Hospital Topics

Overview

CDPH Licensing & Enforcement

The California Department of Public Health’s (CDPH) Licensing and Certification Division (L&C) is responsible for the licensure, regulation, inspection, and certification of health care facilities and certain health care professionals in California. The division is organized into 14 district offices and Los Angeles County, which operates under a contract with the division. L&C staff conduct periodic inspections and investigation of complaints to ensure health care facilities comply with state and federal laws and regulations, conducting roughly 27,000 complaint investigations annually.

The federal Centers for Medicare & Medicaid Services (CMS) — which provides federal funding to ensure that facilities accepting Medicare and Medi-Cal payments comply with federal laws and regulatory requirements — contracts with L&C to perform federal surveys. In addition to facility oversight, L&C oversees the certification of nurse assistants, home health aides, hemodialysis technicians, and the licensing of nursing home administrators.

CHA News Article

CDPH Alerts Providers About Drug-Resistant Infections Following Procedures in Tijuana
For COOs, quality & patient safety staff, infection preventionists

The California Department of Public Health (CDPH) urges California hospitals to remain on the lookout for highly drug-resistant infections in patients who have been hospitalized or had any invasive procedure in Tijuana.

CHA News Article

CDPH Launches Anti-Vaping Ad Campaign Aimed at Young Adults

The California Department of Public Health (CDPH) has launched an advertising campaign called Outbreak, targeting young adults and parents, in response to the growing teen vaping epidemic and the increase in vaping-related lung illness.

CHA News Article

CDPH Reminds Residents, Public Health Professionals About Air Quality Issues During Wildfires
For COOs, quality & patient safety staff

The California Department of Public Health (CDPH) offers various resources to help mitigate the effects of poor air quality during wildfires, including a guide for public health professionals, a web page where residents can check their local air quality, and FAQs.

CHA News Article

California Department of Public Health Updates Reportable Disease Requirements
For CNOs, infection preventionists, licensing and certification staff

The California Department of Public Health (CDPH) has recently updated the disease and condition reporting requirements and made several significant changes to the list of what must be reported to local health departments, and when.

Education event For Members

New Direction for CDPH’s Center for Health Care Quality
A collaborative program of CDPH and CHA, HC, HASC and HASDIC

November 19, Sacramento
November 21, Pasadena

This November, CDPH’s Deputy Director, Heidi Steinecker, will meet with CHA members to share her vision and plan for change within CDPH’s Center for Health Care Quality. Members will also be able to meet directly with their CDPH District Office representatives in small group sessions. This is a unique opportunity to ask questions and to build productive relationships for future work. Don’t miss it.

Overview

Clinical Care

Clinical care touches every aspect of hospital operations. Policies and procedures surrounding clinical care are of the utmost importance in meeting regulatory, legal and licensing requirements. CHA has numerous area-specific groups — including specialty centers and committees — that address the many aspects of clinical care. Some areas of clinical care are subject to rapid changes in public policy and regulations, creating additional challenges for hospitals. In addition to providing representation and advocacy to address these challenges, CHA focuses on the unique needs of certain facilities, and the services and programs they offer their communities.

CHA News Article

CDPH Launches Anti-Vaping Ad Campaign Aimed at Young Adults

The California Department of Public Health (CDPH) has launched an advertising campaign called Outbreak, targeting young adults and parents, in response to the growing teen vaping epidemic and the increase in vaping-related lung illness.

CHA News Article

FDA Issues Statement on Sterilization Facility Closures and Potential Medical Device Shortages
For CNOs, quality & patient safety staff, infection preventionists

The Food and Drug Administration (FDA) has issued a statement alerting the public to potential medical device shortages due to the recent closures of certain facilities that sterilize devices using ethylene oxide.

CHA News Article

Health Alert Issued on Severe Pulmonary Disease Associated With Cannabis Vaping

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

CDPH Releases Questions for Meeting on Hospital Infection Control, Physical Plant Regulations

In preparation for an upcoming meeting to solicit stakeholder feedback on possible changes to Title 22  infection control and physical plant regulations for general acute care hospitals, the California Department of Public Health has released a series of questions. More details are available in All Facilities Letter 18-56.1.

CHA News Article

CDC Updates Alert on Life-Threatening Coagulopathy Associated with Synthetic Cannabinoids

The Centers for Disease Control and Prevention has updated its health alertaddressing a multistate outbreak of coagulopathy — a bleeding disorder that impacts the way blood clots — that has been linked to synthetic cannabinoid use.

Overview

Construction / Renovation

In the area of construction and renovation, CHA assists hospitals by reviewing and commenting on proposed regulations, attending all Hospital Building Safety Board (HBSB) meetings, nominating hospital representatives to the HBSB Board and serving as liaison between hospitals and the Office of Statewide Health Planning and Development’s (OSHPD) Facility Development Division when issues need to be resolved.

CHA News Article

Upcoming Programs Aim to Help Hospitals Comply With New Building Energy Code Requirement
For facilities managers

Previously exempt from Title 24, Part 6 of the state energy code, health care facilities must now comply with those regulations. To help hospitals learn how to design their facilities for compliance — as well as document and verify — the Office of Statewide Health Planning and Development will sponsor a series of online forums on Nov. 6 and 7.

CHA News Article

Hospitals Must Submit Attestations of 2030 Seismic Safety Deadline to OSHPD by Dec. 31
For CEOs, Chief Legal Counsel, Facilities Staff

On July 17, the California Building Standards Commission certified emergency building standards proposed by the Office of Statewide Health Planning and Development (OSHPD) to implement CHA’s sponsored bill from last year, Assembly Bill (AB) 2190 (Chapter 673, Statutes of 2018).

CHA News Article

9/11 First Responder Will Speak at CHA Disaster Preparedness Conference
For CEOs, Public Relations Staff, Disaster Readiness Staff, Government Relations Staff, Facilities Staff

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.

CHA News Article

2019 California Building Standards Codes Available
For Facilities Management Staff

The California Building Standards Commission has announced the availability of the 2019 California Building Standards Code, which takes effect Jan. 1, 2020. The 2016 Building Standards Code remains in effect until Dec. 31, 2019.

CHA News Article

CDPH Changes Approval Process for Sterile Compounding Physical Plant Construction Projects
For CEOs, COOs, Pharmacists-in-Charge, Lead Engineers/Construction

The California Department of Public Health (CDPH) earlier this week released All Facilities Letter 19-19, which updates its application process for new or remodeled pharmacy clean rooms and mobile sterile compounding units (MSCUs). Notably, CDPH will no longer accept incomplete applications for pharmacy clean rooms or MSCUs. CDPH states the update is in response to Assembly Bill 2978 (Chapter 992, Statutes of 2018), which requires CDPH to review or deny applications within 100 days of receipt.

Overview

Coverage

Providing access to health coverage is essential to improving population health in California. A strategic and collaborative approach between hospitals, Covered California, the California Department of Health Care Services, counties and local communities is critical to the continued expansion of health coverage through the Covered California marketplace and the Medi-Cal program.

Over 5 million Californians have insurance as a result of the Affordable Care Act (ACA) — roughly a quarter of all Americans covered under the law. In California, 91 percent of individuals are now insured. The uninsured rate in California fell from 17 percent in 2013 to a historic low of 7.3 percent by the end of 2016. Since 2014, more than 3 million people have purchased health coverage through Covered California, and nearly 4 million have enrolled in the state’s Medi-Cal program — for a total of more than 13.5 million Californians now enrolled in Medi-Cal. Of Covered California’s 1.3 million enrolled consumers, nearly 90 percent receive some level of financial help.

Despite these coverage gains, about 3 million Californians will remain uninsured in 2017. The majority of those projected to remain uninsured in California are not eligible for Medi-Cal or Covered California due to their immigration status. Just under 25 percent of the remaining uninsured are eligible for either Medi-Cal or subsidized coverage through Covered California, while 18 percent are eligible through Covered California but would not receive subsidies.

CHA News Article

VA and TriWest Move Forward on Veterans Community Care Network for California
For COOs, CFOs, strategic planning/development staff, finance & reimbursement staff

The Department of Veterans Affairs (VA) has announced resolution of the protest to the contract awarded to TriWest Healthcare Alliance Corp. for Region 4 — including California — of VA’s Community Care Network (CCN). As a result, VA will move forward with implementing CCN Region 4 in partnership with TriWest and will provide an update on the timing in mid-2020.

CHA News Article

DHCS Releases California Advancing and Innovating Medi-Cal Proposal
For CEOs, CFOs, government relations staff

The Department of Health Care Services (DHCS) has released its California Advancing and Innovating Medi-Cal (CalAIM) initiative proposal, the state’s multi-year initiative to redesign the Medi-Cal delivery system.

CHA News Article

Covered California Launches Open Enrollment With New Subsidies, Individual Mandate
For CEOs, CFOs, government relations staff

On Oct. 15, Covered California launched open enrollment for the 2020 coverage year, with restoration of the individual mandate and the new state subsidy program for middle-income Californians who previously did not qualify for financial help because their income exceeded federal limits.

CHA News Article

CHA to Participate in Workgroups Addressing Medi-Cal Innovation
For CEOs, CFOs, government relations staff

The California Department of Health Care Services (DHCS) has appointed CHA to two important workgroups for its multi-year California Advancing and Innovating Medi-Cal (CalAIM) initiative, which seeks to improve health outcomes for Medi-Cal members through payment, program, and delivery system reforms.

Overview

Emergency Preparedness
Is your hospital prepared?

Visit CHA’s Emergency Preparedness website at calhospitalprepare.org

About

Through the Office of the Assistant Secretary for Preparedness and Response, Office of Preparedness and Emergency Operations, Hospital Preparedness Program (HPP) grant, CHA has created a web site specifically devoted to Emergency Preparedness at www.calhospitalprepare.org.

   
CHA News Article

Hospitals, Health Facilities Must Report Public Safety Power Shutoffs to CDPH
For COOs and licensing & certification, facilities, and disaster preparedness staff

The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 19-30.1 — rescinding AFL 19-30 — explaining requirements and processes for health care facilities to report public safety power shutoff (PSPS) events to CDPH as “unusual occurrences.”

CHA News Article

State Offers Hospitals Financing Options for Additional Backup Generators
For CFOs

The California Health Facilities Financing Authority (CHFFA) reminds public and nonprofit hospitals that it offers financing options, including bonds or loans, if they need to invest in additional backup generators to ensure electricity and continuity of operations during power outages. The flyer linked above includes details about CHFFA’s bond financing program, tax-exempt equipment financing program, and the HELP II loan program, as well as contact information for additional details.

CHA News Article

Associations Work Closely With Utilities to Minimize Impact of Planned Outages on Hospitals, Patients
For CEOs and government relations, facilities, and disaster readiness staff

Communities across California experienced another round of intentional blackouts this week in the latest power company strategy for mitigating fire risk during extremely dry and windy conditions. CHA and the Regional Associations continue to partner with the state’s investor-owned electric utilities — Pacific Gas and Electric Company (PG&E), Southern California Edison (SCE), and San Diego Gas & Electric (SDG&E) — as well as state and local government officials to ensure they grasp the obstacles hospitals must overcome to continue providing seamless care during power shutoffs.  

CHA News Article

Hospital Leaders Share Insight From Disaster Experiences
For disaster preparedness staff

At last month’s Disaster Planning for California Hospitals conference in Pasadena, a panel of hospital executives whose hospitals had been affected by recent fires and mudslides shared their experiences, reinforced the importance of preparedness, and offered first-hand insight. The video below captures some of their struggles and discoveries both during and after major natural disasters.

CHA News Article

CMS Issues Final Rule Revising Medicare Conditions of Participation to Reduce Burden
For compliance, emergency preparedness, and quality staff

The Centers for Medicare & Medicaid Services (CMS) has issued a final rule revising the Medicare Conditions of Participation (CoPs) and Conditions of Coverage for hospitals, home health providers, transplant centers, ambulatory surgical centers, and other providers and facilities. Among the revised CoPs are requirements for hospital emergency preparedness, as well as infection prevention and control and antibiotic stewardship programs.

Overview

Environmental Health & Safety

CHA assists hospital environmental health and safety (EH&S) officers and other hospital personnel regarding compliance with the many — and frequently overlapping — state and federal EH&S requirements, including those related to  managing medical, hazardous and low-level radioactive waste. CHA also monitors EH&S legislation and regulation on behalf of hospitals and acts as their liaison with government agencies.  

CHA News Article

CDPH Reminds Residents, Public Health Professionals About Air Quality Issues During Wildfires
For COOs, quality & patient safety staff

The California Department of Public Health (CDPH) offers various resources to help mitigate the effects of poor air quality during wildfires, including a guide for public health professionals, a web page where residents can check their local air quality, and FAQs.

CHA News Article

Disaster Planning Conference to Feature Tour of Cal Tech Seismo Lab
For CEOs, CNOs, Case Managers, and Licensing & Certification, Quality & Patient Safety, Facilities, and Disaster Preparedness Staff

This year’s Disaster Planning for California Hospitals Conference – to be held Sept. 10-11 in Pasadena – will feature a tour of Caltech’s Seismological Lab. Internationally recognized for excellence in geophysical research and academics, the lab serves as a focal point for earthquake information in Southern California and the world.

CHA News Article

Register by Aug. 19 for Best Rate at Disaster Planning Conference
For CEOs, CNOs, Case Managers, and Licensing & Certification, Quality & Patient Safety, Facilities, and Disaster Preparedness Staff

The deadline to receive discount registration and hotel rates at this year’s Disaster Planning for California Hospitals Conference – to be held Sept. 10-11 in Pasadena – is Aug. 19. After that, registration will increase by $100, and the conference rate for hotel rooms expires.

CHA News Article

Upcoming Disaster Conference to Feature Executive Panel
For CEOs, Public Relations Staff, Disaster Readiness Staff, Government Relations Staff, Facilities Staff

At this year’s Disaster Planning for California Hospitals Conference, to be held Sept. 10-11 in Pasadena, attendees will have a unique opportunity to hear directly from hospital executives about their role during and after a crisis.

CHA News Article

Livestreaming Expands Hospitals’ Opportunity to Benefit From Disaster Planning Conference

For the first time, CHA members will be able to livestream the Disaster Planning for California Hospitals conference — taking place Sept. 10-11 in Pasadena — hearing and viewing the conference from the convenience of their own office or conference room. The livestream option allows multiple people to experience the conference with a single registration fee and no lodging or transportation expenses.

Overview

Finance & Reimbursement

Hospital finance is complicated, and California hospitals operate in a challenging environment. Hospital executives are faced with the task of developing financial strategies that contain costs yet allow for the provision of health care to the state’s large uninsured population. CHA is committed to providing hospital financial executives with the resources needed to address these challenges, and believes that hospitals should be reimbursed adequately to cover the cost of care.

Through state and federal advocacy efforts, CHA dedicates many resources to fair government reimbursement and strives to improve hospitals’ financial outlook through legislative and regulatory channels. CHA’s statewide committees and workgroups help provide direction on how to best represent the diverse issues that affect hospitals’ financial performance. In addition, CHA DataSuite is an information-based toolset, available only to CHA members, that helps hospitals analyze government reimbursement changes, and the potential impact of regulatory and legislative actions on hospitals.  

CHA News Article

CMS Issues Hospital Price Transparency Final Rule
For CEOs, CFOs, chief legal counsel, government relations executives, finance staff

Today, the Centers for Medicare & Medicaid Services (CMS) issued the second part of its calendar year 2020 outpatient prospective payment system final rule, which finalizes problematic provisions related to price transparency requirements for hospitals. The final rule is effective for all hospitals beginning January 2021.

CHA News Article

VA and TriWest Move Forward on Veterans Community Care Network for California
For COOs, CFOs, strategic planning/development staff, finance & reimbursement staff

The Department of Veterans Affairs (VA) has announced resolution of the protest to the contract awarded to TriWest Healthcare Alliance Corp. for Region 4 — including California — of VA’s Community Care Network (CCN). As a result, VA will move forward with implementing CCN Region 4 in partnership with TriWest and will provide an update on the timing in mid-2020.

CHA News Article

CHA Provides Additional Details on CY 2020 Outpatient Prospective Payment System Final Rule
For CEOs, CFOs, government relations staff, finance & reimbursement staff

The Centers for Medicare & Medicaid Services (CMS) last week issued the first of two separate regulations finalizing provisions for the calendar year (CY) 2020 outpatient prospective payment system (OPPS). Notably, a second final rule on previously proposed price transparency provisions is under review by the Office of Management & Budget. However, CMS has considerable flexibility on the timing of finalizing and implementing these policies.

Overview

Health Information Management & Technology

CHA supports the capture and availability of secure patient-care data through the use of health information technology (HIT) across the continuum of care. CHA believes HIT serves as a tool to enhance patient safety, promote information sharing for preventative health services and reduce health care costs.

Hospitals face a number of challenges with HIT such as security and interoperability. The development of industry standards is crucial to successful interoperability and the safe and effective exchange of patient data. Certification of vendor systems, for example, involves compliance with industry-accepted data and technical standards.

CHA News Article

Comment Deadline Extended for Interoperability Proposed Rules
For CFOs, CIOs, Government Relations Staff

In response to requests from CHA and other stakeholders, the U.S. Department of Health and Human Services (HHS) has extended the comment period for its two proposed rules on interoperability and information blocking to June 3.

CHA News Article

Proposed Rules Issued on Interoperability and Information Blocking

The Department of Health and Human Services has issued two proposed rules – one from the Centers for Medicare & Medicaid Services (CMS) and the other from the Office of the National Coordinator for Health Information Technology (ONC) –  intended to improve the interoperability of health information.

CHA News Article

CHA Comments on Draft Strategy to Reduce Health IT and Electronic Health Record Burden

Yesterday, CHA submitted comments on the Office of the National Coordinator’s (ONC) draft strategy to reduce regulatory and administrative burden related to health information technology and electronic health record (EHR) use.

Overview

Homeless Patients

California has an estimated 134,000 homeless individuals — more than any other state in the nation. Hospitals are on the front lines of this crisis, employing comprehensive strategies to address  homeless patients’ complex needs and safely discharge them. CHA has created a number of videos to showcase hospitals engaged in this work.

In addition, CHA has developed in-depth resources to help member hospitals comply with a law passed in 2018 — SB 1152 — that imposed new requirements on how hospitals manage and discharge homeless patients who present in the emergency department. See link at the right to download CHA’s guidebook.

CHA News Article

Updated Discharge Planning for Homeless Patients Guidebook Now Available
For CNOs, Case Managers

CHA has updated the Discharge Planning for Homeless Patients guidebook and released a free PDF download for CHA members.

General Information

Mobile Program Outreach Extends to Homeless Shelter

California’s homeless population faces an especially difficult challenge when it comes to access to health care. Often, homeless families lack up-to-date medical records, including immunizations necessary for children to enroll in school. There is particular risk for diseases like tuberculosis. Cedars-Sinai Hospital in Los Angeles recently dispatched its two mobile units, part of a program called COACH for Kids, to a shelter for homeless families in North Hollywood. It’s part of a regular community benefit outreach by the hospital as it extends its reach to neighborhoods and the underserved.

Overview

Hospital Fee Program

The hospital fee program is crucial to the preservation of California’s entire safety net, which is why California’s safety-net hospitals initiated provider fee legislation and why all California hospitals support it. The program uses fees assessed by the state on hospitals to draw down federal matching funds, which are then issued as supplemental payments to hospitals. It is an integral element to improving access to health care for some of California’s most vulnerable residents.

The hospital fee program and all of its statutory provisions and protections were made permanent through the passage of CHA’s ballot initiative, the Medi-Cal Funding and Accountability Act (Proposition 52), in the November 2016 General Election. By removing the sunset date of Jan. 1, 2018, in the existing statute (SB 239, 2013), the Act becomes the framework for all future hospital fee programs. Among other statutory provisions, Proposition 52 makes permanent the limit on the amount the state can take out of the program for the General Fund; the construct of the fee program (both the fee side and the payment mechanisms); and the source of data and information used to develop the program. The next program period covers Jan. 1, 2017, through June 30, 2019.

CHA News Article

CMS Approves Hospital Fee Program Managed Care Rates for State Fiscal Year 2015-16

This week, the Department of Health Care Services (DHCS) shared four approval letters, dated March 18, from the Centers for Medicare & Medicaid Services (CMS). Hospitals should share the relevant letters, linked here, with their accounting firms:

CHA News Article

DHCS Releases Final Guidance on Network Provider Status
CHA to host webinar on impact for Hospital Fee Program

Last week, the Department of Health Care Services (DHCS) issued its final All Plan Letter (APL) 19-001, specifying contractual requirements that must exist between Medi-Cal managed care plans (MCPs) and hospitals for a hospital to be considered a network provider.

CHA News Article

CMS Approves Hospital Fee Program Managed Care Rates
Rate package covers expansion population for Jan. 1 – June 30, 2015

Yesterday, the Department of Health Care Services (DHCS) shared four approval letters. dated Dec. 12, from the Centers for Medicare & Medicaid Services (CMS). Hospitals should share the relevant letters, linked here, with their accounting firms:

Overview

Human Resources

California hospitals and health systems employ more than half a million people, from entry-level positions to senior executives. Many health care human resources (HR) departments are responsible for a wide range of issues, such as recruitment, staffing, compensation, benefits, labor/employee relations and employee health. Navigating the complex regulatory environment, while monitoring how it applies to HR in the health care setting, can be a challenging and dynamic task.

Representing hospitals and health systems in California, CHA provides leadership in HR policy at state and federal levels. In addition, CHA advocates on behalf of hospitals and health systems before the federal and state legislatures, federal and state administrative agencies and the public. CHA also provides educational opportunities, such as the annual Labor & Employment Law seminar, to help hospital leaders sharpen their skills and knowledge in health care HR. CHA members also participate on an HR executive e-mail list and receive periodic informational memoranda. 

CHA News Article

District Court Blocks ‘Conscience Rule,’ Deeming it Unconstitutional
For CNOs, human resources staff, legal counsel, compliance staff

A U.S. District Court judge has voided the Trump administration’s controversial “conscience rule” regulation, which would have protected health care workers who refused to take part in certain health care services — such as abortion, sterilization, and assisted suicide — on religious or moral grounds.

CHA News Article

EDD Services Available to Hospitals and Their Employees Impacted by Recent Wildfires
For human resources, emergency preparedness, and employee health staff

Hospitals and their employees who have been affected by recent wildfires can contact the Employment Development Department’s (EDD) disaster service center for support with various activities, including filing unemployment insurance benefit claims, job search activities, referral services, and assistance for employers with disability insurance and paid family leave benefits for their eligible employees. More information is available on the EDD’s Emergency and Disaster Assistance for Employers web page and its Disaster Services web page.

CHA News Article

Federal ‘Conscience’ Rule Delayed

Yesterday, the federal Department of Health and Human Services announced it will delay by four months its expansion of protections for health workers. Referred to as the “conscience rule,” the regulation would protect health care workers who refuse to participate in services — such as abortion, sterilization, and assisted suicide — that run counter to their religious beliefs or moral convictions.

CHA News Article

CHA Secures Amendments to Nurse Staffing Ratio Bill, Continues Advocacy to Oppose
For CEOs, CNOs, Government Relations Staff

One of CHA’s highest legislative priorities this year has been Senate Bill (SB) 227 (Leyva, D-Chino), which would create duplicative and mandatory fines for hospitals if they do not meet required nurse staffing ratios. With help from member hospitals, our advocacy generated key amendments last week, including:

  • An exemption for hospitals that — in response to an unforeseeable and uncontrollable fluctuation — promptly make an effort to maintain staffing requirements
  • A 50% reduction in the fines (now $15,000 for the first violation and $30,000 subsequently)
  • A reduction in the length of time required to revert to a first violation (lowered from six years to three)
CHA News Article

Contact Legislators and Urge Opposition to Nurse Staffing Ratio Bill
For CEOs, Government Relations Executives

CHA has extended the deadline for its Advocacy Alert asking members to urge their assemblymembers to oppose Senate Bill (SB) 227, which would create an unreasonable, mandatory penalty system for hospitals that do not meet nurse staffing ratios. The deadline for letters is now 5 p.m. on June 11. 

Overview

Legal

CHA’s legal department advocates vigorously before the courts on behalf of California hospitals, both as a party in litigation and as amicus curiae in important appellate cases. In addition, the CHA legal department prepares legal memoranda and manuals to help hospitals understand and comply with state and federal laws. The CHA legal department also supports CHA staff in their advocacy efforts before the state legislature and regulatory agencies.

CHA News Article

CHA Issues Summaries of Proposed Changes to Stark and Anti-Kickback Regulations

CHA has issued detailed summaries, prepared by Health Policy Alternatives, on the proposed rules to modernize regulations under the physician self-referral law  also known as the Stark Law  and the anti-kickback statute.

CHA News Article

CHA Submits Comments on Proposed Changes to Confidentiality of Substance Use Disorder Patient Records
For privacy officers, legal counsel

CHA has submitted comments on the Substance Abuse and Mental Health Services Administration’s (SAMHSA) proposed changes to the Confidentiality of Substance Use Disorder (SUD) Patient Records (Part 2) regulations.

Education event For Members

Model Medical Staff Bylaws and Rules Member Forum
A complimentary, CHA members-only forum

December 3, 2019
1:00 – 2:30 p.m., Pacific Time
A complimentary, CHA members-only forum

The Model Medical Staff Bylaws & Rules set the framework for the working relationship of the medical staff, hospital administration and governing body, and assures legal protections are in place. This member forum will explain the approach taken in developing the bylaws and rules, including how they differ from previous CHA versions and why. 

CHA News Article

Federal Judge Overturns CMS Site-Neutral Payment Policy
For CEOS, CFOs, government relations staff, finance & reimbursement staff

In a win for providers, a federal judge has ruled that the Centers for Medicare & Medicaid Services (CMS) exceeded its statutory authority when it reduced payments for clinic visits furnished in excepted off-campus provider-based departments, which were specifically excluded from the Balanced Budget Act of 2015.

CHA News Article

Proposed Regulations Address Confidentiality of Patients With Substance Use Disorder
For Privacy Officers, Legal Counsel

The U.S. Department of Health and Human Services released two proposed rules last week about the confidentiality of substance use disorder (SUD) patient information. The first proposed rule includes several changes to the law governing medical records created by federally assisted substance use disorder (FASUD) programs, also known as the Part 2 regulations.

Overview

Patient Rights

California and federal laws give hospital patients many rights. Hospitals must notify patients of these rights by giving patients a handout and/or by putting posters up in the hospital.

CHA has developed a sample handout that hospitals may use to notify patients of their rights under state hospital licensing regulations, the Medicare Conditions of Participation, and The Joint Commission. In addition, CHA publishes a corresponding poster.

Education event

Caring For Our Patients Who Are Homeless Summit

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.

Publication

2019 Consent Manual
The trusted resource for consent and related health care law

Members  
FREE PDF Download Click Here
Purchase Printed Manual  Buy Now
Overview

Quality & Patient Safety

CHA is committed to helping hospitals improve quality, reduce medical errors and adverse events, and maximize patient safety. To further those efforts, CHA and the Regional Associations established the Hospital Quality Institute (HQI) in 2013 to realize statewide impact of improving patient safety and quality care for all Californians, to accelerate the rate of improvement and to advance California as a national leader in quality performance. HQI’s broad scope of work includes reducing patient harm, reducing health care-associated infections, reducing hospital readmissions, improving patient experience and improving maternal/child outcomes. Hospitals and health systems that belong to HQI — a voluntary organization — use it as an excellent source of performance data and analytics to focus improvement opportunities and take best practices to scale. In addition, CHPSO, the nation’s largest and longest operating patient safety organization, is a division of HQI.

CHA also regularly tracks and reports on important developments in the public reporting of hospital quality data, including OSHPD and Hospital Compare website data, and keeps members informed of regulations related to pay for quality reporting and performance.

CHA News Article

CDPH Launches Anti-Vaping Ad Campaign Aimed at Young Adults

The California Department of Public Health (CDPH) has launched an advertising campaign called Outbreak, targeting young adults and parents, in response to the growing teen vaping epidemic and the increase in vaping-related lung illness.

CHA News Article

CHA Provides Additional Details on CY 2020 Outpatient Prospective Payment System Final Rule
For CEOs, CFOs, government relations staff, finance & reimbursement staff

The Centers for Medicare & Medicaid Services (CMS) last week issued the first of two separate regulations finalizing provisions for the calendar year (CY) 2020 outpatient prospective payment system (OPPS). Notably, a second final rule on previously proposed price transparency provisions is under review by the Office of Management & Budget. However, CMS has considerable flexibility on the timing of finalizing and implementing these policies.

CHA News Article

CDPH Reminds Residents, Public Health Professionals About Air Quality Issues During Wildfires
For COOs, quality & patient safety staff

The California Department of Public Health (CDPH) offers various resources to help mitigate the effects of poor air quality during wildfires, including a guide for public health professionals, a web page where residents can check their local air quality, and FAQs.

Overview

Workforce

California hospitals are concerned about the need for an adequate supply of highly skilled health professionals to meet the demands for health care services now and in the future. Numerous studies have validated the need to address critical health professional shortages in nursing and the allied health occupations. However, efforts to implement recommended strategies have been hindered by a lack of a coordinated statewide effort involving health employers and other necessary partners.

In response to the need for focus on this issue and the need for statewide solutions, CHA established the CHA Workforce Committee in 2007. Members of the committee include a broad cross-section of California’s hospitals, both urban and rural, and also represent the state’s various geographic regions. The committee has been focused primarily on allied health professional shortages, but in 2013 broadened its mission to include supporting various statewide nursing and physician shortage initiatives. The committee recognizes that current challenges in the area of health workforce will be exacerbated by an aging population and implementation of the Affordable Care Act, and is dedicated to working as a group and with other stakeholders to develop and implement solutions that will address the numerous barriers that constrict the supply of health care professionals in California.

CHA News Article

Proposition 56 Graduate Medical Education Grant Application Cycle Opens
For CEOs, government relations staff, and designated institutional officers

Grant applications for California’s graduate medical education (GME) CalMedForce program are being accepted through Oct. 28. The $40 million in available funding is allocated for primary care and emergency medicine residency programs, with priority given to programs that benefit medically underserved areas and populations.

CHA News Article

Applications for $38 Million in Graduate Medical Education Funding Available This Month

Applications for $38 million in grants to expand graduate medical education (GME) in California primary care and emergency medicine residency programs will be available beginning Sept. 23. The funding – which will give priority to programs in medically underserved areas and that serve medically underserved populations – is being awarded through Physicians for a Healthy California’s GME program, CalMedForce.

CHA News Article

New Report Examines Increasing Primary Care Capacity
For CNOs

Based on findings from a survey and focus groups of educators, nurses, and employers, a newly released report offers evidence-based recommendations to help educational institutions prepare registered nurses for the future of primary care.

CHA News Article

Governor Signs Bill Expanding Career Pathway for Medical Laboratory Technicians

Earlier this week, Governor Newsom signed Senate Bill 334 (Chapter 144, Statutes of 2019), which requires the California Department of Public Health (CDPH) to establish a pathway program that allows licensed medical laboratory technicians (MLTs) to apply their MLT work experience and training toward the completion of a clinical lab scientist (CLS) training program. 

CHA News Article

Next Round of Proposition 56 Graduate Medical Education Funding Available Soon
For CEOs, Government Relations Staff, and Designated Institutional Officers

This week, Physicians for a Healthy California announced it will award approximately $40 million in the second cycle of its CalMedForce Program, which provides funding for graduate medical education (GME) programs in California. Applications will be released Sept. 23 and are due Oct. 28.

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