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 Develops State and National Partnerships to Advance Pharmacy Practice

What’s happening: CHA and the California Society of Health-System Pharmacists (CSHP) are calling on pharmacy professionals to join the movement for substantive change in pharmacy practice through their partnership with the American Society of Health-System Pharmacists’ (ASHP) Practice Advancement Initiative (PAI) — and joining the movement begins with taking the California Hospital Survey.  

What else to know: Originally launched in 2010, PAI has helped pharmacists across diverse practice settings implement local changes to improve patient care — and ASHP is bolstering these efforts by launching PAI 2030. In PAI 2030, ASHP has introduced 59 updated recommendations aimed at enhancing medication use, expanding the roles of pharmacists and technicians, and embracing emerging technologies.  

CDPH Issues New Guidance to Support Doula Access in Hospitals

What’s happening: The California Department of Public Health (CDPH) released All Facilities Letter (AFL) 25-13 on March 24 that offers guidance to hospitals on supporting the Medi-Cal doula benefit — available since January 1, 2023 — and outlines recommendations for patient visitation policies and procedures. 

What else to know: As noted in the AFL, called Benefits of Doula Support and Recommendations to Accommodate Doula Services and Foster a Doula-Friendly Environment, doulas offer emotional, physical, and informational support during pregnancy, labor, delivery, and up to one year postpartum. Hospital policies play a key role in creating a welcoming environment for doulas and the families they serve.  

Court Rules FDA Cannot Regulate Laboratory-Developed Tests

What’s happening: In a final judgment filed March 31, the U.S. District Court for Eastern Texas ruled that the Food & Drug Administration (FDA) does not have the authority to regulate laboratory-developed tests, rendering a final rule issued May 6, 2024, null and void.  

What else to know: This final rule phased out the FDA’s general enforcement discretion approach for most laboratory-developed tests to instead provide greater oversight.  

Issue Brief: Protecting Maternity Services in California

Current California standards require health plans to ensure that their enrollees have timely access to medical care — such as being within 15 miles or a 30-minute drive from a hospital. Unfortunately, many people covered by Medi-Cal still face significant hurdles to access care.

Registration Opens for DHCS Birthing Care Pathway Webinar

What’s happening: On March 4, the Department of Health Care Services (DHCS) is hosting a webinar from 3-4:30 p.m. (PT) to discuss the Birthing Care Pathway, a comprehensive policy and care model roadmap to address racial and ethnic disparities throughout the journey of pregnant and postpartum Medi-Cal members — from conception through 12 months postpartum. Registration is open.  

What else to know: The goals of the roadmap are to reduce maternal morbidity and mortality and address these significant disparities in maternal health outcomes among Medi-Cal members who are Black, American Indian/Alaska Native, and Pacific Islander.