Clinical Care

About Clinical Care

California’s hospitals are dedicated to providing high-quality, safe, and person-centered health care. This wouldn’t be possible without the clinical services hospitals provide, which include emergency care, surgery, X-ray/radiology, laboratory services, and behavioral health care. The care that hospitals provide is shaped by their communities’ needs.

CHA Emergency Services Forum Discussed Patient Volume, Regulations, and Innovation

What’s happening: CHA hosted the 2024 Emergency Services Forum on May 6 in Newport Beach, California. The forum covered an array of topics, including compliance with legislation, regulating ambulance patient offload time, the impact of recent changes in the behavioral health system on emergency departments (EDs), and a keynote address by RaDonda Vaught, a nurse who was convicted of negligent homicide after accidentally giving a patient the wrong medication.   

What else to know: The forum saw a record attendance of 156 attendees this year, a capacity crowd of professionals and providers from around the state. The gathering provided clarity on laws that affect EDs, previewed upcoming regulations, and provided ED personnel the opportunity to discuss prehospital challenges. Those in attendance said it was a reminder there is a resilient community to lean on.  

Doula Access in Hospitals: What the Law Requires

Join this webinar and learn more about creating a partnership between your hospital and the doulas that serve your geographic area. Learn about the legal requirements associated with doulas as well as best practices from a hospital with a successful doula program.

FDA Finalizes Rule on Laboratory-Developed Tests

What’s happening: The Food and Drug Administration (FDA) finalized a regulation of laboratory-developed tests (LDTs), effective July 5. 

What else to know: The final rule amends FDA regulations to make explicit that in vitro diagnostic (IVD) products, which include LDTs, are devices under the Federal Food, Drug, and Cosmetic Act.  

HRSA Implements Long-Awaited Dispute Resolution Process

What’s happening: The Health Resources and Services Administration (HRSA) finalized requirements and procedures for the 340B Drug Discount Program’s administrative dispute resolution (ADR) process.  

What else to know: The regulation is effective June 18.  

Panel Explores Reasons for Hospital Maternity Ward Closures 

What’s happening: The closure of labor and delivery units in California hospitals was the focus of a recent panel discussion sponsored by the nonprofit news organization CalMatters. Peggy Wheeler, CHA vice president, policy, appeared on the panel.  

What else to know: The discussion “No Deliveries: When Maternity Wards Close, Where Do Patients Go?” focused on the pace and impact of maternity unit closures and efforts to protect access. Wheeler shared the reasons underlying these closures, including low birth rates, workforce challenges, and insufficient Medi-Cal reimbursement rates.  

BRN Seeks Input on Areas for Improvement

What’s happening: The California Board of Registered Nursing (BRN) invites registered nurses and community stakeholders to complete its consumer satisfaction survey.   

What else to know: Anyone who has interacted with or been contacted by the BRN is encouraged to complete the survey by May 27.