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 Announces Paperless Process for Issuing Facility Licenses
For licensing and certification staff

On Feb. 22, the California Department of Public Health (CDPH) announced in All Facilities Letter 21-10 that its Centralized Applications Branch (CAB) will begin a paperless process for issuing health care facility licenses, starting March 1.  

CHA News Article

CDPH Updates COVID-19 Vaccine Allocation Guidelines
For CEOs, CNOs, COOs, CIOs, CMOs, and staff in government relations, human resources, licensing & certification, infection prevention, quality & patient safety, disaster readiness, employee safety

On Feb. 4, the California Department of Public Health updated its COVID-19 vaccine allocation guidelines. While this guidance reaffirms that individuals in Phase 1A (health care workers and long-term care residents) and Phase 1B, Tier One (individuals 65 and older and those working in the sectors of education and childcare, emergency services, or food and agriculture) currently are or will be eligible for the vaccines, it clarifies what individuals fall within these categories. 

CHA News Article

California Releases COVID-19 Vaccination Plan
For CEOs, CNOs, COOs, CIOs, CMOs, and staff in government relations, human resources, licensing & certification, infection prevention, quality & patient safety, disaster readiness, employee safety

On Oct. 19, the state of California publicly released its plan for administering COVID-19 vaccinations. The plan responds to questions from the Centers for Disease Control and Prevention (CDC) for every state, describing how the California Department of Public Health (CDPH) will work within state government and with local health departments and health care providers to distribute and administer the vaccine.

CHA News Article

CDPH Releases COVID-19 Hospital, SNF Outbreak Thresholds
For licensing & certification staff, quality & patient safety staff

The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-75, which sets thresholds for COVID-19 outbreaks in hospitals. Hospitals are required to report outbreaks and unusual infectious disease occurrences to their local health department and CDPH Licensing and Certification District Office.

CHA News Article

CDPH Describes Hospital Surge Monitoring Visits, Other Survey Activity
For licensing & certification staff, quality and patient safety staff

The California Department of Public Health (CDPH) has issued All Facilities Letter (AFL) 20-69, which outlines the survey activities the department will conduct for both hospitals and skilled-nursing facilities. Based on the daily COVID-19 data reported by hospitals, if CDPH determines a hospital is at risk of surging, the hospital will receive a phone call about its surge plan, any urgent needs, and whether it needs assistance from CDPH.

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

CHA Testifies on Specialty Pharmacy Policy Changes
For CEOs, COOs, pharmacists in charge

On Feb. 18, CHA testified at the Board of Pharmacy Enforcement and Compounding Committee about member concerns on recent specialty pharmacy payer changes. These policy changes disrupt the traditional buy-and-bill method, where hospitals buy and store specialty drugs for general use and bill payers for the dose used when administered to the patient.  

CHA News Article

CHA Spotlights CA Bridge Program
For CNOs, nurse supervisors, clinical operations directors, ED directors, risk managers, social workers, quality & patient safety managers

CHA and the California Bridge Program have partnered to provide members with a 15-minute on-demand video that explains the origins and benefits of the California Bridge Program’s highly successful opioid treatment model. 

CHA News Article

FDA Requests Removal of All Ranitidine Products From Market
For CMOs, CNOs, pharmacy

Last week, the Food and Drug Administration (FDA) requested that manufacturers immediately withdraw all prescription and over-the-counter ranitidine products from the market, due to a possible contaminant. Ranitidine products, commonly known by the brand name Zantac, will not be available for new or existing prescriptions or over-the-counter use in the United States. 

General Information

Emergency Department Toolkit
Behavioral health resources for the emergency department

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 and information.

General Information

FDA Issues Interim Recommendations to Address CT Scan Concerns
Investigation finds 256 confirmed cases of overexposure in California.

On Oct. 8, the Food and Drug Administration (FDA) issued an Initial Communication identifying 206 patients that had been exposed to excess radiation during computed tomography (CT) perfusion imaging. The recent cases triggered a nationwide FDA investigation. Current findings from the investigation show at least 256 confirmed cases of overexposure in California, as well as possible cases in multiple states.

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

OSHPD Releases Vaccine Freezer Checklist, Provides Expedited Review
For CEOs, COOs, facilities managers, government relations staff

The Office of Statewide Health Planning and Development (OSHPD) has posted a Vaccine Freezer Checklist to its COVID-19 Resources page. This is intended to be used for the expedited review and installation of ultra-low temperature freezers used for the storage of COVID-19 vaccines in California health care facilities.

CHA News Article

OSHPD Portal to Allow Hospitals to Update Contacts in Early 2021, Workaround Available in Interim
For COOs, facilities managers

The Office of Statewide Health Planning and Development (OSHPD) is modifying its system to give hospitals the ability to change the name and email of their points of contact.  

CHA News Article

OSHPD Clarifies Grace Period for Temporary Work for COVID-19 Until March 1
For CEOs, COOs, facilities managers, government relations staff

The Office of Statewide Health Planning and Development (OSHPD) has posted to its COVID-19 Resources web page the clarification that an OSHPD permit is not required for temporary changes or use of modifications to the physical environment for COVID-19 during the period of California Department of Public Health All Facilities Letter 20-26.3, which is in place until March 1, 2021, unless extended.  

CHA News Article

OSHPD Hosting Inspector of Record Trainings
For facilities managers

The Office of Statewide Health Planning and Development (OSHPD) is hosting free trainings for those planning to take the hospital inspector of record (IOR) exam, beginning June 17.

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

Biden Administration Orders Review of ‘Public Charge’ Rule
For CEOs, CFOs, government relations staff

On Feb. 2, President Biden signed an executive order focused on immigration policy. Included in the order are instructions to relevant federal agencies to review actions implementing the previous administration’s “public charge” rule, which allows immigration officials to consider legal immigrants’ use of federal nutrition, housing, and health programs – including Medicaid – in their applications for residency. 

CHA News Article

Covered California Opens Special Enrollment Period Following President’s Executive Order on Coverage
For CEOs, CFOs, government relations staff

Covered California is opening a special enrollment period from Feb. 1 to May 15 for those who are uninsured and eligible to enroll in health care coverage through Covered California.  

CHA News Article

President Biden Signs Executive Order on Medicaid and ACA Coverage
For CEOs, CFOs, government relations staff

President Biden has signed an executive order intended to strengthen Medicaid and Affordable Care Act (ACA) coverage by requiring the Department of Health and Human Services (HHS) to reconsider several policies. In addition, HHS will open a special enrollment period for plans on the federal exchanges from Feb. 15 to May 15.  

CHA News Article

DMHC Proposes Emergency Regulations on Patient Transfers
For CEOs, CFOs, directors of reimbursement

On Jan. 12, the Department of Managed Health Care proposed adopting emergency regulations on the transfers of enrollees per state or local public health orders. Once approved by the Office of Administrative Law and filed with the Secretary of State, the regulations will be effective and remain in effect for 180 days.

CHA News Article

DMHC Issues All Plan Letters in Response to Public Health Order
For CEOs, CFOs, directors of reimbursement

On Jan. 6, the Department of Managed Health Care (DMHC) released All Plan Letters (APL) 21-003 and 21-004 in response to the public health order issued and amended earlier this week by the California Department of Public Health. 

Overview

Emergency Preparedness

California hospitals are a critical element within the disaster medical response system and work collaboratively with local government, other health care providers and other agencies to plan, prepare for and respond to the needs of victims of natural or man-made disasters, bioterrorism, and other public health emergencies.

CHA News Article

Biden Administration Clarifies COVID-19 Testing Coverage Requirements
For CEOs, CFOs, COOs, revenue cycle & government relations staff

On Feb. 26, the Departments of Health and Human Services, Labor, and Treasury updated guidance related to COVID-19 testing. The clarifications should improve access to no-cost-sharing COVID-19 testing for both the insured and uninsured. However, it stops short of requiring health plan coverage of COVID-19 testing for public health surveillance. 

CHA News Article

New Tool Available for Submission of CMS 1135 Waiver Requests
For CEOs, CFOs, and staff in finance & reimbursement, government relations, post-acute care, emergency preparedness

The Centers for Medicare & Medicaid Services (CMS) has announced a new online tool to streamline the submission of 1135 waiver requests and inquiries for providers.  

CHA News Article

State Offers Oxygen-Related Provider Hotline Resource
For CEOs, facilities, emergency preparedness & case managers, discharge planners

To enhance the transparency of all oxygen-related equipment and supplies offered throughout the state, the California Health and Human Services Agency, in partnership with the Governor’s Office of Emergency Services, is offering a provider hotline for health care facilities and Medical and Health Operational Area Coordinators (MHOACs).  

CHA News Article

President Issues Executive Orders to Address COVID-19 Pandemic
For CEOs, CMOs, CNOs, COOs, government relations staff

On Jan. 21, President Biden issued additional executive orders and directives instructing various federal agencies to take specific actions to address the COVID-19 pandemic, including expanding testing and vaccination capacity, increasing personal protective equipment (PPE) and other necessary materials to combat the pandemic, slowing the spread of COVID-19, and addressing inequitable outcomes. 

CHA News Article

CMS Announces New Tool for Submission of 1135 Waiver Requests
For CEOs, CFOs, finance & reimbursement staff, government relations staff, post-acute care staff, emergency preparedness staff

The Centers for Medicare & Medicaid Services (CMS) has announced a new online tool to streamline the submission of 1135 waiver requests and inquiries for providers.  

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

New Sessions Added to Disaster Planning Virtual Conference
For disaster coordinators, health care executives, compliance staff, and safety staff

Two sessions have been added to CHA’s virtual Disaster Planning Conference. On Sept. 15 from 8 to 8:30 a.m., Beta Healthcare Group’s Care for the Caregivers session features vital information for providing “psychological first aid” for health care workers. Content in this program will benefit anyone who works in/around a hospital/health care environment ― not just clinical workers.  

CHA News Article

Agenda Set for CHA’s Disaster Planning Virtual Conference
For disaster coordinators, health care executives, compliance staff, and safety staff

The national supply chain strategy, FEMA reimbursement, crisis care guidelines, and managing hospital surges during a health care pandemic – register for the CHA Disaster Planning Virtual Conference, Sept. 15-16 from 8 a.m. to 1:30 p.m., to hear about these topics and get backstage access to speakers. 

Post

CDC releases toolkit to reduce risk of Legionella

The Centers for Disease Control and Prevention (CDC) released a new toolkit to prevent Legionnaires’ disease outbreaks. The toolkit builds off of ASHRAE 188: Legionellosis: Risk Management for Building Water Systems.

The toolkit provides an easy-to-understand interpretation of ASHRAE Standard 188, as well as worksheets, checklists and scenarios of common water-quality problems. It also contains special sections and considerations for health care facilities.

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

New Tool Available for Submission of CMS 1135 Waiver Requests
For CEOs, CFOs, and staff in finance & reimbursement, government relations, post-acute care, emergency preparedness

The Centers for Medicare & Medicaid Services (CMS) has announced a new online tool to streamline the submission of 1135 waiver requests and inquiries for providers.  

CHA News Article

Updates for the Week of Feb. 8
For finance & reimbursement, quality & patient safety, post-acute care staff

The Centers for Medicare & Medicaid Services issued the following updates this week:​​

  • eCQM Annual Update Pre-Publication Document
  • Request for Stakeholder Feedback on Draft eCQM Measure CQM-4412 and CQM-4413 Packages; Comments accepted Feb. 8-19
  • PFS Payment for Office & Outpatient E/M Visits: Effective Jan. 1, for Physician Fee Schedule payment of office and outpatient E/M visits, Medicare adopted the new AMA coding, language, and interpretive guidance framework. See the fact sheet for more information. ​
CHA News Article

Updates for the Week of Feb. 1
For finance & reimbursement, quality & patient safety, post-acute care staff

The Centers for Medicare & Medicaid Services issued the following updates this week:​​

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

ONC Issues FAQs, Will Host Webinar on Information Blocking
For CEOs, CIOs, government relations staff, compliance staff, general counsel

The Office of the National Coordinator for Health Information Technology (ONC) has issued new frequently asked questions (FAQs) to address stakeholder questions about the information blocking regulations.  

CHA News Article

ONC Delays Information Blocking Compliance Until April 2021
For CEOs, CIOs, government relations staff, compliance staff, general counsel

Due to the COVID-19 public health emergency, the Office of the National Coordinator for Health Information Technology (ONC) has issued an interim final rule with comment period extending the compliance deadline for provider information blocking requirements from Nov. 2 to April 5, 2021.   

CHA News Article

OIG Finds Hospital Overpayments for Transfer to Home Health Services
For directors of reimbursement, HIM professionals

The federal Department of Health and Human Services Office of Inspector General (OIG) has issued a report that concludes that Medicare overpaid acute care hospitals $267 million over a two-year period, due to improper coding of the inpatient claim when the beneficiaries resumed home health (HH) services within three days of discharge.  

CHA News Article

Long-Awaited Interoperability Final Rules Issued
For CEOs, CIOs, government relations staff, compliance staff, general counsel

The Department of Health and Human Services has issued two long-awaited final 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. The final rules include provisions for hospitals and other providers, health plans, and health information technology vendors.

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.

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 Community Programs

CHA News Article

HHS Issues Gov. Newsom’s Master Plan for Aging
For community relations executives, population health managers

In June 2019, Gov. Gavin Newsom issued an Executive Order calling for the creation of a Master Plan for Aging, which affirmed the priority of the health and well-being of older Californians and the need for policies that promote healthy aging.  

CHA News Article

OCR Issues Guidance on Civil Rights Protections Prohibiting Discrimination During COVID-19
For CEOs, legal counsel

On Monday, the Office for Civil Rights at the U.S. Department of Health and Human Services issued guidance for health care providers on complying with federal civil rights laws during the COVID-19 public health emergency. The guidance focuses on prohibitions against discrimination based on race, color, and national origin, and includes many practical considerations and actions hospitals can take to ensure equitable access to care. 

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

DHCS Issues 2019-21 Hospital Fee Invoices
For CFOs

The Department of Health Care Services (DHCS) is issuing invoices this month for the 2019-21 Hospital Fee Program.

CHA News Article

DHCS Releases Hospital Fee Program Directed Payment Encounter Data Files
For CFOs

The Department of Health Care Services (DHCS) has uploaded four new hospital-directed files, available via the Secure File Transfer Protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days). 

CHA News Article

DHCS Releases Hospital-Directed Payment Encounter Data File
For CFOs

The Department of Health Care Services (DHCS) has released three new hospital-directed payment data sets, available via the Secure File Transfer Protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days).

CHA News Article

Applications Due March 30 for Children’s Hospital Program
For CFOs

The California Health Facilities Financing Authority (CHFFA) reminds eligible hospitals (public or private nonprofit) that provide pediatric services to children eligible for the California Children’s Services program, of the deadline to apply for the first funding round of the Children’s Hospital Program of 2018. Applications must be received by CHFFA by 5 p.m. (PT) on March 30.

CHA News Article

DHCS Issues Invoices for 2019-21 Hospital Fee Program
For CFOs

The Department of Health Care Services has sent hospitals invoices covering the first four fee-for-service cycles of the 2019-21 Hospital Fee Program. The first invoice has a due date of April 29 and covers July 1, 2019 – Sept. 30, 2019. Hospitals will receive the first fee-for service payment on May 18. CHA will distribute the estimated implementation schedules for the 2019-21 Hospital Fee Program this week.

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

Cal/OSHA to Hold Hospital PPE Stockpile Advisory Meeting Tomorrow, Feb. 19
For CEOs, government relations executives, supply chain & materials management executives

On Feb. 19, the California Division of Occupational Safety and Health (Cal/OSHA) will convene a remote pre-rulemaking advisory meeting from 10 a.m. to 2 p.m. (PT) to seek stakeholder input on defining the term “normal consumption” as part of implementing Assembly Bill 2537. The new law requires hospitals to have a 90-day stockpile of personal protective equipment (PPE) by April 1, based on normal consumption. 

CHA News Article

CDC Updates Quarantine Guidance for COVID-19 Vaccinated Individuals
For CEOs, CNOs, COOs, chief legal counsel, government relations staff, infection prevention 

On Feb. 10, the Centers for Disease Control and Prevention updated its quarantine guidance for vaccinated individuals. The new guidance suggests that persons with an exposure to someone with suspected or confirmed COVID-19 are not required to quarantine if they meet all of the following criteria: 

CHA News Article

New Guidance Assists With Meeting March 31 Pay Data Reporting Requirement
For in-house counsel, human resources executives

The Department of Fair Employment and Housing (DFEH) recently released guidance to assist employers in complying with Senate Bill 973. The bill, which took effect Jan. 1, requires employers with 100 or more employees to provide detailed pay data to DFEH by March 31.   

CHA News Article

FAQs Help Hospitals Prepare for Jan. 15 PPE Reporting Deadline
For CEOs, government relations executives

As reported previously, California’s general acute care hospital personal protective equipment (PPE) stockpile law – Assembly Bill (AB) 2537 – requires hospitals to be prepared to report specified PPE data as of Jan. 15. CHA developed and has updated frequently asked questions to assist hospitals with implementation.

CHA News Article

Toolkit Offers Help Complying with COVID-19 Workplace Notice Requirements
For chief compliance officers, in-house general counsel & legal staff, human resources professionals, and risk managers 

CHA has released a toolkit to help hospitals comply with the COVID-19 workplace notice requirements in a new California law — Assembly Bill 685 — that takes effect Jan. 1, 2021. 

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

Privacy Breach Reports Due March 1
For privacy officers

Federal law requires hospitals and other HIPAA-covered entities to report all 2020 HIPAA privacy breaches affecting fewer than 500 patients to the Office for Civil Rights of the U.S. Department of Health and Human Services (HHS) by March 1.  

CHA News Article

Cal/OSHA to Hold Hospital PPE Stockpile Advisory Meeting Tomorrow, Feb. 19
For CEOs, government relations executives, supply chain & materials management executives

On Feb. 19, the California Division of Occupational Safety and Health (Cal/OSHA) will convene a remote pre-rulemaking advisory meeting from 10 a.m. to 2 p.m. (PT) to seek stakeholder input on defining the term “normal consumption” as part of implementing Assembly Bill 2537. The new law requires hospitals to have a 90-day stockpile of personal protective equipment (PPE) by April 1, based on normal consumption. 

CHA News Article

FAQs Help Hospitals Prepare for Jan. 15 PPE Reporting Deadline
For CEOs, government relations executives

As reported previously, California’s general acute care hospital personal protective equipment (PPE) stockpile law – Assembly Bill (AB) 2537 – requires hospitals to be prepared to report specified PPE data as of Jan. 15. CHA developed and has updated frequently asked questions to assist hospitals with implementation.

CHA News Article

Toolkit Offers Help Complying with COVID-19 Workplace Notice Requirements
For chief compliance officers, in-house general counsel & legal staff, human resources professionals, and risk managers 

CHA has released a toolkit to help hospitals comply with the COVID-19 workplace notice requirements in a new California law — Assembly Bill 685 — that takes effect Jan. 1, 2021. 

CHA News Article

HHS Proposes Changing HIPAA Rules
For legal counsel, privacy officers

The U.S. Department of Health and Human Services’ Office for Civil Rights has announced proposed changes to the Health Insurance Portability and Accountability Act (HIPAA) privacy rule. The changes  aim to increase patients’ access to their health information, improve care coordination, and reduce the regulatory burden for providers and health plans. CHA is analyzing the proposed regulation and will provide members with additional details in the coming weeks. 

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.

CHA News Article

Dates Set for Consent and Related Health Care Law Webinar Series 
For CMOs, CNOs, risk managers, privacy officers, in-house counsel

Join CHA’s Consent and Related Health Care Law webinars to delve into high-risk consent and privacy issues that often challenge hospitals and could lead to litigation. The three-part series will be held from 10 a.m. to noon (PT) on May 13, 19, and 27 and replaces the annual Consent Law seminar series. All three webinars are free to CHA members. 

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

Feb. 26 Is Deadline for Hospitals to Review Quality Data for April Public Reporting
For CNOs, quality & patient safety staff

CHA reminds hospitals that preview data for April public reporting are currently available for review through Feb. 26. CHA encourages members to view their hospital-specific preview reports, available on the QualityNet website

CHA News Article

HQI to Host Webinar on Supporting NICU Families
For CEOs, leaders in nursing, quality & patient safety, labor & delivery, behavioral health

As part of its Perinatal Mental Health (PMH) Learning Community, the Hospital Quality Institute will host a complimentary webinar from noon to 1 p.m. (PT) on Feb. 18 to discuss how hospitals can support patients and families who have a child in the NICU. 

CHA News Article

Updates for the Week of Feb. 8
For finance & reimbursement, quality & patient safety, post-acute care staff

The Centers for Medicare & Medicaid Services issued the following updates this week:​​

  • eCQM Annual Update Pre-Publication Document
  • Request for Stakeholder Feedback on Draft eCQM Measure CQM-4412 and CQM-4413 Packages; Comments accepted Feb. 8-19
  • PFS Payment for Office & Outpatient E/M Visits: Effective Jan. 1, for Physician Fee Schedule payment of office and outpatient E/M visits, Medicare adopted the new AMA coding, language, and interpretive guidance framework. See the fact sheet for more information. ​
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

AB 890 Allows Nurse Practitioners Greater Independence
For CEOs, CMOs, CNOs

Assembly Bill (AB) 890 (Wood, D-Santa Rosa), which was signed into law on Sept. 29, will authorize a nurse practitioner who meets certain requirements to practice without physician supervision. The new law will improve access to health care by allowing nurse practitioners greater freedom and flexibility to practice in communities with insufficient primary care services. Details about the changes that will be implemented with AB 890 are available here

Publication

Roadmap to Creating a Health Care Work-Based Learning Program

In 2014-15, with support from the James Irvine Foundation, CHA partnered with hospitals, educators, funders and other experts to identify strategies for increasing the number of high-quality, health care work-based learning opportunities for California high school students. Health care as a whole is one of the fastest growing industries in the nation. According to the U.S. Department of Labor, Bureau of Labor Statistics, 17 of the 30 fastest growing occupations are in the health sector.

CHA News Article

CHA Releases Health Facility Work-Based Learning Program Guide

CHA, in partnership with the California Department of Education, has created the Health Facility Work-Based Learning Program Guide in response to requests from hospitals for information, tools and tips for partnering with local K-12 educational institutions. The guide’s purpose is to provide a resource for all health care employers (not just hospitals) seeking work-based learning partnerships with local K-12 institutions. Not only is it intended to be used by employers developing new partnerships, it can also serve as a valuable tool for existing work-based learning programs. The guide features a spectrum of model employer/K-12 partnerships that serve as real life examples of successful programs. It also includes turn-key forms and documents that can be used when developing a program, as well as links to additional information. The guide is attached.

General Information

AHA Report – ‘Workforce 2015: Strategy Trumps Shortage’

The American Hospital Association (AHA) recently released a report titled, “Workforce 2015: Strategy Trumps Shortage.” This report is the result of a year-long effort by the 2009 Long-Range Policy Committee to examine health workforce issues in the coming decade and to provide findings and recommendations for the field.

General Information

CHA Healthcare Workforce Coalition Announces Grant Awards

The CHA Healthcare Workforce Coalition is pleased to announce that five mini-grants, funded by The California Endowment, will be awarded to CHA members in 2010 for the purpose of increasing regional allied health workforce diversity and cultural competency.

Commands