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Last week, the state Senate and Assembly began their slow creep toward a return to minimal business, holding teleconference hearings on COVID-19, its impact on California, and how the pandemic will affect this and next year’s budgets.
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The President has declared a national emergency, which allows hospitals to submit requests for reimbursement by the Federal Emergency Management Agency (FEMA) for certain funds.
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The Centers for Medicare & Medicaid Services (CMS) has issued its calendar year (CY) 2021 outpatient prospective payment system (OPPS) proposed rule. In addition to annual payment and quality updates, CMS proposes significant cuts for drugs purchased under the 340B drug savings program, would eliminate the inpatient-only (IPO) list over three years, expand the list of outpatient services subject to prior authorization, and make significant changes to the hospital star ratings methodology.
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The COVID-19 pandemic has resurrected many well-worn aphorisms: “New normal,” “Unlike anything we’ve seen before,” “Once-in-a-lifetime crisis.”
These phrases can help us make sense of circumstances and events that have been challenging to cope with and even more difficult to recover from. Of course, they do little to help where it’s needed most.
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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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At the Hospital Quality Institute’s (HQI) annual conference earlier this week, Santa Clara Valley Medical Center (SCVMC) was honored with the 2019 C. Duane Dauner Award,
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CHA acknowledges the 20th anniversary of To Err Is Human: Building a Safer Health System – the clarion call for patient safety – with an op-ed recognizing all California hospitals have done to respond over the last two decades, and their continued commitment to quality improvement.
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The California Department of Public Health has released All Facilities Letter (AFL) 19-02.1, which rescinds AFL 19-02 and further clarifies licensing requirements related to treatment for narcotic addiction.
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Walter Ginter began using heroin in the early 1970s while serving in the Army. By 1977, desperate to kick the habit, he turned to daily doses of methadone, a synthetic opioid that eases withdrawal and decreases cravings. The treatment worked.
“I have a good life today,” says Ginter, 69, project director for the New York-based Medication Assisted Recovery Support Project. “I wouldn’t have it without medication.”
Ginter was a member of a National Academies of Sciences, Engineering and Medicine committee that examined the three medications — methadone, buprenorphine (typically sold under the Suboxone brand name) and extended-release naltrexone (Vivitrol) — that the government has approved to treat opioid addiction.
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President Trump on Wednesday signed bipartisan legislation to address the opioid crisis. The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (H.R. 6) includes a number of provisions intended to reduce opioid use and improve treatment and recovery programs for substance use disorders (SUD). CHA has summarized the key provisions for hospitals, and has attached a detailed legislative summary prepared by Health Policy Alternatives.