Overview

Clinical Care

Clinical care touches every aspect of hospital operations. Policies and procedures surrounding clinical care are of the utmost importance in meeting regulatory, legal and licensing requirements. CHA has numerous area-specific groups — including specialty centers and committees — that address the many aspects of clinical care. Some areas of clinical care are subject to rapid changes in public policy and regulations, creating additional challenges for hospitals. In addition to providing representation and advocacy to address these challenges, CHA focuses on the unique needs of certain facilities, and the services and programs they offer their communities.

Recording

Responding to Licensing and Certification Deficiencies Webinar
New CDPH penalties, working with surveyors, plans of correction, appeal process

Webinar Recorded Live on May 21, 2014

Overview

You’ve received a licensing violation. You may have been expecting it from a recent survey, or it may have come as a complete surprise. One thing is for certain, survey activity — and subsequent violations — will be more common now that California Department of Public Health (CDPH) has issued new regulations for hospital penalties, including non-immediate jeopardy violations.

Recording

Using ED Overcrowding Assessment Tools to Improve Care and Throughput Webinar
Learn about the Dignity Health Emergency Department Overcrowding Scale (DEDOCS)

Webinar Recorded Live on May 29, 2014

Overview

When an ED becomes crowded, the entire hospital can suffer
In 2011, CHA’s EMS/Trauma Committee partnered with Dr. Steven Weiss to develop CEDOCS — the Community Emergency Department Overcrowding Scale — to measure and rate ED crowding.

General information

Emergency Department Toolkit
Behavioral health resources for the emergency department

Special resource toolkit developed by CHA’s EMS/Trauma Committee and the Center for Behavioral Health.  Designed to help staff provide support to patients in the ED with psychosis and/or substance abuse disorders, this toolkit provides access to articles, policies, management techniques, assessment tools and more. Click the topic tabs below to access resources and information.

Recording

Civil and Criminal Subpoenas Webinar CD
What you need to know — from receipt to response

Webinar Recorded Live November 13, 2012

You’ve just been served. The subpoena “looks” okay, and seems “official,” but you’re wary — and you should be. The stakes are often high if you get this wrong. This webinar thoroughly explains the nuances of civil and criminal subpoenas. Participants will learn how to review what they receive and respond with confidence.

Recording

CDPH’s Website on HAI Reporting Webinar CD
Improved website, fresh data on HAI, validation process update

Webinar Recorded Live October 9, 2012

In mid-August, CDPH released their most recent data on HAI reporting through an improved website. This website presents the material in a more user-friendly format and groups the reporting hospitals into like categories for a more balanced analysis and comparison. Learn about changes to the website, recent release and analysis of HAI data, and what it says about the performance of California hospitals to date.

Overview

Construction / Renovation

In the area of construction and renovation, CHA assists hospitals by reviewing and commenting on proposed regulations, attending all Hospital Building Safety Board (HBSB) meetings, nominating hospital representatives to the HBSB Board and serving as liaison between hospitals and the Office of Statewide Health Planning and Development’s (OSHPD) Facility Development Division when issues need to be resolved.

CHA News Article

FCC Requires Hospitals to Register Wireless Telemetry Devices With ASHE

All hospitals using wireless medical telemetry service (WMTS) devices must register them with the American Hospital Association’s American Society for Healthcare Engineering (ASHE) to avoid possible harmful interference with the operation of their equipment. As the designated WMTS coordinator, ASHE maintains a database of WMTS users, and the Federal Communications Commission (FCC) requires registration with ASHE before an organization operates a WMTS system in the TV channel 37 band (and in the upper bands of 1395-1400 MHz and 1427-1432 MHz). If a WMTS system is not registered, the FCC considers it to be unlicensed and not entitled to protection from interference caused by other transmitters.

CHA News Article

New Regulations Seek to Eliminate Toxins From Hospital Furniture
Webinar to focus on new statewide standards for flame retardant furnishings

The Healthier Hospitals Initiative (HHI) and Health Care Without Harm invite hospitals to a free webinar on the health impacts of flame retardants, the implications of the new regulations for health care, and the opportunities for hospitals to create healthier interior spaces through the elimination of harmful chemicals in furnishings while reducing costs.

CHA News Article

Hospitals Subject to New Requirements for Power Strips and Alternative Equipment Management

The Joint Commission’s (TJC) Department of Engineering reports that the Centers for Medicare & Medicaid Services (CMS) is no longer allowing relocatable power taps, referred to as RPTs or power strips, to be used with medical equipment in patient care areas, including operating rooms, patient rooms and areas for recovery, exams and diagnostic procedures.

CHA News Article

OSHPD to Offer Workshop on Hospital Construction Projects

California’s Office of Statewide Health Planning & Development (OSHPD) has announced it will conduct another workshop on successful hospital construction projects May 30 in Sacramento.

CHA News Article

CMS Proposes Rule Updating Life Safety Codes for Health Care Facilities

The Centers for Medicare & Medicaid Services (CMS) has proposed adopting the 2012 editions of the Life Safety Code (LSC) and Health Care Facilities Code (HCFC).

Overview

Emergency Preparedness
Is Your Hospital Prepared?

Go to the Emergency Preparedness website

Through the Office of the Assistant Secretary for Preparedness and Response, Office of Preparedness and Emergency Operations, Hospital Preparedness Program (HPP) grant, CHA has created a web site specifically devoted to Emergency Preparedness at www.calhospitalprepare.org.

CHA News Article

Hospitals Encouraged to Participate in Oct. 16 Great California ShakeOut

This year’s Great California ShakeOut drill will be held Oct. 16 at 10:16 a.m. to help Californians prepare for the next big earthquake. Hospitals can participate in a variety of ways, depending on their organization’s time and resources.

CHA News Article

CHA Launches Hospital Emergency Code Survey
Deadline to respond is Aug. 15

CHA, in partnership with the Regional Associations, is conducting a survey of hospital emergency codes in California. The associations recognize that many hospitals and health systems may be in the process of updating their organizations’ emergency codes. Periodic surveys provide aggregate data revealing current trends that may be helpful in updating the codes.

CHA News Article

Disaster Planning Conference Highlights Stories of Hospital Preparedness and Response

The program agenda and keynote speakers for CHA’s upcoming Disaster Planning for California Hospitals Conference, Sept. 22–24, will focus on lessons learned from hospitals experiencing disasters throughout the country.

CHA News Article

CHA Hospital Preparedness Program Grant Ends June 30

On June 30, the grant for CHA’s Hospital Preparedness Program (HPP) will end. The state has required that future grants be awarded on a bid basis, and no request for proposals has been issued. Although the grant-funded program is ending, CHA will continue to support the position of vice president, disaster preparedness and will provide advocacy and representation on disaster preparedness issues. CHA will also continue to coordinate the annual disaster planning conference, which will be held Sept. 22-24 this year in Sacramento.

Overview

Finance

Hospital finance is complicated, and California hospitals operate in a challenging environment. Hospital executives are faced with the task of developing financial strategies that contain costs yet allow for the provision of health care to the state’s large uninsured population.

Recording

Hospital Presumptive Eligibility Program Webinar
A vital tool for providing potentially-eligible individuals with on-the-spot Medi-Cal coverage

Webinar Recorded Live on June 19, 2014

Hospitals can play an important role in reducing the number of uninsured through the Hospital Presumptive Eligibility (HPE) program. The HPE program will allow all hospital Medi-Cal providers — including any clinic on a hospital’s license — to provide potentially-eligible individuals with temporary, full-scope Medi-Cal benefits.

CHA News Article

CHA Leadership Meets with CMS Deputy Administrator Sean Cavanaugh

Yesterday, as part of the California Congressional Action Program, CHA board leaders and staff met with CMS Deputy Administrator and Director for the Center for Medicare Sean Cavanaugh; Liz Richter, deputy director, Center for Medicare; and Niall Brennan, director, Center for Enterprise Management. Over the past year, CHA has been working with CMS and the Office of Inspector General to identify the regulatory pathways for hospitals to move forward in adopting Modern Pricing, an initiative that supports hospitals in voluntarily adjusting their charges to make them more meaningful to patients and communities. CHA will host a members-only webinar on Modern Pricing May 30; members are encouraged to participate to learn more about the initiative.

General information

Video Describes Vital Role Nonprofit Hospitals Play in Their Communities

In opposition to AB 975 (Wieckowski/Bonta), CHA has embarked on a comprehensive public advocacy campaign to increase awareness of the importance of not-for-profit hospitals and the diverse array of community benefit programs they provide throughout California.  A new video (below) describes the vital role nonprofit hospitals play in the communities they serve. 

AB 975 would establish a “guilty until proven innocent” presumption for hospitals that report an operating margin of more than 10 percent.Under current law, nonprofit hospitals are required to invest their funds int

Overview

Health Care Reform

Our nation’s health care system has entered a new era with the enactment of federal health care reform. This landmark legislation is resulting in many changes in how health care is financed and delivered for years to come. For nearly two decades, CHA has been at the forefront in advocating for meaningful health care reform — and we will continue to help shape the future of hospital care far into the future. CHA’s vision of an “optimally healthy society” is now a reality within reach.

CHA News Article

CMS to Conduct Webinar on Coverage to Care Initiative
Initiative seeks to help individuals make the most of their new health coverage

The Centers for Medicare & Medicaid Services (CMS) Office of Minority Health will conduct a webinar July 30 from 9 a.m. – 10 a.m. (PT) to provide an overview of CMS’ national From Coverage to Care (C2C) initiative. C2C is designed to help answer questions individuals may have about their new health coverage and to help them make the most of their new benefits, including taking full advantage of primary care and preventive services. C2C also seeks to give health care providers the tools they need to promote patient engagement. To register for the webinar, visit the online registration site.

CHA News Article

DHCS to Host Webinar July 25 on 1115 Waiver Renewal
Will discuss initial concepts for next waiver and stakeholder process

The California Department of Health Care Services (DHCS) will conduct a stakeholder webinar July 25 to discuss the attached 1115 Waiver renewal concept paper and the upcoming stakeholder process. DHCS will post webinar registration on its website early this week. The existing 1115 “Bridge to Reform” Waiver expires Oct. 31, 2015; DHCS intends to seek a renewal of the waiver, targeting early 2015 for submission to the Centers for Medicare & Medicaid Services.

CHA News Article

CMS Initiative Focuses on Improved Maternal and Infant Health Outcomes
Will provide states with incentive payments to voluntarily report on select quality measures

The Centers for Medicare & Medicaid Services (CMS) today released an informational bulletin describing opportunities for states to collaborate with the Center for Medicaid and CHIP Services (CMCS) on a new national initiative to improve maternal and infant health outcomes in Medicaid and CHIP. The Maternal and Infant Health Initiative leverages existing partnerships and activities to: 1) increase by 10 percent the rate of postpartum visits among pregnant women in Medicaid and CHIP in at least 20 states over a three-year period, and 2) increase by 15 percent the use of effective contraception methods in Medicaid and CHIP in at least 20 states over a three-year period.

CHA News Article

CMS Announces Medicaid Innovation Accelerator Program
Aims to foster innovation while supporting states in achieving Triple Aim

The Centers for Medicare & Medicaid Services (CMS) has announced the launch of a new technical assistance program, the Medicaid Innovation Accelerator Program (IAP). The IAP is a collaboration between the Center for Medicaid and CHIP Services and the Center for Medicare and Medicaid Innovation, working closely with the Medicare-Medicaid Coordination Office, the Center for Medicare and other federal centers and agencies.

Recording

Hospital Presumptive Eligibility Program Webinar
A vital tool for providing potentially-eligible individuals with on-the-spot Medi-Cal coverage

Webinar Recorded Live on June 19, 2014

Hospitals can play an important role in reducing the number of uninsured through the Hospital Presumptive Eligibility (HPE) program. The HPE program will allow all hospital Medi-Cal providers — including any clinic on a hospital’s license — to provide potentially-eligible individuals with temporary, full-scope Medi-Cal benefits.

Overview

Health Information Management & Technology

Hospitals are moving away from paper-based records to electronic medical records and electronic health records to retain patient-care data. Electronic formatting facilitates data capture in a “real-time” environment, and allows many users to access the data at the same time.

CHA supports the capture and availability of secure patient-care data through the use of health information technology (HIT) across the continuum of care. CHA believes HIT will serve as a tool to enhance patient safety, promote information for preventative health and reduce health care costs.

Education event

Privacy for Patients with Mental Health and Substance Use Disorders Webinar
Clarifying laws and regulations, what you can and can’t disclose, breach reporting

September 11, 2014
10:00 a.m. – Noon, Pacific Time

Health care providers are often afraid to share patient information — even when doing so would be good for the patient and perfectly legal. Not being comfortable with the rules, they hold back. Sometimes that’s not in the best interest of the patient — especially patients with mental health or substance use disorders who often need extra support. This webinar will explain when it’s appropriate to share information to benefit the patient and remain compliant with the laws governing patient privacy.

CHA News Article

CMS Addresses Role of EHR Navigators During Hospital Survey Process

The Centers for Medicare & Medicaid Services (CMS) has issued the attached Survey and Certification memo addressing the issue of Electronic Health Record (EHR) navigators during the survey process for hospitals and critical access hospitals (CAHs).

CHA News Article

CMS Formally Proposes Extension of Stage 2 Meaningful Use
Stage 2 training call scheduled for May 29

The Centers for Medicare & Medicaid Services (CMS) and the Office of the National Coordinator for Health Information Technology (ONC) issued a proposed rule yesterday that would extend stage 2 of meaningful use through 2016 and delay the start of stage 3 until 2017.

CHA News Article

FBI Cautions of Cyberattacks on Electronic Health Records
Study indicates health care security practices are ill-equipped for cyberthreats

A nationwide study conducted by the SANS Institute resulted in a February report indicating health care security strategies and practices are poorly protected and ill-equipped to handle new cyberthreats exposing patient medical records, billing and payment organizations, and intellectual property.

CHA News Article

GAO Recommends HHS Specify Actions to Address Health Information Exchange Challenges

The Government Accountability Office (GAO) has released a report on the challenges faced by providers implementing electronic health records (EHR) and the Department of Health and Human Services’ (HHS) strategies to address those challenges. The GAO identified a number of consistent challenges for providers, including insufficient standards for EHR information exchange, variation in state privacy laws, matching patients to their health records, and costs associated with the exchange of health information. The GAO found that although HHS developed and issued a strategy document in August 2013 describing how it expects to advance electronic health information exchange, the strategy lacks specific priorities, milestones and time frames to achieve its goals. The GAO recommends that HHS determine exchange-related milestones with specified time frames to help ensure that the agency’s future actions result in timely improvements and address the key challenges reported by providers and stakeholders. The full report is available at www.gao.gov/assets/670/661846.pdf.

Overview

Human Resources

California hospitals and health systems employ more than half a million people — from entry-level positions to senior executives. Many health care human resources (HR) departments are responsible for a wide range of issues, such as recruitment, staffing, compensation, benefits, labor/employee relations and employee health. Navigating the complex regulatory environment, while monitoring how it applies to HR in the health care setting, can be a challenging and dynamic task.

Representing hospitals and health systems in California, CHA provides leadership in HR policy on state and federal levels. In addition, CHA advocates on behalf of hospitals and health systems before the federal and state legislatures, federal and state administrative agencies and the public. CHA also provides educational opportunities, such as the annual Labor & Employment Law seminar, to help hospital leaders sharpen their skills and knowledge in health care HR. CHA members also participate on an HR executive e-mail list and receive periodic informational memoranda. 

Education event

Cal/OSHA’s New Safe Patient Handling Regulation Webinar
Learn about departments impacted, elements of a safe patient handling plan, enforcement

August 5, 2014
1:30 – 3:30 p.m., Pacific Time
A members-only event

On June 19, the Cal/OSHA Standards Board adopted the much-anticipated Safe Patient Handling Regulation. Though still in review by the Office of Administrative Law, the regulation is expected to go into effect on October 1. All hospital departments that involve patient care will be affected. Cal/OSHA leadership will explain the elements of the safe patient handling regulation and what to expect regarding enforcement. All registrants will receive a copy of CHA’s new guidebook The Safe Patient Handling Regulation.

Recording

New California Pregnancy and Disability Regulations Webinar DVD
What the new regulations mean to hospitals and employees

Webinar Recorded Live February 28, 2013

Recently, California’s Fair Employment and Housing Commission issued new regulations to guide compliance with pregnancy and disability laws. Some aspects of the new regulations confirm what we “thought” the rules meant. Others impose entirely new standards to follow and raise the bar on existing obligations. It’s imperative for employers to closely review and understand the new state regulations.

Publication

Employee Handbook and Personnel Policies Manual
Covers the full range of policies

Designed for all employers, this manual covers the full range of policies included in personnel handbooks. It is a must-have for employers who want to avoid common pitfalls.

Please note: This manual is available to members only and is offered at a special CHA discount.

730 pages (12th edition, 2011)

 

Publication

Employment Discrimination and EEO Practice Manual for California Employers
A complete, nontechnical guide

Human resources professionals will learn how to comply with applicable state and federal employment discrimination laws and the cost of noncompliance.

Please note: This manual is available to members only and is offered at a special CHA discount.

780 pages (9th edition, 2009)

Publication

Wage and Hour Manual for California Employers
A guide on legal requirements affecting wage and hour practices

Covers state and federal wage and hour laws, the Fair Labor Standards Act, Industrial Welfare Commission wage orders and Labor Commission policies.

Please note: This manual is available to members only and is offered at a special CHA discount.

900 pages (16th edition, 2013)

Overview

Legal

CHA’s legal department advocates vigorously before the courts on behalf of California hospitals, both as a party in litigation and as amicus curiae in important appellate cases. In addition, the CHA legal department prepares legal memoranda and manuals to help hospitals understand and comply with state and federal laws. The CHA legal department also supports CHA staff in their advocacy efforts before the state legislature and regulatory agencies.

Recording

Responding to Licensing and Certification Deficiencies Webinar
New CDPH penalties, working with surveyors, plans of correction, appeal process

Webinar Recorded Live on May 21, 2014

Overview

You’ve received a licensing violation. You may have been expecting it from a recent survey, or it may have come as a complete surprise. One thing is for certain, survey activity — and subsequent violations — will be more common now that California Department of Public Health (CDPH) has issued new regulations for hospital penalties, including non-immediate jeopardy violations.

CHA News Article

Settlement Against Hospital Involves Stark Law Violation Related to Medicaid

A hospital in St. Petersburg, Florida this month entered into a False Claims Act settlement with the U.S. and the state of Florida that could have significant implications for the “Stark law,” which governs physician self-referrals.

CHA News Article

HHS Publishes Final Rule on HIPAA Lab Test Results

On Feb. 6, the U.S. Department of Health and Human Services published a final rule that gives patients the right to obtain their lab test results directly from any lab subject to the Health Insurance Portability and Accountability Act of 1996 Privacy Rule (HIPAA), and to require the labs to send their test results to any designated person or organization. The rule, attached, also amends the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to permit (but not require) CLIA-certified labs that are not subject to HIPAA to provide test results directly to patients. While patients can continue to get their lab test reports from their doctors, these changes give patients a new option to obtain their test reports directly from the lab. The rule is intended to provide patients greater access to their health information, empowering them to take a more active role in managing their health and health care. The final rule is effective April 7, but HIPAA covered entities must comply with the applicable requirements by Oct. 6.

Article

Surveys of California’s Emergency Departments and Patients Requiring Psychiatric Care

In 2010, the California Hospital Association conducted a study of emergency departments (EDs) across California to identify factors related to the usage of EDs by patients with mental health needs.

General information

Deadline for Hospitals to Update Notice of Privacy Practices Is Sept. 23
CHA has updated its model notices to comply with rule

Hospitals must update their Notice of Privacy Practices by Monday, Sept. 23, according to regulations issued by the U.S. Department of Health and Human Services (HHS) on Jan. 25. The updated notice must be posted on the hospital’s website and in the facility, provided to new patients and made available to returning patients upon request. CHA has updated its model notices to comply with the rule; the CHA models are available at www.calhospital.org/cha-developed-privacy-tools.

In addition, HHS has developed model notices that hospitals may use as a guide in developing their own. However, the HHS model notices are not California-specific — some of the provisions conflict with stricter California law, particularly for patients being treated under the Lanterman-Petris-Short Act. The HHS model notices may be found at www.hhs.gov/ocr/privacy/hipaa/modelnotices.html.

Overview

Quality & Patient Safety

CHA is committed to helping hospitals improve quality, reduce medical errors and adverse events, and maximize patient safety.

CHA’s vision is an “optimally healthy society.” CHA’s goal is for “every Californian to have equitable access to affordable, high-quality, medically necessary health care.”

CHA News Article

MedPAC’s June Report Evaluates Quality Measurement, Post-Acute Site-Neutral Payment

The Medicare Payment Advisory Commission (MedPAC) last week released its annual report to Congress on Medicare and the health care delivery system. MedPAC’s June 2014 report examines a variety of Medicare payment system issues, such as synchronizing Medicare policy across payment models, improving risk adjustment in the Medicare program, measuring quality of care in Medicare, financial assistance for low-income Medicare beneficiaries, per beneficiary payment for primary care, site-neutral payments in post-acute care settings, and measuring the effects of medication adherence for the Medicare population.

CHA News Article

CMS Issues IRF FFY 2015 PPS Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) has issued the attached proposed rule for the inpatient rehabilitation facility (IRF) prospective payment system for federal fiscal year (FFY) 2015.

CHA News Article

CMS Issues SNF PPS Proposed Rule for FFY 2015

The Centers for Medicare & Medicaid Services (CMS) has issued the proposed rule for the skilled-nursing facility (SNF) prospective payment system for federal fiscal year (FFY) 2015. 

CHA News Article

Leapfrog Letter Grade Previews Available for Hospitals
Safety scores released to public April 29

The Leapfrog Group will release to the public its updated hospital safety scores on April 29. In advance of that, hospitals may preview their individual letter grades now at Leapfrog’s data review website.

CHA News Article

National Quality Forum Endorses HBIPS-1 and Other Measures

The National Quality Forum (NQF) has announced its endorsement of 20 behavioral health quality measures, including newly approved Hospital-Based Inpatient Psychiatric Services (HBIPS) 1, admission screening.

Overview

Reimbursement

California hospitals’ revenue stream is critical to their overall mission of providing care and cures in the communities they serve. While over half of hospitals’ revenue, nearly $30 billion a year, is derived from government-funded programs, including Medicare, Medi-Cal, Healthy Families and county indigent programs – Private Insurance revenues are also significant.

CHA believes that hospitals should be reimbursed adequately to cover the cost of care for enrollees.

CHA News Article

Hospitals Encouraged to Complete RACTrac Surveys by Tomorrow’s Deadline

The American Hospital Association’s (AHA) RACTrac survey data is used specifically to analyze the impact of the Medicare Recovery Audit Contractor (RAC) program on hospitals and helps to guide CHA’s advocacy for important and necessary changes in the RAC program. AHA membership is not required to participate in RACTrac; CHA encourages all hospitals to participate regardless of AHA membership status. As part of the survey, participants are asked include information on the number of claims withdrawn from appeal to rebill for Part B payment. For registration information, contact AHA’s RACTrac support at (888) 722-8712 or ractracsupport@providercs.com. For more on the survey, including the latest results, visit www.aha.org/ractrac.

CHA News Article

HRSA Releases Interpretive Rule on 340B Orphan Drug Discounts

The Department of Health and Human Services (HHS) and its Health Resources and Services Administration (HRSA) have issued the attached interpretive rule on the 340B Drug Pricing Program. The rule continues to allow hospitals subject to the “orphan drug” exclusion to purchase those drugs through the 340B program when the drugs are not used to treat the rare conditions for which the orphan drug designation was given. In May, a federal court vacated HHS’ adoption of a regulation to implement the orphan drug exclusion policy. The interpretive rule is effective July 23.

Recording

Hospital Presumptive Eligibility Program Webinar
A vital tool for providing potentially-eligible individuals with on-the-spot Medi-Cal coverage

Webinar Recorded Live on June 19, 2014

Hospitals can play an important role in reducing the number of uninsured through the Hospital Presumptive Eligibility (HPE) program. The HPE program will allow all hospital Medi-Cal providers — including any clinic on a hospital’s license — to provide potentially-eligible individuals with temporary, full-scope Medi-Cal benefits.

CHA News Article

Physician Fee Schedule Proposed Rule Expands Telemedicine Services, Updates ACO Program

The Centers for Medicare & Medicaid Services (CMS) has released the attached proposed rule updating the physician fee schedule (PFS) for calendar year 2015. The proposed rule provides details on a policy finalized last year for a separate payment outside of a face-to-face visit for managing the care of Medicare patients with two or more chronic conditions, beginning in 2015. CMS also proposes a new process for establishing PFS payment rates, requiring payment changes to undergo notice and comment rulemaking before being adopted for 2016.

CHA News Article

Year Two DRG Reimbursement Training This Week

On May 20, the Department of Health Care Services (DHCS) mailed to hospitals the Diagnosis Related Group (DRG) reimbursement year two base rates, effective July 1. This week, on June 26, DHCS and Xerox will host an additional webinar training session specific to changes in year two of implementation. The webinar will be held from 9 a.m. – 10:30 a.m. (PT), and attendees must register prior to the start of the webinar in order to receive meeting details. The webinar will also be recorded for future reference. For more information about the DRG methodology, visit www.dhcs.ca.gov/provgovpart/Pages/DRG.aspx.

Overview

Workforce

California Hospitals are concerned about the need for an adequate supply of highly skilled health professionals to meet the demands for health care services now and in the future. Numerous studies have been completed that validate the need to address critical health professional shortages in nursing and the allied health occupations.  However, efforts to implement recommended strategies have been hindered by a lack of a coordinated statewide effort involving health employers, as well as other necessary partners. 

CHA News Article

President Obama Signs Workforce Innovation and Opportunity Act

This week, President Obama signed the Workforce Innovation and Opportunity Act (WIOA). WIOA is designed to help job seekers access employment, education, training and support services to succeed in the labor market, and to match employers with the skilled workers they need to compete in the global economy.

CHA News Article

OSHPD Seeks Primary Care Residency Task Force Members

The Office of Statewide Health Planning and Development (OSHPD) has formed a new Primary Care Residency (PCR) Task Force and is soliciting applications from interested individuals. Task force members will serve as subject matter experts to help develop recommendations and implement the PCR program for a two-year commitment ending in June 2016. An application and a complete list of roles and responsibilities are available on the OSHPD website. Applications are due July 23. For more information about the PCR Task Force contact Melissa Oman, program administrator, at (916) 326-3753, or email questions to SongBrown@oshpd.ca.gov.

CHA News Article

Health Careers Training and Workforce Development Grants Available

The Department of Health and Human Services Health Resources and Services Administration (HRSA) is now accepting applications for its Health Careers Opportunity Program (HCOP) Skills Training and Health Workforce Development of Paraprofessionals grants. The $2 million in grants will be available from Sept. 1, 2014, through Aug. 31, 2017, to train and expand the health paraprofessional workforce to meet community employment needs.

CHA News Article

Hospitals Can Apply for Residency Slots From Closed Teaching Hospital
Applications are due Sept. 2

The Centers for Medicare & Medicaid Services (CMS) this week announced that hospitals can apply for a portion of 27 Medicare residency slots made available after the closure of Long Beach Medical Center in New York. The Affordable Care Act authorizes CMS to redistribute residency cap slots after a hospital that trained residents in an approved medical residency program closes. Guidelines for submitting applications are available on the CMS website. Applications must be received in the CMS Central Office by Sept. 2, and hospitals must notify CMS of their mailed submissions by email.

CHA News Article

Health Resources and Services Administration Forms New Bureau of Health Workforce

The Health Resources and Services Administration (HRSA) published a Federal Register notice yesterday announcing a new bureau — the Bureau of Health Workforce — to integrate the programs previously administered by the Bureau of Health Professions and the Bureau of Clinician Recruitment and Service. According to HRSA, the new bureau will help to better achieve the HRSA mission of improving health and achieving health equity through access to quality services, a skilled health workforce and innovative programs. 

Commands