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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 Alert Issued on Severe Pulmonary Disease Associated With Cannabis Vaping

BJ Bartleson, RN, MS, NEA-BC

The California Health Alert Network (CAHAN) reports that, since June, seven cases of severe acute pulmonary disease requiring hospitalization and respiratory support among adults who have been vaping cannabis or cannabidiol oils have been reported to the Kings County Health Officer. Clinicians who encounter similar cases should report them to their local health department.

CHA News Article

Health Care Providers Reminded to Be Vigilant in Identifying, Isolating Measles Cases
For CNOs, Infection Preventionists

BJ Bartleson, RN, MS, NEA-BC

With 21 measles cases reported in California this year,  the California Department of Public Health has offered detailed recommendations – through All Facilities Letter 19-17 – for identifying and addressing the disease. The cases reported so far have resulted in hundreds of investigations of possible contact as well as transmission of the disease in emergency departments and other health care settings. 

CHA News Article

Grant Applications Available for Programs That Strengthen Health Care Delivery
Applications due March 1

Amber Kemp Peggy Broussard Wheeler Sheree Lowe

Nonprofit organizations and counties that participate in the County Medical Services Program (CMSP) are encouraged to apply for funding through the Health Systems Development Grant Program.

CHA News Article

Health Advisory Issued About Leptospirosis

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.

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