CHA News Article

CHA and CHPSO Comment on PSO Reporting Requirements Under the ACA

CHA and the California Hospital Patient Safety Organization (CHPSO) have sent a joint comment letter to the Centers for Medicare & Medicaid Services (CMS) regarding a proposed rule that would require certain patient safety and quality improvement activities in order to contract with a qualified health plan (QHP) through the new health insurance exchanges. In the letter, CHA and CHPSO generally agree with CMS’s proposal for implementing the requirements through a delayed two-phased approach. CHA/CHPSO support CMS’s understanding that additional time is needed for hospitals to implement robust patient safety evaluation systems. However, CHA/CHPSO disagree with the assertion that there is a lack of capacity for all hospitals subject to the provision to contract with a PSO at this time. The comment letter points out that CHPSO, in particular, and nationwide PSOs, in general, currently offer adequate capacity to meet the mandate.

CHA/CHPSO note the importance of a voluntary problem reporting and learning system that PSOs provide, in accordance with the recommendations in the IOM report To Err is Human and the goal of eliminating preventable harm. CHA/CHPSO also urge CMS to move quickly with any additional rulemaking that would address possible alternatives for hospitals to meet the requirements and enhance the capability of PSOs to provide lessons learned to providers. CHA’s and CHPSO’s full comment letter is attached. Hospitals with questions about CHPSO and PSO participation can contact Rory Jaffe at