Legislative Updates

2010 Affordable Care Act

Posted on May 1, 2013 in Legislative Updates | 0 comments

The 2010 Affordable Care Act specified penalties to hospitals whose severity-adjusted readmission rate exceeded expected levels for Medicare beneficiaries. On Oct. 1, 2012, more than 2,000 hospitals throughout the country were notified of penalties for excessive readmission rates, ranging from 0.01 percent-1.00 percent of Medicare reimbursements. Alta Bates Summit Medical Center was one such hospital. Beginning in October 2013, the maximum penalty becomes 2.00 percent and then 3.00 percent in 2014.  Read More

New Legislation

Posted on Dec 27, 2012 in Legislative Updates | 0 comments

We are all hearing about the new legislation that will require us to alert our patients who have mammographically dense breasts about the limitations of mammography for detection of breast cancer in the setting of dense breasts. The mandatory reporting will begin April 1, 2013, and at ABSMC we are prepared to meet this deadline. At ABSMC, we detect breast cancer frequently in patients with dense breasts.  Read More

Legislative Update: PA Signage

Posted on Nov 1, 2011 in Legislative Updates, Uncategorized | Comments Off on Legislative Update: PA Signage

New Regulation – 16 CCR 1399.547

SUBJECT AREA:   Signage: Physician Assistants (PA)

SUMMARY: The Medical Board, the licensing agency for Physician Assistants, now requires that institutions or practices that employ or contract with Physician Assistants must notify patients of the PA’s licensing authority.  Specifically, the notification required by this new regulation must be provided by one of the following methods:

(1) Prominently posting the notification in an area visible to patients on the premises where the PA provides services, in which case the notice shall be in at least 48-point type in Arial font, or

(2) Including the notification in a written statement, signed and dated by the patient or the patient’s representative and retained in that patient’s medical records, stating the patient understands the physician assistant is licensed and regulated by the committee, or

(3) Including the notification in a statement on letterhead, discharge instructions, or other document given to a patient or the patient’s representative, where the notice is placed immediately above the signature line for the patient in at least 14-point type.

FYI.  This new disclosure requirement is virtually identical to that required of physicians.

WHO NEEDS TO KNOW:  COOs, Medical Staff Professionals, Human Resource Managers, Risk Managers, Practice / Care Center Managers/Supervisors, Compliance Officers.

WHAT NEEDS TO BE DONE:  Select the notification method that best serves your facility’s needs.  If you elect the option of posting the notice on a bulletin board or other display that is “visible to patients” – apparently the easiest and least expensive method of compliance – attached is an example of a compliant notice.  You may also provide patients with a written statement with this information – in 12-point type or larger – for them to sign and date.  The document would then be placed in their medical record.  The final option is to add the notice in 14-point type to your Conditions of Admission / Conditions of Registration forms, or any other forms that all patients are expected to sign and be provided a copy.

PA Required Signage