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 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.
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.
Last week, Hospital Quality Institute (HQI) President & CEO Julie
Morath was honored by the Patient Safety Movement Foundation with
its Beau Biden Humanitarian Award. The award recognizes
California hospitals’ participation in an effort,
led by HQI, to provide consumers with easily accessible,
meaningful information about hospital quality.
travel alert recently issued by the Centers for Disease
Control and Prevention notifies providers of recent cases of
surgical site infections in U.S. residents who underwent invasive
medical procedures in Tijuana, Mexico.
The California section of the American College of Emergency
Physicians has updated its opioid
safe prescribing guidelines to reflect expanded use of
medication-assisted treatment in emergency departments. Notably,
the guidelines no longer prohibit treating addiction in the
Hospitals and health care facilities across the state continue to
respond to, and be affected by, the devastation caused by the
Camp Fire in Northern California and the Woolsey and Hill fires
in Southern California. Members who wish to donate are encouraged
to support the following funds managed by hospitals:
The Centers for Medicare & Medicaid Services (CMS) issued the
attached proposed rule updating the Medicare Advantage (MA) and
the Medicare prescription drug benefit (Part D) programs for
contract year 2020. Specifically, CMS proposes changes to
implement certain provisions of the Bipartisan Budget Act of 2018
that expand telehealth services for MA beneficiaries beyond what
is available under traditional Medicare. The rule also proposes
updates to the MA and Part D Quality Star Rating System, as well
as to certain program integrity provisions. Additional
information is available in a
CMS fact sheet. Comments on the proposed rule are due Dec.
The Centers for Disease Control and Prevention has updated its
Hepatitis B vaccine information statement to note that a two-dose
series is available. Stocks of the existing edition may be used
up before switching to the updated version. To subscribe to the
CDC’s email notification service about vaccine information
California Health and Human Services Secretary Michael Wilkening
today recognized hospitals for reducing cesarean births for
first-time mothers with low-risk pregnancies. The state named 122
hospitals to its 2017 Hospital C-Section Honor Roll, representing
51 percent of California’s 240 birthing hospitals. This is an
increase of nearly 10 percent over last year, when 111 hospitals
were named to the honor roll. The honorees met the Healthy People
2020 target of 23.9 percent or fewer low-risk, first-birth
The Hospital Quality
Institute (HQI) and the Health Services Advisory Group (HSAG)
have announced that they have received a six-month funding
extension for the HSAG Hospital Improvement Innovation Network
(HIIN). For the last two years, the HSAG HIIN has served as one
of the 16 such networks across the country awarded a contract by
the Centers for Medicare & Medicaid Services. The funding
supports key quality and safety efforts at 277 hospitals
nationwide, including 248 hospitals in California. This extension
allows the HIIN to continue its work through March 2019; no
action by hospitals is required.
The HSAG HIIN is ranked fourth nationally in outcomes achieved,
and has reported a cost savings of an estimated $212,499,679
since the program’s start in 2016. To date, the hospitals in HSAG
HIIN have prevented approximately 25,205 harms and saved
approximately 1,777 lives. The contract extension will support
current initiatives to eliminate harm and support additional
innovation to address:
California hospitals have been driving improvement in sepsis
care, leading to improved survival of this life-threatening
disease. Statewide, California hospitals strictly adhere to
evidence-based identification and treatment protocols. More
sepsis resources can be found on the CHPSO
The Centers for Disease Control and Prevention has released a
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.
The Centers for Medicare & Medicaid Services (CMS) will provide
confidential, hospital-specific reports on two disparity methods
that assess hospital performance for patients with social risk
factors in the Hospital 30-day, All-Cause, Risk-Standardized
Readmission Rate Following Pneumonia Hospitalization (NQF #0506)
The reports will be available by Aug. 24 and available for
preview through Sept. 24.
CMS will host a national provider call on Sept. 12 from 1-2 p.m.
(PT) to review the disparity methods and answer questions. Once
available, registration details will be provided in CHA
The Centers for Medicare & Medicaid Services (CMS) announced in
the attached memo that its interpretive guidance for helping to
reduce suicide and self-harm in health care facilities will
include The Joint Commission’s
ligature risk recommendations. CMS states in the memo that,
until it releases its guidance, state survey agencies and
accrediting organizations “may use their judgment as to the
identification of ligature and other safety risk deficiencies,
the level of citation for those deficiencies, as well as the
approval of the facility’s corrective action and mitigation plans
to minimize risk to patient safety and remedy the identified
The American Society for Health Care Engineering, a professional
membership group of the American Hospital Association, has
tools and resources to help hospitals address ligature risk
and patient safety.
In its fifth year, the Hospital Quality Institute (HQI) Annual Conference will spotlight physician leaders from NASA as well as the U.S. Navy and Air Force. Featuring themes of respect, reliability and resilience, the conference will be held Oct. 28–30 in Huntington Beach. A panel discussion moderated by Neil Romanoff, MD, will feature Jim Bagian, MD, PE, physician engineer and former NASA astronaut; U.S. Air Force Colonel Yvonne Cagle, physician and former NASA astronaut; and naval Commander Zac Alexander, MD.
HQI invites hospital quality improvement, risk, and patient safety leaders to learn strategies and tools for leading reliability, transforming care and delivering value to each person, each time and in each community. Details and registration information are available at www.hqinstitute.org/hqi2018.
The second segment of a four-part online
training course on antibiotic stewardship is now available
from the Centers for Disease Control and Prevention (CDC). The
newly released segment consists of four modules focused on
outpatient antibiotic use in the U.S., offering information on
barriers to appropriate outpatient antibiotic
prescribing; the core elements of outpatient antibiotic
stewardship and evidence-based strategies to implement those
elements; and training for communicating with patients when
antibiotics are not necessary. Completing the training
qualifies for certain continuing education credit and counts as
an improvement activity under Medicare’s new Merit-based
Incentive Payment System.
For more antibiotic stewardship resources, visit the
previously reported in CHA News, an outbreak of
Burkholderia cepacia complex infections associated with
associated with Medline Remedy® Essentials No-Rinse Foam
continues to be investigated by the California Department of
Public Health. The manufacturer has expanded its previously
announced recall to include:
An additional master lot of the Medline
Remedy® Essentials No-Rinse Foam
Medline Remedy® Essentials No-Rinse Foam four-ounce bottles
from the M05703 master lot; the initial recall only included
eight-ounce bottles from this lot.
Additional cosmetic products and over the counter medications
Health care facilities should determine whether they use any
recalled products and, if so, follow the manufacturer’s
recall instructions. More details about the investigation and
recalled products are
available online. Questions should be directed to HAIprogram@cdph.ca.gov.
The Emergency Medical Services Authority (EMSA) has released the
attached proposed regulations that would establish standardized
best practices for stroke and ST elevation myocardial infarction
(STEMI) critical care systems. According to EMSA, the proposed
regulations will protect public health and safety by establishing
minimum requirements for the development and implementation of a
STEMI or stroke critical care system plan, plan update
requirements, the process for hospital designation and data
collection. The regulations would also authorize EMSA to annually
review and approve STEMI and stroke critical care system plans
and plan updates submitted by local emergency medical services
CHA is currently reviewing the proposed regulations in
anticipation of submitting comments, which are due July 25. For
more information, including public comment forms, visit the
CHA has compiled a list of quality measures required for public
reporting and performance-based programs for hospitals and other
post-acute care providers. The attached file includes a table
showing measures that are duplicated across federal reporting
programs, as well as a tab for each individual federal program,
including inpatient quality reporting, outpatient quality
reporting, value-based purchasing, readmissions reduction,
hospital acquired condition penalty, meaningful use, inpatient
psychiatric facility quality reporting, prospective payment
system-exempt cancer hospital quality reporting, ambulatory
surgical center quality reporting, and accountable care
organizations. The Excel workbook also includes post-acute care
quality reporting programs, including inpatient rehabilitation
facility quality reporting, long-term care quality reporting,
home health quality reporting and skilled-nursing facility
quality reporting programs.
The information in the document comes from various sources,
including Centers for Medicare & Medicaid final regulations and
the National Quality Forum, and will be updated as new measures
are added through the federal rulemaking process.