Hospital Topics

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 Guidance Emphasizes CDC Ebola Recommendations

The California Department of Public Health (CDPH) has issued the attached All Facilities Letter (AFL) to acute psychiatric hospitals and general acute care hospitals, sharing recent recommendations from the Centers for Disease Control and Prevention (CDC) for Ebola preparedness and recourse.

CHA News Article

CDPH Launches Open Data Portal

The California Department of Public Health (CDPH) has launched its Open Data Portal, a tool that allows user-friendly access to the data it collects about important health issues. The first data tables available through the portal include birth profiles, poverty rates, the location of vendors who accept vouchers from the Women, Infants and Children program, health care facilities data, and surveillance for West Nile virus and asthma. Upcoming data will include newborn screening disorders, licensed medical device retailers and leading causes of death. Eventually, CDPH will offer data from other state departments within the California Health and Human Services Agency. For additional information, visit the CDPH Open Data Portal.

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 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.

CHA News Article

CHA Highlights Innovative Mobile Health Van Threatened by AB 503
Services for underserved at risk

CHA issued the attached press release today highlighting CareVan, a mobile health van that provides free health care services throughout San Joaquin County. The program — along with community benefit programs throughout the state — is threatened by AB 503 (Wieckowski, D-Fremont; Bonta, D-Alameda).

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).

News Release

New Study by Economist and Former Finance Director Tom Campbell Shows Access to Care At Risk from Mandates
Thousands of Californians Could be Shut Out From Needed Health Care if Legislation Is Passed

(SACRAMENTO – January 16, 2014) – Former Congressman and State Finance Director Tom Campbell released results today of a new study that warns that thousands of Californians could be shut out of the health care they need, even if they have health coverage, if new regulations and mandates are approved by the state Legislature.  

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

Advanced Decision Making for EMTALA Webinar
EMTALA principles, case scenario learning, surveyor compliance tips

Webinar Recorded Live on November 14, 2014

Overview

Whether you are a sending or receiving hospital, many factors must be considered when dealing with a potential EMTALA situation. Knowing the right thing to do isn’t easy, especially in a stressful or busy emergency department.

Recording

Minors Health Care — The Basics of Consent, Privacy and More Webinar
Learn about the rules, exceptions to the rules, practical solutions to common problems

Webinar Recorded Live on October 29, 2014

Overview

This scenario plays out in hospitals every day: grandmother, teacher, neighbor or concerned friend brings a minor to the hospital. No parent in sight. Now what?

Can you treat the minor? Whose consent do you need? Who should you talk to about the minor’s treatment options? These are all too common questions that often challenge the most seasoned health care providers.

CHA News Article

CDPH Issues Risk-Based Ebola Quarantine Order and Guidelines for Counties
State to assess individuals returning from Ebola-affected regions; updated federal guidelines recommend also monitoring those potentially exposed in U.S.

While there are no reported or confirmed cases of Ebola in California, the California Department of Public Health (CDPH)  took action Oct. 29 to help prevent any potential spread of the disease in the state by issuing a quarantine order and guidelines that require counties to assess individuals at risk for Ebola and tailor an appropriate level of quarantine as needed.

Recording

Principles of Consent and Advance Health Care Directives Webinar
A program for those new to health care or professionals seeking to refresh their knowledge

Webinar Recorded Live on October 1, 2014

Overview

Consent is more than a signature on a form
Patients have the right to make treatment decisions, but ensuring that they understand their options and associated risks is not easy. And while the responsibility for obtaining informed consent falls to physicians, your hospital is responsible for making sure that consent was obtained and documented.

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.

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

Categorical Waivers now Available for Power Strips in Patient Care Areas

The Centers for Medicare & Medicaid Services (CMS) has announced that it will permit categorical waivers for hospital power strip requirements under certain circumstances (the issue of power strips in patient care areas was detailed earlier this year in CHA News). CMS has determined that power strip provisions for health facilities in the National Fire Protection Association 101 Life Safety Code (LSC) may create unreasonable hardship for providers or suppliers. The CMS announcement notes that the 2012 edition of the LSC also offers an adequate alternative level of protection. The categorical waivers will be allowed for the use of power strips in existing and new health facility patient care areas if the provider/supplier complies with all applicable 2012 LSC power strip requirements, and with all other 2000 LSC electrical system and equipment provisions. To use the waiver, hospitals must supply written documentation that they have chosen to do so and notify the LSC survey team during its entrance conference. The policy change is effective immediately. For more information, visit the American Society for Healthcare Engineering website.

CHA News Article

Architects Present 6th Annual Health Facility Conference

The American College of Healthcare Architects and the American Institute of Architects California Council will host an all-day forum Oct. 9 at the Marriott City Center in Oakland. Themed Overcoming Uncertainty – What the Future Holds, the forum includes a distinguished faculty of hospital designers and construction managers who will cover the impact of the Affordable Care Act, developing technologies, budget and financing requirements, evolving project delivery methods, and changing patient expectations on the planning and design of health care facilities. For more information and to register, visit www.healtharchitects.org/Education/California_Forum.asp. Deadline to register is Sept. 28.

CHA News Article

OSHPD Announces “Hot Topics” Seminar

The Office of Statewide Health Planning and Development (OSHPD) Facilities Development Division has announced  it will hold one-day seminars, featuring current “hot topics,” Oct. 9 in Anaheim and Oct. 30 in Concord. Seminar sessions will include information on the functional program; defining “materially altered;” the use of standard details; preapproved details; the electronic services portal; and an update on Code Application Notices and Policy Intent Notices. Seating is limited at both locations. To register, see the attached registration information. For more information about the program, contact OSHPD at (916) 440-8453 or FDD.seminar@OSHPD.CA.gov.

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.

Overview

Emergency Preparedness
Is your hospital prepared?

Visit CHA’s Emergency Preparedness website at calhospitalprepare.org

About

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

2014 California Hospital Emergency Code Survey Results Available

CHA has announced that its 2014 Hospital Emergency Code Survey results are now available. While most health care facilities use some form of emergency code system to relay urgent information to hospital personnel during emergency incidents, the application of the codes is not always consistent between facilities. Standardizing hospital emergency codes is vital to reducing confusion and allowing staff to appropriately respond to emergency incidents. The third survey conducted in the past five years, this year’s report incorporates data from the previous surveys (2009 and 2011). The findings — including statewide data as well as data for the three Regional Associations — reveal sustained progress in hospital emergency code implementation among California health care facilities.

CHA News Article

Disaster Planning Conference Fortifies Hospital Preparedness

More than 800 people — including hospital staff, local, state and federal officials – gathered this week in Sacramento (see photo gallery) to strengthen hospital disaster preparedness and build collaboration to ensure continuity of care. The conference theme – Get Ready, Stay Ready – highlighted readiness and resilience in the aftermath of a disaster.

CHA News Article

September Is National Preparedness Month

September is National Preparedness Month – a time when individuals, businesses and communities are encouraged to plan and prepare for a disaster. This year’s theme, “Be Disaster Aware, Take Action to Prepare,” underscores the importance of developing a plan to employ when a disaster occurs – such as the recent 6.0 magnitude earthquake in Napa Valley and numerous wildfires across California.

CHA News Article

CHA Reminds Hospitals to Complete Emergency Code Survey
Deadline is Aug. 15

Last month, CHA and the Regional Associations launched a hospital emergency code survey.  The associations urge those who have not yet completed the brief survey to do so by the Aug. 15 deadline. All information collected will be summarized and made available to hospitals and health systems.

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.

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.

CHA News Article

Governor Signs Bill Revising Charity Care Law

Governor Brown has signed SB 1276 (chapter 758, statutes of 2014), revising the existing law for hospital fair pricing policies. The bill changes the definition of a person with high medical costs to include those who have third-party coverage. While current charity care and discount payment policies provide hospitals and patients with the flexibility to negotiate the terms of a payment plan, this bill requires hospitals to consider the patient’s family income and essential living expenses. The bill also requires hospitals to agree to a default “reasonable payment plan” that is not more than 10 percent of a patient’s income, excluding deductions for essential living expenses, in the event the hospital and patient cannot agree on the terms of a payment plan. This bill goes into effect Jan. 1, 2015.

CHA encourages hospitals to work with their legal counsel when updating their charity care and discount payment policies. The bill is attached.

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.

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

CHCF, Blue Shield Foundation, DHCS to Host Delivery System Reform Incentive Payment Forum
Half-day program will focus on design of next version of state’s DSRIP program

The California HealthCare Foundation, Blue Shield of California Foundation, and the California Department of Health Care Services have announced a half-day forum on the future of California’s Delivery System Reform Incentive Payment (DSRIP) program. The forum brings together experts from California and other states with DSRIP programs to discuss differences in program design, identify lessons learned, and foster new insights and ideas as California designs the next version of its DSRIP program. The forum will be held Dec. 17 from 10 a.m. – 2:30 p.m. at the California State Association of Counties Conference Center, 1020 11th Street, Second floor, in Sacramento. Participants are invited to join in person or via webcast. To register for the event, visit the event registration site.

CHA News Article

Webinar to Feature Low Income Health Program and Effects on Uninsured
Will also discuss California’s proposed Medicaid 1115 Waiver Renewal and impact on the uninsured

The UCLA Center for Health Policy Research will conduct a webinar Dec. 9 from noon to 1:00 p.m. (PT) to examine the Low Income Health Program (LIHP) and the remaining uninsured. Dylan H. Roby, UCLA Health Economics and Evaluation Research Program director and representatives from safety net programs in Los Angeles, San Mateo and San Francisco counties will discuss the LIHP and its effects on continuing health care delivery for uninsured Californians, models for providing care to the uninsured after LIHP, and California’s proposed Medicaid 1115 Waiver Renewal and its potential impact on the uninsured. Register online to join the webinar.

CHA News Article

DHCS to Host Medi-Cal Managed Care Quarterly Performance Dashboard Webinar Tomorrow
Will present fourth edition of performance dashboard

The California Department of Health Care Services (DHCS) will host a Medi-Cal Managed Care Quarterly Performance Dashboard Webinar tomorrow from 9 a.m. – 10:30 a.m. (PT). The performance dashboard is used to monitor and assess Medi-Cal managed care plan performance statewide by both plan and plan model. The webinar will provide information on the fourth edition of the performance dashboard, attached, which will report on measures such as enrollment, health care utilization, appeals and grievances, network adequacy and quality of care.

To register, visit https://www1.gotomeeting.com/register/882849593. Previous editions of the performance dashboard can be found on the DHCS website at www.dhcs.ca.gov/services/Pages/MngdCarePerformDashboard.aspx.

CHA News Article

DHCS Releases Concept Paper on ACA Medicaid Health Home State Plan Option
Requests stakeholder feedback by Dec. 1

The California Department of Health Care Services (DHCS) has released a concept paper for stakeholder comment on the Medicaid Health Home State Plan Option, authorized under Section 2703 of the Affordable Care Act. Section 2703 allows states to create Medicaid health homes to coordinate the full range of physical health, behavioral health, and community-based long-term services and supports (LTSS) required by Medicaid members with chronic conditions. Federal matching funds are available for two years at 90 percent. If the plan is implemented in California, The California Endowment has offered to fund the remaining 10 percent (up to $25 million per year) required for these additional services for the same two-year period. AB 361 (Chapter 642, Statutes of 2013) authorized California to submit a Section 2703 state plan amendment to the Centers for Medicare & Medicaid Services, subject to several conditions, including cost neutrality and an evaluation after the first two years.

CHA News Article

Issue Brief Outlines Maternity Care Patient Engagement Strategies
Publication to support California Health Care Innovation Plan’s Maternity Care Initiative

The Integrated Healthcare Association (IHA) has released the attached brief outlining patient engagement strategies in maternity care and the strategies that enable pregnant women to make informed decisions to improve their care, their health and the heath of their babies. The brief, titled Maternity Care Patient Engagement Strategies, focuses on California’s Maternity Care Initiative – one of the four initiatives included in the state’s Health Care Innovation Plan (Innovation Plan) submitted to the Centers for Medicare & Medicaid Services (CMS) on July 18 for a three-year state innovation model (SIM) testing grant. IHA has provided technical assistance on the Maternity Care Initiative to the California Health and Human Services Agency. The publication was developed to support this work.

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.

Recording

Advanced Decision Making for EMTALA Webinar
EMTALA principles, case scenario learning, surveyor compliance tips

Webinar Recorded Live on November 14, 2014

Overview

Whether you are a sending or receiving hospital, many factors must be considered when dealing with a potential EMTALA situation. Knowing the right thing to do isn’t easy, especially in a stressful or busy emergency department.

CHA News Article

Applications for EHR Hardship Exception Due Nov. 30

CHA reminds members that the submission period for hardship exception applications for eligible professionals and hospitals to avoid the federal fiscal year 2015 Medicare payment penalties for not demonstrating meaningful use of certified electronic health record technology (CEHRT) has been reopened until Nov. 30. Eligible hospitals that have never met meaningful use may apply for the hardship exception application submission period if they meet both of the following criteria: 1) the provider was unable to attest by July 1, 2014, and 2) the provider has been unable to fully implement 2014 Edition CEHRT by the July 1 deadline due to delays in 2014 Edition CEHRT availability. If approved, the hardship exception is valid for one payment year only. The hardship exception application is available along with more information at the CMS website.

Recording

Minors Health Care — The Basics of Consent, Privacy and More Webinar
Learn about the rules, exceptions to the rules, practical solutions to common problems

Webinar Recorded Live on October 29, 2014

Overview

This scenario plays out in hospitals every day: grandmother, teacher, neighbor or concerned friend brings a minor to the hospital. No parent in sight. Now what?

Can you treat the minor? Whose consent do you need? Who should you talk to about the minor’s treatment options? These are all too common questions that often challenge the most seasoned health care providers.

CHA News Article

CMS Intends to Reopen Application for EHR Hardship Extensions Until Nov. 30
Establishes reconsideration process for payment penalties; deadline Oct. 31

This week, CMS made two important announcements. First, it intends to reopen the submission period — until Nov. 30 — for hardship applications for eligible professionals and hospitals to avoid the federal fiscal year (FFY) 2015 Medicare payment penalties for not demonstrating meaningful use of certified electronic health record technology (CEHRT). Previously, the hardship exception deadline was April 1, 2014, for hospitals and July 1, 2014, for eligible professionals. CMS said it will only consider applications from hospitals that were unable to fully implement 2014 Edition Certified EHR Technology due to delays in CEHRT availability, and that were unable to attest under the flexibility options provided in the recent 2014 Edition CEHRT flexibility rule. Second, CMS announced that hospitals that believe they are subject to a payment penalty in error for FFY 2015 may apply for payment adjustment reconsideration by Oct. 31.

Recording

Principles of Consent and Advance Health Care Directives Webinar
A program for those new to health care or professionals seeking to refresh their knowledge

Webinar Recorded Live on October 1, 2014

Overview

Consent is more than a signature on a form
Patients have the right to make treatment decisions, but ensuring that they understand their options and associated risks is not easy. And while the responsibility for obtaining informed consent falls to physicians, your hospital is responsible for making sure that consent was obtained and documented.

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. 

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

Advanced Decision Making for EMTALA Webinar
EMTALA principles, case scenario learning, surveyor compliance tips

Webinar Recorded Live on November 14, 2014

Overview

Whether you are a sending or receiving hospital, many factors must be considered when dealing with a potential EMTALA situation. Knowing the right thing to do isn’t easy, especially in a stressful or busy emergency department.

Recording

Minors Health Care — The Basics of Consent, Privacy and More Webinar
Learn about the rules, exceptions to the rules, practical solutions to common problems

Webinar Recorded Live on October 29, 2014

Overview

This scenario plays out in hospitals every day: grandmother, teacher, neighbor or concerned friend brings a minor to the hospital. No parent in sight. Now what?

Can you treat the minor? Whose consent do you need? Who should you talk to about the minor’s treatment options? These are all too common questions that often challenge the most seasoned health care providers.

CHA News Article

California Supreme Court Denies Review in Hospital Case Against Blue Cross
Case focused on calculating payment for authorized post-stabilization emergency medical services

Yesterday, the California Supreme Court denied review in Children’s Hospital Central California v. Blue Cross of California, and denied a request that the Court of Appeal’s decision be “depublished.” The case arose from a dispute between the hospital and Blue Cross over the basis for calculating the amount Blue Cross owed the hospital for authorized post-stabilization emergency medical services provided to beneficiaries enrolled in Blue Cross’ Medi-Cal managed care plan during a 10-month period when the parties were not in contract. Under the appellate court’s decision, hospitals may be paid less by non-contracted plans for authorized post-stabilization emergency medical services.

Recording

Principles of Consent and Advance Health Care Directives Webinar
A program for those new to health care or professionals seeking to refresh their knowledge

Webinar Recorded Live on October 1, 2014

Overview

Consent is more than a signature on a form
Patients have the right to make treatment decisions, but ensuring that they understand their options and associated risks is not easy. And while the responsibility for obtaining informed consent falls to physicians, your hospital is responsible for making sure that consent was obtained and documented.

CHA News Article

California Supreme Court Extends Deadline for Deciding Whether to Review Hospital Case Against Blue Cross

Last week, the California Supreme Court extended its deadline from Sept. 16 to Oct. 16 to decide whether to grant review in the Children’s Hospital Central California v. Blue Cross California case. The case arose from a dispute between the hospital and Blue Cross of California over the basis for calculating the amount Blue Cross owed the hospital for authorized post-stabilization emergency services provided to beneficiaries enrolled in Blue Cross’s Medi-Cal managed care plan while the hospital and Blue Cross were not in contract.

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

New Hospital Quality Scorecard to Be Released in Early 2015
Hospitals must register with U.S. News Best Hospital Dashboard to preview data

Last month, U.S. News and World Reports announced it would release a new hospital scorecard that will encompass more than five different conditions and create risk adjusted composite measures that rank more than 4,700 hospitals. The rankings are based largely on Medicare data and other publicly available information. Hospitals must register with the U.S. News Best Hospital Dashboard to receive timely information on this new scorecard. The publication reports it will release the complete methodology to hospitals via this web portal and provide a preview period for data review prior to its public release of the hospital rankings. Later this year, US News intends to host a series of educational webinars with hospitals. The new scorecard, separate and apart from its “Best Hospital” rankings, is likely to be released in the first quarter 2015. Registration with the Hospital Dashboard is free, and more information is available on the U.S. News website.

CHA News Article

New Initiative to Support Clinicians in Quality Improvement Strategies

The Centers for Medicare & Medicaid Services (CMS) has launched the Transforming Clinical Practice Initiative, which will provide up to $840 million over the next four years to support clinicians in sharing, adapting and further developing comprehensive quality improvement strategies. CMS will award cooperative agreement funding to applicants participating in one of two network systems.

CHA News Article

Data Submission Period for OQR Measures Approaching
Web-based measures to be submitted by Nov. 1

CHA reminds hospitals that the data submission for web-based outpatient quality reporting (OQR) measures ends Nov. 1 at 11:59 p.m. (PT). Data submitted for these measures should cover the reference period of Jan. 1, 2013 – Dec. 21, 2013. The Centers for Medicare & Medicaid Services (CMS) has issued tips for submitting OP-22 (ED Patient Left Without Being Seen) and OP-26 (Hospital Outpatient Volume on Selected Outpatient Surgical Procedures).

CHA News Article

Registration Open for CMS Call on HCAHPS Star Ratings
CMS also to host call on dialysis star ratings

The Centers for Medicare & Medicaid Services (CMS) will host a national provider call Oct. 8 from 10:30 a.m. – noon (PT) on its planned star rating system for survey data from the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS). As noted last week in CHA News, CMS is currently conducting a dry run of the rating system for hospitals on Hospital Compare, scheduled to end Oct. 14. During the dry run, hospitals can preview how their HCAHPS data would appear in the star rating system and provide feedback to CMS on how to improve the system at the QualityNet portal. At the same time, they can preview and validate their quality data to be added to the Hospital Compare website in December. The five-star ratings are not scheduled to appear on Hospital Compare until April 2015. For assistance accessing preview reports, contact HospitalCompare@hsag.com. Online registration is available for the national provider call.

CHA News Article

CMS to Host Dry Run Call on Heart Failure and Pneumonia Measures
Dry run for HCAPHS star rating systems also announced

As an educational component of its “dry run” for measures in the hospital inpatient quality reporting program, the Centers for Medicare & Medicaid Services (CMS) will host a national provider call on heart failure and pneumonia payment measures Sept. 16 from noon – 1:30 p.m. (PT). The call will present hospitals with an overview of the measures and guidance on interpretation of measure data and results. To participate, hospitals must pre-register on QualityNet’s website. The dry run of heart failure and pneumonia payment measures was initiated Sept. 8 and will run through Oct. 7. 

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

VA Issues Interim Final Rule Implementing Veterans Choice Program
Establishes payment rates, eligibility criteria for participating non-VA health care providers

The Department of Veterans Affairs (VA) has released the attached interim final rule implementing provisions of the Veterans Access, Choice, and Accountability Act of 2014. The final rule establishes payment rates and methodologies for reimbursing participating non-VA health care entities and providers furnishing care and services through the Veterans Choice Program. The final rule also establishes the scope of the program, including the types of care and services that are covered, and defines eligibility criteria both for veterans and non-VA health care providers. In addition, the rule establishes a claims processing system to be managed by the Veterans Health Administration’s chief business office. The interim final rule will be effective Nov. 5, and the Centers for Medicare & Medicaid Services will accept comments for 120 days. CHA is currently reviewing the rule and will provide a detailed summary in the coming weeks.

CHA News Article

Noridian to Host Open Door Coverage Meeting Sept. 16

Noridian will hold a public Part A open door coverage meeting Sept. 16 from 11 a.m. – 12:30 p.m. in Los Angeles. Discussion will include information on the Recovery Audit Contractor program; local coverage determinations in various stages; medical review; comprehensive error rate testing; contractor medical director updates; and a question-and-answer period.

CHA News Article For Members

CHA Summary Details Payment, Policy Provisions of FFY 2015 IPPS Final Rule

The Centers for Medicare & Medicaid Services (CMS) estimates that national hospital inpatient payments will decrease by 0.6 percent in FFY 2015 as compared to FFY 2014, despite a positive market basket update. CHA estimates that total payments to California hospitals will increase by 0.8 percent, or approximately $90.7 million, compared to FFY 2014. While overall the impact for California is positive, this masks the continued reductions for documentation and coding, the devastating cuts to Medicare DSH payments, and significant penalties for readmissions and hospital acquired conditions that many hospitals will experience when the policies take effect Oct. 1. Details of the impacts are outlined in the attached CHA summary of the inpatient prospective payment system (IPPS) final rule for federal fiscal year (FFY) 2015.

CHA News Article

DHCS Announces Fix for Certain Erroneously Denied Medi-Cal Claims

The California Department of Health Care Services (DHCS) has announced that Medi-Cal has fixed an issue with an erroneous denial of All Patient Refined Diagnosis Related Group (APR-DRG) type of bill code 121.

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.

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

OSHPD Financial Incentive Program Deadlines Are This Month

Two important application deadlines are upcoming for the Office of Statewide Health Planning and Development financial incentive programs. The State Loan Repayment Program (SLRP), which assists with the repayment of qualified educational loans for health care professionals who provide services in federally designated California Health Professional Shortage Areas and in SLRP certified eligible sites, is accepting applications until Nov. 15. For information on how to apply or to learn about eligibility requirements, visit http://oshpd.ca.gov/HWDD/SLRP.html.

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.

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