November 14, 2014
Volume 57, Issue 46


Legislative Leadership Selected for 2015-16 Session
Fitzgerald, Vos maintain top spots; Shilling, Barca lead Dems

Quickly following the November 4 election, caucuses in each chamber of the Legislature met to decide who will serve in leadership positions for the upcoming session. The top posts in each chamber stayed the same, with Senate Majority Leader Scott Fitzgerald (R-Juneau) and Assembly Speaker Robin Vos (R-Burlington) re-elected to their positions. Fitzgerald has been Majority Leader of the Senate since 2011 and Vos has been Speaker of the Assembly since 2013.

The lawmakers that hold these top positions have authority to appoint committee chairs, appoint committee members and decide whether or not a piece of legislation will be voted on by the full Senate or full Assembly. There are four caucuses in the Legislature, which correspond to the lawmaker’s political party and the chamber they were elected to (e.g. Senate Republican Caucus, Assembly Democratic Caucus, etc).

The retirement of Sen. Mike Ellis (R-Neenah) left an opening for the president of the Senate. This post is in the powerful position to refer bills to specific committees, which can provide a bill with a breath of life or give it the kiss of death. Three Senators competed for this position and, ultimately, Sen. Mary Lazich (R-New Berlin) was able to garner the most votes from her colleagues. She will be able to serve in that position until, at least, the end of this upcoming session.

In the Assembly, where former Majority Leader Pat Strachota (R-West Bend) retired from the Legislature, Rep. Jim Steineke (R-Kaukauna) was selected to be the next Majority Leader of that chamber. The Majority Leader is charged with leading debate on the Assembly Floor for the Assembly Republicans and works with the Speaker to set the calendar for each day when the entire Assembly is in session. Steineke previously served as the Assistant Majority Leader in the Assembly.

On the Democratic side, incumbent Assembly Minority Leader Peter Barca (D-Kenosha) faced a challenge from State Rep. Evan Goyke (D-Milwaukee), a freshman lawmaker. In the end, Barca garnered enough votes to be re-elected Assembly Minority Leader for the 2015-16 session. The Minority Leader sets the agenda, in this instance, for the Assembly Democratic Caucus.

In the Senate, current Minority Leader Chris Larson (D-Milwaukee) bowed out of his re-election bid to serve as leader in the next session after an announcement by Sen. Jennifer Shilling (D-La Crosse) that she was considering challenging him for that position. Shilling was elected to the position November 12.

The issues that impact Wisconsin hospitals have always crossed party lines. In the last legislative session, nearly all of WHA’s priority agenda items received broad and bipartisan support from the Assembly and Senate. The Wisconsin Hospital Association Government Relations team congratulates those Wisconsin lawmakers who were elected or re-elected to their leadership posts and looks forward to continuing our successful partnership in the upcoming session.

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Fundraising Campaign at 95% of Annual Goal

With the goal in sight, the 2014 Wisconsin Hospitals Conduit and State PAC Fundraising Campaign has raised $251,000 from 342 participants this year. There is just under $14,000 to go to reach the goal by the end of the year, which if achieved would be a record year for contributions.

Records were also shattered this year on the disbursement side in contributions to candidate campaigns. This past election year, your contributions supported 109 candidate campaigns, both Democrats and Republicans. So far the Wisconsin Hospitals Campaign has disbursed $308,000 in 2014 and over $420,000 in the 2013-2014 election cycle, which is also a new record. Over the course of the last four election cycles, the Campaign has seen a 20 percent increase in disbursements to candidate campaigns.

Thank you to all 342 individuals listed below including the 68 members of the Platinum Club. The next publication of the contributor list will be in the November 27 edition of The Valued Voice.

For more information, contact Jodi Bloch at 608-217-9508 or Jenny Boese at 608-274-1820.

Contributors ranging from $1 to $499
Aittama, Craig Ministry Saint Michael's Hospital
Alstad, Nancy Fort HealthCare
Anderson, Phil Sacred Heart Hospital
Anich, Matthew Memorial Medical Center - Ashland
Appleby, Jane Aurora Health Care
Arnett, James Meriter-UnityPoint Health
Babbitts, Jamie St. Mary's Hospital Medical Center
Bagnall, Andrew St. Nicholas Hospital
Bair, Barbara St. Clare Hospital & Health Services
Ballentine, Anne Wheaton Franciscan Healthcare
Bayer, Tom St. Vincent Hospital
Becker, Kathleen Aurora Health Care
Brenholt, Craig St. Joseph's Hospital
Brenny, Terrence Stoughton Hospital Association
Buser, Kenneth Wheaton Franciscan Healthcare - All Saints
Campau, Patricia Columbia St. Mary's, Inc.
Capelli, A.J. Aurora Health Care
Cardinal, Lori Agnesian HealthCare
Ceelen, John Ministry Health Care
Censky, Bill Holy Family Memorial
Clark, Julie St. Joseph's Hospital
Clark, Renee Fort HealthCare
Cliffe Kucharski, Elizabeth Wheaton Franciscan Healthcare
Connor, Michael Aurora Health Care
Collins, Sherry Wisconsin Hospital Association
Coopman, Dianne St. Mary's Janesville Hospital
Cormier, Laura Bellin Hospital
Courtney, Chip Aspirus Medford Hospital & Clinics, Inc.
Dalebroux, Steve St. Mary's Hospital
Danner, Forrest Aspirus Wausau Hospital
Donlon, Marcia Holy Family Memorial
Duda, Carrie Wheaton Franciscan Healthcare - All Saints
Dux, Larry Froedtert & MCW Community Memorial Hospital campus
Dwyer, Maxine St. Mary's Hospital
Erickson, Susan Meriter-UnityPoint Health
Ewald, Sandra Aurora Health Care
Ferrigno, Sandra St. Mary's Hospital
Fields, Mary Aurora Health Care
Fielding, Laura Holy Family Memorial
Freitag, Vanessa Ministry Our Lady of Victory Hospital
Furlong, Marian Hudson Hospital & Clinics
Gagnon, Annette HSHS-Eastern Wisconsin Division
Goldberg, David Froedtert & MCW Community Memorial Hospital campus
Gormican, John J. Agnesian HealthCare
Graul, Mark Children's Hospital of Wisconsin
Gruber, Richard Mercy Hospital and Trauma Center
Groskreutz, Kevin St. Joseph's Hospital
Gulan, Maria Aspirus Wausau Hospital
Gullicksrud, Lynn Sacred Heart Hospital
Gustafson, Andy SSM Health Care-Wisconsin
Hafeman, Paula St. Vincent Hospital
Halida, Cheryl St. Joseph's Hospital
Hamilton, Mark
Harrington, Kathleen Mayo Health System - Eau Claire
Hattem, Marita Aspirus Wausau Hospital
Heaney, Dwight Fort HealthCare
Helgeson, Jason HSHS-Eastern Wisconsin Division
Henricks, William Rogers Memorial Hospital
Hieb, Laura Bellin Hospital
Hill, Juliet Sacred Heart Hospital
Hockin, Jennifer Aspirus, Inc.
Hofer, John Bay Area Medical Center
Holub, Gregory Ministry Door County Medical Center
Huber, Mark Aurora Health Care
Hueller, Julie Wheaton Franciscan Healthcare
Jelle, Laura St. Clare Hospital & Health Services
Jensen, Russell St. Mary's Hospital
Jermstad, Raymond St. Vincent Hospital
Jones, Mary Meriter-UnityPoint Health
Jurenec, Anne Select Specialty Hospital - St. Luke's
Karow, Deborah Ministry Health Care's Howard Young Medical Center
Kaufmann, Marilyn Holy Family Memorial
Kelsey Foley, Kathy Aspirus Wausau Hospital
Kempen, Jacob Aspirus Wausau Hospital
King, Steve St. Mary's Hospital
Kingston, Mary Beth Aurora Health Care
Kinney, Aric Aurora Medical Center Summit
Klay, Chris St. Joseph's Hospital
Klay, Lois St. Joseph's Hospital
Koch, Mark Mayo Clinic Health System
Kocken, Christine St. Vincent Hospital
Koebke, Troy Bellin Hospital
Koran, Zeb Wheaton Franciscan Healthcare - All Saints
Kuehni-Flanagan, Tracy St. Joseph's Hospital
LaBarge, Margie Ministry Health Care
Lakey, Sandy Aspirus Wausau Hospital
Lambrecht, Randy Aurora Health Care
Lange, George Westgate Medical Group, CSMCP
Larson, William St. Joseph's Hospital
Leonard, Mary Kay St. Mary's Hospital
Luehring, Sally St. Vincent Hospital
Lynch, Sue Mayo Health System - Franciscan Healthcare
Majewski, Joe Aurora Health Care-South Region
Marquardt, Amy Hospital Sisters Health System
Mason, Paul Wheaton Franciscan Healthcare - All Saints
Maurer, Mary Holy Family Memorial
Mays, Laura Stoughton Hospital Association
McMeans, Scott Holy Family Memorial
Maciver, Carolyn Aurora Health Care
Meicher, John St. Mary's Hospital
Mercer, Carla Reedsburg Area Medical Center
Mohr, Carol Sacred Heart Hospital
Moon-Mogush, Cindy Aurora Health Care
Muzi, Titus Aurora Health Care
Neikirk, Jon Froedtert & The Medical College of Wisconsin
Nevers, Rick Aspirus, Inc.
Newberry-Ferguson, Linda ProHealth Care - Rehabilitation Hospital of WI
Nickerson, Brian Aurora Health Care
Nicklaus, Todd Aspirus, Inc.
O'Brien, Laura
Ortiz, Jose Mayo Health System - Eau Claire
Ostrander, Gail HSHS-Eastern Wisconsin Division
Ott, Virginia St. Joseph's Hospital
Oungst, Laurie Ministry Health Care's Howard Young Medical Center
Palecek, Steve St. Joseph's Hospital
Pavelec-Marti, Cheryl Ministry Saint Michael's Hospital
Peck, Lori Aspirus Medford Hospital & Clinics, Inc.
Peiffer, Susan Sacred Heart Hospital
Pempek, Kalynn Aspirus Wausau Hospital
Penczykowski, James St. Mary's Hospital
Penovich, Carrie Aurora Medical Center in Two Rivers
Prunty, Brian Aspirus Wausau Hospital
Revnew, Dorothy ProHealth Care - Oconomowoc Memorial Hospital
Riddle, Roberta Rusk County Memorial Hospital
Risley-Gray, Ruth Aspirus, Inc.
Ross, Daniel Wheaton Franciscan Healthcare - All Saints
Roundy, Ann Columbus Community Hospital
Sanicola, Suzanne Columbia St. Mary's, Inc.
Schaetzl, Ron St. Clare Hospital & Health Services
Schneider, David Langlade Hospital - An Aspirus Partner
Schubring, Randy Mayo Health System - Eau Claire
Schulze, Connie Ministry Health Care
Schweitzer, Susan Columbus Community Hospital
Sciuti, Jennifer Aurora Health Care
Selle, Ginger St. Clare Hospital & Health Services
Shear, Jim  
Sheehan, Heather Hayward Area Memorial Hospital and Nursing Home
Sio, Tim Wheaton Franciscan Healthcare - All Saints
Slomczewski, Constance Wheaton Franciscan Healthcare - All Saints
Smith, Melanie Aurora Health Care-South Region
Sommers, Craig St. Mary's Hospital
Sparacino, Gloria Aurora West Allis Medical Center
Steines, Sara Children's Hospital of Wisconsin
Stelzer, Jason St. Clare Hospital & Health Services
Stephens, Brian Ministry Door County Medical Center
Stranberg, Kevin Memorial Medical Center - Ashland
Strasser, Kathy Aspirus, Inc.
Sullivan, Anne Memorial Medical Center - Ashland
Tapper, Joy Milwaukee Health Care Partnership
Teigen, Seth St. Mary's Hospital
Theiler, Brian Gundersen Tri-County Hospital and Clinics
Turtenwald, Robyn Froedtert & MCW Community Memorial Hospital campus
Vanevenhoven, Joseph Ministry Saint Michael's Hospital
Van Meeteren, Bob Reedsburg Area Medical Center
Vergos, Katherine Ripon Medical Center
Voelker, Thomas Aspirus Wausau Hospital
Walczak, Laura St. Mary's Janesville Hospital
Waldoch, Timothy Columbia St. Mary's, Inc.
Walker, Troy St. Clare Hospital & Health Services
Washburn, Juliane Bay Area Medical Center
Werkheiser, Cindy Monroe Clinic
Westbrook, Diane River Falls Area Hospital
Wetenkamp, Vicki Holy Family Memorial
Wheeler, Susan St. Nicholas Hospital
White, Pam Mayo Health System
Whitinger, Margaret Agnesian HealthCare
Woleske, Chris Bellin Hospital
Wymelenberg, Tracy Aurora Health Care
Ziebarth, Laura St. Mary's Hospital
Contributors ranging from $500 to $999
Andersen, Travis Columbia St. Mary's, Inc.
Anderson, Layton Ministry Saint Joseph's Hospital
Borgerding, Dana Wisconsin Hospital Association
Bergmann, Michael Aurora Medical Center Summit
Brenton, Andrew Wisconsin Hospital Association
Carlson, Dan Bay Area Medical Center
Carlson, Peter Aurora Psychiatric Hospital
Connors, Lawrence St. Mary's Hospital Medical Center
Deich, Faye Sacred Heart Hospital
Dexter, Donn Mayo Health System - Eau Claire
Dietsche, James Bellin Hospital
Dolohanty, Naomi Aurora Health Care
Eckels, Timothy Hospital Sisters Health System
Ericson, Allen Froedtert & MCW St. Joseph's Hospital campus
Frangesch, Wayne Wheaton Franciscan Healthcare
Freimund, Rooney Bay Area Medical Center
Graebner, David Aurora Sheboygan Memorial Medical Center
Granger, Lorna Aurora Health Care
Gullingsrud, Tim Hayward Area Memorial Hospital and Nursing Home
Huettl, Patricia Holy Family Memorial
Hyland, Carol Agnesian HealthCare
Jacobson, Terry St. Mary's Hospital of Superior
Jensema, Christine HSHS-Eastern Wisconsin Division
Kellar, Richard Aurora West Allis Medical Center
Kersten, Juliet Children's Hospital of Wisconsin
Kerwin, Kathleen  
Kocourek, Cathie Aurora Medical Center in Two Rivers
Larson, Margaret Mercy Medical Center
Lentz, Darrell Aspirus Wausau Hospital
Logemann, Cari Aspirus, Inc.
Malone, Virginia St. Mary's Hospital
Mantei, Mary Jo Bay Area Medical Center
Martin, Jeff Ministry Saint Michael's Hospital
McNally, Maureen Froedtert & The Medical College of Wisconsin
Miller, Clint Spooner Health System
Mueller, Joan Mayo Clinic Health System Franciscan Healthcare
Mugan, James Agnesian HealthCare
Mulder, Doris Beloit Health System
Nelson, James Fort HealthCare
Nesse, Robert Mayo Clinic Health System
O'Keefe, James Mile Bluff Medical Center
Oland, Charisse Rusk County Memorial Hospital
Ordinans, Karen Children's Hospital of Wisconsin
Ose, Peggy Riverview Hospital Association
Peterson, Douglas Chippewa Valley Hospital
Pollard, Dennis Froedtert & MCW Community Memorial Hospital campus
Quinn, George Wisconsin Hospital Association
Richards, Theresa Ministry Saint Joseph's Hospital
Richardson, Todd Aspirus, Inc.
Rocole, Theresa Wheaton Franciscan Healthcare
Rohrbach, Dan Southwest Health Center
Rutkowski, Jennifer Grant Regional Health Center
Schmitz, Bonnie Agnesian HealthCare
Sczygelski, Sidney Aspirus Wausau Hospital
Selberg, Heidi HSHS-Eastern Wisconsin Division
Shabino, Charles Wisconsin Hospital Association
Smith, Gregory Wheaton Franciscan Healthcare
Sobal, Larry Ministry Health Care
Sohn, Jon Wheaton Franciscan Healthcare
Sprecher, Lon  
Stuart, Philip Tomah Memorial Hospital
Swanson, Kerry St. Mary's Janesville Hospital
Thoreen, Peter Meriter-UnityPoint Health
VanCourt, Bernie Bay Area Medical Center
Wessels, Bill Aspirus, Inc.
White-Jacobs, Mary Beth Black River Memorial Hospital
Worrick, Gerald Ministry Door County Medical Center
Yaron, Rachel Ministry Saint Clare's Hospital
Contributors ranging from $1,000 to $1,499
Ashenhurst, Karla Ministry Health Care
Bablitch, Steve Aurora Health Care
Bagemihl, Katherine Froedtert & The Medical College of Wisconsin
Bailet, Jeffrey Aurora Health Care
Bakkum, Kyle Vernon Memorial Healthcare
Bard, Jeffrey Aurora Medical Center in Oshkosh
Bedwell, Elizabeth Children's Hospital of Wisconsin
Bowers, Brenda Wheaton Franciscan Healthcare
Garcia-Thomas, Cristy Aurora Health Care
Geboy, Scott Hall, Render, Killian, Heath & Lyman
Geraghty, Tricia Children's Hospital of Wisconsin
Gunn, Veronica Children's Hospital of Wisconsin
Gutzeit, Michael Children's Hospital of Wisconsin
Hart, Shelly Aurora Health Care
Hayden, Kevin  
Herzog, Sarah Wheaton Franciscan Healthcare
Janis, Gerald Aurora Health Care
Just, Lisa Aurora Health Care
Kosanovich, John Watertown Regional Medical Center
Kostroski, Sharon Ministry Saint Joseph's Hospital
Lappin, Michael Aurora Health Care
Lewis, Jonathan St. Mary's Hospital
Loftus, Philip Aurora Health Care
McDonald, Mary Beth Aurora Health Care
McKevett, Timothy Beloit Health System
Mohorek, Ronald Ministry Health Care
Natzke, Ryan Marshfield Clinic
Nauman, Michael Children's Hospital of Wisconsin
Nelson, Dave HSHS-Western Wisconsin Division
Norbin Killoran, Carrie Aurora Health Care
Potts, Dennis Aurora Health Care
Priest, Geoffrey Meriter-UnityPoint Health
Radoszewski, Pat Children's Hospital of Wisconsin
Rickelman, Debbie WHA Information Center
Rislov, Amy Aurora Health Care
Sanders, Robert Children's Hospital of Wisconsin
Schafer, Michael Spooner Health System
Schmidt, Cheryl St. Elizabeth Hospital
Shanahan, Thomas Children's Hospital of Wisconsin
Stamas, Peter Ministry Saint Joseph's Hospital
Wolf, Edward Lakeview Medical Center
Contributors ranging from $1,500 to $1,999
Anderson, Sandy St. Clare Hospital & Health Services
Bloch, Jodi Wisconsin Hospital Association
Boatwright, Damond SSM Health Care-Wisconsin
Boese, Jennifer Wisconsin Hospital Association
Boland, Susan Wheaton Franciscan Healthcare - All Saints
Byrne, Frank St. Mary's Hospital
Coffman, Joan St. Joseph's Hospital
Court, Kelly Wisconsin Hospital Association
Duncan, Robert Children's Hospital of Wisconsin
Falvey, Patrick Aurora Health Care
Francis, Jeff Ministry Health Care
Frank, Jennifer Wisconsin Hospital Association
Grasmick, Mary Kay Wisconsin Hospital Association
Harding, Edward Bay Area Medical Center
Herzog, Mark Holy Family Memorial
Heywood, Matthew Aspirus, Inc.
Hilt, Monica Ministry Saint Mary's Hospital
Johnson, Jodi Wisconsin Hospital Association
Kretschman, Robin Ministry Saint Joseph's Hospital
Lepore, Michael Wheaton Franciscan Healthcare
Lewis, Gordon Burnett Medical Center
Martin, Jeff Ministry Saint Michael's Hospital
Meyer, Daniel Aurora BayCare Medical Center in Green Bay
Oliverio, John Wheaton Franciscan Healthcare
Olson, David Froedtert & The Medical College of Wisconsin
Robertstad, John ProHealth Care - Oconomowoc Memorial Hospital
Roller, Rachel Aurora Health Care
Russell, John Columbus Community Hospital
Sexton, William Prairie du Chien Memorial Hospital
Sheehan, John
Stanford, Matthew Wisconsin Hospital Association
Wallace, Michael Fort HealthCare
Contributors ranging from $2,000 to $2,999
Alig, Joanne Wisconsin Hospital Association
Andersen, Travis Columbia St. Mary's, Inc.
Brenton, Mary E.
Brooks, Alenia Aurora Health Care
Brophy, Michael Aurora Health Care
Clapp, Nicole Grant Regional Health Center
Colman, Gerard Aurora Health Care
Desien, Nicholas Ministry Health Care
Gage, Weldon Children's Hospital of Wisconsin
Gorelick, Marc Children's Hospital of Wisconsin
Hanson, Gail Aurora Health Care
Kachelski, Joe Wisconsin Statewide Health Information Network
Kelch, Elaine
Kief, Brian Ministry Saint Joseph's Hospital
Leitch, Laura Hall Render Killian Heath & Lyman
Levin, Jeremy Rural Wisconsin Health Cooperative
Normington, Jeremy Moundview Memorial Hospital & Clinics
O'Brien, Kyle Wisconsin Hospital Association
Pandl, Therese HSHS-Eastern Wisconsin Division
Potter, Brian Wisconsin Hospital Association
Sanders, Michael Monroe Clinic
Standridge, Debra Wheaton Franciscan Healthcare
Starmann-Harrison, Mary Hospital Sisters Health System
Troy, Peggy Children's Hospital of Wisconsin
Contributors ranging from $3,000 to $4,999
Jacobson, Catherine Froedtert & The Medical College of Wisconsin
Kammer, Peter The Kammer Group
Katen-Bahensky, Donna
Kerwin, George Bellin Hospital
Little, Steven Agnesian HealthCare
Mettner, Michelle Children's Hospital of Wisconsin
Neufelder, Daniel Ministry Health Care
Turkal, Nick Aurora Health Care
Contributors ranging from $5,000 to $9,999
Borgerding, Eric Wisconsin Hospital Association
Brenton, Stephen Wisconsin Hospital Association
Size, Tim Rural Wisconsin Health Cooperative
Contributors $10,000 and above
Tyre, Scott Capitol Navigators, Inc.


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Advocacy Day 2015: Save The Date!
April 28 in Madison

Each year, the WHA Advocacy Day event grows both in number of attendees and in the impact made on our legislators in Madison. With 1,000 attendees from 100 hospitals/systems plus dozens of corporate member organizations, you can help make the 2015 Advocacy Day event a great success by marking your calendar now for Tuesday, April 28, 2015.

While WHA is still finalizing the line-up, the day will include top-notch speakers, an informative briefing on the hot legislative issues of the day (don’t forget, the Legislature will be in full swing debating the state budget!) and a chance to represent your hospital with a personal visit with your legislator or staff at the State Capitol.

Watch for additional information about Advocacy Day 2015 as it becomes available. Make sure you have an impact in Madison on April 28. Plan now for both you and your hospital team—including senior leaders, trustees and volunteers—to attend this important event.

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WCMEW Team-Based Care Conference Draws Nearly 200 Participants
30 Wisconsin hospitals and health systems share multi-disciplinary care team models

Wisconsin is among the highest performing states for health care in the nation—a reputation built on solid clinical performance and outstanding patient care delivered by dedicated professionals. However, in an environment that is rapidly changing, Wisconsin’s care delivery model must adapt to market forces and demographics. With a looming physician shortage and a growing number of health care professionals aging out of the workforce, multi-disciplinary teams are seen as one way to ensure that care will be accessible, affordable and effective, especially for those with chronic or complex diseases.

On November 12, nearly 200 physicians, nurses, pharmacists and executive leaders participated in the Wisconsin Council for Medical Education and Workforce (WCMEW) conference, "Building a Culture for Patient-Centered Team-Based Care." Representatives from 30 Wisconsin hospitals, health systems and clinics shared their experiences in developing and working in a team-based care model.

"In the challenging health care workforce environment and with the increase in demand for care, we know that one response is to redesign how we deliver care," said Andy Anderson, MD, MBA, Aurora Health Care, who presented a keynote address. "Our world will be focused on value—not volume—and to do that better will require a high-functioning team."

With a goal of building a systems-based, self-improving culture that energizes, empowers and enables caregivers to improve their work and solve problems, Anderson described several techniques and tools that Aurora uses to facilitate team training. One tool they use is a modified TeamSTEPPS curriculum that aligns with current Aurora tools and initiatives (see TeamSTEPPS section at end of this article).

A common outcome reported by all 30 of the organizations that presented on their team’s experience at the conference is increased patient satisfaction. The teams also said they see better outcomes and increased patient and family engagement when care is delivered by a team.

Maureen Smith, MD, MPH, PhD, with the University of Wisconsin School of Medicine and Public Health, also a keynote presenter, said the most successful teams are those that are patient-centered. "The more patient-centered a team is, the more likely they are to meet a common goal of improving quality," Smith said. "Working in a team also decreases burnout, reduces the workload and builds cohesion across the unit."

Jeffrey Miller, DNP, Medical College of Wisconsin, works within a team that serves patients who are diagnosed with HIV or AIDS. This complex patient population offers special challenges, which Miller said are more effectively addressed in a team-based care model.

"We demonstrated that we could keep people healthier by utilizing a team approach to their care, but initially there were barriers. A big one was our team included providers from several disciplines, but not all members of the team had access to the patient’s electronic medical records because there was an additional layer of confidentiality due to mental health entries in their record. However, the (WHA-supported) HIPAA harmonization bill eliminated that barrier," Miller said.

Laura Magstadt, MSN, RN, Ministry Health Care, said the aging population that is commonly served in the Eagle River area gave the team-based hospitalist program at the hospital high marks.

"Patient satisfaction really went in the right direction as we placed the patient at the center of how we provide care," according to Magstadt.

WCMEW Executive Director George Quinn said the knowledge shared at the conference is just the beginning.

"Providers organized as teams to care for patients represent the future of health care. It was impressive to hear such a wide variety of clinicians talk about how they are able to deliver care in an effective and compassionate way," said Quinn. "WCMEW will continue to serve as a catalyst in helping to disseminate team-based care throughout Wisconsin."

WHA Chief Medical Officer Chuck Shabino, MD, and Quinn both participated and helped lead the conference planning committee. Both agreed that through collaborative learning activities and sharing of best practices, Wisconsin hospitals will continue to adopt and expand team-based approaches to care.

Twelve teams presented at the conference, and an additional 18 teams represented in the poster session. More information about the teams will be featured in the November 21 issue of The Valued Voice.

TeamSTEPPS
TeamSTEPPS, referenced by a number of the organizations that presented at the Wisconsin Council on Medical Education and Workforce, is one tool that helps facilitate the cultural changes necessary to create and sustain a team-based approach to patient care.

WHA just recently organized an advisory group facilitated by WHA Quality Coordinator Tom Kaster, who is a master trainer in TeamSTEPPS. The goal is to organize a small collaborative of hospitals in Wisconsin that are interested in learning more about TeamSTEPPS. (See www.wha.org/data/sites/1/quality/Quality-TeamSTEPPS-7-11-14.pdf)

"We plan to leverage the knowledge that we have gained to the benefit of all our member hospitals to continue to strengthen Wisconsin’s culture of patient safety," Kaster said.

To learn more about WHA’s TeamSTEPPS activities, contact Kaster at tkaster@wha.org or 608-274-1820.

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Adequate Medicaid Funding Tops WHA Legislative Agenda
Hospitals prepare to help people sign up as exchange opens Nov. 15

When state budget discussions start after the first of the year in the Legislature, advocating for Medicaid funding will be one of WHA’s top priorities. WHA will continue to aggressively seek adequate payment in this historically underfunded program.

At the November 13 WHA Council on Finance meeting, chaired by Steve Little, president/CEO, Agnesian HealthCare, Joanne Alig, WHA senior vice president, policy and research, reviewed the WHA legislative agenda as it relates to Medicaid and the ever-present problem of cost-shifting unpaid costs of the program to employers and private payers. In 2013, Wisconsin hospitals lost nearly $1 billion serving Medicaid patients.

"The hidden health care tax continues to be an issue for not just our members, but for Wisconsin’s employers," Alig told Council members. "WHA’s goal is to secure adequate funding for hospitals that serve this vulnerable population and cut Wisconsin’s hidden health care tax."

The Greater Milwaukee Business Foundation on Health found earlier this year that hospitals in southeast Wisconsin have reduced expenses significantly, resulting in cost savings to commercial payers. That said, the study noted that uncompensated care and below-cost reimbursement from government payers resulted in 35 percent of the overall cost of commercial coverage. WHA has said this hidden health care tax is becoming an "anchor" on the progress hospitals are making to reduce overall health care costs for Wisconsin employers.

The federal healthcare.gov website opens November 15 for health insurance price and plan comparisons. Alig said a quick review indicates many plans are structured to have high cost sharing amounts in terms of deductibles and copayments. While meeting the goal of added consumerism, unfortunately hospitals too often shoulder the burden of these payments when low income patients are unable to pay these costs. It is important that individuals and families review the silver plan level, because if they are eligible for cost sharing subsidies, they will obtain those benefits through the silver plans.

The federal health insurance exchange re-opens November 15 for annual renewals and new sign-ups. Hospitals and health systems invested considerable resources to help residents in their communities who are uninsured connect with insurance on the exchange in 2014, and many have indicated they will provide the same or even increased level of assistance this year.

With respect to Medicaid payments and reducing the hidden health care tax, WHA continues to work with the Legislature on solutions for improving Medicaid reimbursement. Hospital supporters can add their voices to the discussion by attending WHA 2015 Advocacy Day. The event is April 28, 2015, which coincides with the State Legislature’s budget process. Plan to tell your legislators how their decisions will impact your community hospital when you join with over 500 others during legislative visits that afternoon. Advocacy Day brings together 900 hospital advocates in Madison. Watch for more information in the coming months.

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Grassroots Spotlight: Children’s Hospital of Wisconsin Honors Sen. Olsen, Rep. Mason

Children’s Hospital of Wisconsin honored Sen. Luther Olsen (R-Ripon) and Rep. Cory Mason (D-Racine) with the "Children’s Champion" policy award for their efforts to improve children’s health care and well-being.

The Children’s Champion policy award honors public policy leaders in Wisconsin who strive to make a positive impact in the lives of Wisconsin children and families by working to move health and child well-being policy forward.

"It is my honor to work together with my colleagues and Children’s Hospital of Wisconsin, a leader in advocacy for children, to improve the health of Wisconsin¹s children," said Olsen.

"It’s our responsibility to support the policy needs of children, specifically to address child abuse, neglect and infant mortality," said Mason.

"Children’s Hospital of Wisconsin applauds Senator Olsen and Representative Mason for their work in the last several legislative sessions to champion numerous policies to improve health care for children, injury prevention laws, and initiatives to advance child health and social service laws," said Michelle Mettner, vice president, government relations and advocacy, Children’s Hospital of Wisconsin.

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WHA Physician Leadership Conference Focus on Team Leadership, Change

One of the most difficult transitions for a new physician leader is the move from working autonomously and focusing on clinical issues to leading a team with a new approach to managerial decision-making and problem solving. The WHA 2015 Physician Leadership Development Conference will focus on the tools, techniques and skills needed to assist both new and seasoned physician leaders in making that transition.

The 2015 conference, scheduled Friday, March 13 and Saturday, March 14 at The American Club in Kohler, will be led by William "Marty" Martin, PsyD, one of this event’s most popular faculty. He will focus on ways physician leaders can lead strategic innovation and change within the organization. In addition, Barry Silbaugh, MD will help physician leaders focus on moving their perspective and skill set from that of a physician working autonomously to leading a team and influencing others to change. Both Martin and Silbaugh are nationally-recognized faculty from the American Association for Physician Leadership (ACPL), formerly the American College of Physician Executives.

Registration is now open online at http://events.SignUp4.net/15PLD, with a discounted "early bird" registration fee available to those registering by January 15. Additionally, a "host" registration option is available for senior-level hospital representatives (non-physicians) who accompany one or more of their physicians to the conference but do not need CME credit. ACPL is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACPL designates this live activity for a maximum of 11 AMA PRA Category 1 Credits.TM Physicians should only claim credit commensurate with the extent of their participation in the activity.

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CDC Increasing Supply of Ebola-specific PPE for U.S. Hospitals

The Centers for Disease Control and Prevention (CDC) has ordered $2.7 million in personal protective equipment (PPE) to increase Strategic National Stockpile (SNS) supplies to assist U.S. hospitals caring for Ebola patients. Products are being configured into 50 kits that can be rapidly delivered to hospitals. Each kit can provide the PPE needed by clinical teams to manage the care of one Ebola patient up to five days.

Purchases are based on PPE guidance for caring for Ebola patients that was issued by CDC October 20. The kits can be rapidly delivered from the SNS as requested to those hospitals that receive suspected or confirmed Ebola cases but may need additional PPE supplies that otherwise are not immediately available.

Although the number of kits is limited, they will help address short-term PPE needs. Purchases include impermeable gowns, coveralls, and aprons; boot covers; gloves; face shields and hoods; N95 respirators; powered-air purifying respirator systems and ancillaries; and disinfecting wipes.

There are alternatives that can be used in the event certain products are unavailable, and those alternatives are included in CDC’s guidance. CDC continues to coordinate with manufacturers, distributors and health care facilities to monitor the availability of products in the supply chain. No products are being held by manufacturers or distributors specifically for SNS orders, and SNS orders are not being prioritized ahead of orders placed by hospitals.

Hospitals should coordinate with their state public health departments if there is a need to request PPE supplies from CDC to care for an Ebola patient. The state health department will follow the established protocol for submitting this request to CDC. The latest CDC PPE guidance is available at www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html.

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Member News: Neufelder Named President/CEO of Ministry Health Care

The Wisconsin Health Ministries of Ascension Health named Daniel E. Neufelder Ministry Health Care President and CEO, effective December 1, 2014. Neufelder succeeds Nick Desien, who has been in the role since 1999. Desien will continue in his position of Ascension Ministry Market Leader for Wisconsin, Kansas and Oklahoma. In this role, Desien is accountable for providing leadership, support and direction related to the strategic positioning and operational performance of both Ministry Health Care and Columbia-St. Mary’s in Wisconsin, as well as the health ministries in Kansas and Oklahoma.

"Dan has demonstrated a strong dedication to our promise of delivering person-centered care, while keeping our organization focused on operational and performance excellence every day," said Desien. "Dan’s expertise will strengthen our capabilities as a value-based provider in the new health care marketplace and support Ministry and Ascension’s culture of high reliability in both quality and safety."

Neufelder has served as senior vice president – chief operating officer for Ministry Health Care the past two years. Prior to that appointment, since 2006, he was president and chief executive officer of Affinity Health System, a part of Ministry Health Care. He is a past chair of WHA’s Board of Directors, has chaired the WHA Advocacy Committee and Nominating Awards and Bylaw Committee, and has served on the WHA Council on Public Policy and Wisconsin Hospitals Issue Advocacy Council.

Ascension Health Wisconsin includes Ministry Health Care and Columbia St. Mary’s, both based in Milwaukee. The Wisconsin Health Ministries of Ascension Health are part of Ascension.

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Member News: St. Mary’s Hospital President Byrne Announces Retirement Plans

Frank Byrne, MD, announced he plans to retire as president of St. Mary’s Hospital January 30, 2015. However, he will remain a member of the board of directors of St. Mary’s Hospital Foundation.

"I want to thank Frank personally for his leadership, both in the hospital and in the community. He is certainly irreplaceable and we wish him, his wife Cindy and their family the very best," said Damond Boatwright, president of hospital operations for SSM Health Care of Wisconsin.

While Byrne’s work inside the hospital is impressive, equally as important is the impact he’s made on the Madison area. Byrne currently serves on the boards of the Madison Community Foundation, the Greater Madison Chamber of Commerce, the Urban League of Greater Madison, the Wisconsin Hospital Association and the Wisconsin Medical Society.

Byrne has been active in a number of professional organizations over the years, which included serving on the Board of Governors of the American College of Healthcare Executives (ACHE) and the board of the American College of Physician Executives (now the American Association for Physician Leadership), which inducted him as a Distinguished Fellow. He also received an ACHE Senior Executive Regents Award. He currently serves on WHA’s Board of Directors and has served on WHA’s Advocacy Committee (2008-2014) and Public Policy Council (2005-2008).

Prior to coming to St. Mary’s in 2004, Byrne held a variety of clinical, administrative and governance leadership roles at Parkview Health in Fort Wayne, Indiana. Early in his career, he practiced pulmonary and critical care medicine in Fort Wayne.

"I may be retiring but I won’t be slowing down," Byrne said. "I look forward to more time to focus on my other passions including music, in addition to continuing to take advantage of all the Madison area has to offer."

SSM Health Care will begin a national search for his replacement immediately.

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November is National Lung Cancer Awareness Month

Lung cancer is the leading cause of cancer death and the second most diagnosed cancer in both men and women in the United States, according to the Center for Disease Control. In 2011, 14 percent of all cancer diagnoses and 27 percent of all cancer deaths were due to lung cancer. After increasing for decades, lung cancer rates are decreasing nationally, as fewer people smoke cigarettes.

Data from the WHA Information Center found there were 1,920 inpatient admissions and 33,579 outpatient visits in Wisconsin hospitals for the primary treatment or evaluation of lung cancer from July 2013 through June 2014.

* Data provided by the WHAIC (www.whainfocenter.com)

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