Latest California Healthline Stories
EHR Security Measure Might Have Hidden Consequences
The intent of SB 850 is relatively simple, its author Mark Leno (D-San Francisco) said yesterday at a Senate Judiciary Committee hearing.
“Specifically, the bill requires the electronic health record to log a change or deletion, and that change or deletion note needs to include the identity of whoever made the change,” Leno said, adding “Without these requirements and protections, there could be real concern for the well-being of the patient.”
Changes to an EHR can go unnoticed and can be harder to trace than changes made to paper records, according to Leno.
Use of Urgent Care Growing in Southern California
Patients in Los Angeles and Orange counties avoid long waits for emergency department treatment or an appointment with their primary care physician when they opt for urgent care.
Health IT Building Blocks Are Building Up
Health information technology is going to be crucial in successfully revamping California’s health care system. In two short years, California hopes to have most physicians across the state using electronic health records — and to have those records linked through a health information exchange system, using a provider directory services database.
California took a big step toward realizing those goals, when Cal eConnect announced yesterday that it’s ready to start taking bids from vendors that would design that provider directory services system.
That RFP, or Request for Proposals, will be a central topic of conversation when Cal eConnect convenes today (Wednesday) for a membership meeting.
Sequels to ObamaCare: ScottCare, ShumlinCare and More Take Stage
As states implement the federal health care law, three new governors are carrying out bold health reforms of their own — and possibly setting a template for similar decisions across the nation.
Health Care Providers Gearing Up To Roll Out Accountable Care Organizations in California
Don Crane of the California Association of Physician Groups, Kristen Miranda of Blue Shield of California and Leah Newkirk of the California Academy of Family Physicians spoke with California Healthline about efforts to create accountable care organizations in California.
More Money Could Go to Work Force Training, Report Says
The California Senate Office of Research released a report yesterday that looks at where federal funding for work force investment is going. And, apparently, it’s not to work force training.
“In California, most Local Workforce Investment Boards have reported investing little of their federal funds into work force training and instead have spent a substantial amount on other employment services,” the report stated.
There are hundreds of millions of dollars allocated to California each year under the federal Workforce Investment Act of 1998, according to the report. Most of that money is spent at the local level, in local investment boards.
Round One Goes to Services for Developmental Disabilities
California facilities for residents with developmental disabilities have been squeezed by state budget cuts — including a Medi-Cal freeze on some reimbursement rates. But just because California is low on cash, that doesn’t give the state the right to freeze those rates, U.S. District Court judge Christina Snyder said. She issued a preliminary injunction on Friday that halted some budget-cutting measures that don’t follow the law.
“Judge Snyder’s ruling is that the rate freeze was applied unlawfully,” Mark Reagan, attorney for the California Association of Health Facilities, said.
“This is just one round,” Reagan said, adding, “There will certainly be more rounds to come. But at least this piece has been achieved.”
Balance of Better Care, Privacy in Federal ACO Proposal
CMS’ proposal to share Medicare data with accountable care organizations reflects the important role of health information in health care delivery reform and has important implications for patient privacy.
Senate Health Committee Moves Single-Payer Bill
Many dozens of single-payer supporters crammed the Senate Committee on Health chambers on Wednesday for hearing on a bill that would set up a single-payer health system in California.
The supporters were respectful and emphatic as they all stepped, one by one, up to the microphone to voice their support for such a model. After all of the advocates took their turn and returned to their seats, Senate Health Committee Chair Ed Hernandez (D-West Covina) wanted to know if there were any more speakers, so he politely asked if there was anyone else in the audience who was in favor of the bill.
And a sea of hands went up, as nearly everyone in the audience spontaneously and quietly raised their hands.
Intermediate Care Facilities Catch a Break
A U.S. District Court judge this week issued a ruling that temporarily prohibits California from freezing Medi-Cal reimbursement rates for intermediate care facilities that care for residents with developmental disabilities. Medi-Cal is California’s Medicaid program.
A permanent ruling is expected soon, possibly by the end of the week. However, even the temporary stay is a big victory for developmental services providers and their patients, according to Deborah Pacyna of the California Association of Health Facilities.
“These providers are required to provide quality care 24 hours a day, and yet they’re having to pay out of their own pockets to do that, to the point of possibly closing,” Pacyna said, adding, “They’re paying for patient assessments, staffing, fuel, food, in spite of being faced with this rate freeze, so we hope the judge recognizes this financial hardship.”