CHA News Article

California Hospital Compliance Manual Updated and Expanded for 2014
Includes two new chapters

The California Hospital Compliance Manual is the only publication written for hospital compliance officers that integrates California law and federal law on high-risk compliance areas. Written by CHA and Hooper, Lundy & Bookman, P.C., the 2014 edition has been updated to reflect changes through Jan. 1. The 2014 manual focuses on the key topics and laws that must be addressed in an effective compliance program and includes two new chapters — “Governing Boards” and “Patient Safety Organizations.”

  • “Governing Boards” discusses the role and responsibilities of the board of directors in compliance oversight, and the foundation of the board’s compliance obligations. It is important for compliance officers to understand this information in order to properly assist and support the board in meeting its compliance responsibilities.
  • “Patient Safety Organizations” explains the function of patient safety organizations and the requirements participating hospitals must meet. Participation in a patient safety organization is an important step in improving patient safety and quality of care, and compliance officers should be aware of the benefits and obligations of participation. This chapter will help the compliance officer understand the applicable laws.

In addition, some other notable additions include:

  • A discussion of the new Centers for Medicare & Medicaid Services (CMS) “two-midnight” rule;
  • Information about the Office of Inspector General’s (OIG) Special Advisory Bulletin on the effect of exclusion from participation in federal health care programs;
  • Information about the OIG’s Self-Disclosure Protocol, as well as a discussion about when to use it versus the CMS Self-Referral Disclosure Protocol; and
  • A detailed white paper discussing the interplay between California and federal law regarding Community Health Needs Assessments, charity care, financial assistance policies, and billing and collection activities.

A model compliance plan that hospitals can adapt to fit their operations is available on the accompanying free CD, along with a hospital signage requirements chart, posters and appendices.

CHA is pleased to offer the manual at a price of $245 for members and $545 for nonmembers. To purchase a copy, visit