Hospital Operations

About Hospital Operations

Hospitals are grappling with staffing shortages, financial shortfalls, and extensive oversight and regulation. One in five hospitals is at risk of closure, yet hospitals remain committed to maintaining the care communities rely on and supporting the state’s health care workforce. To do this, hospitals are actively working with legislators and policymakers to find innovative and efficient ways to deliver care to all Californians.

Hospital Tours are Key to Rallying Support for Seismic Legislation

What’s happening: CHA-sponsored legislation that would offer important modifications to 2030 hospital seismic standards is making its way through the Legislature.  

What else to know: CHA is urging hospitals to help build support for Senate Bill (SB) 1432 by offering tours to their lawmakers and elected officials now through July. Marshall Medical Center in Placerville successfully held tours to showcase the challenges of seismic construction.    

CHA Urges Hospitals to Contact Lawmakers as Seismic Bill Heads to Assembly Health Committee

What’s happening: CHA issued an alert encouraging members to send letters to their state Assembly members in support of Senate Bill 1432, which offers important modifications to the 2030 seismic standards related to timing and financial support.  

What else to know: The deadline to submit letters is June 17. The CHA-sponsored legislation passed out of the state Senate in May on a near unanimous vote. It is scheduled to be heard in the Assembly Health Committee on June 25.  

HHS Launches New Program to Enhance Cybersecurity for Health Care Facilities

What’s happening: The Department of Health & Human Services’ (HHS) Advanced Research Projects Agency for Health launched a new program to enhance and automate cybersecurity for health care facilities. 

What else to know: The Universal PatchinG and Remediation for Autonomous DEfense (UPGRADE) program will invest more than $50 million to create tools for information technology teams to better defend hospital environments. 

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.  

Federal Agencies Issue Alert on Black Basta Ransomware Group

What’s happening: Several federal agencies issued a joint cybersecurity advisory on the Black Basta ransomware group accelerating attacks targeting the health care industry.  

What else to know: Black Basta has attacked at least 500 organizations globally between April 2022 and May 2024. 

CHA Continues Work to Hold Insurers Accountable

What’s happening: CHA continues to await a response to the lawsuit filed against Anthem Blue Cross on April 23.    

What else to know: In the interim, CHA continues to collect information to support its position that many managed care plans, including Anthem Blue Cross, are violating certain provisions of the Knox-Keene Act.   

AHA to Host Leadership Experience in October

What’s happening: The American Hospital Association (AHA) will host the AHA Leadership Experience event on Oct. 8-10, and a two-hour virtual capstone on Nov. 7.  

What else to know: The event will help participants create a new professional strategy to offset the demands of the fast-paced health care environment. Early bird registration ends on June 1.  

Hospitals No Longer Required to Report COVID-19 Data to HHS

What’s happening:Hospitals are no longer required to report COVID-19 data mandated by the Centers for Medicare & Medicaid Services (CMS) to the Department of Health and Human Services (HHS) through the National Healthcare Safety Network, effective April 30.  

What else to know:CMS is proposing a new standard — currently under public comment — requiring hospitals and critical access hospitals to electronically report information about COVID-19, influenza, respiratory syncytial virus, and hospital bed capacity in a standardized format and frequency. CMS anticipates that this reporting will begin in October.  

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.  

CHA Will Host Webinar on Mandatory Bundled Payment Model

What’s happening: CHA will host a complimentary, members-only webinar on May 1 at noon (PT) to discuss the mandatory bundled payment model proposed by the Centers for Medicare & Medicaid Services (CMS). Registration is open. 

What else to know: CMS proposed the Transforming Episode Accountability Model (TEAM), which will hold selected hospitals accountable for the cost and quality of certain surgical procedures.