CMDC List External Web 05.18.17
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Savings Plus OA Managed Choice® POS Network Overview
Savings Plus OA Managed Choice® POS network overview The Savings Plus service area consists of all of Los Angeles, Orange, San Diego and Ventura counties and portions of Riverside and San Bernardino counties (excluding ZIP codes that begin with 922 and 923). All nonemergency services performed outside of the California Savings Plus OA Managed Choice POS network of doctors and hospitals will be paid at the out-of-network benefits level. Information updated June 2020 and is subject to change without notice. For a list of doctors and hospitals that participate in the Savings Plus OA Managed Choice POS network, log in to your member website on Aetna.com and use our provider search. Adventist Health Glendale Good Samaritan Hospital (Los Angeles) Adventist Health Simi Valley Healthbridge Children’s Hospital Adventist Health White Memorial Hemet Global Medical Center AHMC Anaheim Regional Medical Center Henry Mayo Newhall Memorial Hospital Alhambra Hospital Medical Center Hoag Hospital Irvine Alvarado Hospital Medical Center Hoag Memorial Hospital Presbyterian Anaheim Global Medical Center Hoag Orthopedic Institute Antelope Valley Hospital Hollywood Presbyterian Medical Center Beverly Hospital Huntington Beach Hospital Centinela Hospital Medical Center Huntington Memorial Hospital Chapman Global Medical Center Keck Hospital of USC CHOC Children’s at Mission Hospital La Palma Intercommunity Hospital Children’s Hospital Los Angeles Laguna Beach Campus of Mission Hospital CHOC Children’s Lakewood Regional Medical Center Chino Valley Medical Center -
Californiachoice® Small Group Advantage PPO Three-Tier Hospital Network
CaliforniaChoice® Small Group Advantage PPO three-tier hospital network With the CaliforniaChoice Advantage PPO plans, you have a choice of tiers (or levels) of hospitals to visit. Tier one hospitals offer the greatest savings to you. Tier two hospitals have the second best level of savings. Tier three hospitals — or out-of-network hospitals — offer the least out-of-pocket savings, but you’ll still be covered. Keep in mind that the tier levels aren’t based on the quality of care given at each hospital. They’re based on which hospitals have shown they’re better able to give quality care that’s also cost effective. Our three-tier levels* are: }}Tier 1 — PPO network hospitals with lower-negotiated hospital reimbursement rates. }}Tier 2 — the remaining PPO network hospitals. }}Tier 3 — non-network hospitals. * The tier levels are not based on the quality of care given at each hospital. Instead, each level stands for the hospitals that show 19685CABENABC 08/15 the best use of health care dollars. CaliforniaChoice® Small Group Advantage PPO three-tier hospital network Here is a list of the Tier-1 and Tier-2 hospitals included in the network. Any hospital not listed is considered out of network. Hospital County Tier St Rose Hospital Alameda 1 Alameda Hospital Alameda 1 Children’s Hospital Oakland Alameda 2 Valleycare Medical Center Alameda 2 Washington Hospital Alameda 2 Sutter Amador Health Center Pioneer 1 Sutter Amador Health Center Plymouth 1 Sutter Amador Hospital Amador 1 Oroville Hospital & Medical Center Butte 1 Feather River Hospital -
Access+ HMO 2021Network
Access+ HMO 2021Network Our Access+ HMO plan provides both comprehensive coverage and access to a high-quality network of more than 10,000 primary care physicians (PCPs), 270 hospitals, and 34,000 specialists. You have zero or low copayments for most covered services, plus no deductible for hospitalization or preventive care and virtually no claims forms. Participating Physician Groups Hospitals Butte County Butte County BSC Admin Enloe Medical Center Cohasset Glenn County BSC Admin Enloe Medical Center Esplanade Enloe Rehabilitation Center Orchard Hospital Oroville Hospital Colusa County Butte County BSC Admin Colusa Medical Center El Dorado County Hill Physicians Sacramento CalPERS Mercy General Hospital Mercy Medical Group CalPERS Methodist Hospital of Sacramento Mercy Hospital of Folsom Mercy San Juan Medical Center Fresno County Central Valley Medical Medical Providers Inc. Adventist Medical Center Reedley Sante Community Physicians Inc. Sante Health Systems Clovis Community Hospital Fresno Community Hospital Fresno Heart and Surgical Hospital A Community RMCC Fresno Surgical Hospital San Joaquin Valley Rehabilitation Hospital Selma Community Hospital St. Agnes Medical Center Glenn County Butte County BSC Admin Glenn Medical Center Glenn County BSC Admin Humboldt County Humboldt Del Norte IPA Mad River Community Hospital Redwood Memorial Hospital St. Joseph Hospital - Eureka Imperial County Imperial County Physicians Medical Group El Centro Regional Medical Center Pioneers Memorial Hospital Kern County Bakersfield Family Medical -
Los Angeles County: 2015 Data
Using Data to Drive Change: California Continues to Increase In-hospital Exclusive Breastfeeding Rates A Policy Update on California Breastfeeding and Hospital Performance Produced by California WIC Association and the UC Davis Human Lactation Center Los Angeles County: 2015 Data Exclusive breastfeedng protects California’s success is driven by mothers' and babies' health evidence Breast milk provides all the nutrients infants need For more than 15 years, decision-makers and as well as specific factors needed to build a strong advocates in California have used hospital-level immune system.1 surveillance data to coordinate and monitor efforts to improve the quality of perinatal care. In-hospital support is crucial to breastfeeding mothers’ success.2-4 The greatest health benefits are Data show that mothers who experience more seen when exclusive breastfeeding continues for 6 supportive practices (such as early breastfeeding months. It is estimated that $3.0 billion in medical initiation and limited supplementation) are more costs would be saved if all U.S. infants were fed likely to breastfeed exclusively in the hospital and according to the current guidelines.5 beyond.6 Hospitals that have instituted Baby-Friendly policies California has the most Baby-Friendly Hospitals have high rates of breastfeeding, no matter where they in the nation and legislation requiring that all are located or what populations they serve.4,6 As more maternity hospitals adopt these or similar policies California hospitals have adopted these evidence- by -
Medi-Cal Managed Health Care Options in San Diego County
Medi-Cal Managed Health Care Your Medi-Cal Managed Care Health Plan Choices Options in San Diego County This material is being provided to help you better understand your choices. It is not an endorsement of any specific Medi-Cal Health Plan. Standard Medi-Cal Covered Services Welcome to Medi-Cal Managed Care Benefits Alvarado Hospital & Medical Center Scripps Mercy Hospital Chula Your Medi-Cal benefits can now be provided by a Medi-Cal Managed Care Health Plan. A Palomar Medical Center Vista Managed Care Health Plan gives you access to a network of doctors, clinics, specialists, Plan Network Paradise Valley Hospital Sharp Chula Vista Medical Center pharmacies and hospitals. Hospitals* Pomerado Hospital Sharp Coronado Hospital How Does Managed Care Work? Rady Children’s Hospital San Diego Sharp Grossmont Hospital Each Medi-Cal Managed Care Health Plan has a list of primary care providers you can choose *Call your Scripps Green Hospital Sharp Mary Birch Hospital for from. If you have a doctor now, you will need to find out if that doctor belongs to a Medi-Cal provider about Scripps Memorial Hospital Women & Newborns Managed Care Health Plan. Your primary care provider will be responsible for managing your using other Encinitas Sharp Memorial Hospital overall health care and referring you to other doctors if needed. locations in an Scripps Memorial Hospital La Jolla Sharp Mesa Vista Hospital Who Can Join a Medi-Cal Managed Care Health Plan? emergency. Scripps Mercy Hospital San Diego Tri-City Medical Center Anyone who is on Medi-Cal, lives in San Diego County, and has a qualifying aid code may UCSD Medical Center – Hillcrest choose a Medi-Cal Managed Care Health Plan. -
Trauma Managers Association of California Current Members List As of 10-8-15
Trauma Managers Association of California Current Members List As of 10-8-15 Name Facility Email Becker, Debra CCEMSA [email protected] Behr, Lynne Kaiser Permanente [email protected] Bennink, Lynn (Retired) [email protected] Blough, Lois Community Regional Medical Center [email protected] Bowlin, Maureen Inland Valley Medical Center [email protected] Bunch, Bill Colusa Regional Medical Center Case, Melinda Palomar Medical Center [email protected] Chapman, Joanne Coastal Valleys EMS Agency [email protected] Cohen, Marilyn UCLA Medical Center [email protected] Collins, Georgi Riverside Community Hospital [email protected] Collins, Kathy SSVEMSA [email protected] Cox, Susan (Retired) Crain-Riddle, Karen SSVEMSA [email protected] Crowley, Melanie Northridge Hospital [email protected] De Laby, Michael Orange County EMS [email protected] Diaz, Linda Santa Clara County EMS [email protected] Doyle, Lance Mountain-Valley EMS Agency [email protected] Dudley, Pamela Regional Medical Center [email protected] Duffy, Barbara Kaiser South Sacramento [email protected] Earnest, Karla Stanford Childrens Hospital [email protected] Erickson, Keith Solano County EMS [email protected] Fortier, Sue Sierra Vista Regional Medical Center [email protected] Frecceri, Christy Kaiser South Sacramento [email protected] Gawlik, Melanie Scripps La Jolla [email protected] Gough-Smith, -
California Hospitals: an Evolving Environment
California Hospitals: An Evolving Environment AUGUST 2015 California Hospitals Introduction Overview California’s general acute care (GAC) hospitals discharged more than 3.3 million patients and had nearly 44 million outpatient visits in 2013. California Hospitals: An Evolving Environment examines the state’s GAC CONTENTS hospitals, including bed supply and capacity, use of services, financial health, and selected quality measures. Supply and Capacity .................... 3 Use of Services .........................11 KEY FINDINGS INCLUDE: • The number of general acute care hospitals declined by 4% between 2004 and 2013, while Finances ................................25 the number of beds remained largely unchanged. Critical Access Hospitals ................33 • Skilled nursing and acute psychiatric beds declined significantly during that decade, while both adult and newborn intensive care beds increased. Quality .................................35 • The eight largest hospital systems accounted for 40% of hospitals and beds in California. Seismic Safety ..........................40 • A larger percentage of hospitals were profitable in 2013 than in 2014 as reflected by both Methodology ...........................41 total and operating margins. Appendices ............................42 • The costs of uncompensated care, as measured by charity care and bad debt, rose by 45% between 2004 and 2013 to $2.8 billion. • Preventable adverse events reported at California hospitals increased each year from 2009 to 2013. • California performed slightly -
Sharp Value Provider Network Overview
Sharp Value Provider Network Overview Physicians • Hospitals • Urgent Care Centers • Pharmacies • Other Facilities Effective January 1, 2018 Sharp Value Provider Network Medical Groups At Sharp Health Plan, we understand the importance of selecting a network that fits your lifestyle and budget. As a member, you’ll join a family of award-winning medical groups, physicians and hospitals dedicated to meeting your health care needs. The Sharp Value Provider Network offers access to a core group of physicians and hospitals to provide you with greater value. With Sharp Value, you’ll have access to more than 1,900 physicians, including Primary Care Physicians and specialists. Sharp Rees-Stealy (SRS) This medical group offers a network of more than 470 physicians, including Primary Care Physicians and specialists. Admitting hospitals include Sharp HealthCare facilities and Rady Children’s Hospital. SRS physicians are located throughout San Diego County, including: • Carmel Valley • Frost Street • Mt. Helix • San Carlos • Chula Vista • Genesee • Murphy Canyon • San Diego • Del Mar • La Mesa • Otay Ranch • Scripps Ranch • Downtown San Diego • La Mesa West • Point Loma • Sorrento Mesa • El Cajon • Mira Mesa • Rancho Bernardo Sharp Community Medical Group (SCMG) This medical group offers a network of more than1,090 physicians, including Primary Care Physicians and specialists. Admitting hospitals include Sharp HealthCare facilities, Rady Children’s Hospital and Palomar Health facilities.1 SCMG, SCMG Inland North, SCMG Graybill and SCMG Arch Health -
Hospital Name City Staffed Beds Total Discharges
Gross Patient Staffed Total Patient Hospital Name City Revenue Beds Discharges Days ($000) Travis Air Force 60th Medical Group - David Grant USAF Medical Center 0 0 0 $0 Base Adventist Medical Center - Hanford Hanford 196 11,678 50,344 $869,494 Adventist Medical Center - Reedley Reedley 49 1,975 5,903 $69,121 Adventist Medical Center-Selma Selma 0 0 0 $0 Alameda Hospital Alameda 118 2,527 10,443 $244,188 Alhambra Hospital Medical Center Alhambra 144 3,910 17,589 $362,983 Alta Bates Summit Medical Center - Alta Bates Campus Berkeley 527 18,403 92,965 $2,136,597 Alta Bates Summit Medical Center - Herrick Campus Berkeley 0 0 0 $0 Alta Bates Summit Medical Center - Summit Campus Oakland 399 13,311 64,272 $1,778,929 Alvarado Hospital Medical Center San Diego 304 8,240 30,394 $577,818 Anaheim General Hospital Anaheim 112 762 3,387 $86,916 Anaheim Regional Medical Center Anaheim 223 12,930 58,195 $1,189,816 Antelope Valley Hospital Lancaster 399 25,285 115,259 $1,133,464 Antioch Medical Center Antioch 146 7,646 30,202 $0 Arrowhead Regional Medical Center Colton 452 18,115 96,586 $1,338,515 Arroyo Grande Community Hospital Arroyo Grande 67 2,727 9,441 $282,668 Bakersfield Heart Hospital Bakersfield 47 3,983 15,951 $333,450 Bakersfield Memorial Hospital Bakersfield 418 17,647 74,604 $1,228,503 Barstow Community Hospital Barstow 50 2,615 7,932 $285,538 Barton Memorial Hospital South Lake Tahoe 117 2,227 7,885 $245,205 Bear Valley Community Hospital Big Bear Lake 30 254 747 $36,273 Beverly Hospital Montebello 214 8,727 36,551 $283,788 Brotman Medical -
NICU Data Updates
CPQCC 2016 Data Finalization Summary and Updates Santa Clara Valley Medical Center , San Jose October 3, 2017 – Janella Parucha CPQCC Member- ship CPQCC Quarterly Data Close-Out Help Desk Finalization Initiatives Summary CPQCC Website Data Center Overview Topics ì Membership ì Data Finalization Summary ì Close-Out Checklist updates ì Data Management Award comparisons by year and award type ì Quarterly Close-Out initiatives ì CPQCC Help Desk – new look ì CPQCC Updating Directories ì CPQCC Website Highlights – Where would I find? ì Downloads ì Data Trainings ì Data Finalization etc. CPQCC Participants Membership ì 2017: 138 active members ì 2016: 137 members participating in data finalization DF Resources: Close-Out Check List The Close-out Check List re-cap ì The CPQCC database automatically checks each deliverable as they are completed. ì Items 3-6 ì Items 9-14 ì The following items MUST be manually checked: ì Item 1 – Membership Dues (completed by Data Center) ì Item 2 – Confirmation of DF Guidelines ì Item 7 – Contact Report ì Item 8 – VON Membership Survey ì Once any of these items are checked, you must click the Set Confirmation status button below to complete. Close-Out Check List Manually check off 3% April 1st Deliverables Manually check off April 1st Deliverables June 1st Deliverables New HRIF eligibility criteria will be added to Item 13 for infants who: • received a diagnosis of moderate or severe HIE • surgery for Congenital Heart Disease • received Inhaled Nitric Oxide >4 hours • experience seizures June 1ST Deliverable Item #11 Confirmed Unknown Report The Close-Out Check List UPDATE ì Item# 10 included both the Error & Warning Reports and the Confirmed Unknown Report. -
Table 3: 1960 - 2017 Historic Hospital List by CODE
Table 3: 1960 - 2017 Historic Hospital List by CODE County Code Hospital Name Address City Zip 1 001 ALAMEDA HOSPITAL 2070 CLINTON AVE ALAMEDA 94501 1 002 ALTA BATES HOSPITAL AT ALBANY 1247 MARIN AVENUE ALBANY 94706 1 003 ALTA BATES MEDICAL CENTER 2450 ASHBY AVENUE BERKELEY 94705 1 004 BOOTH MEMORIAL HOSPITAL 2794 GARDEN STREET OAKLAND 94701 1 005 CHILDREN'S HOSPITAL 51ST & GROVE STREETS OAKLAND 94609 1 006 CIVIC CENTER HOSPITAL FOUNDATION 390 40TH STREET OAKLAND 94609 1 007 SAN LEANDRO HOSPITAL 13855 E 14TH STREET SAN LEANDRO 94578 1 008 EDEN MEDICAL CENTER 20103 LAKE CHABOT RD CASTRO VALLEY 94546 1 009 ESKATON DOCTORS HOSPITAL OAKLAND 4600 E FAIRFAX AVENUE OAKLAND 94601 1 010 FAIRMONT HOSPITAL 15400 FOOTHILL BOULEVARD SAN LEANDRO 94578 1 011 HAYWARD HOSPITAL 770 'A' STREET HAYWARD 94541 1 012 HERRICK MEMORIAL HOSPITAL 2001 DWIGHT WAY BERKELEY 94704 1 013 ACMC-HIGHLAND CAMPUS 1411 E. 31ST ST OAKLAND 94602 1 014 KAISER HOSPITAL: SAN LEANDRO 2500 MERCED STREET SAN LEANDRO 94577 1 015 KAISER HOSPITAL: OAKLAND 275 W. MACARTHUR BLVD OAKLAND 94611 1 016 SUMMIT MEDICAL CENTER - HAWTHORNE 350 HAWTHORNE AVENUE OAKLAND 94609 1 017 NAVAL HOSPITAL: OAKLAND 8750 MOUNTAIN BOULEVARD OAKLAND 94627 1 018 OAKLAND HOSPITAL CORPORATION 2648 EAST 14TH STREET OAKLAND 94601 1 019 OGORMAN INFANT 2587 - 35TH AVENUE OAKLAND 94601 1 020 PERALTA HOSPITAL 450 - 30TH STREET OAKLAND 94609 1 021 SUMMIT MEDICAL CENTER 3100 SUMMIT STREET OAKLAND 94623 1 022 ST. ROSE HOSPITAL 27200 CALAROGA AVE HAYWARD 94540 1 023 ST. PAUL'S HOSPITAL 813 J STREET LIVERMORE 94550 1 024 VALLEYCARE MEDICAL CENTER 5555 W. -
A Survey of California Hospitals Assisting Low-Income Uninsured Patients: a Survey of California Hospitals
ASSISTING LOW-INCOME UNINSURED PATIENTS: A SURVEY OF CALIFORNIA HOSPITALS ASSISTING LOW-INCOME UNINSURED PATIENTS: A SURVEY OF CALIFORNIA HOSPITALS HOSPITAL CHARITY CARE 1 INTRODUCTION 3 BROKEN HEALTH CARE SYSTEM 3 RIGID CHARITY CARE REQUIREMENTS 4 COMMITMENT TO CHARITY CARE PRINCIPLES AND GUIDELINES 5 HELPING HOSPITALS DEVELOP AND IMPLEMENT CHARITY CARE POLICIES 6 SURVEY OF HOSPITALS 8 SURVEY METHODOLOGY 8 SUMMARY OF FINDINGS 9 CONCLUSION 13 VOLUNTARY PRINCIPLES AND GUIDELINES FOR ASSISTING LOW-INCOME UNINSURED PATIENTS 2 PRINCIPLES AND GUIDELINES 15 APPENDIX SURVEY RESULTS 21 HOSPITAL CHARITY CARE INTRODUCTION Every hour of every day, medical miracles occur in hospitals throughout California. Whether it’s life-saving trauma care for the victim of a violent act or the joy of a precious newborn taking its first breath, hospitals are the cornerstones of our communities. For the vast majority of Californians—the more than 80 percent who have some form of governmental or private health insurance coverage—the sophisticated technologies of a modern hospital are often taken for granted. But for a patient who is uninsured and at the lower end of the economic scale, what was once a miraculous occasion can turn into a financial quagmire. A hospital’s job—first and foremost—is to provide care to all patients. California hospitals fulfill this mission every day. Hospitals are the providers of health care, not the financiers. However, because we take our mission to BROKEN HEALTH CARE SYSTEM serve seriously, California hospitals also are committed to assisting those patients who truly cannot afford the health care they need. A key element being overlooked in the public debate about hospital charity care is the underlying This report, as promised to the administration cause of the problem: a broken health care system of Governor Arnold Schwarzenegger, the that has left nearly 7 million people—one out of Legislature and other key policymakers, offers five Californians—with no health insurance.