ADA And California Access Code Signage Requirements

ADA and California Access
Code Signage Requirements
March 5, 2013
CHA Webinar
Welcome
Mary Barker
California Hospital Association
1
Continuing Education Offered
for this Program
 Compliance: Compliance Certification Board (CCB) has approved
this program for 2.4 Compliance Certification Board (CCB) Continuing Education
Units in one or more of the following areas: Application of Management Practices
for the Compliance Professional; Application of Personal and Business Ethics in
Compliance; Written Compliance Policies and Procedures; Designation of
Compliance Officers and Committees; Compliance Training and Education;
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Compliance Standards and Discipline; Auditing and Monitoring for Compliance;
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Implementation. Granting of prior approval in no way constitutes endorsement by
the Compliance Certification Board.
 Health Care Executives: CHA is authorized to award 2 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.
3
Continuing Education
Requirements
 Full attendance, completion of online survey,
and attestation of attendance is required to
receive CEs for this webinar. CEs are
complimentary for registrant. If additional
participants under the same registration would
like to be awarded CEs, a fee of $20 per
person, will apply. Post-event survey will be
sent to registrant and provide information on
how to apply online for additional CEs.
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Program Overview
Roger Richter
California Hospital Association
Faculty: Sharon Toji
Sharon Toji is general manager, CFO and ADA sign
consultant for the H. Toji Companies, comprised of ADA
Sign Products, accessible signage and way-finding design and
fabrication; H. Toji and Company, an architectural signage
fabricator and installer; and Access Communications, a
consulting company dedicated to accessible communications
in the built environment. Ms. Toji has performed numerous
signage surveys since the advent of the ADA in 1992, from
hotels to college campuses to entire small cities. As part of
her committment to improve access she has been actively
involved in state committees including: Committee on
Accessible Evacuation with the California State Fire Marshal
and Advisory Committee on Access with California Building
Standards Commission. Previously, she served on the Access
Committee at the Division of the State Architect.
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California Access Code —
New Signage Requirements
Sharon Toji
H. Toji & Company
New Signs of Access
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Signs and Wayfinding
2010 ADA and Title 24
Working Together for California Access
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Three Codes
• On September 15, 2010 the DOJ approved new standards. (2010
ADA Standards for Accessible Design (SAD)). Fortunately,
many of the new federal sign standards were already part of
California’s state code for signs.
• On January 1, 2011, the 2010 CBC (California Building Standards
Code) (state) took effect.
• On August 1, 2012, emergency regulations amended the CBC to
bring it into further compliance with the ADA.
• On March 15, 2012, the 2010 ADA (federal) became legally
enforceable. We must follow the most stringent standard, either
federal or state. Sometimes that means the state standard, and
sometimes the federal standard.
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5
Alphabet Soup
• DOJ: Federal Department of Justice
• 2010 ADA SAD: ADA Standards for Accessibility
(the latest federal standards)
• 2010 CBC: California Building Code
(the version now in effect)
• ANSI: American National Standards Institute. The sign
standards were originally written by the Subcommittee
on Signs of the ANSI A117.1 Committee on accessible
and usable facilities for the 1998 version.
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California Complies
• Until the new CBC takes effect, you must use the most
stringent of these three: 2010 CBC, amended 2010 CBC,
2010 ADA SAD.
• January 2013, the 2013 California code, which
incorporates the format and much of the verbiage of
the 2010 ADA, was adopted. It will become legally
compliant.
• January 1, 2014. Everything designed for 2014 should
comply with the 2013 CBC. For large projects, the date
when the permit is pulled is most important. However,
even one sign replacement must comply.
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Finding Your Way Around the Codes
• The 2013 CBC has folded the new
organizational structure of 2010 ADA into
Chapter 11B.
• The numbering system is identical, but each
number is prefaced with 11B.
• Many of the technical requirements that
are the same for housing and Title 2 and 3
facilities have been moved from 11A to 11B.
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Scoping - Chapter 2
• To find out where signs are required, go
to Chapter 2 in the ADA, or 11B-200 in
CBC for scoping.
• Most of the sign requirements are
under 216.
• You might occasionally find a sign, or
an element with braille, under another
section in Scoping.
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If a Sign is Not Mentioned, It is
Probably Not a Requirement
• Don’t assume an ISA (International
Symbol of Accessibility) is required for
every accessible element.
• Look at the requirements for that
element. If the symbol is not listed in
that section, it is not required, and may
be considered labeling or segregating.
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Chapter 7 Confusion
• Because they wanted to shorten it, the Access
Board tried to telescope two sections from the
American National Standards Institute (ANSI)
Standards into one. It has created confusion.
• The Standard allows two kinds of signs to
identify rooms and spaces.
• One type of sign combines visual and tactile in
one set of characters. The new type allows you
to separate the two sets of characters.
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8
Chapter 7 is for Signs
• Technical requirements for most signs are in
Chapter 7 for the ADA, and 11B-700
(Division 7) for the CBC.
• Sign requirements are also included in the
elevator section (Division 4) and the parking
section (Division 5). Chapter 10 of the CBC
has detailed sign requirements for the path
of egress.
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Remember This!
• All disabled people do not use wheelchairs!
• Therefore, people with vision, hearing and
cognitive impairments often don’t need the same
accessible features as those who do not walk.
• And most people who use wheelchairs to travel
independently can see fairly well. They almost
never need to read signs by touch.
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Why Accessible Signs?
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• For people who have vision problems:
Easy to read text, visually and sometimes by
touch.
• For people who have hearing or speech
problems:
Directions and information to access visually.
• For people who have mobility problems:
Directions to hidden or obscure accessible
features and pathways.
• For people with cognitive impairments:
Pictograms and symbols, easy to read text,
independence from strangers.
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Universal Sign Rules
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High Contrast Characters
• 703.5.1 … Contrast … Characters shall contrast
with their background with either light characters
on a dark background or dark characters on a light
background. (See also CBC 1117B.5.2.)
The proposed ANSI formula: Using the easily available
LRV (light reflectance values) of various colors, choose
colors that have values of 45 or higher, and 13 or less, for
adequate light to dark contrast, 70 percent or more.
• Put the two colors together and copy in black and white. Do
the shades of gray have a strong contrast?
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Silver Does Not Contrast
With Light Walls!
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Before & After
•
This hospital greatly
improved independent
access by painting
silver signs black.
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Contrast
Examples of poor contrast
Contrast
Contrast
(slide provided by US Access Board)
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A high school’s choice of “light on
dark” for their signs!
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Do You Think it Contrasts?
To someone with “red
green color blindness” it
has almost no contrast. It’s
essentially invisible. That’s
why the rule is about dark
and light, and does not
mention color, or “hue.”
If we made a copy of this
sign on a black and white
copier, the text would be
almost the same shade as
the sign background.
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Remember That
California Also
Has Contrast Rules
for the Restroom
Door Sign.
The circle or triangle must
contrast with the door, and
the triangle on a unisex sign
must contrast with the circle
as well. You can see that this
sign just looks like a circle,
but also doesn’t contrast
with the door. The whole
point of the sign is lost!
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Non-glare Finishes
703.5.1 Finish. Characters and their background shall have a
non-glare finish …
What I think it means: Originally, the term “eggshell, matte or non-glare was used.
The attached Appendix listed a gloss meter reading between 10 and 19 for an
“eggshell” finish. However, many people thought the term referred to the color
“eggshell” and also, the term “matte” is used for brushed metals, which are not really
non-glare enough. Therefore, the new rule just says “non-glare.” The gloss reading
used in the old Appendix is still a good guide.
Glare is a huge problem for many types of vision impairment, including for people
with aging vision, who tend to have developing cataracts. Metal finishes, unless
they are matte anodized, oxidized or painted, are almost never appropriate.
We suggest using the proposed ANSI Standard of a maximum of 19 on a standard
gloss meter for all sign finishes.
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Too Much
Glare!
This sign is an extreme
example of what happens
when shiny metals are used.
The sign becomes a mirror,
or white streaks obscure
the message.
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Signs as
Mirrors!
These signs have a job to
do. The first explains the
sustainable resource
program for a government
building. The second helps
people exit safely in an
emergency. Glare turns
them into mirrors, instead.
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Readable Text
• 703.2.4 Character Proportions. Characters shall be selected from fonts
where the width of the uppercase letter “O” is 55 percent minimum
and 110 percent maximum of the height of the uppercase letter “I.”
• 1117B.5.3 (CBC) Proportions. Characters on signs shall be selected
from fonts that have a width-to-height ratio of between 3:5 (60
percent) and 1:1.1 (110 percent) measured by the width of the
uppercase letter “O” and height of the uppercase letter “I.”
Emergency code change: In order to retain the more accessible section
of the California code (no more condensed than 60 percent) but still
adopt the more accessible wider character of the federal standard (no
less than 110 percent), the California code was changed by emergency
action that took effect on August 1, 2012. The new 2013 code will
retain that standard for California. It will be numbered 11B-703.2.4.
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16
Purpose of the standard:
• The purpose is to avoid distorted fonts
(very condensed or extremely extended).
• Highly condensed fonts make the spaces
in letters like “P,” “B,” and “A” disappear,
for touch readers and visual readers.
• Extended fonts may make many letters
look identical to people with vision
impairments. People who read by touch
lose their cognitive vision of the letter and
number shapes.
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Condensed Fonts
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Extended Fonts
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Decorative Fonts
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Measuring Characters
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• You can create your own measuring
template right on your computer, and
determine compliance as you go, or you
can use a transparent template, print out
an entire page of test characters, (O and I)
and measure them.
• Our plastic template comes with
instructions. It’s simple. Just place the
appropriate rectangle over the test letter.
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• First, create a rectangle the size of your font.
We use a one inch high character, measured
by the height of the uppercase “I.”
• The rectangle must be 1.10 inches wide.
Make a second rectangle 1 inch high and
.6 inch wide.
• Print out two characters from each font you
are testing, an uppercase “I” and “O.”The “I”
must be one inch high.
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• It’s simple to see that the font is not too wide. You don’t even
need to measure to see if it’s not too condensed, but we’ll show it
to you.
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20
• The rectangle was duplicated, and the height remained at 100
percent, and the width was reduced to .60. The result is placed
over the “O” which is obviously not too condensed.
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Readable by Touch
• 703.2.6 Stroke Thickness. Stroke thickness of
the uppercase letter “I” shall be 15 percent
maximum of the height of the character. (This
standard is for tactile characters only –– not for
visual characters.)
Note: The California code for stroke width is less stringent
than this, (20 percent) so the federal standard must be used
as of March 15, 2012. The top surface is the surface that will
be measured, so if a beveled character is used, there is a little
leeway in the choice of fonts. A 20 percent wide character can
be beveled to 15 percent.
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21
Readable Visually
• The ADA standards have separate
requirements for visual characters. They
are allowed much wider strokes –– up to
30 percent of character height. However, in
California, the 20 percent standard is more
stringent, so the Emergency Code requires a
maximum stroke for visual characters only
of 20 percent. Tactile characters may have
only 15 percent stroke. The 20 percent will
remain in force in California for the 2013 code.
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The Stroke Template
• Use the “I” that measured the character height.
• Copy your 1 inch square, and reduce the width
to 15 percent, or .15.
• Place the rectangle over the “I” to be sure the
stroke is not too wide. If you are going to bevel
the raised characters, you do have some leeway.
• Remember that this measurement has been
required since March 15, 2012 for new signs.
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22
• You can see the stroke is a little wide. However, if
you use a bevel, the top surface will be 15 percent.
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• Create a new copy of the
rectangle that is .20 in width.
• Copy your 1 inch square, and reduce the
width to 20 percent, or .20. The green
rectangle is 20 percent of height.
• Place the rectangle over the “I” to be sure
the stroke is not too wide.
• Remember that this measurement is
compliant for visual characters only.
• You might have a character that is both
tactile and visual. The tactile section is
what you feel on the top surface. The
visual portion is what you see.
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Character & Line Spacing
• 703.2.7 Character Spacing. Character
spacing shall be measured between the
two closest points of adjacent raised
characters within a message. Where
characters have rectangular cross
sections, spacing between individual
raised characters shall be 1/8 inch
minimum and 4 times the raised
character stroke width maximum.
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Other Cross
Cross Sections
Other
Sections
• … Where characters have other cross sections,
spacing between individual raised characters
shall be 1/16 inch and 4 times the raised
character stroke maximum at the base of the
cross section shall be 1/8 inch minimum and 4
times the raised character stroke width
maximum at the top of the cross sections.
Characters shall be separated from raised
borders and decorative elements 3/8 inch
minimum.
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What Are Other Cross Sections?
• Rounded shapes
• Beveled shapes
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• What it means: The standard is an
endorsement of beveled or rounded
tactile characters. If the color is integral,
or subsurface, it means that a character
can appear visually bolder, with more
visually pleasing spacing, but will be
more readable by touch, with a thinner
or rounded top surface, and greater
spacing between characters.
• The standard is written so that
mono-spacing is NOT required.
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25
Raised Characters
New standards: Character
spacing
(non-rectangular
cross
New standards:
Character
sections)
spacing (non-rectangular
cross
sections)
1/8” – 4x
stroke width
1/8” – 4x stroke width
1/16” – 4x stroke width
(slide provided by US Access Board)
This demonstrates the approval of beveled characters.
The original Appendix stated that they were much easier
to read by touch. They also allow better visual spacing.
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How to Measure Spacing
• Type in the characters you want to space. Use the digital
spacing to start. Use the size chosen for the text.
• Next, create an 1/8 inch circle. That will measure the
minimum required space between characters. It’s OK,
and often best, to have more space between some pairs.
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• The “E” and “X” are a little too close.
• The spacing at these points is compliant.
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• Here are some difficult pairs. Notice how the
spacing is corrected to accommodate the minimum.
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Line Spacing
• 703.2.8 Line Spacing. Spacing between the baselines
of separate lines of raised characters shall be 135
percent minimum and 170 percent maximum of the
raised character height.
Following is a demonstration of how line spacing can be
determined using the computer.
First, type in the text in the chosen size, in two lines. Then
create a rectangle that is the height of the character, plus
the percentage of that height you want for spacing. For a one
inch letter, your rectangle would be 1.35 inches for the
minimum spacing.
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The rectangle is
created that is at
least 135 percent
of the character
height.
Next, move the bottom line up so the top of that line
aligns with the baseline of the rectangle.
Now move the
bottom line up to
the base of the
rectangle to create
the minimum
spacing.
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California Template
• California is a little more stringent than 2010 ADA
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On Site Template
• This template can be used on site smaller characters
and to check spacing.
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Sign Categories
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Signs That Identify
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• Use signs with raised characters and
braille only when required to identify
rooms and spaces, exits and floor levels.
• Uppercase characters in small sizes
make directional signs too difficult to
read for the majority of vision impaired
people and others.
• The Access Board suggests raised
numbers for most signs, with visual
room functions, except for restrooms.
• Major rooms like libraries and cafeterias
are an exception, for best access.
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• This restroom set shows a non-tactile number for
the use of security and maintenance people.
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• These California exit signs are used to identify
doors. They are not used as directional signs.
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• An “Exit Route” sign that can be read
by touch with an added arrow may lead
a functionally blind person into a room
that has no exit. Use tactile exit signs
only to mark doors.
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• Enclosed stairways need many signs, both tactile
and visual.
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The large sign is
non-tactile. It must
be accompanied
by a small tactile
floor level sign
placed adjacent to
the door entering
the corridor.
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ADA 2010 Has a Solution!
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Best For Visual & Raised
• Upper and Lowercase
• Larger and Bolder
• Tighter Spacing
• Can Use Serifs
• High Contrast and
No Glare
• Uppercase Only
• Smaller with Thin Strokes
• Wide Spacing
• San Serif Fonts Only
• Accompanied by Braille
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New Braille Rules
Federal Guidelines Have Been Added
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California Braille Standards
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New Federal Standards
Use uppercase indicators only when they
add meaning:
• Proper names.
• Sentence beginnings.
• Acronyms.
• Initials and single letters.
Measurements for dot base and two-line
spacing
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What is Uppercase Braille?
Extra dots in front of a
word indicate uppercase
in braille. One dot
means the first letter is
uppercase, and two dots
indicates the entire word
is uppercase.
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Pictograms Identify Rooms
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Pictograms for Visual Readers
• Only pictograms that are used to
identify rooms and spaces are required
to be placed within a six inch high field.
• When pictograms identify rooms, use
corresponding raised text and braille
below the six inch high space. People
who are functionally blind do not
normally recognize pictograms, even
when they are raised.
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Pictograms Direct & Inform
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• Pictograms and Symbols of Accessibility
that direct and inform usually do not
require text and never require braille.
• There are no size requirements, but they
should have a size appropriate to their
viewing distance and location.
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New Installation Rules
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Design for the New Rules
• Place raised characters at the horizontal
center or lower.
• California has now passed an emergency code that
complies with the 2010 ADA.
• The 2010 ADA says to mount signs with the base of
the top-most line of raised characters no higher
than 60 inches, and no lower than 48 inches.
• To match sign height in existing projects, satisfy
both by designing signs that can be installed at 60
inches on center, but the raised character base will
not be higher than 60 inches. One line signs are
easiest.
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Then
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No Obstacles
• The new measurements
are easier than the “3 inch”
rule to understand. Place
signs within an 18 inch
space, with no
obstructions.
• Be careful of deep window
frames.
• Make sure the person can
approach, standing
upright, within 3 inches.
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New Rules - Better Access
• Lower sign installation
locations when they
provide better access for
children or people with
disabilities.
• Put signs lower if there are
obstructions at the 60 inch
height.
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Direct and Inform
• Signs that direct and
inform need easy to read
visual text.
• Use upper and lower case,
in large sizes. Slightly bold
is good!
• Serifs can be used. Don’t
use italics, oblique or
decorative fonts.
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New Visual Size Chart
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Problem!
• All directional and informational signs shall have
minimum 5/8 inch characters.
• The federal guidelines exempt directories, menus
and parking garage signs, but CBC 2010 does not.
• In a probable oversight in the ADA 2010 evacuation
plans and site and floor plans were not exempted!
• California decided to exempt directories and menus in
the 2013 code, and did exempt evacuation plans, but not
site plans. They took out many exemptions for parking
garage signs. But until January, you must follow the
most stringent rules for new signs.
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Symbols of Accessibility
International
Symbol of
Accessibility
Assistive
Listening
System
Volume Control
Telephone
Text Telephone
(TTY)
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• Use the International Symbol of
Accessibility only where it is required or
serves a useful purpose.
• It identifies facilities that would not be
easy to recognize or find.
• It directs from inaccessible to accessible
entrances, exits and paths of travel.
• It is not used to segregate or set people
apart or to label them.
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Decision Points Only!
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International Symbol of Accessibility
(ISA)
• Entrances
• Toilets and bathrooms
• Parking
• Check-out aisles
• Existing elevators
(slide provided by U.S. Access Board)
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Parking and Traffic Signs
• 1129B.4 (CBC) Identification of parking spaces
for off-street parking facilities. Each parking
space reserved for persons with disabilities
shall be identified by a reflectorized sign ...
What I think it means: Cars have headlights, and the
reflective surfaces of parking and traffic signs (not covered by
accessibility rules) are helpful at night. However, wayfinding
signs for pedestrians do not need to be reflective because
people, and wheelchairs, do not have headlights. The
reflection is a hindrance to reading the sign during the day,
and is not allowed by either state or federal regulations.
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California Parking Signs
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Who Should Hire the
Sign Company?
• For new construction or remodeling, separate the
sign contract from the construction contract.
• Owners and designers/architects are much better
at “sign language” than construction companies.
• Be sure the sign designer and fabricator are part
of the initial planning. They should work with
the architect to be sure there are provisions for
the legally compliant placement of signs.
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Choosing a Sign Company
• What have they done to become educated about the latest
ADA and California rules? Why do they think accessibility
rules are important (or not)?
• Ask to see accessible signs they have fabricated and those
they have designed, if any.
• Did they use high contrast and non-glare finishes? If not,
why not?
• Check tactile elements for “touch” comfort (no sharp
edges). Is type easily readable?
• Are they willing to be frank if you suggest a design that is
not compliant?
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Good Luck!
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Thank you
Sharon Toji
(562) 423-6600
sharontoji@me.com
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Faculty: Paul Coleman
Paul Coleman is the deputy director for the California
Office of Statewide Health Planning and Development
(OSHPD), Facilities Development Division (FDD). As
deputy director, Mr. Coleman is the chief building official
for California’s hospitals — more than 4,000 buildings
located at 1,709 health care facilities under FDD
jurisdiction statewide. Prior to assuming the role of deputy
director in 2009, Mr. Coleman served as OSHPD’s
southern California deputy division chief in the FDD.
There he was responsible for planning and directing work
of the program staff, and assisted in the formulation and
implementation of policies related to enforcement of the
Seismic Safety Act. Mr. Coleman is a licensed architect
and general contractor in the state of California.
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State Building Official’s Role
Paul Coleman
California Office of Statewide Health
Planning and Development
Accessible Signage for Hospitals
Agenda
State Building Official’s Role
•
Key enforcement players
o Various jurisdictions and code applications
•
OSHPD’s role
o When and how long involved
o What officials will look for in terms of compliance
•
•
Triggers for projects/inspections
Vetting
o Avoiding problems with pre-construction review
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Accessible Signage for Hospitals
Key Enforcement Players
Code Adoption Agency
o Division of the State Architect — Access Compliance
Enforcing Agency
o Office of Statewide Health Planning and Development —
Facilities Development Division (FDD)
o California Building Code § 1.10.1
Office of Statewide Health Planning and Development shall enforce the
Division of State Architect — Access Compliance regulations … for
[OSHPD 1] and [OSHPD 2].
107
Accessible Signage for Hospitals
Health and Safety Code § 129820
No contract for the construction or alteration of any hospital building, made
or executed on or after January 1, 1983, by the governing board or authority
of any hospital or other similar public board, body, or officer, is valid, and no
money shall be paid for any work done under the contract or for any labor
or materials furnished in constructing or altering the hospital building, unless
all of the following requirements are satisfied:
a) The plans and specification comply with this chapter and the requirements
contained in the California Building Standards Code.
b) The written approval thereof has first been obtained from the office.
c) The hospital building is to be accessible to, and usable by, persons
with disabilities.
d) The plans and specifications comply with the fire and panic safety
requirements of the California Building Standards Code.
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Accessible Signage for Hospitals
OSHPD’s Role
Project Site — When applicable, site accessibility compliance related
to the building under OSHPD jurisdiction shall be verified in one of
the following manners:
1. Documentation from the local jurisdiction that they will be responsible for
reviewing, approving, and inspecting all site accessibility.
2. Submittal of plans with sufficient detail for OSHPD to review, approve,
and observe all site accessibility. The inspection of the site accessibility
work shall be performed by the project Inspector(s) of Record.
3.
Documentation from a CASp, hired by the hospital, that they will be
responsible for reviewing, approving, and inspecting all site accessibility.
Under consideration
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Accessible Signage for Hospitals
OSHPD’s Role
Project Building — When applicable, building accessibility
compliance related to the building under OSHPD jurisdiction shall be
verified in the following manner:
•
Submittal of plans with sufficient detail for OSHPD to review, approve,
and observe all building accessibility. The inspection of the building
accessibility work shall be performed by the project Inspector(s)
of Record.
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Accessible Signage for Hospitals
OSHPD’s Role
Building — All accessible features of the building in CBC Chapter 11B
•
CBC 1117B.5 — Signs and identification.
•
C.A.N. 2-11B — Accessibility in Health Facilities
http://www.oshpd.ca.gov/FDD/Regulations/CANs/2010/2-11B.pdf
•
DSA — AC Codes/Regulations
http://www.documents.dgs.ca.gov/dsa/pubs/regulations_rev_02-15-11.pdf
•
DSA Access Compliance Manual
http://www.dgs.ca.gov/dsa/Programs/progAccess/accessmanual.aspx
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Accessible Signage for Hospitals
Triggers for Projects/Inspections
•
•
•
•
FDD is a Building Department
New construction
Alteration/renovation projects
FDD can only review what is submitted
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Accessible Signage for Hospitals
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Accessible Signage for Hospitals
Vetting
•
Avoid problems with a Field Confirmation
o FREER Manual
o http://www.oshpd.ca.gov/fdd/Plan_Review/Documents/FREER.PDF
•
Avoid problems with a Pre-Design Meeting
o C.A.N. 2-102.6 Remodel
o http://oshpd.ca.gov/FDD/Regulations/CANs/2010/2-102.6.pdf
•
Avoid problems with Pre-Construction Review
o http://www.oshpd.ca.gov/FDD/Forms/SC-2007%20Preconstruction%20Mtg.pdf
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Thank you
Paul Coleman
(916) 440-8381
paul.coleman@oshpd.ca.us
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Questions
Online questions:
Type your question in the
Q & A box, hit enter
Phone questions:
To ask a question hit 14
To remove a question hit 13
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CHA Publications
New Editions
 California Hospital Compliance Manual (2013 Edition)
 EMTALA: A Guide to Patient Anti-Dumping Laws (2012 Edition)
 Mental Health Law (2012 Edition)
 Minors and Health Care Law (2012 Edition)
New Updates for 2013
 Consent Law Manual (April 2013)
 Principles of Consent and
Advance Directives (April 2013)
 California Health Information
Privacy Manual (July 2013) —
The manual is currently being updated to reflect the
recently released HIPAA/HITECH Final Rule.
Learn more at www.calhospital.org/publications
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Upcoming Programs
 Health Policy Legislative Day
March 12 – 13, 2013, Sacramento, CA
 Rural Health Care Symposium
March 13 – 15, 2013, Sacramento, CA
 Medicare Part B Outpatient Therapy Services Webinar
March 27, 2013, 10:00 a.m. – 12:00 p.m.
 Rural Health Care Symposium
March 14 – 15, 2013, Sacramento
 Consent Law Seminar
April 17, San Diego
April 18, Ontario
April 30, Pasadena
May 16, Costa Mesa
May 29, Sacramento
May 30, San Ramon
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Thank You and Evaluation
Thank you for participating in today’s program.
An online evaluation will be sent to you shortly.
Reminder: evaluation completion is required to
receive continuing education credits.
For education questions, contact Mary Barker at
(916) 552-7514 or mbarker@calhospital.org.
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