July 24, 2015
Volume 59, Issue 29

U.S. Rep. Duffy Facilitates Critical Access Hospital Dialogue with CMS 
Baldwin Area Medical Center hosts dozens of area hospital leaders

On July 20, dozens of critical access hospital (CAH) leaders participated in a meeting with key officials from the Centers for Medicare & Medicaid Services (CMS) to discuss CAH-related issues. This meeting was facilitated by U.S. Rep. Sean Duffy (R-Wausau) whose district includes many rural, CAH facilities. 

“What this is about is making sure that CMS, the President, and everyone in Washington understands how important critical access hospitals are to the rural part of the country and for us specifically in central, northern and western Wisconsin,” said Duffy. 

Baldwin Area Medical Center CEO Alison Page welcomed Duffy, hospital leaders and CMS officials, which included CMS Region V’s Regional Director Kathleen Falk via videoconference as well as CMS Region V Chief Medical Officer, Robert Furno, MD, in person. Joining the meeting by teleconference was Mark Hartstein from CMS-Baltimore. 

“We greatly appreciate the effort by Congressman Duffy to engage CMS leaders like Kathleen Falk, Dr. Furno and Mark Hartstein in this dialogue,” said CEO Alison Page of Baldwin Area Medical Center, host site of this meeting. “We hope CMS was left with a deeper understanding of rural health care and the impact CMS regulations have on our communities.” 

The discussion focused on some of the toughest issues small, rural hospitals face today, including the 96 hour rule, CAH mileage proposals and the two-midnight policy among others.

With respect to CMS’ 96-hour rule, several physician leaders told CMS the policy must be fixed. Baldwin Area Medical Center’s general surgeon Clint Semrau, DO, provided CMS with insight into how this policy negatively impacts the delivery of care in rural communities by essentially requiring certain care be transferred out of the community to larger hospital facilities. Semrau said there is no reason to transfer that care other than this policy. He added that doing so adds inefficiency, cost, and reduces patient satisfaction in the process even though CMS indicates these are all things it wants to promote. 

Burnett Medical Center’s CEO Gordy Lewis added that he believes the conflicting 96-hour rules were a drafting error from years ago. “It was an oversight, and there was always the intent to harmonize these conflicting 96-hour rules,” said Lewis. Legislation correcting this oversight, HR 169/S.258, has been introduced, and is strongly supported by WHA among others. 

WHA’s Senior Advisor Steve Brenton also focused attention on how changes to CAH mileage requirements are ill-advised. Further, following on CMS Kathleen Falk’s comments celebrating the Medicare program’s 50th anniversary, Brenton said, “We should celebrate the creation of the modern day CAH designation” and how it continues to allow access to care locally. 

“WHA greatly appreciates Mr. Duffy’s proactive efforts to facilitate this meeting and how he continues to champion the important role rural hospitals play in Wisconsin and the country,” said Jenny Boese, WHA vice president, federal affairs & advocacy.

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Market Forces Will Reshape Care Delivery in Wisconsin…and We’ll Be Ready

As partner/global provider practice leader for Oliver Wyman, a management consultant company, and as a former Wisconsin health care executive, Craig Samitt, MD, is familiar with the strengths of Wisconsin’s health care delivery system. In his position with Oliver Wyman, he has met with health care system leaders in the USA and abroad. So when he told WHA Board members at their annual planning session July 16 that Wisconsin is more prepared for the future than other places where he has travelled, it carried a lot of weight.

For example, as the health care market continues to transform how consumers interact with health care providers, Wisconsin hospitals and health systems are testing and implementing innovative responses to meet patient needs. Samitt said providing care for chronically ill, complex patients will require aggressive monitoring and new interventions that include utilizing technologies ranging from electronic apps to telemedicine. 

“Care may well include going to a patient’s home to help prevent them from returning to the hospital,” said Samitt. In Wisconsin, hospitals are creating or joining community coalitions with like-minded partners to reduce readmissions. 

Payment reform is always on the table, and Samitt, a member of The Medicare Payment Advisory Commission (MEDPAC), which is a nonpartisan legislative branch agency that provides the U.S. Congress with analysis and policy advice on the Medicare program, said the “movement to value-based payment is inevitable.”

“While we don’t have the ability to measure quality among regions with the accuracy required now, we should get to the point where we can pay regions more that have higher quality,” according to Samitt.
Consumers will continue to influence how and where care is delivered. And non-traditional players, from Walmart to CVS, are offering consumers new choices.

“Big change is coming. We are incumbents, the instinct would be to protect what we own, what we know. But we are also in the best position to be the drivers. Think about your strategy in terms of innovation and transformation,” according to Samitt. “Then think about how you stay ahead of those people who are trying to knock down your door.”

WHA Chair-Elect Mike Wallace, president/CEO, Fort HealthCare, presided over the two-day Board planning session. He noted that the Planning Session provides a forum for thoughtful dialogue that has catalyzed some of WHA’s most successful advocacy, quality improvement and information initiatives.

“We are extremely fortunate to be in Wisconsin, where health care is considered one of our state’s best assets for attracting economic development,” according to Wallace. “WHA members share a common mission to improve the health of the people living in our communities. By working together statewide, hospitals and health systems are meeting this goal while setting new standards for patient care.”

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Political Action Spotlight
Wisconsin Hospitals Conduit & State PAC Campaign at 60% of Goal


The 2015 Wisconsin Hospitals Conduit and State PAC fundraising campaign approaches the 2/3 mark in the campaign with the goal to raise just over $270,000 by the end of the year. To date, the campaign has raised more than $161,000. 

The number of individuals who have already contributed stands at 192, and 51 of those are members of the Platinum Club having contributed $1,500 or more so far in this year’s campaign. Individual contributions to date are averaging $840, but contributions range from $20 - $5,000 plus. 

Individual contributors are listed in The Valued Voice by name and affiliated organization on a regular basis. Special thanks to the contributors listed below alphabetically by contribution amount category. The next publication of the contributor list will be in the August 7 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 - $499

Anderson, Phil

Sacred Heart Hospital

Appleby, Jane

Aurora Health Care

Ballentine, Anne

Wheaton Franciscan Healthcare

Bayer, Tom

St. Vincent Hospital

Bard, Jeffrey

Aurora Medical Center - Oshkosh

Brenny, Terrence

Stoughton Hospital

Brisch, Donald

Holy Family Memorial

Cardinal, Lori

Agnesian HealthCare

Carter, Shane

Aurora Medical Center - Oshkosh

Clark, Renee

Fort HealthCare

Collins, Sherry

Wisconsin Hospital Association

Colman, Gerard

Aurora Health Care

Coopman, Dianne

St. Mary’s Janesville Hospital

Cormier, Laura

Bellin Hospital

Culotta, Jennifer

St. Clare Hospital & Health Svcs

Curran-Meuli, Jane

Holy Family Memorial

Davidson, Lisa

Wisconsin Primary Health Care Association

Dettman, Amy

Bellin Hospital

Dux, Larry

Froedtert & MCW Community Mem. Hosp

Evans, Kim

Bellin Hospital

Feeney, John

Community Health Network, Inc.

Fielding, Laura

Holy Family Memorial

Freitag, Vanessa

Our Lady of Victory Hospital

Gullicksrud, Lynn

Sacred Heart Hospital

Hafeman, Paul

St. Vincent Hospital

Halida, Cheryl

HSHS - St. Joseph’s Hospital

Hamilton, Mark

UW Hospitals and Clinics

Harrington, Kathleen

Mayo Health System - Eau Claire

Hernandez, Terri

HSHS - St. Joseph’s Hospital

Jelle, Laura

St. Clare Hospital & Health Services

Kaufmann, Marilyn

Holy Family Memorial

Klay, Chris

HSHS - St. Joseph’s Hospital

Klay, Lois

HSHS - St. Joseph’s Hospital

Knutzen, Barbara

Agnesian HealthCare

Krueger, Kari

St. Mary’s Janesville Hospital

Lampman, Sandra

St. Mary’s Hospital

Leschke, John

Mercy Medical Center

Lynch, Sue

Mayo Health System - Franciscan HC

Maurer, Mary

Holy Family Memorial

McArdle, PeggyAnn

Agnesian HealthCare

McMeans, Scott

Holy Family Memorial

Mercer, Carla

Reedsburg Area Medical Center

Miller, Thomas

Children’s Hospital of Wisconsin

O’Hara, Tiffanie

Sundial Software

Olson, Bonnie

Sacred Heart Hospital

Palecek, Steve

HSHS - St. Joseph’s Hospital

Peiffer, Susan

Sacred Heart Hospital

Range, Bonnie

Holy Family Memorial

Riddle, Roberta

Rusk County Memorial Hospital

Rocheleau, John

Bellin Health

Roethle, Linda

Bellin Memorial Hospital

Roundy, Ann

Columbus Community Hospital

Schubring, Randy

Mayo Health System - Eau Claire

Selle, Ginger

St. Clare Hospital & Health Services

Statz, Darrell

Rural Wisconsin Health Cooperative

Stelzer, Jason

St. Clare Hospital & Health Services

Swanson, Kaitlin

HSHS-Eastern WI Division

Tapper, Joy

Milwaukee Health Care Partnership

Theiler, Brian

Gundersen Tri-County Hospitals & Clinics

Van Abel, Lois

Bellin Hospital

Vergos, Katherine

Agnesian - Ripon Medical Center

Walker, Troy

St. Clare Hospital & Health Services

Werkheiser, Cindy

Monroe Clinic

Wheeler, Susan

St. Nicholas Hospital

Whitinger, Margaret

Agnesian HealthCare

Wold, Gwen

Amery Regional Medical Center

                                 

Contributors Ranging from $500 - $999                                       

Bagnall, Andrew

St. Nicholas Hospital

Bailet, Jeffrey

Aurora Health Care

Dexter, Donn

Mayo Health System - Eau Claire

Dicus-Johnson, Coreen

Wheaton Franciscan Healthcare

Dietsche, James

Bellin Hospital

Dolohanty, Naomi

Aurora Health Care

Ericson, Allen

Froedtert & MCW HSHS - St. Joseph’s Hospital Campus

Frangesch, Wayne

Wheaton Franciscan Healthcare

Furlong, Marian

Hudson Hospital & Clinics

Golanowski, Marie

Aurora St. Luke’s Medical Center

Graul, Mark

Children’s Hospital of Wisconsin

Gullingsrud, Tim

Hayward Area Memorial Hospital & Nursing Home

Gustafson, Andy

SSM Health Care-Wisconsin

Hanson, Gail

Aurora Health Care

Heaney, Dwight

Fort HealthCare

Jablonski, James

Children’s Hospital of Wisconsin

Jacobson, Terry

St. Mary’s Hospital of Superior

Jensema, Christine

HSHS-Eastern Wisconsin Division

Kersten, Juliet

Children’s Hospital of Wisconsin

Kingston, Mary Beth

Aurora Health Care

Kirsch, Jennifer

Gundersen Health System

Korom, Nancy

Children’s Hospital of Wisconsin

Lange, George

Westgate Medical Group, CSMCP

Larson, Margaret

Mercy Medical Center

Latta, Richard

Godfrey & Kahn, SC

Lindberg, Steve

Mayo Clinic Health System - Red Cedar

Miller, Thomas

Children’s Hospital of Wisconsin

Mohorek, Ronald

Ministry Health Care

Mulder, Doris

Beloit Health System

Nelson, James

Fort HealthCare

O’Day, Thomas

Godfrey & Kahn, SC

Oland, Charisse

Rusk County Memorial Hospital

Ose, Peggy

Riverview Hospital Association

Peterson, Douglas

Chippewa Valley Hospital

Quinn, George

Wisconsin Hospital Association

Reardon, Brian

Hospital Sisters Health System

Roesler, Bruce

The Richland Hospital

Rozenfeld, Jon

St. Mary’s Hospital - Madison

Rude, Nels

The Kammer Group

Seitz, Verna

ProHealth Care, Inc.

Selberg, Heidi

HSHS-Eastern Wisconsin Division

Shabino, Charles

Wisconsin Hospital Association

Shorter, Tom

Godfrey & Kahn, SC

Simaras, Jim

Wheaton Franciscan Healthcare

Sisney, Mary

Children’s Hospital of Wisconsin

Stuart, Philip

Tomah Memorial Hospital

Teigen, Seth

St. Mary’s Hospital

Thurmer, DeAnn

Waupun Memorial Hospital

Van Meeteren, Bob

Reedsburg Area Medical Center

Yaron, Rachel

Ministry St. Clare’s Hospital

Zenk, Ann

Ministry St. Mary’s Hospital

                                         

Contributors Ranging from $1,000 - $1,499               

Ashenhurst, Karla

Ministry Health Care

Bedwell, Elizabeth

Children’s Hospital of Wisconsin

Bloch, Jodi

Wisconsin Hospital Association

Brenton, Andrew

Wisconsin Hospital Association

Connors, Larry

St. Mary’s & St. Vincent Hospital

Cullen-Schultz, Jeannie

JP Cullen & Sons

Geboy, Scott

Hall, Render, Killian, Heath & Lyman

Just, Lisa

Aurora Health Care-South Region

Kerwin, George

Bellin Hospital

Killoran, Carrie

Aurora Health Care

Lewis, Jonathan

St. Mary’s Hospital

McCawley, Thomas

Beloit Health System

Punzenberger, Lindsay

Children’s Hospital of Wisconsin

Reynolds, Sheila

Children’s Hospital of Wisconsin

Rickelman, Debbie

WHA Information Center

Robertstad, John

ProHealth Care - Oconomowoc Memorial Hospital

Roller, Rachel

Aurora Health Care

Rush, Steven

Wisconsin Hospital Association

Sato, Thomas

Children’s Hospital of Wisconsin

Schafer, Michael

Spooner Health System

Swanson, Kerry

St. Mary’s Janesville Hospital

White-Jacobs, Mary Beth

Black River Memorial Hospital

Wolf, Edward

Lakeview Medical Center

                                         

Contributors Ranging from $1,500 - $1,999

Boese, Jennifer

Wisconsin Hospital Association

Clapp, Nicole

Grant Regional Health Center

Coffman, Joan

HSHS - St. Joseph’s Hospital

Court, Kelly

Wisconsin Hospital Association

Decker, Michael

Divine Savior Healthcare

Dotson, Jason

Beloit Health System

Frank, Jennifer

Wisconsin Hospital Association

Grasmick, Mary Kay

Wisconsin Hospital Association

Harding, Edward

Bay Area Medical Center

Kammer, Peter

The Kammer Group

McKevett, Timothy

Beloit Health System

Natzke, Ryan

Marshfield Clinic

Nauman, Michael

Children’s Hospital of Wisconsin

Olson, David

Froedtert & The Medical College of Wisconsin

Russell, John

Columbus Community Hospital

Schulze, Connie

Ministry Health Care

Sexton, William

Crossing Rivers Health Medical Center

Sheehan, John

UW Hospitals and Clinics

Wallace, Michael

Fort HealthCare

                                         

Contributors Ranging from $2,000 - $2,999                                  

Alig, Joanne

Wisconsin Hospital Association

Anderson, Sandy

St. Clare Hospital & Health Svcs

Duncan, Robert

Children’s Hospital & Health System

Herzog, Mark

Holy Family Memorial

Hilt, Monica

St. Elizabeth Hospital

Kachelski, Joe

WI Statewide Health Info Network

Leitch, Laura

Hall Render

Levin, Jeremy

Rural Wisconsin Health Cooperative

Lewis, Gordon

Burnett Medical Center

Mettner, Michelle

Children’s Hospital of Wisconsin

Meyer, Daniel

Aurora BayCare Medical Ctr Green Bay

Oliverio, John

Wheaton Franciscan Healthcare

Pandl, Therese

HSHS-Eastern Wisconsin Division

Potter, Brian

Wisconsin Hospital Association

Potts, Dennis

Aurora St. Luke’s Medical Center

Sanders, Michael

Monroe Clinic

Sliwinski, Ron

UW Hospitals and Clinics

Stanford, Matthew

Wisconsin Hospital Association

Troy, Peggy

Children’s Hospital of Wisconsin

                                         

Contributors Ranging from $3,000 - $4,999   

Boatwright, Damond

SSM Health Care-Wisconsin

Jacobson, Catherine

Froedtert & The MCW

Little, Steve

Agnesian Health Care

Neufelder, Dan

Ministry Health Care

Normington, Jeremy

Mercy Medical Center

O’Brien, Kyle

Wisconsin Hospital Association

Size, Tim

Rural Wisconsin Health Cooperative

Standridge, Deb

Wheaton Franciscan Healthcare

Starmann-Harrison, Mary

Hospital Sisters Health System

Turkal, Nick

Aurora Health Care

                                         

Contributors Ranging from $5,000+                                   

Borgerding, Eric & Dana

Wisconsin Hospital Association

Brenton, Stephen

Wisconsin Hospital Association

Tyre, Scott

Capitol Navigators, Inc.

 

 
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WHA 2015 Nominating Awards Committee to Meet in Early September

Nominations are now being accepted for WHA’s annual Distinguished Service Award and Trustee Award. These important awards recognize those who display leadership, dedication and professionalism to their community or the Association.

You may know someone in your region, in your hospital or on your Board of Directors who deserves such an honor. You now have an opportunity to nominate them for one of these annual awards:

The Distinguished Service Award is presented to a senior health care executive who has made an exemplary commitment to WHA, his/her hospital, and the communities he/she serves. 
The Trustee Award honors a trustee of a WHA member organization who has made an exemplary commitment to his/her community and to the organization on whose board he/she serves. 

Administrators, trustees, senior managers, nurse leaders, volunteers and others are encouraged to review the criteria for the awards and consider nominating someone to receive one of these honors. Information on these two awards can be found on the WHA website at www.wha.org/award-program-information.aspx.

The Nominating Committee will also make recommendations on new WHA Board Members. WHA members interested in being considered for an At-Large WHA Board seat or the Chair-Elect position should contact either WHA President Eric Borgerding at eborgerding@wha.org or WHA Nominating Committee Chair Ed Harding at eharding@bamc.org.

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Register Today for WHA Member Forum Focused on AP Hospitalist Programs 

This complimentary, three-part webinar series will examine a variety of different practical and legal issues that must be considered when implementing an APC Hospitalist Program

--August 5: Advanced Practice Clinician Hospitalists: An Overview of the Complex Legal Landscape
--September 2: APNP and CNM Hospital Programs: What Would It Look Like, Can We Do It, and Is It Worth The Risk?
--October 6: Let’s Get This Party Started: Practical Issues for Implementing an APC\Hospitalist Program

More information and online registration available at http://events.signUp4.net/2015APHospWebSeries

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WHA Announces Recruitment Period for TCAB Cohort 4

Transforming Care at the Bedside (TCAB) is one of WHA’s most successful improvement initiatives. In the words of one chief nursing officer who led a TCAB team, “TCAB has been a game changer for our nursing units.”

In recognition of the significant benefit that WHA members derive from the program, when funding for TCAB from the Aligning Forces for Quality grant ended, the Wisconsin Hospital Association made the decision to fully support the program. 

“Our members have greatly valued the expanded skill set that TCAB has brought to their staff,” according to Chief Quality Officer Kelly Court. “WHA will continue to make TCAB available to our hospitals by offering an opportunity to join our newest cohort.” 

The primary aim of the 18 month collaborative is to expand a hospital’s capacity for improvement by empowering nurses and other bedside caregivers to identify gaps, teach colleagues to apply solid quality improvement skills, and then work as a team to test and implement process changes. Although originally designed for medical-surgical units, TCAB teams have come from OB, critical care units and emergency services.

Hospitals interested in joining Cohort 4 should attend an informational webinar August 11 at 3 pm. The application process will be outlined in detail for interested hospitals. The application period will end August 31. All WHA member hospitals are invited to learn more about TCAB. Cohort 4 will begin pre-work in September with a two-day kick-off event scheduled October 13-14. Contact WHA Quality Manager Stephanie Sobczak with questions: ssobczak@wha.org.


Registration for TCAB Cohort 4 Informational Webinar:
https://whaquality.webex.com/whaquality/onstage/g.php?MTID=ee95993e1f648124e77473f8c28f35894
Event Password: tcab
Teleconference Dial-In: 1-800-747-5150
Access code: 2976376#

General information about TCAB can be viewed on the WHA Quality Center website:
www.whaqualitycenter.org/TCAB/TCABReferences/TCABCohort4/Cohort4.aspx .

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South Carolina Becomes 11th State to Adopt WHAIC’s PricePoint Platform

South Carolina became the 12th state to launch a PricePoint website (www.SCPricePoint.org) with the assistance of the WHA Information Center (WHAIC) which created the PricePoint platform. PricePoint is an online website that makes hospital pricing information easily accessible to consumers. (See news article here: http://thetandd.com/news/price-line-rmc-providing-price-estimates-for-services/article_724d0c6f-6535-5658-b520-bff863ef6e14.html.) PricePoint is considered one of the best sources for displaying hospital prices online in the country. In fact, 11 states have purchased PricePoint and customized it for their own use.

Launched a decade ago in Wisconsin, www.WiPricePoint.org has been in continuous operation since its inception. It is enhanced on a yearly basis to include new information based on consumer and health care provider input. 

“With the implementation of PricePoint, South Carolina joins Wisconsin and ten other states that are partnering with the WHA Information Center to support a consumer-friendly health care pricing and transparency website,” said WHA President/CEO Eric Borgerding. “We are very pleased not only with the ongoing success of PricePoint here in Wisconsin, but that we are able to assist other states across the country in putting more information into the hands of health care consumers.” 

In Wisconsin, every hospital and hospital-based surgery center in the state publicly posts their prices for inpatient services, outpatient surgical and diagnostic services, emergency and urgent care services, and other non-surgical services that are provided on an outpatient basis, such as radiological procedures. 

A law enacted in Wisconsin in 2010 required hospitals to provide the top 75 DRGs for inpatient and the 75 outpatient surgical procedures most frequently performed by Wisconsin hospitals. Thanks to PricePoint and the voluntary efforts of hospitals already in place, complying with the new law was simplified. Hospitals were required to provide the information upon request, but hospitals took it a step beyond by posting the “top 75” list on PricePoint as well. 

“Wisconsin hospitals and health systems are committed to transparency. In an environment where consumers are assuming more financial responsibility for their health care decisions, it is imperative that we provide pricing-related information,” Borgerding said. “PricePoint is a useful tool for consumers to begin the conversation about cost with the hospital and their physician prior to receiving a medical service.” 

In addition to PricePoint, the South Carolina Hospital Association also uses WHA’s hospital quality public reporting platform, “CheckPoint.” Visit at: http://www.myschospital.org.

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Deeper Dive into Planned Giving Focus of Hospital Foundation Workshop
August 20: Complimentary workshop in Neenah

Each year, WHA, the Wisconsin Office of Rural Health and the Rural Wisconsin Health Cooperative partner to offer the staff and leadership of hospital foundations throughout Wisconsin a complimentary, one-day education program. This year, “Prescription for Success: A Workshop for Hospital Foundations” will be held August 20. 

The workshop will focus on moving donors along the continuum of philanthropy and discussing pipeline-building strategies at all levels of giving. 

This annual workshop is available at no cost to hospital foundation staff, however, pre-registration is required. The workshop is scheduled Thursday, August 20, at Riverwalk Hotel in Neenah. An event brochure is included in this week’s packet, and online registration is available at http://events.SignUp4.net/Foundation15.

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