California hospitals priorities and goals: state hospital associations and organizations pool resources.Combining their resources last year, the California Healthcare Association, the Healthcare Association of Southern California Southern California, also colloquially known as SoCal, is the southern portion of the U.S. state of California. Centered on the cities of Los Angeles and San Diego, Southern California is home to nearly 24 million people and is the nation's second most populated region, , the Hospital Council of Northern and Central California Central California can refer to one of several divisions or regions of the U.S state of California:
According to according to prep. 1. As stated or indicated by; on the authority of: according to historians. 2. In keeping with: according to instructions. 3. the California Healthcare Association (CHA n. 1. Tea; - the Chinese (Mandarin) name, used generally in early works of travel, and now for a kind of rolled tea used in Central Asia. A pot with hot water . . . made with the powder of a certain herb called chaa, which is much esteemed. - Tr. J. ), the driving vision behind these goals is "the achievement of an optimally healthy society." It is the belief of the CHA that realizing the vision requires, "...teamwork among many public and private interests. Communities must change; incentives of providers must be aligned; public and private financing must be fair and adequate; and accountability, which is balanced among patients, providers and payers, must become a reality." Several of the key priorities and goals from the CHA's list follow below. Some of the goals have already been partially achieved. State Priorities and Goals for Hospitals * ELIMINATE BARRIERS TO INTEGRATION AND SUPPORT RESPONSIBLE REFORMS Priority: Support the development of community-based health care organizations that deliver coordinated care, in which incentives are aligned to promote an optimally healthy society. Eliminate roadblocks to delivering efficient, cost-effective, high-quality care. Goals: Enable health care delivery systems with appropriately aligned incentives to accept full financial risk for services, subject to reasonable financial requirements and other safeguards. Encourage and enable the use of capitated and other bundled payment arrangements for delivering comprehensive health care services. Authorize provider-sponsored networks (PSNs) to contract directly with Medicaid and qualified employers for services. Remove barriers to coordinated care and physician-hospital partnerships through amendment of patient-referral, antitrust professional restrictions, and other impeding laws and regulations. Preserve the Medical Injury Compensation Reform Act The Medical Injury Compensation Reform Act (MICRA) of 1975 was a California law designed lower medical malpractice premiums for Californians. Parts Micra Consists of the following parts: Support incremental health reform legislation which moves California toward an optimally healthy population and ensures that every California resident is entitled to equitable access to medically necessary medically necessary Managed care adjective Referring to a covered service or treatment that is absolutely necessary to protect and enhance the health status of a Pt, and could adversely affect the Pt's condition if omitted, in accordance with accepted , affordable, quality health care, building on private-public partnerships. This should include expanding employed and self-employed groups able to obtain coverage from the Health Insurance Plan of California and expanding reforms which assure portability, guaranteed issue and open-enrollment periods which mitigate against adverse selection, guaranteed renewability and limitations on pre-existing conditions. * PROTECT HEALTH CARE FUNDING Priority: Prevent or mitigate health care funding cuts and other state budget-related actions which adversely affect funding for medically necessary health care. Goals: Protect funding for the delivery of medically necessary health care, including traditional Medi-Cal programs, coordinated and managed care programs, pilot projects and other state programs. Improve the Medi-Cal managed care program by establishing adequate minimum capitation CAPITATION. A poll tax; an imposition which is yearly laid on each person according to his estate and ability. 2. The Constitution of the United States provides that "no capitation, or other direct tax, shall be laid, unless in proportion to the census, or rates that reflect the cost of efficiently providing care. Require county governments to maintain their existing levels of funding for health services health services Managed care The benefits covered under a health contract in all subsequent years. Support funding for safety-net/essential community hospitals, rural hospitals, teaching institutions and specialty services, and, in cooperation with other stakeholder stakeholder n. a person having in his/her possession (holding) money or property in which he/she has no interest, right or title, awaiting the outcome of a dispute between two or more claimants to the money or property. organizations, provide leadership in restructuring California's health care safety net. * ASSURE ACCOUNTABILITY FOR PERFORMANCE AND QUALITY Priority: Develop consensus on responsible, standardized reporting of accurate and quality financial and performance data that can be easily understood by the public and does not place unnecessary burdens on health care providers and plans. Goals: Redesign the Office of Statewide Health Planning and Development (OSHPD OSHPD Office of Statewide Health Planning and Development (California Health and Human Services Agency) ) hospital discharge and data system to eliminate unnecessary and outdated data elements, streamline the reporting requirements and modernize the data collection, analysis and reporting systems. Provide leadership with other key stakeholders Stakeholders All parties that have an interest, financial or otherwise, in a firm-stockholders, creditors, bondholders, employees, customers, management, the community, and the government. , including physician organizations, health care service plans, insurers, business alliances, major public purchasers and regulatory agencies to: Support development of an agreement on valid and meaningful measures of quality. Support development of a cost-effective process for data collection, analysis and distribution of information to the public and others. Establish accountability principles and standards for providers; create community and public accountability criteria for outcomes and quality. Consistently gather feedback from providers to determine their satisfaction with health plans, including clarity, timeliness, benefits, payment practices, administrative requirements and responsiveness. Publish the results for the public. * IMPROVE AND UPDATE REGULATIONS Priority: Support changes to laws and regulations which create a climate for health care providers to deliver efficient, cost-effective, quality services. Goals: Support work redesign initiatives, efficient use of health care personnel, and other health care delivery innovations in light of changing technology and medical advances, demands for health care cost containment cost containment, n the features of a dental benefits program or of the administration of the program designed to reduce or eliminate certain charges to the plan. and a shift to outpatient treatment and recovery. Eliminate unnecessary operational and licensing burdens, including revision of regulations to permit staffing flexibility, flexibility for alternative rural delivery systems, and treatment of outdated pharmaceuticals as medical rather than hazardous waste Hazardous waste Any solid, liquid, or gaseous waste materials that, if improperly managed or disposed of, may pose substantial hazards to human health and the environment. Every industrial country in the world has had problems with managing hazardous wastes. . Advocate for fair and reasonable building code construction and renovation standards, including structural and nonstructural seismic-safety requirements for inpatient and ambulatory care ambulatory care n. Medical care provided to outpatients. ambulatory care, n the health services provided on an outpatient basis to those who can visit a health care facility and return home the same day. facilities. Streamline OSHPD review of small construction/renovation projects. * PREVENT ARBITRARY MEDICARE AND MEDICAID Medicare and Medicaid U.S. government programs in effect since 1966. Medicare covers most people 65 or older and those with long-term disabilities. Part A, a hospital insurance plan, also pays for home health visits and hospice care. FUNDING REDUCTIONS Priority: Support Medicare and Medicaid savings through delivery and payment reforms which build on aligned incentives within community-based health systems that deliver affordable, high-quality, coordinated care. Goals: Support redesign of the Medicare program through the establishment of and participation in an independent commission. Assure the Medicare and Medicaid inpatient and outpatient changes reduce inequities among the states and are equitable to both urban and rural hospitals. Increase California's per capita [Latin, By the heads or polls.] A term used in the Descent and Distribution of the estate of one who dies without a will. It means to share and share alike according to the number of individuals. share of federal Medicaid funds Noun 1. Medicaid funds - public funds used to pay for Medicaid cash in hand, finances, funds, monetary resource, pecuniary resource - assets in the form of money , in dollars as well as relative position among the states. Preserve federal authorization for Medicaid intergovernmental transfers and similar programs which provide funds to safety-net, disproportionate-share, specialty and academic/teaching hospitals. Require states to maintain existing levels of financial effort for Medicaid and maintain minimum requirements for Medicaid payments to providers. Lead intrastate and interstate coalitions to obtain payment for health care provided to undocumented persons and uninsured residents. * ELIMINATE BURDENSOME REGULATIONS Priority: Advocate rational and equitable federal health care legislation, regulations and policies in collaboration with AHA and others. Goals: Reduce Medicare and Medicaid red tape, including cost report streamlining of outpatient reimbursement, and elimination of arbitrary delays in payment and other ineffective or overly burdensome conditions of participation in Medicare. Modify or eliminate regulations which are unduly burdensome or outdated by health care financing and delivery changes or new technologies. Support work redesign initiatives and efficient utilization of the health care work force, including legislation to eliminate daily overtime for all industries except agriculture, to significantly revise current ergonomic ergonomic - Concerning ergonomics or exhibitting good ergonimics. requirements and to eliminate excessive Department of Labor reporting. |
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