CHCC Strategic Plan 2015-2020

CHCC Strategic Plan 2015 - 2020

The Commonwealth Health Care Corporation (CHCC) is inviting the public to view its draft Strategic Plan Report for 2015-2020 available at the CHCC Administrative Offices and website. The Strategic Plan Report is the culmination of the activities that the CHCC conducted on August 2013-December 2014. The CHCC acquired the services of WestCare Pacific Islands to facilitate an Environmental Scan, SWOT Analysis, and Interim Action Plan in preparation of the Strategic Plan. The community is welcome and encouraged to review and provide feedback on the Report from February 18 to 27, 2015. You may submit your comments personally to the CHCC Administrative Offices or online at the CHCC website.

For those who wish to remain anonymous when providing feedback may do so by indicating in their communication with the CHCC and WCPI. WestCare Pacific Islands is a Guam-based non-profit organization that provides a multitude of services including technical assistance and training throughout the region. They are available via phone at 671-472-0218 or email This email address is being protected from spambots. You need JavaScript enabled to view it. . The CHCC is committed to providing the highest quality of care to its community. For more information, please call the CHCC’s CEO Esther Muna at 670-234-8950 ext. 3549 or email This email address is being protected from spambots. You need JavaScript enabled to view it. .

- Time frame for viewing (until Februrary 27, 2015)

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EHR Hardship Applications for Eligible Professionals

EHR Hardship Applications for Eligible Professionals PDF Print E-mail

 News Updates | April 22, 2014


Eligible Professionals: Hardship Exception Applications due July 1, 2014

Are you a Medicare provider who was unable to successfully demonstrate meaningful use for 2013 due to circumstances beyond your control? CMS is accepting applications for hardship exceptions to avoid the upcoming Medicare payment adjustment for the 2013 reporting year.

Payment adjustments for the Medicare EHR Incentive Program will begin on January 1, 2015 for eligible professionals.

However, you can avoid the adjustment by completing a hardship exception application and providing supporting documentation that proves demonstrating meaningful use would be a significant hardship for you. CMS will review applications to determine whether or not you are granted a hardship exception.

CMS has posted hardship exception applications on the EHR website for:

Applications for the 2015 payment adjustments are due July 1, 2014 for eligible professionals.  If approved, the exception is valid for one year.

New Hardship Exception Tipsheets
You can also avoid payment adjustments by successfully demonstrating meaningful use prior to the payment adjustment. Tipsheets are available on the CMS website that outline when eligible professionals must demonstrate meaningful use in order to avoid the payment adjustments.

Want more information about the EHR Incentive Programs?
Make sure to visit the Medicare and Medicaid EHR Incentive Programs website for the latest news and updates on the EHR Incentive Programs.


Visit the CMS EHR Incentive Programs website



CHC Go Live!

November 3rd 13, 2013, CHC conducts its most recent Go Live!  This Go Live is a continuation and progression of the CHC hospital to implement an Electronic Health Record system.  The RPMS EHR system was adopted to be the CHC Hospital EHR.

A “phased in” approach is being used to implement this Go Live which means that hospital In-Patient units will be phased in, one at a time, starting with the Psychiatric and Pediatric units.  Eventually, all of the hospital In-Patient units will be implemented as each unit is trained.

The CHC nursing staff and physicians are being trained to electronically document patient vital signs and progress notes including problem lists, care plans  into the RPMS EHR system.  The MAR will no longer be a hand written document and will be very legible because it will be printed.  Printed material will replace handwritten documentation in most parts of the CHC hospital.

Anthony Reyes (CHCC) and Stephanie Miyasaki (UH/TASI) are coordinating and leading this effort and involves the training of the entire physician and nursing staff at the CHC hospital.  The implementation team includes the hospital Clinical Application Coordinators (CAC’s), Daisy Cabrera and Jenaida Sablan, with Cid Mostales, Joe Quitagua and Jamie Fejeran from the hospital ITS department.

Previous to this Go Live, when the RPMS EHR was initially adopted, a similar Go Live was conducted to implement the RPMS Patient Registration, Admission/Discharge/Transfer application, and the Clinical Scheduling applications.  There are more Go Live implementations on the horizon with the Computerized Physician Order Entry (CPOE) planned for the first quarter of 2014.  The outpatient departments and clinics at CHCC and Tinian and Rota Health Centers, will also Go-Live with the EHR in the first quarter of 2014.

This technology improves healthcare and benefits everyone within the CNMI community.  This Go Live implementation also allows the CHC hospital to attest to achieving Meaningful Use (MU) by demonstrating the hospital meets MU thresholds as set by the Centers for Medicare and Medicaid Services (CMS).  The hospital will submit reports that show they have met the percentage thresholds for the first 90 day attestation period from February-April 2014.

CNMI Expected to Benefit from ACA

CNMI Expected To Benefit From Affordable Care Act
‘Obamacare’ should ensure coverage available to everyone
SAIPAN, CNMI (Marianas Variety, Oct. 4, 2013) – Residents of the Commonwealth of the Northern Mariana Islands will get more benefits when the Affordable Care Act (ACA) becomes effective Jan. 1, 2014, according to Advocacy Officer for the Consumer Assistance Program of the Department of Commerce Kaitlyn Neises-Mocanu. In her presentation at the Rotary Club of Saipan meeting on Tuesday, she said ACA was passed on March 23, 2010 to make health care affordable and accessible for all Americans. Mocano said that law will mandate CNMI insurance reforms, which means that the CNMI will be able to make sure premium increases are reasonable and justified. “Insurance carriers are required to submit rate increases for review through the CNMI Rate Review Process,” Mocano said. She said ACA will also provide guaranteed availability and guaranteed renewability provision where no person can be denied coverage during open or special enrolment, no person can be denied coverage renewal, and this provision ensures that insurance coverage is available to anyone. “Health coverage can only be rescinded in cases of fraud or intentional misrepresentation of material fact,” she said. According to Mocano, the essential health benefit categories the CNMI insurance carriers will be mandated to implement under the ACA include ambulatory patient services, emergency services, hospitalization, laboratory services, maternity and newborn care, mental health and substance abuse disorder services, pediatric services, including oral and vision, prescription drugs, preventive and wellness services and chronic disease management, and rehabilitative services.

Article printed in Marianas Variety, Oct. 4, 2013

CDC “Take 3” Actions to Fight the Flu

CDC urges you to take the following actions to protect yourself and others from influenza (the flu):

Take time to get a flu vaccine. CDC recommends a yearly flu vaccine as the first and most important step in protecting against flu viruses.

While there are many different flu viruses, a flu vaccine protects against the three viruses that research suggests will be most common. (See upcoming season’s Vaccine Virus Selection for this season’s vaccine composition.)

    1. Everyone 6 months of age and older should get a flu vaccine as soon as the current season's vaccines are available.
    2. Vaccination of high risk persons is especially important to decrease their risk of severe flu illness.
    3. People at high risk of serious flu complications include young children, pregnant women, people with chronic health conditions like asthma, diabetes or heart and lung disease and people 65 years and older.
    4. Vaccination also is important for health care workers, and other people who live with or care for high risk people to keep from spreading flu to high risk people.
    5. Children younger than 6 months are at high risk of serious flu illness, but are too young to be vaccinated. People who care for them should be vaccinated instead.
    6. Take everyday preventive actions to stop the spread of germs.
    7. Try to avoid close contact with sick people.
    8. If you are sick with flu-like illness, CDC recommends that you stay home for at least 24 hours after your fever is gone except to get medical care or for other necessities. (Your fever should be gone without the use of a fever-reducing medicine.)
    9. While sick, limit contact with others as much as possible to keep from infecting them.
    10. Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
    11. Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.
    12. Avoid touching your eyes, nose and mouth. Germs spread this way.
    13. Clean and disinfect surfaces and objects that may be contaminated with germs like the flu.
    14. Take flu antiviral drugs if your doctor prescribes them

If you get the flu, antiviral drugs can treat your illness.

Antiviral drugs are different from antibiotics. They are prescription medicines (pills, liquid or an inhaled powder) and are not available over-the-counter.

Antiviral drugs can make illness milder and shorten the time you are sick. They may also prevent serious flu complications. Studies show that flu antiviral drugs work best for treatment when they are started within 2 days of getting sick, but starting them later can still be helpful, especially if the sick person has a high-risk health or is very sick from the flu. Follow your doctor’s instructions for taking this drug.

 Flu-like symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills and fatigue. Some people also may have vomiting and diarrhea. People may be infected with the flu, and have respiratory symptoms without a fever. 

The public is urged to keep informed via the media and for more information, please contact the CHCC’s Public Health Emergency Preparedness Office at telephone number 234-8950 extension 3360 and/or via email at This email address is being protected from spambots. You need JavaScript enabled to view it. . Or CHCC’s PIO, Mr. Glenn H. Manglona at 287-4536.  For more general information about the H7N9 flu, visit the CDC website available at 


Additional information