Continuum of Care

About Continuum of Care

As California’s population continues to age, they will require more care and resources from hospitals. An aging population will have an impact on not only inpatient demand at acute care hospitals, but also post-acute care, which covers a wide range of medical services that support recovery from illness or management of a chronic illness or disability. Hospitals and health systems are continuing to evolve change their delivery systems to meet the complex needs of aging populations.

CDPH Updates Quarantine Guidance – Again

The California Department of Public Health (CDPH) revised its quarantine and isolation guidelines for a second time in as many weeks through a new All Facilities Letter (AFL) that takes effect today. Earlier guidance was aligned with recent Centers for Disease Control and Prevention guidance, which permitted — in the event of critical staffing shortages […]

CDPH Issues Guidance on Hospice License Moratorium

The California Department of Public Health (CDPH) has issued All Facilities Letter 21-53, which provides guidance on the implementation of a moratorium on hospice licensure, as established by Senate Bill 664.   The moratorium takes effect Jan. 1, 2022, and will remain in place until 365 days from the date that the California state auditor publishes a report on hospice licensure. Under the new law, […]

CDPH Updates Guidance on Hospital-to-Skilled-Nursing Facility Care Transitions 

The California Department of Public Health has issued updated guidance about the admission and readmission of patients and residents to skilled-nursing facilities (SNFs) during seasonal surges and the COVID-19 public health emergency.   All Facilities Letter (AFL) 20-87.1 updates previous guidance addressing related SNF policies for testing and quarantine of admissions and re-admissions, including consideration of vaccination status. The […]

CHA Submits Additional Comments on CMS IRF Review Choice Demonstration

CHA has submitted additional comments to the Centers for Medicare & Medicaid Services (CMS) about the proposed inpatient rehabilitation facility (IRF) review choice demonstration. Under the demonstration, IRFs will choose either pre-claim or post-claim review for all claims. Once an IRF reaches a 90% claim approval, it may choose to be released from 100% claim […]

State Expands Vaccine Mandate to Include Home Health, Hospice Workers

The California Department of Public Health (CDPH) has issued a new vaccine mandate for direct care workers — including those working in home health, hospice, in-home supportive services, assisted living facilities, regional centers, and others — that expands on previous CDPH actions to mandate vaccines for hospital and skilled-nursing facility employees. The order is effective immediately, with full compliance […]