Emergency services and trauma care in California are being threatened. Financial pressures, infra-structure requirements and shortages of licensed health care professionals have caused numerous emergency department (ED) and trauma center closures or downgrades.
The willingness of physician specialists to take calls in hospital EDs has also become increasingly problematic for California hospitals. Physicians are less willing to voluntarily serve on call panels because of low or no payments, liability concerns, impact on their regular medical practices, family obligations and loss of personal flexibility. As a result, the quality of ED care for many patients is in serious jeopardy.
CHA supports improvements to California’s emergency care medical system that will facilitate timely availability of physician specialists in hospital EDs. CHA believes that additional funding for hospital EDs and trauma care is essential to ensure access to care for all patients.
Emergency services and trauma care in California are being
threatened. Financial pressures, infra-structure requirements and
shortages of licensed health care professionals have caused
numerous emergency department (ED) and trauma center closures or
The willingness of physician specialists to take calls in
hospital EDs has also become increasingly problematic for
California hospitals. Physicians are less willing to voluntarily
serve on call panels because of low or no payments, liability
concerns, impact on their regular medical practices, family
obligations and loss of personal flexibility. As a result, the
quality of ED care for many patients is in serious jeopardy.
CHA supports improvements to California’s emergency care medical
system that will facilitate timely availability of physician
specialists in hospital EDs. CHA believes that additional funding
for hospital EDs and trauma care is essential to ensure access to
care for all patients.
Registration discounts for CHA’s 14th Annual Behavioral Health Care Symposium,
themed “Be the Voice,” end this Friday, Nov. 15. The conference
will be held Dec. 9-10 at the Riverside Convention Center,
with accommodations at the Mission Inn Hotel & Spa and the
Marriott Riverside at the Convention Center.
In its fourth round of requesting public comments on proposed
paramedic training and scope of practice, the Emergency Medical
Services Authority (EMSA) removed provisions permitting
paramedics to transport patients to sobering centers and mental
health crisis stabilization units. Simultaneously, the Office of
Statewide Health Planning and Development announced it will
extend authorization for pilot alternate destination
projects through November 2021.
The Emergency Medical Services Authority (EMSA) has proposed
changes to regulations governing the standards, policies, and
procedures for paramedic training, scope of practice, licensure,
and discipline. The
modified text, as well as the Notice of Proposed Regulations,
Initial Statement of Reasons, and other regulatory documents are
available for review on EMSA’s website.
December 11, 2019
Riverside Convention Center Hotel Discount Ends Friday, November 22
The growing number of patients experiencing homelessness is among the major challenges of our time. These individuals have complex needs that require multi-faceted solutions to make headway. For many of California’s hospitals, addressing these needs is not a matter of will, but of strategy.
For the first time, CHA’s Disaster
Planning for California Hospitals conference will take place
on Sept. 11. To honor those who gave everything they had —
and those who continue to put their lives at risk — CHA has
invited a Ground Zero 9/11 first responder, Glen Klein, to help
us remember how that day has shaped our world.
On July 1, the California Department of Public Health and the
Emergency Medical Services Authority deactivated the Medical
and Health Coordination Center, which was activated in response
to the April 2019 measles outbreak. Local health jurisdictions
are no longer required to submit weekly situation reports and
cost tracking related to the outbreak. Instead, they should
follow the defined response protocols in the Public Health and
Medical Emergency Operations Manual.
Earlier this week, CHA
submitted comments on the Emergency Medical Services Agency’s
proposed regulations that would allow emergency medical
services providers to transport patients to the hospital or other
care setting that best meets patients’ needs.
New regulations from the Emergency Medical Services Agency
(EMSA) establish standardized best practices for emergency
medical services for children programs. CHA and member hospitals
worked closely with EMSA’s Emergency Medical Services for
Children Committee to produce regulations to provide quality care
for children needing emergency services, and is pleased to see
the regulation finalized. It will take effect July 1.
On April 16, the California Emergency Medical Services Authority
announced that six entities had been awarded between $1.5 and
$4.9 million dollars to develop and implement interoperable
health information exchange (HIE) between emergency ambulance
service providers and hospitals/electronic health records via
health information exchange organizations (HIOs).
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.
The Emergency Medical Services Agency (EMSA) has issued
proposed regulations that, when finalized, will allow
emergency medical services providers to transport patients to the
hospital or other care setting that best meets the patient’s
needs. The proposed regulations address paramedic training and
establish other requirements for alternative destination
Influenza activity remains high across the United States,
according to a
health alert recently issued by the Centers for Disease
Control and Prevention (CDC). The CDC notes that the season is
likely to last several more weeks and continues to recommend
antiviral medications for influenza treatment, regardless of
whether a patient received the influenza vaccine.
health advisory from the California Department of Public
Health (CDPH) reminds providers to be aware of potential measles
cases, as 16 cases have been reported in California since
Jan. 1. CDPH notes that providers should not rule out a measles
diagnosis based solely on patients reporting they previously
received a measles immunization.
new report from the Public Policy Institute of California
(PPIC) examines emergency department (ED) use across the state
from 2005-16, focusing on ED use after 2014 — when the Affordable
Care Act (ACA) insurance expansions were fully implemented.
While PPIC notes encouraging findings related to the ACA’s
impact, it also identifies a need to more closely examine the
role of EDs in an evolving health care system, especially since
ED use has grown since 2005.
Key findings include:
ACA expansions resulted in a large reduction of the number of
uninsured Californians, and did not increase ED use among adults
under the age of 65.
Among non-elderly adults, women ages 19-34 have the highest
rates of ED use, due in part to pregnancy-related visits.
Approximately 90 percent of ED visits are outpatient visits.
Since 2005, ED outpatient use has increased substantially
across all demographic groups and for all reasons.
health advisory from the Centers for Disease Control and
Prevention shares information about an investigation of a
penicillin-resistant strain of Brucella spreading across
the U.S. Suspected to be linked to consumption of unpasteurized
milk from a farm in Pennsylvania, cases have now been identified
in 19 states — including California. More information on the
infection and recommended treatment is available in the advisory.
The Emergency Medical Services Authority (EMSA) has released
three sets of proposed regulations for a 15-day comment period.
The proposals are intended to establish standardized best
practices for their respective systems.
The California Department of Public Health reminds
general acute care hospitals and acute psychiatric hospitals
that, effective Jan. 1, they may not require, as a condition of
admission, a person who voluntarily seeks care to be placed on an
involuntary hold under Section 5150 of the Welfare and
The Emergency Medical Services Authority (EMSA) is in the process
of updating its Statewide Trauma System Triage and Transfer
Resource Guide. The
draft guide incorporates feedback from a previous comment
period in 2017. Due to the time elapsed since then, EMSA has
offered another comment period.
Special resource toolkit developed by CHA’s EMS/Trauma
Committee and the Center for Behavioral Health. Designed to
help staff provide support to patients in the ED with psychosis
and/or substance abuse disorders, this toolkit provides
access to articles, policies, management techniques, assessment
tools and more. Click the topic tabs below to access resources