CHA News
The core of CHA member benefits: the latest information for members

CHA provides timely information to its members on a daily basis through CHA News, issued at 3 p.m. every day, Monday through FridayThis section contains a chronological listing of CHA News articles. For information by topic, please visit the Hospital Topics section.

CHA News Article

Broad Stakeholder Support Enlisted for Emergency Care Systems Initiative
Pre-funding phase includes ED crowding, technology efforts

In preparation for launching the Emergency Care Systems Initiative (ECSI), CHA and the Regional Associations are engaged in a variety of emergency department (ED) efforts across the state. Among the ongoing activities, CHA’s Emergency Services/Trauma Committee members are monitoring ambulance patient offload delays, as well as working closely with local emergency services authorities on performance improvement and technology enhancements to decrease transfer of care times. The Associations are also monitoring new developments with ED information exchange, including a promising new technology that identifies frequent utilizers and helps guide patient management across all participating ED sites through care coordination and case management.

To secure funding for ECSI, support letters have been sent to multiple stakeholders in the prehospital, public safety, payer and provider communities. Once funding is obtained, a consortium will convene to establish emergency services metrics and an emergency services report card to evaluate and improve services with ongoing systemic changes. In addition, local, regional and statewide advocacy will advance and accelerate ED services through a coordinated statewide approach. See the attached brochure for a detailed overview of ECSI. 

Hospitals are encouraged to attend the Emergency Services Forum on Dec. 6 at the Riverside Convention Center in Riverside. For more information about ECSI, contact BJ Bartleson, vice president nursing & clinical services. 

CHA News Article

HQI Launches QuietNight™ Mobile App to Help Hospitals Reduce Noise

The Hospital Quality Institute (HQI) is pleased to announce the launch of QuietNight™, a next generation mobile tool designed to measure noise in hospital environments and provide real-time feedback.

Excessive noise negatively impacts patient rest and healing. According to Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey data, reducing noise has been a steady challenge for California hospitals. Accurate to within -/+ 1 decibel, QuietNight rapidly measures the sound floor in any environment and quantifies opportunities for noise mitigation based on deviation from recommended levels. The app registers and tracks baseline as well as startle noise and provides actionable guidance when noise levels are moving to unacceptable levels. It also integrates HQI’s Journey to a Quiet Night toolkit, which contains best practices for noise reduction, abatement and maintaining a quiet, therapeutic environment.

CHA News Article

Report Examines ACA Transitional Reinsurance, Permanent Risk Adjustment Programs
Covers 2016 benefit year

The Centers for Medicare & Medicaid Services (CMS) has released a report summarizing transitional reinsurance payments and permanent risk adjustment transfers for the 2016 benefit year. Under the Affordable Care Act (ACA), the reinsurance program provides payments to issuers of non-grandfathered, individual market plans. During the year analyzed, California insurers received a total of $573,924,373 in reinsurance payments. According to the report, 496 issuers participated in the reinsurance program, all of which successfully submitted data necessary to calculate reinsurance payments. The risk adjustment program, which applies to any health insurance issuer offering non-grandfathered plans in the individual or small group market, had 751 participants. Of those, 710 submitted necessary data; risk adjustment charges were assessed to one issuer for failing to provide access to data and to an additional 41 for not submitting data. For the 2016 benefit year, an estimated $4 billion in reinsurance payments will be made to 496 issuers nationwide. According to the report, both the transitional reinsurance program and the permanent risk adjustment program are working as intended in compensating plans that enrolled higher-risk individuals.

CHA News Article

CDPH Advises Vaccination to Prevent Hepatitis A Outbreaks
Also recommends increased dosage for post-exposure prophylaxis

The California Department of Public Health (CDPH) has issued a clinical advisory about outbreaks of Hepatitis A in two California counties, recommending that providers show vigilance in offering the Hepatitis A vaccine to vulnerable patients. According to the advisory, 228 cases have been reported in San Diego County since November of last year, and 27 cases have been reported in Santa Cruz County in the last three months. CDPH states that transmission is presumed to occur person-to-person; no commercial product has been identified as being contaminated; and all populations who are homeless or using injection and noninjection illicit drugs can be considered at risk of outbreaks if exposed. The CDPH guidance contains detailed information on the vaccine, who should be encouraged to receive it and coverage provided by Medi-Cal plans.

CDPH has also updated its guidance on dosage of the vaccine, recommending that providers increase the immune globulin dosage when indicated for HAV post-exposure prophylaxis to 0.1 mL/kg, which is five times greater than the previously recommended dose. The dosages were changed based on reportedly lower concentrations of anti-HAV antibodies in the product due to decreasing prevalence of previous HAV infection among plasma donors.

CHA News Article

OSHPD Moves to New Location in Sacramento

Last month, the Office of Statewide Health Planning and Development moved to a new location. Its headquarters are now at 2020 West El Camino Ave., Sacramento, CA 95833. Email addresses and phone numbers remain the same. Effective immediately, Hospital Building Safety Board (HBSB) meetings have also moved to the same location; details are available on the OSHPD website.


Hospital Communications Tools

CHA offers the resources below to help member hospitals and health systems communicate with internal and external audiences on a range of current health care-related issues. Examples include a comprehensive toolkit of materials on hospital practices related to federal immigration policies, as well as talking points to assist with discussions on timely topics. The page is updated regularly with new information and tools to meet hospitals’ communications needs.

General information For Members

Reassuring Our Communities
A CHA Communications Toolkit

The national debate surrounding federal immigration policies provides an important opportunity for California hospitals to reinforce the bond they have with local communities. Accordingly, CHA has developed the Reassuring Our Communities Communications Toolkit, which includes background information and sample content for use with internal and external audiences. The materials, many of which are in both English and Spanish, are formatted in Microsoft Word so they can be easily customized. In addition, samples of hospital policies and communications materials can be found below.


News Releases and Media Statements
From the California Hospital Association

For past news releases and media statements, please visit the archive.

Media Statement

California Hospital Association Selects Maryland Hospital Executive Carmela Coyle as New CEO
Coyle Will Replace Retiring CHA CEO C. Duane Dauner by October 30, 2017

Carmela Coyle, President/CEO of the Maryland Hospital Association, has been selected as the new President/CEO of the California Hospital Association (CHA) and its parent organization, the California Association of Hospitals & Health Systems (CAHHS). Coyle will replace long-time CHA President/CEO C. Duane Dauner, who is retiring.

Coyle has led the Maryland Hospital Association since 2008.  During her tenure, she has played a leading role in reframing the hospital payment system in Maryland, moving to a value-based methodology. As a result, Maryland is considered to be a national leader in health care policy and innovation.

Prior to joining MHA, Coyle spent 20 years in various roles with the American Hospital Association (AHA), including 11 years as the Senior Vice President of Policy, where she served as a national media spokesperson and led AHA’s policy development and strategy planning activities. Earlier in her career, Coyle worked for the Congressional Budget Office in Washington, D.C.

“CHA and CAHHS are fortunate to have identified a person who has the national stature, state hospital association leadership experience and years of policy, political and practical expertise as Carmela Coyle,” said CHA Board of Trustees Chair Ann Madden Rice, CEO of the UC Davis Medical Center in Sacramento. “Carmela is well-positioned to lead California’s hospitals into the future.”             

Coyle earned a bachelor’s degree in economics and Spanish literature at Carleton College in Minnesota. She has completed additional educational course work at the University of Michigan’s Pew Health Policy Program and Yale University.

She currently serves as a member of the AHA Board of Trustees, the Maryland Healthcare Education Institute, the Maryland Patient Safety Center, the Living Legacy Foundation and the Caring Bridge Consumer Advisory Council.

Coyle is the recipient of numerous professional awards and honors, including having been named Influential Marylander in 2010 and 2016, and as the Maryland Association of Health Care Executives Most Valuable Partner in 2013.

Dauner, who has led CHA and CAHHS for the past 32 years, called Coyle’s selection a “wonderful choice” for California. 

“Carmela Coyle is a friend, colleague, outstanding leader and innovative visionary,” Dauner said. “CHA and CAHHS will be in good hands with Carmela Coyle at the helm.”

Coyle will be relocating to Sacramento with her husband Steve and son Jack. Their daughter Molly is a student at College of Charleston in South Carolina. Coyle is expected to begin her new role by October 30, 2017.

To ensure continuity in leadership and executive management at CHA, Dauner will continue to serve the organizations as a consultant until December 31, 2018.

As one of the largest health care trade associations in the nation, CHA represents more than 400 hospitals and health systems in California. The association advocates for patients and hospitals, promotes public health policy and is hospitals’ voice at the state and federal levels.  CHA has offices in Sacramento and Washington, D.C.

Media Statement

California Hospitals Express Disappointment in Senate Version of Health Care Repeal Bill
Legislation Will Undermine Medicaid Program, Many Californians May Lose Coverage

California hospitals have long stood for health care coverage for all Americans. The draft health care bill released today by the U.S Senate does not meet this principle. In fact, the proposed legislation would likely result in a significant step backwards.

California has covered 4 million children, seniors and working families through Medi-Cal expansion over the past several years. Additionally, 1.5 million Californians have purchased insurance through Covered California. California leads the nation in expanding health care coverage, with 91 percent of all Californians now covered. This progress has helped working Californians, seniors and children access care they would not otherwise have had.

Health care coverage makes a significant difference in the lives of working families who now have access to important preventative care, routine examinations, hospital services and medications. This care keeps children healthy and in school, gaining the knowledge they need to become the future of our state and our country. Many adults who once had trouble finding health coverage because of pre-existing conditions such as high blood pressure, asthma and diabetes are receiving the care and access to treatment they need and contributing to a more productive workforce — key to California’s growing economy.

Media Statement

California Hospitals Express Disappointment in House of Representatives’ Passage of AHCA
Legislation Will Undermine Medicaid Program, Many Californians May Lose Coverage

Passage of the American Health Care Act (AHCA) by the House of Representatives does not advance CHA’s long-standing goal to expand health care coverage to all Californians.  

California leads the nation in expanding health care coverage, with 91 percent of all Californians now covered.  If the current version of the AHCA is enacted, some of this gain could be undone, resulting in a loss of health care coverage for many Californians.   The plan calls for $880 billion to be cut from the Medicaid program nationwide – an amount that will undermine this vital program.  More than 14 million Californians – including children, seniors and low-income families -  are currently enrolled in Medi-Cal, California’s version of Medicaid.  

The AHCA would increase the cost of coverage for Californians with pre-existing health conditions.  A last-minute amendment to the AHCA requires states to request a waiver from the federal government in order to obtain funding for high-risk pools that would support coverage to people with pre-existing conditions.  It is unknown whether California will seek such a waiver, however it is unlikely that sufficient federal funding will be available to provide affordable coverage for all individuals suffering from high-cost pre-existing conditions. 

California’s experience with high-risk pools has been unsuccessful, in part because they were underfunded.  A program launched in the early 1990s called the Major Risk Medical Insurance Program (Mr. MIP) left many people without coverage or on long waiting lists.

CHA supports an optimally healthy society which includes coverage for all Californians.  The Association will continue to support this vision as the AHCA moves to the U.S. Senate.  

Media Statement

California Hospitals Say ACA Replacement Plan Will Likely Result in Significant Reductions in Coverage

The proposed Affordable Care Act (ACA) partial repeal and replacement plan released last night by House Republicans could have negative impacts on California hospitals and the patients they serve. In particular, CHA is concerned about the likelihood of a reduction in coverage that would result from this proposal.

California leads the nation in expanding health care coverage, with 91 percent of all Californians now being covered. The plan’s proposal to restructure Medicaid will likely undo the important gains in coverage that have been made over the past few years. California has the highest poverty rate in the nation. An estimated 6.3 million Californians, including 1.9 million children, live in poverty.

News Release

UC Davis Medical Center CEO Elected 2017 Board Chair of California Hospital Association
Ann Madden Rice Will Guide CHA Through Year of Significant Change

          SACRAMENTO (February 6, 2017) – Ann Madden Rice, CEO of the University of California Davis Medical Center in Sacramento, has been elected 2017 chair of the California Hospital Association (CHA) Board of Trustees. 

News Headlines

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CHA Health Care Coverage Report

Developed by CHA and intended to assist members in their advocacy, this brochure illustrates the vital role hospitals play in the nation’s complex health care system and includes helpful data such as the number of Californians now insured, poverty rates and hospitals’ economic impact on their communities.


Roadmap to Creating a Health Care Work-Based Learning Program

In 2014-15, with support from the James Irvine Foundation, CHA partnered with hospitals, educators, funders and other experts to identify strategies for increasing the number of high-quality, health care work-based learning opportunities for California high school students. Health care as a whole is one of the fastest growing industries in the nation. According to the U.S. Department of Labor, Bureau of Labor Statistics, 17 of the 30 fastest growing occupations are in the health sector.

CHA News Article

CHA Releases 2014 Follow-Up Report on Allied Health Workforce

CHA is pleased to release the attached report, Critical Roles: California’s Allied Health Workforce (March 2014), a follow-up to an original 2011 publication. The report includes statewide information on select allied health occupation vacancy rates and age distribution, as well as other important information. The report is based on a 2013 statewide hospital survey that was designed to gather up-to-date data on the demand for health professionals in the short term and to identify hospital workforce concerns in the coming years. In addition to highlighting the survey findings, the updated document also includes key messages for policy makers and other stakeholders relevant to health workforce development in California. For a printed copy of the report, please contact