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California Advancing and Innovating Medi-Cal (CalAIM), is a multiyear process led by the California Department of Health Care Services (DHCS), with goals to improve the health outcomes and quality of life experienced by Medi-Cal patients.CalAIM initiative, originally scheduled for Jan. 1, 2021, implementation, was postponed due to the COVID-19 public health emergency. In January, DHCS...
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State Health Order on Hospital Surge Released
The State Health Order, released by the California Department of Public Health (CDPH) Jan. 5 and amended Jan. 6, is in effect through at least Jan. 26 and unless rescinded, primarily does two things:
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On March 12, the Department of Health Care Services (DHCS) uploaded three new hospital-directed encounter files, available via the secure file transfer protocol site (the site is only intended for file transfers, and uploaded files will be deleted within 45 days).
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The Hospital Association of Southern California has developed a new toolkit to communicate that COVID-19 remains active throughout California and requires preventative action like facemasks and social distancing. The toolkit includes graphics and pre-formatted messages designed to help hospitals with effective COVID-19 prevention.
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Leadership in both the Senate and Assembly have announced committee memberships for the 2021-22 legislative session. In the Assembly, chairs of committees of key interest for hospitals — including Health, Business and Professions, and Appropriations — remain the same, although there have been changes in sitting members.
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Has the state of California released any guidance for hospitals on crisis standards of care?
In June, the California Department of Public Health (CDPH) issued its California SARS-CoV-2 Pandemic Crisis Care Guidelines: Concept of Operations/Health Care Facility Surge Operations and Crisis Care, providing a framework to help health care facilities plan for an overwhelming medical surge due to the pandemic. The guidelines include an overview of surge capacity and crisis care operational considerations, as well as a decision-making framework for allocating ventilators and pandemic patient care strategies for scarce resource situations.
Importantly, while the Guidelines provide information to support individual health care facilities or health system operations, CDPH makes clear that the Guidelines do not replace the judgment of operational management, medical directors, legal advisors, or clinical staff or consideration of other relevant variables and options. To assist hospitals as the winter surge continues to grow, CHA has prepared several resources that highlight the guidelines’ key concepts and planning considerations for allocating scarce medical resources during surge operations. These include:
CHA recommends that when hospitals implement the crisis care guidelines they notify the local CDPH district office as a way of communicating the change in operations at the hospital.
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On Oct. 17, President Trump signed the National Suicide Hotline Designation Act into law, designating 988 as the nationwide three-digit phone number to connect people experiencing mental health crises to the National Suicide Prevention Lifeline.
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REMEMBER, RECHARGE, and RECONNECT
“Learn from the past, prepare for the future, live in the present.”
-Thomas Monson
What health care workers experienced over the last two years will be talked about for generations to come. We suffered professional and personal losses, pushed ourselves beyond our limits, and learned more than we ever expected. Fortunately, one of our greatest strengths is resiliency. Through it all, we strengthened ties with our colleagues, communities, and families.
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Join us for the 2024 Emergency Services Forum in beautiful Newport Beach. This conference is dedicated to the uniqueness of hospital ED management and its intersection with emergency services and the community.
