Wednesday, January 16, 2019

Riverside Community Hospital Holds Ground breaking Ceremony for New $315 Million Major Expansion Project

Plans for the new major $315 million expansion project finally came to fruition for Riverside Community Hospital when over 300 individuals including hospital administrators and board members, local and state officials, community representatives, local business owners and Chamber members celebrated the official ground breaking Friday, March 1, 2013.

The ground breaking ceremony took place at the site of the future parking garage to formally kick off a significant expansion of the facility. State Senator Richard Roth, District 31, and Riverside Mayor Rusty Bailey were among officials who took part in the ceremonial start of the expansion project. After completion, expected by 2017, Riverside Community Hospital will feature a new 5-story parking garage with 1,061 parking spaces, a 3-story medical office building, and a new 7-story, 292,000 square-foot patient tower with 72 private patient rooms, bringing the 373-bed hospital to a 445-bed hospital.

The addition of the new patient tower will provide more space to accommodate families and expand services to more critically ill patients. Several floors of the patient tower will be shelled space available for future growth and expansion.

“This is truly an exciting time for Riverside Community Hospital, the community of Riverside and the entire Inland Empire region we serve” stated Patrick Brilliant, Riverside Community Hospital President and CEO. “We’ve been working for the better part of seven years to reach this point and begin construction on this campus expansion project. Many people in this community deserve to share this momentous event which their hard work and support helped create. We are honored to have community leaders including Senator Roth, Mayor Rusty Bailey, Cindy Roth and Brian Hawley from the Greater Riverside Chamber of Commerce, our City Council officials, Pastor Harry Cole of Calvary Presbyterian Church and my hospital staff officials and board members join us in celebration of this occasion and the first steps toward the completion of our future hospital.”

“This project truly represents Riverside Community Hospital’s commitment to patient care for our residents,” Chief of Medical Staff, Dr. Lawrence Clark said. “With the expansion, we will be able to meet the needs of a growing community for generations to come. Over the last 110 years, this hospital has established a reputation and trust within our community, and I’m excited that together we will have the opportunity to watch this vision of the new hospital tower become a reality.”

The construction project will result in 400 jobs over the duration of the project in various construction trades and nearly 300 full-time hospital positions when completed.

Visit www.riversidecommunityhospital.com for routine updates about the expansion project and other healthcare news


Sequestration FAQ: How will the cuts affect California physicians?

Sequestration FAQ: How will the cuts affect California physicians?

Across-the-board federal budget cuts were triggered on Friday, March 1, because Congress failed to come to an agreement on how to reduce the federal deficit. Although it is still possible that Congress will reach some sort of a compromise before most of the cuts take effect on April 1, physicians should prepare for a 2 percent reduction in reimbursement from the Medicare program beginning in April.

The 2 percent Medicare "sequestration" cuts are part of the $1.2 trillion in cuts required by the Sequestration Transparency Act, part of a deal worked out to end last year's debt-ceiling crisis. The cuts are evenly split between defense spending and discretionary domestic spending. The mandatory Medicare cuts will result in a savings of $11 billion in 2013. Medicaid is exempt from the cuts.

The California Medical Association (CMA) continues to fight these Medicare cuts. While CMA understands the need to address our nation’s budget deficit, CMA is urging Congress to take a more targeted approach than arbitrary across-the-board cuts that will harm public health and negatively impact access to care for children, seniors and military families.

For more information, see "Sequestration FAQ: How will the cuts affect California physicians?" This FAQ answers the most commonly asked questions about the sequestration cuts as they relate to health care. This document will be regularly updated as additional details become available.


Riverside County Leaders Awarded

On Friday, February 1, 2013 at Wilson Creek Winery in Temecula, three Riverside County leaders were recognized at the Riverside County Medical Association’s (RCMA) Annual Installation of Officers.

G. Sunny Uppal, M.D., a Board Certified Orthopedic Surgeon in Riverside, was honored with the “Outstanding Contribution to the Medical Association and it’s Goals Award. ” Dr. Uppal dedicates himself to these purposes through his leadership within the medical community, his commitment to his professional associations, and by providing mentorships and financial assistance to the future generation of medicine.

Richard G. Rajaratnam, M.D., a Board Certified Otolaryngologist and Area Medical Director of Kaiser Permente Medical Center Riverside was honored with the “Outstanding Contribution To Organized Medicine Award.” Dr. Rajaratnam has been a driving force in increasing participation of Southern California Permanente Physicians in the Medical Association and involving Kaiser Riverside and the Permanente Medical Group as partners in the RCMA’s Medical Student Scholarship Program.

The final leader honored was Chancellor Timothy White, now the seventh chancellor of the California State University system and former chancellor of UC Riverside. Through Dr. White’s leadership in 2012, the UCR School of Medicine received its preliminary accreditation from the Liaison Committee on Medical Education, the national accrediting body for educational programs leading to the M.D. degree, becoming the first new public medical school in California in more than forty years. For his passion and commitment to bring about the School of Medicine, he was honored with the “Outstanding Contribution to Medicine Award.”

The Riverside County Medical Association was established in 1893 as a professional organization of physicians. It currently represents over 1250 physicians in Riverside County.


120th Annual Installation of Officers

On Friday, February 1, 2013, over 250 people celebrated the 120th installation of officers of the Riverside County Medical Association at the Wilson Creek Winery in Temecula.

Installed as President for 2013 was Gerardo W. Hizon, M.D. of Temecula, a Board Certified Sports Medicine and Family Practice doctor. Dr. Hizon is the Medical Director of Summit Family Medicine in Murrieta and serves as Assistant Clinical Professor in the Department of Community Medicine at UC San Diego with the Sports Medicine Fellowship Program. Dr. Hizon also serves as team physician for the San Diego Chargers.

Installed as President Elect for 2013 was Tarek Z. Mahdi, M.D., a Board Certified doctor in Family Medicine and Hospice and Palliative Medicine. Dr. Mahdi is an active member of the Riverside and Corona communities who founded and chairs the Inland Empire Palliative Care Coalition and is an Assistant Clinical Professor at Loma Linda University School of Medicine.

Installed as Secretary-Treasurer was Timothy D. Watson, M.D., a Board Certified Pediatrician. Dr. Watson serves as Medical Director of Mission Pediatrics and is the Founder of the Pediatric Admitter Team Program (PATPRO) that provides sustainable, affordable pediatric hospitalist services in the Inland Empire. He serves as a Clinical Professor of Pediatrics where he precepts Medical, Physician Assistant, Nurse Practitioner and Paramedic students from Loma Linda University, Stanford University, Azusa Pacific University and Riverside and Moreno Valley Community Colleges.

The Riverside County Medical Association was established in 1893 as a professional organization of physicians and currently represents over 1,200 physicians in Riverside County.

Installed as President for 2013 was Gerardo W. Hizon, M.D. of Temecula, a Board Certified Sports Medicine and Family Practice doctor. Dr. Hizon is the Medical Director of Summit Family Medicine in Murrieta and serves as Assistant Clinical Professor in the Department of Community Medicine at UC San Diego with the Sports Medicine Fellowship Program. Dr. Hizon also serves as team physician for the San Diego Chargers.

Installed as President Elect for 2013 was Tarek Z. Mahdi, M.D., a Board Certified doctor in Family Medicine and Hospice and Palliative Medicine. Dr. Mahdi is an active member of the Riverside and Corona communities who founded and chairs the Inland Empire Palliative Care Coalition and is an Assistant Clinical Professor at Loma Linda University School of Medicine.

Installed as Secretary-Treasurer was Timothy D. Watson, M.D., a Board Certified Pediatrician. Dr. Watson serves as Medical Director of Mission Pediatrics and is the Founder of the Pediatric Admitter Team Program (PATPRO) that provides sustainable, affordable pediatric hospitalist services in the Inland Empire. He serves as a Clinical Professor of Pediatrics where he precepts Medical, Physician Assistant, Nurse Practitioner and Paramedic students from Loma Linda University, Stanford University, Azusa Pacific University and Riverside and Moreno Valley Community Colleges.

The Riverside County Medical Association was established in 1893 as a professional organization of physicians and currently represents over 1,200 physicians in Riverside County.


Coordinated Care Initiative Executive Summary

Passage of the Coordinated Care Initiative (CCI) in July 2012 marks an important step toward transforming California's Medi-Cal (Medicaid) care delivery system to better serve the state’s low-income seniors and persons with disabilities. Building upon many years of stakeholder discussions, the CCI begins the process of integrating delivery of medical, behavioral, and long-term care services and also provides a road map to integrate Medicare and Medi-Cal for people in both programs, called “dual eligible” beneficiaries.

Created through a public process involving stakeholders and health care consumers, the CCI was enacted through SB 1008 (Chapter 33, Statutes of 2012) and SB 1036 (Chapter 45, Statutes of 2012).

 Major Components of the Initiative

  1. Duals Demonstration: A voluntary three-year demonstration program for Medicare and Medi-Cal dual eligible beneficiaries will coordinate medical, behavioral health, long-term institutional, and home- and community-based services through a single health plan. The CCI provides state authority for the demonstration, which is pending federal approval.
  1. Managed Medi-Cal Long-Term Supports and Services (LTSS): All Medi-Cal beneficiaries, including dual eligible beneficiaries, will be required to join a Medi-Cal managed care health plan to receive their Medi-Cal benefits, including LTSS and Medicare wrap-around benefits.

 Location and Timing
The CCI will be implemented in eight counties beginning in 2013. The eight counties are Alameda, Los Angeles, Orange, Riverside, San Bernardino, San Diego, San Mateo, and Santa Clara.

The participating health plans are part of the state’s existing network of Medi-Cal health plans and have experience providing Medicare managed care. Each underwent a rigorous selection process.

Implementation Status

The California Department of Health Care Services (DHCS) is finalizing a Memorandum of Understanding (MOU) with the Centers for Medicare & Medicaid Services (CMS). In fall 2012, the state and federal governments will conduct a comprehensive readiness review of the health plans before signing three-way contracts between the health plans, CMS, and DHCS.

Enrollment will begin no sooner than March 2013. Before any beneficiary is enrolled, the health plans must pass a readiness review process during which the state and federal governments will evaluate each health plan’s major systems to ensure they are prepared to provide required continuity of care, seamless access to medically necessary services, care coordination across LTSS, behavioral health and medical care, and beneficiary protections.

 Participating Population
The state estimates that about 560,000 (Note: this number could go down after capitation rates are released and health plans consider their participation options. ) dual eligible beneficiaries will be eligible for passive enrollment in the eight counties. An estimated one-third of those beneficiaries already are enrolled in managed care for Medi-Cal, Medicare, or both.

Dual eligible beneficiaries and Medi-Cal seniors and persons with disabilities are among California’s highest-need residents. They tend to have many chronic health conditions and need a complex range of medical and social services from many providers. This fragmentation leads to beneficiary confusion, poor care coordination, inappropriate utilization, and unnecessary costs.

Under the CCI, enrolled beneficiaries will have one point of contact for all their covered benefits. They will have one health plan membership card and access to a nurse or social worker whose job is to act as a care coordinator or navigator and help beneficiaries receive the services needed to achieve their personal heath goals and continue living in the setting of their choice. The state is developing care coordination standards that will guide how services are linked.

 Coordinated Care Initiative Goals
By consolidating the responsibility for all of these covered services into a single health plan, the CCI expects to achieve the following goals.

  1. Improve the quality of care for beneficiaries
  1. Maximize the ability of beneficiaries to remain safely in their homes and communities, with appropriate services and supports, in lieu of institutional care.
  1. Coordinate Medi-Cal and Medicare benefits across health care settings and improve continuity of care across acute care, long-term care, behavioral health, and home- and community-based services settings using a person-centered approach.
  1. Promote a system that is both sustainable and person- and family-centered and enables beneficiaries to attain or maintain personal health goals by providing timely access to appropriate, coordinated health care services and community resources, including home- and community-based services and mental health and substance use disorder services.
Financial Alignment Model

Under the CCI, the participating health plans will receive a monthly payment to provide beneficiaries access to all covered, medically necessary services. This is called “capitation.” These bundled payments create strong financial incentives for the health plans to ensure beneficiaries receive necessary preventative care and home- and community-based options to avoid unnecessary admissions to the hospital or nursing home.

 LTSS Integration
Participating health plans will be responsible for administering all Medi-Cal LTSS that historically have been excluded from managed care. LTSS includes skilled nursing facility care, along with the following home- and community-based services: In-Home Supportive Services (IHSS), Community-Based Adult Services (CBAS), Multipurpose Senior Services Program (MSSP), and other services that help beneficiaries stay in their homes and communities, as determined by the health plans.

IHSS will remain an entitlement program. IHSS consumers’ will continue being able to self-direct their care by hiring, firing, and managing their IHSS workers. County social workers will continue determining IHSS hours. The current fair hearing process for IHSS will remain in the initial years of the demonstration.

 Behavioral Health Coordination
Health plans participating in the duals demonstration will provide beneficiaries all mental health and substance use services currently covered by Medicare and Medi-Cal. County-administered specialty mental health services and Drug Medi-Cal substance use treatment services will not be included in the demonstration health plans’ capitation payments. County agencies will continue financing and administering these services, but health plans and county agencies will have written agreements outlining how they will coordinate services.

 Better Care Improves Health and Drives Lower Costs
The CCI is expected to produce greater value for the Medicare and Medi-Cal programs by improving health outcomes and containing costs, primarily through rebalancing service delivery into the home and community and away from expensive institutional settings. Better prevention will keep people healthy. Better care coordination will reduce unnecessary tests and medications. Better chronic disease management will help people avoid unnecessary hospital care.

Significant stakeholder feedback informed the beneficiary protections needed to drive success and quality in the CCI’s design and implementation. The CCI includes comprehensive protections to ensure beneficiary health and safety and high quality care delivery, which includes medical care, LTSS and behavioral health.


Tips for Small Provider Practices to Plan for the ICD-10 Transition

Although the final rule on the proposed ICD-10 deadline change has yet to be published, it is important to continue planning for the transition to ICD-10. The switch to the new code set will affect every aspect of how your organization provides care, but with adequate planning and preparation, you can ensure a smooth transition for your practice.

You should consider the following checklist to help keep your efforts on track with your transition:

  • Educate staff and leadership about ICD-10
    • Appoint an ICD-10 coordination manager and delegate a steering committee  to manage the transition 
    • Train staff on changes in documentation requirements from health plans and how this will affect work flow 
  • Perform an impact assessment
    • Examine existing uses of ICD-9 codes in order determine aspects of work flow and business practices that ICD-10 will potentially change. Be sure to evaluate planned and ongoing projects as well
    • Create a list of staff members who need ICD-10 resources and training, such as billing and coding staff, clinicians, management, and IT staff
  • Plan a realistic and comprehensive budget
    • Estimate a budget that includes costs such as software, hardware, staff training, and any initial change in patient volume
  • Coordinate with external partners
    • Contact system vendors, clearinghouses, and billing services to assess their readiness and evaluate current contracts
    • Ask your vendors how they will support you in the transition to ICD-10 and request  a timeline and cost estimate
    • Analyze existing health plan trading partner agreements
  • Get ready for testing
    • Request a testing plan to schedule from your vendor
    • Conduct internal testing within your clinical practice as well external testing with payers and other external business partners after you have completed the planning stages 

Keep Up to Date on ICD-10.
Please visit the ICD-10 website for the latest news and resources to help you prepare!


I Need News & Information

Tags

2013 2014 Ebola Outbreak 2014 Election 2016 2018-2021 ACA AIDS Annual Report Appointments Assembly Business and Professions Committee Awards Ballot Initiatives Boxer Budget Burnout CA Ballot Initiatives CAFP California CMA CMA Annual Report Comments Congress Construction Controlled Substance CURES Discontent Dolores EHR Election Election 2014 Exchange Governance Grace Period H.R.2. Health Exchange Health Laws Healthcare Laws HIE HIT HIV Hizon HOD House House of Delegates ICD-10 IEHP Languages Lee Legislation Mahdi Meaningful Use Medical Medi-Cal Medicare MICRA Mode of Practice No on 46 NoOn46 opiods Opioids Outstanding Contribution Patients Paul Green Practice Management Prop 46 Prop 56 Proposition 46 Public Health Alert Rajaratnam Rancho Springs Rating RCMA Repeal Risk Management Riverside Community Hospital Riverside County Schedualing Senate SGR Southwest Healthcare Stage 2 Strategic Priorities Survey Termination Trial Lawyers Uppal Vaccines Volunteer White Wilson Creek Winery 2014 2014 Election 2014 laws 2015-2017 2016 2016 Election 2018 46 AB 3087 AB 880 ABX2-15 ACA Advocacy Affordable Care Act AHCA AMA Anthem Blue Cross Assembly Assembly Bill Attestation Awards Big Tobacco Blue Shield of California Burnout CA CA Senate Cal INDEX California California Laws California Legislation California Society of Plastic Surgeons Californian Physicians Cameron Kaiser CCI CDC CEO Clearinghouses CMA CMS Coalition for Patient Access and Quality Care Committee Congress controlled substances Coroner Council on Graduate Medical Education Covered CA Covered Califonria Covered California CPT modifer CSPS CURES Cuts Deadlines deductible Delegates Delivery Models DHCS donate Drugs Dual Elligibles Ebola EHR eligibility Employment Law End-Of-Life Energy and Commerce Committee Republicans enrollment Exchange FAQ Federal Federal Legislation Feinstein Funding Future Gary Honts Grace Period Health Care Reform Health Reform Healthcare Rates Healthcare Reform Hernandez HIPAA ICD-10 IEHIE IEHP Imagine Plastic Surgery Increase Installation insurance JFK Memorial Hospital Kaiser Permanente Laws Legislation Legislative Alert Loma Linda long term disability LTSS MA Mahdi Managed Care marketing Meaningful Use Measles Medicaid Medi-Cal Medical Board medical practices Medicare member benefit MICRA Molina National Prescription Drug Take-Back Day Nomination Nominations Nondiscrimination Posting norcal Noridian Obamacare Insurance October 22 On-Call opiod opiod advocacy opiod crisis opiod enforcement opiod epidemic opioid opioid abuse Outstanding Palmetto GBA Patient Patient Care patients Payment Models PHA Physician Aid-in-Dying Physician Burnout Physician Recruitment Plastic Surgery POLST Practice Management practice managment Practice Mangement prescribing opiods prescription drugs President Priorities privacy Professional Liability Prop 46 Prop 56 Proposition 46 Proposition 56 Public Health Public Health Alert RCH RCMA RCMA Member Red Tape Reputation Retreat Risk Management Riverside County RIVPAC SB 491 SB 492 SB 493 SB 62 Scope of Practice Sequestration SGR social media State Capitol Stress Survey Telemedicine Tenet Thakur Law Firm Transforming Your Practice UC Riverside Vantage Virtual We Care for California Workers' Comp
Home   |   Physicians   |   Resources   |   Benefits   |   Events   |   About   |   Patients   |   Join
Copyright (c) 2019 Riverside County Medical Association