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Hospital Leaders Share Insight From Disaster Experiences

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At last month’s Disaster Planning for California Hospitals conference in Pasadena, a panel of hospital executives whose hospitals had been affected by recent fires and mudslides shared their experiences, reinforced the importance of preparedness, and offered first-hand insight. The video below captures some of their struggles and discoveries both during and after major natural disasters.

Updates for the Week of Oct. 11

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The Centers for Medicare & Medicaid Services has released the following information:

Inpatient Rehabilitation Facility, Long-Term Care Hospital, and Hospice Provider Preview Reports Available
Home Health Preview Reports and Star Rating Preview Reports for the January 2020 Refresh Available in CASPER

New Meaning for ‘Keeping the Lights On’

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This week, California communities experienced the largest intentional blackout yet in the latest power company strategy for mitigating fire risk during extremely dry and windy conditions.

Intended to keep power lines from sparking potentially devastating fires, utility companies intentionally cut electrical power for nearly 1 million people — and their hospitals ­— across the state over the past few days (even more experienced the uncertainty of pending planned outages). 

The question that should be at the top of every Californian’s mind is, “When does a public safety power shutoff jeopardize public safety?”

Hospitals, of course, are better prepared for these events than most other businesses and residents. You’ve got expertise, your staff is well trained, and you have backup generators — as a matter of course, your disaster preparedness plans and requirements kick in and you’re poised to continue caring for patients.

But we know that managing and sustaining the complex and life-saving work that happens in a hospital during a power outage is challenging and not without risk. Surgeries must be preemptively rescheduled, nurse shortages grow as workers are faced with addressing the needs of their own children and families, and all are on high alert to ensure the power backup plan holds. In the community, people in need of nursing homes and dialysis centers are at risk, diabetics with home refrigerators full of insulin are at risk, and people in need of home medical supports are at risk. Add the uncertainty about when power will be restored to public safety concerns, because longer term outages are fraught with greater risk. 

Wildfires can be destructive, with devastating impact for the individuals and communities involved. The risk of fire is greater than it has ever been, but so too is the growing risk to health and safety caused by widespread power outages. If this is the power companies’ public safety strategy for California, it is unacceptable. The way the shutoffs have been rolled out and managed must change. Preventing the need for shutoffs in the first place is the goal. 

Together, CHA and the Regional Associations will press the power companies, state government, and regulators for better. We’ve been working with Pacific Gas & Electric, Southern California Edison, San Diego Gas & Electric, and local government officials to ensure they grasp the obstacles you must overcome during power shutoffs, in order to continue providing seamless care. And we’ll press for additional solutions.

We want to hear about and collect your experiences. If your hospital has been affected by one of the public safety power shutoff events, please share your story with us via email.

In the meantime, thank you for standing strong for your communities. For hundreds of thousands of Californians this week, their homes and businesses were dark, but the lights were on — as always — at their local hospital.

— Carmela

CHA DataSuite Releases Readmissions Reduction Program Analysis

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CHA DataSuite has issued hospital-specific analyses of the Medicare Hospital Readmissions Reduction Program, with detailed performance information on the readmissions measures currently evaluated under the program.

HHS Proposes Changes to Stark Law and Anti-Kickback Statute

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The Department of Health and Human Services (HHS) has issued two new proposed rules, one on the physician self referral law — also known as the Stark Law — and another revising the anti-kickback statute.

SAMHSA Offers Resources on Methamphetamine Use

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The federal Substance Abuse and Mental Health Services Administration (SAMHSA) has produced a  series of videos and other resources for consumers and health care professionals, designed to address methamphetamine use.

CHA Issues Summary of Discharge Planning Final Rule

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CHA has issued a summary, prepared by Health Policy Alternatives, of the final rule addressing discharge planning requirements for hospitals, critical access hospitals, and post-acute care (PAC) settings. The final rule is effective Nov. 29. 

CMS Revises Surveyor Guidance for Laboratories

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The Centers for Medicare & Medicaid Services (CMS) has issued revised guidance for clinical laboratory surveyors, with updates to State Operations Manual (SOM) Chapter 6. That chapter, intended to help regional office and state surveyors administer the Clinical Laboratory Improvement Amendments program, has been revised to remove outdated information and ensure each section matches current policies and procedures.

DHCS Issues Monthly Stakeholder Update

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The Department of Health Care Services has released its monthly Stakeholder Communication Update. Among other topics, the October edition includes information on the California Advancing and Innovating Medi-Cal (CalAIM) initiative, Drug Medi-Cal Organized Delivery System services, trauma screenings reimbursement, and expansion of Medi-Cal to adult individuals ages 19-25, regardless of immigration status.

AHA to Publicly Release Names of Hospitals that Have Signed 340B Good Stewardship Principles

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The American Hospital Association (AHA) announced last week that it will publicly release the names of hospitals that have signed its 340B Good Stewardship Principles by Oct. 18. CHA encourages any 340B covered entity that has not yet signed on to the principles to join the more than 85% of California 340B hospitals already committed to them.