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To: Bonefish who wrote (41674)	11/24/2005 2:06:34 AM
From: Elroy Jetson	Read Replies (1) \| Respond to of 116555

Patient deaths and complications from inadequate nursing staff in HMO settings led the California legislature to pass a law setting minimum staffing requirments. dhs.ca.gov In October, 1999 the California State Legislature passed AB394 (Kuehl, Chapter 945, Statutes of 1999) adding section 1276.4 to the Health and Safety Code (HSC). This section was later amended by AB 1760 (Kuehl, Chapter 148, Statutes of 2000). The section requires the California Department of Health Services (Department/CDHS) to develop minimum, specific, numerical licensed nurse–to-patient ratios for specified units of general acute care hospitals. CDHS determined that the requirements listed in this section are the minimum necessary to protect the public health and safety. CDHS’s policy decisions remediate the hospitals with the leanest staffing, effectively raising the bar for the standard of acceptable staffing. In its preamble to the legislation, the Legislature “finds and declares all of the following: a) Health care services are becoming complex and it is increasingly difficult for patients to access integrated services. b) Quality of patient care is jeopardized because of staffing changes implemented in response to managed care. c) To ensure the adequate protection of patients in acute care settings, it is essential that qualified registered nurses and other licensed nurses be accessible and available to meet the needs of patients. d) The basic principles of staffing in the acute care setting should be based on the patients’ care needs, the severity of condition, services needed, and the complexity surrounding those services.” .