Saturday, July 21, 2018

OCMA Blog

Amended OCMA Bylaws

The Bylaws Committee of the Orange County Medical Association has reviewed and updated the organization's bylaws. The revisions have been approved by the Board of Directors and will be approved at the General Membership Meeting in May.   The revised Bylaws can be found by clicking here

Paul B. Yost, M.D. Elected Chair of CalOptima Board of Directors

During its March 2, 2017 meeting, the CalOptima Board of Directors elected Paul B. Yost, M.D. to serve the remainder of Mark Refowitz’s term as chair of the CalOptima Board of Directors.  Mr. Refowitz previously announced his retirement as Director of the Orange County Health Care Agency, effective March 30, 2017.  He also announced he would be stepping down from the CalOptima Board subsequent to the March 2 regular meeting.  Dr. Yost’s current term as chair will conclude at the end of 4 months, when the next election is scheduled.

Congratulations to Dr. Yost on this tremendous accomplishment.


CHOC was named a 2016 Healthcare Information and Management Systems Society (HIMSS) Enterprise Davies Award recipient

Children’s Hospital of Orange County (CHOC) was named a 2016 Healthcare Information and Management Systems Society (HIMSS) Enterprise Davies Award recipient for achieving improvements in patient care through the use of health information technology. CHOC is the only children’s hospital on the West Coast— and third in the country— to be honored with the award since its inception.
 
Since 1994, the HIMSS Nicholas E. Davies Award of Excellence has recognized the outstanding achievements of organizations that use health information technology to improve patient care while achieving cost savings. As an award recipient, CHOC will share case studies and lessons learned with other health care organizations across the nation.
 
“CHOC has made significant investments in health information technology designed to enhance quality and patient safety – our highest priorities.  We designed and implemented our electronic health record (EHR) with a focus on improving care.  Because building and using an effective EHR is not always easy, and is certainly expensive, it’s gratifying to see measurable improvement from our efforts and investments.  Making kids’ care better— making kids’ lives better—is the ultimate outcome, and proves the value,” says Dr. James Cappon, chief quality officer, CHOC.
 
CHOC received the award from HIMSS based on four case studies that detailed how the use of health information technology and standardized clinical processes has improved patient care. The case studies included: 
 
•       Through education, a standardized care bundle, and EHR-enabled best practice guidance to minimize urinary catheter use and duration, CHOC significantly reduced catheter-associated infections and urinary catheter use. 

•       Using embedded, evidence-based care guidelines to control asthma and an alert system that triggered when patients were about to be discharged before a home management plan was created, CHOC drove down the average length of stay for asthma patients from 2.14 days to 1.72 days. Asthma readmissions within 30 days also fell from an average of 1.7 per quarter to 0.7 per quarter.
  

•      CHOC implemented an EHR-enabled Pediatric Early Warning System (PEWS) to trigger a rapid response team for deteriorating patients. As result, approximately 369 children have avoided resuscitation, with potentially as many lives saved.
 
•       CHOC implemented centralized breast milk preparation including barcoding to effectively eliminate feedings of the wrong breast milk. Efficiencies associated with the centralized processes for breast milk preparation resulted in significant annual savings. 
 
“CHOC demonstrates an enterprise-wide approach to collaboratively identifying clinical challenges, selecting IT interventions and developing workflows to address those challenges,” said Jonathan French, senior director of quality and patient safety and Davies program director with HIMSS. “Through using information technology to standardize care and continually look to improve care delivery and outcomes, CHOC has significantly improved the quality and patient safety outcomes for their patients. HIMSS is proud to recognize CHOC as a 2016 Davies Enterprise Award winner.”
 
Named one of the best children’s hospitals by U.S. News & World Report (2016-17) and a 2016 Leapfrog Top Hospital for safe, quality care, CHOC has achieved recognition as a HIMSS Stage 7 EMR (electronic medical record) adoption hospital. CHOC is also a leader in the adoption of population health technologies, and is a recipient of a $17.7 million grant from the Centers for Medicare & Medicaid to help Southern California pediatricians expand their quality improvement capacity, learn from one another and achieve common goals of improved care.
 
“These examples of our institutional quality and safety initiatives are an important part of our mission to nurture, advance and protect the health and well-being of children.  As we now reach out to the larger community with our population health efforts, our focus extends to keeping well children well,  in addition to keeping those who are ill as well as they are able to be,” explains Dr. William Feaster, chief medical information officer, CHOC.
 
CHOC will be recognized as a HIMSS Davies Award recipient at the 2017 HIMSS Conference & Exhibition, Feb. 19-23, in Orlando, Fla.  For more information on the awards program, visit the HIMSS Davies Award website.


CHOC Named One of the Safest Hospitals in the Nation by The Leapfrog Group

CHOC Children’s Hospital has once again been named a “Top Hospital” by The Leapfrog Group for providing the safest and highest quality health care services to patients.  CHOC is one of only nine children's hospitals in the nation—and the only one on the West Coast— to earn the prestigious distinction.  

"CHOC is committed to becoming the world's safest children's hospital. While this is a never-ending journey, being named as a Top Children's Hospital for the eighth time by the Leapfrog Group suggests we are on the right track. Leapfrog has always emphasized patient safety as the top priority, one with which our patients, families and partners would no doubt agree. It's a humbling honor, and serves as both encouragement and motivation to continue our efforts to provide the safest, highest quality care possible,” said Dr. James Cappon, chief quality officer, CHOC.

The selection of Top Hospitals is based on the results of the 2016 Leapfrog Hospital Survey. Performance across many areas of hospital care is considered in establishing the qualifications for the award, including infection rates and a hospital’s ability to prevent medication errors. The rigorous standards are defined in each year’s Top Hospital Methodology

“Being acknowledged as a Top Hospital is an incredible feat achieved by less than three percent of hospitals nationwide,” said Leah Binder, president and CEO of The Leapfrog Group. “With this honor, CHOC has established its commitment to safer and higher quality care. Providing this level of care to patients requires motivation and drive from every team member. I congratulate CHOC’s board, staff and clinicians, whose efforts made this honor possible.”

To see the full list of institutions honored as 2016 Top Hospitals, please visit www.leapfroggroup.org/tophospitals.



6 OC Hospitals Receive "A" Rating for Safety

Six hospitals in the Orange County area, including Hoag Hospital Irvine, Hoag Memorial Hospital Presbyterian, Orange Coast Memorial Medical Center, Kaiser Foundation Hospital - Anaheim and Irvine, and UC Irvine, received an A rating from the Leapfrog Group, a national hospital safety organization, which recently released its annual safety ratings for 2016. 

Of the 2,633 hospitals evaluated nationally, 267 were in California. Eighty-one California hospitals received an A rating overall, and the state ranked 26 among the 47 states included in the rating.

Kaiser Permanente hospitals consistently post some of the highest scores.

“Kaiser Permanente is committed to patient safety. The ratings by the Leapfrog Group demonstrate that commitment and the trust we have earned from our patients and members, affirming that they are receiving the right care from a team of compassionate physicians, nurses, and care providers,” said Edward M. Ellison, MD, executive medical director, Southern California Permanente Medical Group. “Our emphasis on infection control and adherence to the safest surgical standards makes Kaiser Permanente hospitals in Southern California among the safest in the nation. 

“In the fast-changing healthcare landscape, patients should be aware that hospitals are not all equally competent at protecting them from injuries and infections. We believe everyone has the right to know which hospitals are the safest and encourage community members to call on their local hospitals to change, and on their elected officials to spur them to action. States that put a priority on safety have shown remarkable improvements.” said Leapfrog President and CEO Leah Binder in a statement.

The Leapfrog Group's safety assessments factor in several criteria from 30 categories, pooled together from various performance measures from sources such as the Centers for Medicare & Medicaid Services and the Centers for Disease Control and Prevention. These include rates of errors, injuries, accidents, and infections, according to the LA Times.

The Leapfrog Hospital Safety Grade is calculated by top patient safety experts and is peer reviewed, fully transparent and free to the public. A full description of the data and methodology used in determining grades is available at www.hospitalsafetygrade.org.

MACRA Implementation: A Review of CMS’ Final Rule

WEBINAR:  November 30, 2016 | 12:15pm - 1:15pm

This webinar offers 1 free AMA PRA Category 1 Credit™ for CMA members. This webinar is also available to nonmembers for $99.*

This webinar will provide an overview of the Centers for Medicare and Medicaid Services (CMS) Quality Payment Program, authorized by the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA).  Our speaker will provide key details and dates you’ll need to know and information about how to prepare for the start of the program on January 1, 2017. We will also review key elements of the Merit Based Incentive Payment System (MIPS) pathway and provide a comparison to the other pathway in the program, Advanced Alternative Payment Models (APM). Finally, we will review the flexibilities clinicians have to pick how and when they begin this program during the 2017 transitional year, and review available resources currently available for clinicians seeking technical support.

Featured Presenter: Ashby Wolfe, M.D., MPP, MPH, is a board-certified family physician who currently serves as Chief Medical Officer for California, Arizona, Nevada, Hawaii and the Pacific Territories for CMS. Her focus is on implementation of the many facets of the Affordable Care Act and its role in providing access to high-quality care and improved health at a lower cost.

Participants should register at least one hour before the webinar. If you do not register an hour before the webinar start time, we cannot guarantee your attendance.

To register, click here

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Contact: CMA Member Help Center (800) 786-4262 or memberservice@cmanet.org.


*The California Medical Association/Institute for Medical Quality (CMA/IMQ) is accredited by the Accreditation Council on Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

The California Medical Association/Institute for Medical Quality (CMA/IMQ) designates this live activity for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. 

Provider approved by the California Board of Registered Nursing, Provider Number CEP370, for 1 contact hours.

On-demand webinars are not available for CEU or CME credits.



Highlights from the OCMA Board of Directors meeting on November 10, 2016

By:  Darla S. Holland, M.D., President, OCMA

The OCMA Board of Directors met on Thursday, November 10.   The following highlights the major discussions and actions that took place at that meeting: 

The Resident Representative, Dr. Duy Nguyen, indicated that the Resident Physicians in Orange County are interested in Physician Wellness Programs geared toward physicians in training.  A resolution addressing burnout in Medical Students was discussed at the CMA Board of Trustees meeting in October.    The Board is very supportive of sponsoring and supporting such activities for the Medical Students and Residents in programs in Orange County.   
There was vigorous discussion about the CMA's role in the passage of Senate Bill 72.   Many hospital based physicians are affected by this legislation, slated to take effect on January 1, 2017.   A recommendation was made to have the Legislative Leadership Committee recommend language to be submitted through the Resolution process to the House of Delegates year round process.     
The Building Committee made a presentation recommending that OCMA purchase a building as leasing continues to deplete our reserves.   The principles guiding the building search involve the following priorities: 1) To have a location convenient for most members to access; 2) To invest in a manner that generates revenue for both operating expenses and special projects that and will grow to at least keep pace with inflation so that the value of the principle does not diminish over time; 3) To allow OCMA staff to function most of their time on activities that support the core mission of the organization.    These principles will be incorporated into the building search.   
The Physicians of Excellence Reception will be on January 25, 2017.


2016 Election Results are In

 

California Medical Associaiton: 2016 Election Results


ELECTION Night 2016:
One for the history books!

Once again, the California Medical Association took on tough fights and prevailed.

We won all of our statewide ballot measure endorsements, including three local initiatives in the Bay area.

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MACRA before and after

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Together, we voted to…

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· Invest in Medi-Cal. (Yes on Prop. 56, 55 and 52)

· Save lives, reduce smoking rates and prevent thousands of children from starting in the first place. (Yes on Prop. 56)

· Triple the funding for California's anti-smoking programs. (Yes on Prop. 56)

· Provide more essential services like medical check-ups, immunizations, prescriptions and dental/vision care for 13 million low-income Californians, including seven million children. (Yes on Prop. 52)

· Prevent an increase in state prescription drug costs, as well as preserve patient access to medications. (No on Prop. 61)

· Protect public health and clarify the role of physicians in controlling and regulating the adult use of cannabis. (Yes on Prop. 64)

· Reduce sugar intake to prevent diabetes and obesity. (Yes on Measures V (San Francisco), HH (Oakland) and O1 (Albany))

· Break down barriers and removed outdated bilingual education mandates to better reflect California's diverse society. (Yes on Prop. 58)

· Ensure critical infrastructure projects – including hospitals and medical facilities – aren't subject to delays or loss of local control. (No on Prop. 53)

· Strengthen California's ability to prevent gun violence. (Yes on Prop. 63)

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Voters made health care a priority

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In the coming months, we'll work to ensure the new revenue reaches the communities most in need of access to health care and improved services.

Voters sent a clear signal that they are willing to support investments in public health andthat they are tired of Sacramento chronically underfunding health care. CMA's alignment with voters further demonstrates our strength and ability to fight for physicians throughout the state and in all modes of practice.

And on the national front – there are more questions than answers, but one thing is clear: we could be facing a major shake-up.

How will the next Congress and Trump's administration handle the Affordable Care Act? Rising drug prices? Health and Human Services secretary? Medicaid expansion? Mega-mergers?

Regardless of what comes next, CMA will continue to keep California's physicians in the driver's seat on health care policy. And we're working ahead to 2018 to ensure the next Governor reflects our values, including the protection of MICRA and investments in public health.

I want to thank each of you for your support and dedication to CMA. Your membership drives this organization to excellence. Together, we stand stronger.


Dustin Corcoran
CMA CEO

By the Numbers


$3 billion
per year in new federal matching funds for Medi-Cal to serve elderly and low-income Californians. (Yes on Prop. 52)


Up to
$2 billion
per year to improve access to health care services, including Medi-Cal, for low-income children and their families. (Yes on Prop. 55)


Up to
$1.7 billion
(plus $1 billion in federal matching funds) for Medi-Cal. (Yes on Prop. 56)


Save
$1.5 billion
in costs for children's health coverage by FY2019-20. (Yes on Prop. 52)


$350 million
per year in support to state and local public hospitals. (Yes on Prop. 52)


$20 million
per year for public schools to enhance smoking cessation programs. (Yes on Prop. 56)


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