Hospital Operations

About Hospital Operations

California’s hospitals and health systems employ more than half a million people — the front lines of health care in the state. Hospitals have the deepest respect and appreciation for health care workers — the hundreds of thousands of women and men who give of themselves each day to care for others.

Priority 1 for every hospital and health system is the safety of patients and workers, and hospitals endeavor to provide their staff with wages and benefits that are unmatched anywhere else in the nation.

By doing these things, and working with legislators and policymakers, hospitals are able to ensure the needs of the patients and communities they serve will continue to be met.

CMS Issues Final Revisions of Co-Location Guidance 

The Centers for Medicare & Medicaid Services (CMS) has issued final guidance on hospital co-location with other hospitals or health care facilities.   The guidance — which is revised from earlier 2019 draft guidance — clarifies how CMS and state surveyors will evaluate space-sharing or contracted staff and service arrangements for compliance with the Medicare Conditions of Participation. CHA is reviewing the draft guidance and will […]

U.S. House Democrats Advance Physical Infrastructure Bill  

Late Friday, the U.S. House of Representatives voted 228-206 to advance President Biden’s $1 trillion physical infrastructure legislation, the Infrastructure Investment and Jobs Act.   The five-year spending bill includes a CHA-supported provision to invest $65 billion in broadband as well as funding to improve cybersecurity. The majority of the bill’s funding is directed toward roads, bridges, ports, rail transit, […]

House Advances CHA-Supported Bill to Support Front-Line Health Care Workers

On Nov. 4, the House Energy & Commerce Health Subcommittee passed by voice vote a modified version of the CHA-supported Dr. Lorna Breen Health Care Provider Protection Act (H.R. 1667). The version that passed aligns with the bill (S. 610) that the Senate passed in August.   The bipartisan legislation is named for a doctor who led the emergency […]

CMS, OSHA Issue Regulations on COVID-19 Vaccination Requirements

The Centers for Medicare & Medicaid Services (CMS) has issued an interim final rule with comment period, requiring COVID-19 vaccinations for workers in most health care settings that receive Medicare or Medicaid reimbursement, including but not limited to hospitals, dialysis facilities, ambulatory surgical settings, home health agencies, and long-term care facilities.  

CHA Publishes Lobbying Percentage of Dues for Medicare Cost Reports

Hospitals are required to make adjustments to their Medicare cost reports to eliminate the portion of association membership dues related to certain unallowable lobbying expenses, as defined by Medicare. Each year, CHA calculates the unallowable-cost portion of association dues, which differ by geographic region and by tax status. 

Webinar will Detail Labor and Employment Updates for 2022

To help hospitals comply with the new labor and employment laws taking effect in January, CHA will host a free, members-only webinar on Nov. 9 from 2 to 3:15 p.m. (PT).  Gideon Baum, CHA vice president of policy who specializes in labor and employment issues surrounding hospitals, will provide updates and offer strategies on how CHA members can implement new laws and comply with California regulations.   In addition to the new laws affecting hospitals, webinar attendees will also have […]

Labor and Employment Updates for 2022

Join Gideon Baum, CHA’s Vice President of Policy, who specializes in labor and employment issues surrounding hospitals, as he provides updates and suggests strategies on how CHA members can implement new laws and comply with California regulations.

CMS Innovation Center Outlines Strategy for Next 10 Years

The Center for Medicare and Medicaid Innovation issued a white paper outlining its strategic direction for the next 10 years.   According to the Center, the goal of the new strategy is to achieve equitable outcomes through high-quality, affordable, person-centered care, carried out through five strategic objectives:  Drive accountable care  Advance health equity  Support innovation  Address affordability  Partner to achieve system transformation   Additional information is available in an FAQ document and on the Innovation Center […]