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Web Training Area

Clinics

Overview

Hospital-Based Outpatient Clinics

A hospital-based outpatient clinic (HBOC) is defined as a clinic providing “outpatient service” as listed on the hospital’s general acute-care license issued by the State Department of Public Health.

The HBOC is a setting in which integrated and accessible primary and specialty health care services are provided by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustainable partnership with patients, and practicing in the context of family and community.

A hospital-based outpatient clinic (HBOC) is defined as a clinic providing “outpatient service” as listed on the hospital’s general acute-care license issued by the State Department of Public Health.

The HBOC is a setting in which integrated and accessible primary and specialty health care services are provided by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustainable partnership with patients, and practicing in the context of family and community.

The clinic may be located on or off the main grounds of its hospital, but must be owned and operated by a hospital or system. The clinic must be formally organized as a Federally Qualified Health Center (FQHC) [county owned and operated], Federally Qualified Health Center Look-Alike (FQHC-LA) [county owned and operated], Rural Health Clinic (RHC), Outpatient Primary Clinic or Specialty Care Clinic. It must be primarily engaged in providing outpatient health services that furnish diagnostic and therapeutic care. This includes medical history, physical examinations, assessment of health status and treatment monitoring for a variety of medical, dental or behavioral health conditions.

This definition does not include clinics exclusively designed for and providing laboratory, X-ray, testing, therapy, pharmacy or educational services.

 

Overview

California’s Clinic World

A clinic is a health care delivery setting primarily engaged in providing outpatient health care furnishing diagnostic and therapeutic services. This includes medical history, physical examination, assessment of health status and treatment for a variety of medical, dental or behavioral health conditions. Care provided in this setting is often referred to as “primary care.”

A clinic is a health care delivery setting primarily engaged in providing outpatient health care furnishing diagnostic and therapeutic services. This includes medical history, physical examination, assessment of health status and treatment for a variety of medical, dental or behavioral health conditions. Care provided in this setting is often referred to as “primary care.”

There are a number of clinics in California that provide primary care services. These clinics are identified in a number of ways based on how they are licensed by the state and whether or not they are federally certified.

A hospital-based outpatient clinic (HBOC) is defined as a clinic providing “outpatient service” as listed on the hospital’s general acute-care license issued by the State Department of Public Health. The HBOC is a setting in which integrated and accessible primary and specialty health care services are provided by clinicians who are accountable for addressing a large majority of personal health care needs, developing a sustainable partnership with patients, and practicing in the context of family and community.

The clinic may be located on or off the main grounds of its hospital, but must be owned and operated by a hospital or system. The clinic must be formally organized as a Federally Qualified Health Center (FQHC) [county owned and operated], Federally Qualified Health Center Look-Alike (FQHC-LA) [county owned and operated], Rural Health Clinic (RHC), Outpatient Primary Clinic or Specialty Care Clinic. It must be primarily engaged in providing outpatient health services that furnish diagnostic and therapeutic care. This includes medical history, physical examinations, assessment of health status and treatment monitoring for a variety of medical, dental or behavioral health conditions.

This definition does not include clinics exclusively designed for and providing laboratory, X-ray, testing, therapy, pharmacy or educational services.

The attached provides a visual depiction of California’s clinic world from a Rural Health Clinic perspective.

CHA News Article

Health Advisory Issued About Leptospirosis

Debby Rogers, RN, MS, FAEN

The Centers for Disease Control and Prevention has released a health alert notifying clinicians that three patients in the U.S. have been diagnosed with leptospirosis after travel to Israel. Leptospirosis is a bacterial disease that can be spread through contact with infected animals or contaminated water sources. Early symptoms include fever, headache, chills, muscle aches, vomiting, diarrhea, cough, jaundice or rash. Clinicians should consider this diagnosis for patients presenting with those symptoms who have traveled to northern Israel since July 1.

CHA News Article

CDPH Releases Statewide Licensing Application Data and Performance Metrics

David Perrott, MD, DDS

The California Department of Public Health today released a comprehensive online tool that publicly displays a comprehensive set of data related to applications for licenses and reports of change. It includes all data since the Centralized Applications Unit became operational statewide on April 1, 2017, and is searchable by application type, facility type and district office. It also includes application volume and CDPH performance metrics, a map of received applications and an application detail file.

CHA has advocated for the public release of this information and will work with CDPH to provide a members-only call to review the data. More information about the call will be provided in CHA News once it is available.

CHA News Article

CDPH Requests Notice of Specific Bacteria Clusters
Follows outbreak of Serratia marcescens bacteremia in Colorado

Debby Rogers, RN, MS, FAEN

The California Department of Public Health has asked health care staff to report suspected Serratia marcescens bacteremia. Four cases are currently under investigation in patients at acute care hospitals in Colorado and suspected cases of this bacteria should be reported.

CHA News Article

Updated State Operations Manual Appendix G Now Available

Sheree Lowe

The Centers for Medicare & Medicaid Services has released a new version of State Operations Manual Appendix G, which now includes detailed interpretive guidelines for rural health clinic survey and certification. The document first addresses survey protocol, including off-site survey preparation, entrance activities, information gathering and investigation, preliminary decision making and analysis of findings, exit conferences and post-survey activities. The last portion of the document is dedicated to interpretive guidelines, including relevant regulatory citations.

CHA’s California Hospital Survey Manual helps health care providers prepare for the survey process, and explains who the surveyors are and how they conduct their surveys. The manual also covers the different types of surveys and possible outcomes, and provides tips on how to achieve a successful survey. For more information or to order, visit www.calhospital.org/survey-manual.

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.

Commands