CENTER FOR POST-ACUTE CARE

Transcription

1 CENTER FOR POST-ACUTE CARE ADVISORY BOARD CONFERENCE CALL Tuesday, December 15, :00 am 11:00 am CONFERENCE CALL DIAL-IN: (800) #

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3 CENTER FOR POST-ACUTE CARE Tuesday, December 15, :00 am 11:00 am Conference Call Call-in: (800) ; Passcode: # ITEM SUBJECT REPORTING PAGE I. CALL TO ORDER/INTRODUCTIONS Hirose II. MINUTES OF PREVIOUS MEETING Hirose A. Post-Acute Care Advisory Board Meeting October 14, 2015 Meeting Minutes* 3 Recommendation: Approve meeting minutes III. CHAIR REPORT Hirose A. Advisory Board Membership Update 9 B. CHA Board of Trustees 13 IV. VICE PRESIDENT REPORT Blaisdell A. Annual Meeting Conference Brochure 15 B. C. February 10 Retreat Planning Federal Advocacy 2015 Congressional Education Day 2016 Planning All All V. CURRENT ISSUES/UPDATES A. B. Discharge Planning Proposed Rule Post-Acute Quality Indicators Blaisdell Blaisdell VI. C. State Legislation ADJOURN Blaisdell 2016 Meeting Schedule Hirose/Darvish 19

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5 Center for Post-Acute Care Advisory Board Meeting Wednesday, October 14, :00 am 2:30 pm California Hospital Association Board Room Sacramento, CA Present: By Phone: Staff: Regional Association Staff: M. Alpasan, D. Brown, T. Cook, M. Crane, A. Darvish, P. Giles, L. Glomp, L. Harrold, M. Hirose, W. Hekimian, J. Potts, P. Reger, R. Walters S. Brown, A. Gors, J. Jackson, M. Samora P. Blaisdell, G. Blanchard-Saiger, B. Demeter J. Yates I. CALL TO ORDER Chair Hirose called the meeting to order at 10:00 am. II. MINUTES OF PREVIOUS MEETING The minutes of the July 22, 2015 meeting were reviewed and approved. III. CHAIR REPORT A. Advisory Board Membership Update Chair Hirose provided an update on Center Advisory Board membership. Margaret Crane is retiring from her position as CEO at Barlow Respiratory Hospital. Amit Mohan, Ms. Crane s successor at Barlow, will complete the last year of Ms. Crane s Advisory Board term. Past-Chair David Brown presented Ms. Crane with an award commemorating her service on the Advisory Board and expressed his gratitude for her faithful service. The nominating committee presented five recommendations for the 2016 CPAC Advisory Board: Monique Bedi, Lodi Memorial Hospital; Laura Biscaro, Santa Barbara Cottage Hospital; Patricia Bishop, Ojai Valley Community Hospital; Trudy Johnson, Santa Clara Valley Medical Center; and, L. Edwards, Loma Linda University Medical Center. All five nominees were unanimously approved by the Advisory Board. 3

6 B. CHA Board of Trustees Chair Hirose provided an update on the most recent meeting of the CHA Board of Trustees. IV. VICE PRESIDENT REPORT A. CHA Case Management Committee Staff Blaisdell provided an update on the development status of the CHA Case Management Committee. The first Case Management Committee meeting was held on September 9, A mission statement was drafted and operating guidelines were established. The next Case Management Committee meeting will be held in the first quarter of Todd Cook agreed to serve as a liaison between the Case Management Committee and the Post-Acute Care Advisory Board. B. Annual Meeting Staff Blaisdell provided an update on the planning activities for the 2016 Annual Meeting, which will be held at the Crowne Plaza in Redondo Beach on February 11-12, Staff Blaisdell will distribute a call for new and innovative programs to present at the Annual Meeting. C. Advisory Board Member Survey Staff Blaisdell reported on the 2015 member survey of the effectiveness of the CHA Center for Post-Acute Care. Staff Blaisdell will look into restructuring the Advisory Board meeting at the Annual Meeting to make it more retreat-like, using the top three issues identified in the survey as a basis for topics of discussion. Staff Blaisdell will work with Board leadership to identify mentors for the five new Advisory Board members. Staff Blaisdell will conduct a survey of forum members regarding the effectiveness of the provider forums. Staff Blaisdell will provide forum chairs with a list of members on the forum list serves.

7 D. Discussion Board Staff Blaisdell reviewed current development of the CHA Center for Post-Acute Care website and discussion board. Staff Blaisdell will include a brief overview of this new feature at the Annual Meeting. E. Presentation Information Staff Blaisdell provided an overview of the IMPACT Act presentation. Members are encouraged to utilize this presentation within their hospitals as they see fit. As schedule allows, Staff Blaisdell will conduct individual hospital, or regional roundtable, presentations, as well. Staff Blaisdell will distribute the original PowerPoint to Advisory Board members. F. CPAC Congressional Education Day Update Staff Blaisdell provided an update on planned activities for the 2015 CPAC Congressional Education Day. V. State Issues Staff Blaisdell will arrange a preparatory conference call between Alyssa Keefe and those participating in this event. A. Workplace Violence Staff Blanchard-Saiger provided an update on the Healthcare Workplace Violence Prevention regulations. CHA is preparing both a guidebook and a webinar on the new regulations. Members are encouraged to monitor the CHA website for draft regulations and updates on this topic. Staff Blanchard-Saiger will also be hosting regional roundtables, in conjunction with the regional associations, once the regulations are finalized. B. Coordinated Care Initiative Staff Blaisdell provided an update on implementation of the Coordinated Care Initiative, including CHA s comment letter to the Department of Health Care Services on the Continuity of Care Dual Plan Letter. C. State Legislation Staff Glaser provided an overview of state bills of interest to post-acute care providers. 5

8 VI. Federal Affairs A. Federal Legislation Staff Blaisdell provided an update on federal legislation of concern to CHA members and providers of post-acute care services. B. Federal Regulatory Update Staff Blaisdell provided an update on federal regulatory activity of concern to CHA members and providers of post-acute care services. C. CCJR Staff Blaisdell provided information on the proposed rule for the Comprehensive Care for Joint Replacement Program and reviewed CHA s comment letter. The final rule should be released in November VII. REPORTS A. Inpatient Rehabilitation & Therapy Services Forum Forum Chair Robert Walters provided an update on issues impacting inpatient rehabilitation facilities and therapy services. B. Skilled Nursing & Subacute Care Forum Forum Chair Walter Hekimian provided an update on issues impacting hospital-based skilled nursing units and subacute care units. Staff Blaisdell provided an update on the DP/SNF Clawback and the proposed changes to the Conditions of Participation (CoP). C. Home Health & Hospice Forum Forum Chair Linda Glomp provided an update on current issues impacting home health agencies and hospices. D. LTCH Staff Blaisdell and Member Margaret Crane provided updates on current issues impacting long term acute care hospitals. VIII. Other Business A. Post-Acute Care Issues/Discussion Staff Blaisdell reviewed emerging issues and perspectives regarding post-acute care services and opened the floor for discussion. Staff Blaisdell will explore inclusion of a readmissions roundtable in the 2016 Annual Meeting.

9 B. Member Updates Chair Hirose invited members to share updates, announcements, and other items of interest. IX. New Business X. Next Meeting Conference Call: Tuesday, December 15, :00 am 11:00 am Conference Number: Pass Code: # XI. Adjournment Chair Hirose adjourned the meeting at 2:30 pm. 7

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11 CENTER FOR POST-ACUTE CARE 2015 Advisory Board Roster Chair Mivic Hirose, RN, MSN, CNS Executive Administrator Laguna Honda Hospital and Rehabilitation Center 375 Laguna Honda Blvd. San Francisco, CA Phone: Fax: Past-Chair Term: David Brown System Director of Rehabilitation Services Sharp HealthCare 2999 Health Center Drive San Diego, CA Phone: Fax: Members Maria Cecilia Alpasan, MA, OTR/L Quality and Education Coordinator, Department of Rehabilitation Cedars-Sinai Medical Center 8700 Beverly Blvd. Los Angeles, CA Phone: Term: Chair-Elect Pamela Chevreaux, MA VP, Ambulatory Services Long Beach Memorial Medical Center 2801 Atlantic Avenue Long Beach, CA Phone: Cell: Fax: Term: Monique Bedi, BA, CRRN Acute Physical Rehab Services Coordinator Lodi Memorial Hospital 975 South Fairmont Avenue Lodi, CA Phone: Term: Term:

12 Laura Biscaro, RN Director of Care Management Santa Barbara Cottage Hospital PO Box 689 Santa Barbara, CA Phone: Sheila Brown, RN, FACHE Vice President, Continuum Care Palomar Health 125 Vallecitos De Oro, Suite A San Marcos, CA Phone: Cell: Fax: [email protected] Adam Darvish SVP Hospital Division Kindred Healthcare 200 Hospital Circle Westminster, CA Phone: x5147 Fax: [email protected] Paul Giles Director of Home Health Finance Dignity Health Via Lerida Yorba Linda, CA Phone: Fax: [email protected] Term: Term: Term: Term: Ann Gors Chief Executive Officer Kentfield Rehabilitation & Specialty Hospital 1125 Sir Francis Drake Boulevard Kentfield, CA Phone: Fax: [email protected]. Term: Patricia Bishop, MBA, RN Director of Nursing Ojai Valley Community Hospital 1306 Maricopa Highway Ojai, CA Phone: [email protected] Judy Cook, RN Administrative Director Seton Medical Center 1900 Sullivan Ave Daily City, CA Phone: Fax: [email protected] Lyndon Edwards, MBA, MHS Vice President and Administrator Loma Linda University Medical Center Barton Road Loma Linda, CA Phone: [email protected] Term: Term: Term: Linda Glomp, RN, BSN, MBA Executive Director St. Joseph Health, Home Health, Hospice, Infusion Pharmacy, Private Duty 1100 West Stewart Drive Orange, CA Phone: Fax: [email protected] Term: Lisa Harrold, LCSW Director, Rehabilitation and Skilled Nursing Services Kaweah Delta Health Care District 840 S Akers Road Visalia, CA Phone: Fax: [email protected] Term:

13 Walter Hekimian, MBA Administrator Edgemoor DPSNF 655 Park Center Drive Santee, CA Phone: Fax: James Jackson, MPH Hospital Administrator Alameda County Medical Center, Fairmont Campus Foothill Blvd. San Leandro, CA Phone: Fax: Term: Jan Kroetz, RN, NM, NE-BC Chief Patient Care Director Loma Linda University Medical Center- East Campus Barton Road Loma Linda, CA Phone: Fax: Amit Mohan Chief Executive Officer Barlow Respiratory Hospital 2000 Stadium Way Los Angeles, CA Phone: Fax: Term: Term: Shelly Necke, RN, BSN VP Post-Acute Care Services PIH Health Imperial Highway La Mirada, CA Phone: x65014 Term: Pamela Reger Director, Continuing Care Services Kaiser Permanente San Diego Mission San Diego, CA Phone: , (cell) Fax: Term: Tory Starr, MSN, PHN, RN Vice President of Care Management Sutter Health/Valley Area 2890 Gateway Oaks Drive, Suite 110 Sacramento, CA Phone: Term: Term: Jan Potts, RN, MBA Chief Clinical Executive Sutter Care at Home 4830 Business Center Drive, Suite 140 Fairfield, CA Phone: Fax: Term: Martha Samora, RN, CPHQ, FACHE Chief Executive Officer HealthSouth Bakersfield Rehabilitation Hospital 5001 Commerce Drive Bakersfield, CA Phone: Fax: Term: Robert Walters, PT, MBA Director, Inpatient Rehabilitation Services John Muir Health 3480 Buskirk Ave., Suite 150 Pleasant Hill, CA Phone: Fax: Term:

14 Ex-Officio Patty Haggen Executive Director, Neurosciences, Orthopedics & Rehabilitation John Muir Health 1601 Ygnacio Valley Road Walnut Creek, CA Phone: Fax: Regional Association Representatives Jaime Garcia Regional VP Hospital Association of Southern California (HASC) 515 S Figueroa St, Suite 1300 Los Angeles, CA Phone: Fax: [email protected] Suzanne Ness Regional VP Hospital Council of Northern & Central California 1215 K Street, Suite 730 Sacramento, CA Phone: Fax: [email protected] Judith Yates Senior VP Hospital Association of San Diego & Imperial Counties 5575 Ruffin Road, Suite 225 San Diego, CA Phone: Fax: [email protected] Staff Patricia L. Blaisdell, FACHE VP, Continuum of Care California Hospital Association 1215 K Street, Suite 800 Sacramento, CA Phone: Fax: [email protected] Beth Demeter Administrative Assistant California Hospital Association 1215 K Street, Suite 800 Sacramento, CA Phone: [email protected]

15 December 4, 2015 TO: FROM: SUBJECT: CHA Board of Trustees Mivic Hirose, Chair Center for Post-Acute Care Advisory Board Center for Post-Acute Care A Advisory Board Five new members have been appointed to the advisory board of the CHA to begin their services in The new appointees are Monique Bedi, Acute Physical Rehabilitation Coordinator, Lodi Memorial Hospital, Laura Biscaro, Director of Care Management, Santa Barbara Cottage Hospital, Patricia Bishop, Director of Nursing, Ojai Valley Community Hospital, Lyndon Edwards, Vice President and Administrator, Loma Linda University Medical Center. Additionally, Amit Mohan, CEO, Barlow Respiratory Hospital, will assume the board position previously held by Margaret Crane. Pamela Chevreaux, Vice President for Ambulatory Services, Long Beach Memorial Medical Center and current chair-elect of the advisory board, will assume to role of Chair for Adam Darvish, Senior Vice President, Hospital Division, Kindred Healthcare has been appointed to serve as 2016 chair-elect. B. Congressional Education Day The Center for Post-Acute Care held a Congressional Education Day on October 27, 2015 in Washington, D.C. The purpose of the visit was to provide information to Members of the CA Congressional delegation and their staff regarding the role and contribution of post-acute care services in health care delivery and health care reform, and to advocate for effective policy regarding the delivery of post-acute care services. Several members of the Center s Advisory Board participated in the event, which also included meetings with staff at the Centers for Medicare & Medicaid Services (CMS) to discuss key patient care issues, such as CHA member experiences with Cal MediConnect/Coordinated Care Initiative, acquisition of durable medical equipment (DME) under the Medicare Competitive Bidding Program, and implementation of the Improving Medicare Post-Acute Care Transformation (IMPACT) Act of C. DP/SNF Medi-Cal Rate Reductions CHA continues to advocate for the elimination of the clawback, or retroactive recoupment of reimbursement for services provided by distinct part skilled nursing facilities for the time period from June 1, 2011 to September 30, 2013 (August 31, 2013 for rural facilities). CHA has proposed a potential settlement to DHCS and continues to engage in direct discussions with bot HHS and the Department. 13

16 CHA Board of Trustees Center for Post-Acute Care Page 2 December 4, 2015 DHCS has indicated it plans to proceed with implementation of recoupment in April CHA continues to seek information from DHCS regarding recoupment in special circumstances, and review of individual facility requests for exceptions based on impact on beneficiary access. D. Post-Acute PPS HHA PPS The final rule for the home health prospective payment system (HH PPS) was published in the November 5 Federal Register. The updates are estimated to reduce home health payments by a net $260 million, or negative 1.4 percent, in CY In addition, the rule implements a significant new proposal to test a home health value-based purchasing model in nine states, not including California, as well as updates to the home health quality reporting program. E. Post-Acute Quality Measures The Centers for Medicare & Medicaid Services (CMS) released its list of quality measures under consideration for future rulemaking on November 27, including several measures for post-acute care services, such as potentially preventable readmissions during and after post-acute care stays, discharge to community, and others. The Measure Applications Partnership (MAP) will review the measures during a post-acute workshop to be held December CHA has provided input to the measures throughout the development process and will attend the in-person meetings. F. CHA Center for Post-Acute Care Annual Meeting The annual meeting of the CHA Center for Post-Acute Care, Break the Mold, The New Shape of Post-Acute Care, will be held on February 11 & 12, 2016 in Redondo Beach, CA. Topics include the role of post-acute care services in population health management and bundled payment, care transitions, regulatory updates and more. G. Center Forums The Center for Post-Acute Care has established several member forums for member provider groups, including 1) inpatient rehabilitation facilities and therapy services, 2) skilled nursing facilities and subacute care units, and 3) home health agencies and hospices. The goals of these forums, which meet regularly by phone and web, are to provide an opportunity for members from specific post-acute provider groups to receive timely information regarding issues of interest, and to provide input to Center activities. Participation in the forums is open to employees of CHA institutional members.

17 A two-day conference for CHA s Center for Post-Acute Care Break the Mold The New Shape of Post-Acute Care February 11 12, 2016 Crowne Plaza Redondo Beach, Redondo Beach 15

18 Break the Mold The New Shape of Post-Acute Care THURSDAY, FEBRUARY 11 9:30 10:30 a.m. Opening Session Implementing Population Health Management Across Care Settings Eric A. Coleman, MD, MPH, Director, Care Transitions Program, University of Colorado Anschutz Medical Campus A new status quo is taking shape Silos of care are out. What s in? Fluid care paths and payment models based upon quality outcomes and increased care coordination. As health care evolves to meet this trend, integration of post-acute care becomes more vital than ever. This year s conference will shake up your thinking with new models and practices to help you adapt and succeed in our changing world. Take a few minutes and review this year s agenda. The Post-Acute Care Conference provides sessions on the most timely and important topics to our industry, including: the of role post-acute care in population health management; how to use partnerships with community-based organizations to improve transitions of care; updates on the IMPACT Act implementation and the CCJR model; how new payment models are shaping post-acute care delivery and much more. Make plans now to join your colleagues in Redondo Beach. Are you ready to discover the full potential of Population Health Management for your organization? This session, led by the innovator of the Coleman CTI method, will provide guidance for putting population health into action. Learn how to collaborate across care settings, with organizations in your community, and with patients and families to improve the health of elderly populations. Find out how simulation can better prepare patients and their families for transitions of care. 10:30 11:00 a.m. Break 11:00 a.m. 12:00 p.m. General Session Partnering with Community-Based Services Lori Peterson, MA, Chief Executive Officer, Collaborative Consulting ACA is placing a higher emphasis on communitybased care and for good reason. Partnering with a community-based organization (CBO) can improve care transitions and ultimately reduce readmissions. This session will walk you through the process of establishing a partnership, from evaluating a CBO s competency and capacity, to building and sustaining relationships. Examples of mutually-beneficial partnerships will also be shared. 12:00 1:15 p.m. Hosted Luncheon 1:15 2:30 p.m. General Session Partnerships and Innovative Practices to Improve Care Transitions Micro Presentations Presenters to be announced Participants will break into groups for quick learning sessions on innovative practices to improve patient outcomes and care transitions. Plan to get up close and personal with the presenters to learn about their partnerships and care models, and how these can be applied to your own environment of care.

19 Who Should Attend? Everyone who cares about the continuum of care and who is committed to helping patients achieve maximum health and independence. 2:30 3:00 p.m. Break 3:00 4:00 p.m. General Session The Washington Perspective on Post-Acute Care Progress Alyssa Keefe, Vice President, Federal Regulatory Affairs, California Hospital Association CHA s Washington-based representative will provide participants with a behind-the-scenes update on policy and regulation at the federal level. Hear the latest updates on key programs, including the ongoing implementation of the IMPACT Act and the CCJR model. 4:00 5:00 p.m. General Session Integrating Palliative Care Throughout the Continuum Shelly Garone, MD, FACP, Chief, Continuum North Sacramento Valley, Kaiser Roseville Medical Center It s time to reduce the stigma and start reaping the benefits of palliative care. More than end of life treatment, palliative care helps patients with chronic conditions develop goals for their own care while reducing utilization of unnecessary services. If you are considering implementing (or expanding) a palliative program, this session will provide the guidance and resources to incorporate palliative care into your practice. 5:00 6:00 p.m. Reception FRIDAY, FEBRUARY 12 7:30 8:30 a.m. Breakfast Session Center for Post-Acute Care Update Patricia Blaisdell, FACHE, Vice President, Continuum of Care, California Hospital Association In this annual update, participants will learn about recent activities of the Center for Post-Acute Care and advocacy plans for the coming year. Attendees are encouraged to bring their suggestions and questions. 8:30 9:30 a.m. General Session How New Payment Models are Driving Post-Acute Care Delivery Allen Dobson, PhD, President, Dobson/DaVanzo & Associates, LLC 9:30 10:00 a.m. Break The delivery of care across the continuum is being transformed by new payment models. This session will explain how bundled payments, value-based purchasing and site-neutral models are changing how post-acute care services will be delivered in the future. Implications for organizations and post-acute care providers at all levels will be discussed. 10:00 11:00 a.m. General Session CMS Region IX Update and Current Programs for Care Innovation Ashby Wolfe, MD, MPP, MPH, Chief Medical Officer, Region IX, Centers for Medicare & Medicaid Services The Chief Medical Officer for Centers for Medicare and Medicaid Services (CMS), Region IX will provide a real-time update on current CMS programs in the Center for Medicare and Medicaid Innovation, as well as the major programmatic reforms under the Medicare Access and CHIP Reauthorization Act. Learn about CMS s current initiatives to improve the delivery of care and new opportunities available to providers. 11:00 a.m. 12:00 p.m. General Session A Conversation with Your Association President C. Duane Dauner, President/CEO, California Hospital Association; and Pamela Chevreaux, Vice President, Ambulatory Services, Long Beach Memorial Medical Center Incoming Center for Post-Acute Care Board Chair will conduct an interview and recap the conference with CHA s president and CEO, C. Duane Dauner. Mr. Dauner will share his insights on the future of health care and how the association will continue to advocate on behalf of members. Bring your questions for this interactive session. 17

20 Plan now to join us in Redondo Beach TUITION: Register by January 6 and save *Member Rate...$495 **Nonmember Rate...$695 Registrations received after January 6, add $100. * Members are CHA member hospitals, CHA associate members and government agencies. ** Nonmembers are limited to non-hospital health care providers, clinics, post-acute facilities, and consultants, insurance companies, law firms and other entities that serve hospitals. Education programs and publications are a membership benefit and are not available to eligible nonmember California hospitals. Tuition includes reception, luncheon, conference materials and CEs. ACCOMMODATIONS: Room reservation deadline is January 20 The Crowne Plaza Redondo Beach and Marina is the host hotel and site of this year s event. Discounted sleeping rooms are available for $189, single or double occupancy. For reservations, call (800) and mention the Post-Acute Care Conference. Don t delay room reservation deadline is January 20 and availability is limited. CONTINUING EDUCATION: Full attendance at the educational sessions is a prerequisite for receiving continuing education. Attendees must sign in at the conference and include their professional license number, if required. Continuing education certificates will be ed after the conference. Health Care Executives CHA is authorized to award up to 8.25 hours of pre-approved ACHE Qualified Education Credit (non-ache) for this program toward the advancement or recertification in the American College of Healthcare Executives. Participants in this program wishing to have the continuing education hours applied toward ACHE Qualified Education credit should indicate their attendance when submitting application to the American College of Healthcare Executives for advancement or recertification. Confirmations: A confirmation will be sent to all registrants. On-site registrations and any unpaid registrations may be subject to an additional 10 percent fee. Cancellation Policy/Late Payment: A $75 non-refundable processing fee will be retained for each cancellation. Cancellations must be made in writing seven or more business days prior to the scheduled session. No refunds will be made after these dates. Substitutions are encouraged. Cancellation and substitution notification may be ed to [email protected]. In the unlikely event that the program is cancelled, refunds will be issued to paid registrants within 30 days. Americans with Disabilities Act: If you require special accommodations pursuant to the Americans with Disabilities Act, please call (916) Photo and Recording Release: Registration and attendance at CHA programs and other activities constitutes an agreement by the attendee with CHA for use and distribution of the attendee s image or voice in photographs, videotapes, electronic reproductions and audiotape. Questions: Please call the Education Department at (916) Nursing Provider approved by the California Board of Registered Nursing, Provider CEP 11924, for 9.9 contact hours. Nursing Home Administrators Application has been made to the State of California Department of Public Health to award nursing home administrators continuing education for this program. Rehabilitation Professionals This program may meet continuing education requirements for Occupational Therapy, Physical Therapy and Speech/Language Pathology. Please request a Certificate of Attendance to submit to your professional organization. Regional Association Partners: Hospital Council of Northern and Central California Hospital Association of Southern California Hospital Association of San Diego and Imperial Counties Platinum Sponsor: Silver Sponsors:

21 CENTER FOR POST-ACUTE CARE ADVISORY BOARD 2016 MEETING SCHEDULE WEDNESDAY, FEBRUARY 10, :00pm 5:00pm Crowne Plaza Redondo Beach 300 N. Harbor Dr. Redondo Beach, CA THURSDAY, APRIL 21, :00am 2:30pm CHA- Board Room 1215 K Street, Suite 800 Sacramento, CA THURSDAY, JULY 21, :00am 2:30pm TBD Southern CA THURSDAY, OCTOBER 20, :00am 2:30pm CHA- Hospital Council Board Room 1215 K Street, Suite 730 Sacramento, CA Thursday, December 15, :00am 12:00pm Conference Call Pass Code: # 19