CEO Message

CEO Message: With Greater Scope for NPs, Another Step Toward Better Care

Late Tuesday, the state took an important step toward improving health care for millions of Californians when Gov. Gavin Newsom signed into law Assembly Bill 890, which allows highly qualified and certified nurse practitioners (NPs) to provide primary care as they practice to the full extent of their training. 

This is a win for Californians nearly a decade in the making. And it’s one that demonstrates the power of perseverance when it comes to doing what’s right to make health care better, more efficient, and more accessible – especially for rural communities, communities with high uninsured populations, and communities with a dearth of providers. 

It’s also a signal that the future of health care in California means changing the status quo. Physicians fought tooth and nail against this bill for many years, despite the clear benefits to the people we all serve. Among them: 

  • NPs are far more likely to provide primary care than physicians and more likely than physicians to see and take new Medi-Cal and uninsured patients. 
  • California NPs are more likely to work in a community health center than physicians. 
  • When states have changed their regulations to allow full practice authority, they saw increases in use of primary care and decreases in ED use. 
  • In states that have granted full practice authority to NPs, the numbers of NPs providing care for underserved populations increases. 
  • Full practice authority for NPs is linked to fewer avoidable hospitalizations and fewer hospital readmissions. 

If the discrete components that make up California’s health care system are to truly improve health care in the coming years, it will mean casting aside long held and immutable creeds in favor of collaboration and compromise toward common goals. 

Indeed – this is all about getting people the care they need, and with that as a guiding principle, hospitals will continue to remain both on the right side of history and at the forefront of change for the better. 

~ Carmela

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Finance

CHA News Article

HHS Announces Additional $20 Billion in New Phase of Provider Relief Funding
For CEOs, CFOs

Today, the U.S. Department of Health and Human Services (HHS), through the Health Resources and Services Administration, announced $20 billion in new funding for providers on the front lines of the COVID-19 pandemic. Providers that have already received Provider Relief Fund payments will be invited to apply for additional funding that considers financial losses and changes in operating expenses caused by COVID-19. 

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Federal Advocacy

CHA News Article

New Legislation Provides Relief for Medicare Loan Repayments
For government relations, finance staff

The House and Senate passed, and the President has signed, legislation to modify the Medicare Accelerated and Advanced Payment Programs implemented during the COVID-19 public health emergency.

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Regulations

CHA News Article

CHA Comments on Physician Fee Schedule Proposed Rule
For CEOs, CFOs, government relations staff

CHA has submitted its comment letter on the Centers for Medicare & Medicaid Services (CMS) calendar year 2021 physician fee schedule proposed rule

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Quality & Patient Safety

CHA News Article

CMS Posts New FAQs on COVID-19 Policies for Hospital Quality Reporting Programs
For quality leaders and staff

The Centers for Medicare & Medicaid Services (CMS) posted a new Frequently Asked Questions document that provides additional guidance on the extraordinary circumstance exception the agency previously granted for certain inpatient quality reporting (IQR) program requirements. The updated guidance includes submission deadlines, time periods covered, and where to find additional information.  

CHA News Article

HQI to Host Webinar on Disparities in Perinatal Mental Health Care
For CEOs and leaders in quality & patient safety, labor & delivery, and behavioral health

As part of its Perinatal Mental Health (PMH) Learning Community, the Hospital Quality Institute will host a webinar from noon to 1 p.m. on Oct. 15 to discuss disparities in perinatal mental health care.  

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Price Transparency

CHA News Article

New CMS Price Transparency Website Includes Resources for Compliance
For CEOs, CFOs, chief legal counsel, government relations executives, finance staff 

The Centers for Medicare & Medicaid Services has launched a new website dedicated to the hospital price transparency final rule. The website includes resources for hospitals to assist with compliance, which is required by Jan. 1.

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Post-Acute Care

CHA News Article

Updated Minimum Data Set for SNFs, Hospitals With Swing Beds Effective Oct. 1
For skilled-nursing facility leaders, compliance, and reimbursement professionals   

The California Department of Public Health has issued All Facilities Letter (AFL) 20-76, which informs skilled-nursing facilities and hospitals with swing beds to use the revised Minimum Data Set (MDS), effective Oct. 1.  

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CMS News Roundup

CHA News Article

Updates for the Week of Sept. 28
For finance & reimbursement, quality & patient safety, and post-acute care staff

The Centers for Medicare & Medicaid Services issued the following update this week:​

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Education

Publication

CHA Education Events

For more information about CHA education programs, visit www.calhospital.org/education.

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