August 28, 2015
Volume 59, Issue 34


WHA Ranks Third in State Lobby Report

The Wisconsin Hospital Association ranked third out of 717 lobbying organizations in time spent lobbying for the first six months of this year according to figures released by the Wisconsin Government Accountability Board (GAB).

WHA logged 2,755 hours lobbying during the first six months of 2015, and recorded more lobbying hours on Medicaid funding and adoption of the Interstate Medical Licensure Compact than any other organization in Wisconsin, according to the GAB.

“WHA’s number one job is to be a highly-engaged, credible and influential advocate for public policy that enables our members to deliver high-quality, high-value care,” said WHA President/CEO Eric Borgerding. “We are in the halls of the State Capitol and working with regulatory agencies day in and day out, taking a bipartisan approach to advocacy built on a solid foundation of issue expertise, skill, experience and integrity. This is reflected in the recent report. Despite these rankings and our work in Madison, our advocacy efforts would have fallen short without the commitment of our members across the state.”

WHA lobbied for its members on a number of important subjects and reported spending half of its lobby hours on Medicaid funding, followed by the Interstate Medical Licensure Compact and worker’s compensation. The reauthorization of the Disproportionate Share Hospital Program (DSH), and making it a permanent line item in the state budget, was a top WHA-priority in the 2015-2017 state budget. WHA continues to advocate for Wisconsin’s adoption of the Interstate Medical Licensure Compact, which would create an alternative, voluntary, expedited process for qualified physicians licensed in other states to receive a Wisconsin medical license and begin practicing in Wisconsin communities.

The GAB figures also show that WHA had $378,816 in lobbying expenditures, which was ranked second among organizations during the period. 

“The GAB report reflects the fact we don’t spend a lot of time behind our desks around here,” Borgerding said. “Our members and the patients they serve are our top priority, and our work reflects our vigilance on advocating for issues that are important to them.”


Top of page (8/28/15)


HRSA Releases Long-Awaited 340B Program Guidance

The Health Resources and Services Administration (HRSA) released its long-awaited guidance on the federal outpatient drug discount program known as 340B. WHA is currently analyzing the proposed guidance, which was released August 27. 

In general, the guidance restates, clarifies and/or proposes changes under the following areas:  

Upon full review and with input from WHA’s membership – Disproportionate Share Hospitals, CAHs and children’s hospitals alike –WHA plans to submit comments to HRSA.  The full guidance can be found at: https://s3.amazonaws.com/public-inspection.federalregister.gov/2015-21246.pdf.


Top of page (8/28/15)


$95,000 Needed to Reach the 2015 Goal

The 2015 Wisconsin Hospitals State PAC and Conduit and State PAC Fundraising Campaign has raised $175,000 to date from 212 individuals. This puts the 2015 campaign at 65 percent of the goal to raise $270,000 by the end of the year.  Last year at this time, the campaign was at 70 percent and had just surpassed $185,000 from 237 participants.

“While 2015 is not an election year, maintaining a strong pace into fall will be critical as we seek to replenish the balances, especially for the Wisconsin Hospitals State PAC,” said 2015 Advocacy Committee Chair Ed Harding.

Harding said 2014 was a record-setting year for disbursements, when $342,000 was contributed to both Democratic and Republican campaigns. 

All individual contributors are listed in The Valued Voice by name and affiliated organization on a regular basis. Thanks to the contributors to date who are listed alphabetically by contribution amount category below.  The next publication of the contributor list will be September 11 in 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

Bollig, Dale

SSM - St. Mary's Hospital

Brenny, Terrence

Stoughton Hospital

Brisch, Donald

Holy Family Memorial

Cardinal, Lori

Agnesian HealthCare

Carter, Shane

Aurora Medical Center - Oshkosh

Clark, Julie

HSHS - St. Joseph's Hospital

Clark, Renee

Fort HealthCare

Cliffe Kucharski, Elizabeth

Wheaton Franciscan Healthcare

Collins, Sherry

Wisconsin Hospital Association

Colman, Gerard

Aurora Health Care

Coniff, Barbara

HSHS - St. Mary's Hospital Medical Center

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

Donlon, Marcia

Holy Family Memorial

Dube, Troy

Chippewa Valley 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

Hofer, John

Bay Area Medical Center

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

Koebke, Troy

Bellin Hospital

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

Mays, Laura

Stoughton Hospital Association

McArdle, PeggyAnn

Agnesian HealthCare

McMeans, Scott

Holy Family Memorial

Mercer, Carla

Reedsburg Area Medical Center

Merrick, Marianne

SSM - St. Mary's Hospital

Miller, Thomas

Children's Hospital of Wisconsin

O'Hara, Tiffanie

Sundial Software

Olson, Bonnie

Sacred Heart Hospital

Ordinans, Karen

Children's Hospital of Wisconsin

Palecek, Steve

HSHS - St. Joseph's Hospital

Peiffer, Susan

Sacred Heart Hospital

Pritchard, Paul

Prevea Health/HSHS

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

Schaetzl, Ron

SSM - St. Clare Hospital & Health Services

Schubring, Randy

Mayo Health System - Eau Claire

Sciuti, Jennifer

Aurora Health Care

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

Thornton, Eric

SSM - St. Mary's Janesville Hospital

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

Freimund, Rooney

Bay Area Medical Center

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

McNally, Maureen

Froedtert & MCW

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

Rohrbach, Dan

Southwest Health Center

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

Geraghty, Tricia

Children's Hospital of Wisconsin

Gorelick, Marc

Children's Hospital of Wisconsin

Gunn, Veronica

Children's Hospital of Wisconsin

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

Shanahan, Thomas

Children's Hospital of Wisconsin

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

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

Mettner, Michelle

Children’s Hospital of Wisconsin

Neufelder, Dan

Ministry Health Care

Normington, Jeremy

Mercy Medical Center

O’Brien, Kyle

Wisconsin Hospital Association

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

Size, Tim

Rural Wisconsin Health Cooperative

Tyre, Scott

Capitol Navigators, Inc.


Top of page (8/28/15)

CMS Provides Guidance on Medicare Appeal Redeterminations, Reconsiderations

In a recent Medicare Learning Network Matters Special Edition (MLN Matters SE 1521), the Centers for Medicare and Medicaid Services (CMS) directs Medicare Administrative Contractors (MACs) and Qualified Independent Contractors (QICs) when reviewing redeterminations and reconsiderations of claims following a post-payment review to limit their review to the reason(s) the claim or line item at issue was initially denied. This is good news for those providers who have found themselves successfully appealing a claim only to have that same claim still denied due to a new finding by the MAC or QIC.

While the policy change is good news, it only applies to MACs and QICs for post-payment review and audits undertaken by contractors such as the Recovery Auditors, among others. The policy does not apply to pre-payment audits and the MACs/QICs may still continue to deny based on new issues or evidence not originally included in the initial determination. There are also several other exceptions to this policy.

The policy applies to redetermination/reconsideration requests received by the MACs/QICs on or after August 1, 2015.

For more information, access the MLN Matters article, “Limiting the Scope of Review on Redeterminations and Reconsiderations of Certain Claims” at https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE1521.pdf



Top of page (8/28/15)


AHRQ Features Amery Hospital in Case Study
Wisconsin CAH Sees Big Results with AHRQ’s CUSP, RED and TeamSTEPPS®

In a recently-posted case study, the federal Agency for Healthcare Research and Quality (AHRQ) described how Amery Hospital used AHRQ’s tools to improve quality and patient safety in the 25-bed rural hospital. The case study follows:

Amery Hospital & Clinic, a 25-bed acute care critical access hospital in rural Wisconsin, used AHRQ’s Comprehensive Unit-based Safety Program (CUSP) to reduce surgical site infections (SSIs) to just 3 percent in October 2014 from 33.3 percent in January 2011.

AHRQ tools have impacted Amery in other ways, as well. The facility used CUSP to slash other preventable errors, employed the Agency’s Re-Engineered Discharge (RED) toolkit to reduce 30-day readmissions by nearly 30 percent, and, in early 2014, implemented the TeamSTEPPS® patient safety training program to bring more structure to Amery’s quality improvement efforts.

Prior to using the AHRQ tools, “Amery did not track SSIs or have a quality improvement plan,” said Joanne Jackson, Amery’s human resources and quality improvement administrator. “We now have annual improvement goals that eight to 10 interdisciplinary teams work on—abstracting data, performing root cause analysis, and developing and implementing effective interventions for improved patient health outcomes.”

CUSP, an evidence-based strategic framework for safety improvement, was the first AHRQ tool Amery used. CUSP integrates communication, teamwork, and leadership engagement to create and support a culture of patient safety that can prevent patient harms.

When Amery first introduced CUSP and measured SSI rates in 2011, the combined SSI rate for surgery patients was 33 percent; SSI rates for total joint procedures were 10 percent. In 2014, SSI rates for both types were zero.

CUSP also has helped Amery:

Maintain a zero rate of catheter-associated urinary tract infections through late 2014.

Cut medication error rates from 1 in 2,100 doses in January 2010 to a 12-month average of 1 in 20,400 doses as of December 2014.

Amery’s improved safety performance has helped attract more surgeons—including an ophthalmologist and otolaryngologist—to perform additional types of surgeries at the hospital. More importantly, “Amery has developed a culture of accountability” with CUSP, Jackson reported.

For example, the first item on every agenda for hospital board of directors’ meetings is about the quality of patient care and the patient experience. Before CUSP, such issues were never discussed by the board, noted Jackson.

“The tools and concepts that the hospital has incorporated from CUSP brought us from minimal non-core rote reporting in 2010 to a continuous, focused, quality performance evaluation in 11 initiative areas,” Jackson explained. “These resources were very important in building our entire quality improvement strategic plan.”

CUSP checklists and “Staff Safety Assessment” have been particularly helpful, reported Jackson. The “Staff Safety Assessment,” which is a part of the “Engage the Senior Executive” component of CUSP, motivated hospital leaders to address SSI rates that approached 25 percent in some instances.

In addition, Amery staff have used AHRQ’s RED toolkit to reduce hospital readmissions. The toolkit helps hospitals re-engineer their patient discharge processes to help patients prepare for life at home after hospitalization. Avery’s designated discharge advocates help patients understand their medications and schedule follow-up appointments with primary care physicians.

“We implemented RED toolkit items to improve patient readiness for discharge over the past 30 months,” said Jackson. The toolkit helped Amery “decrease all-cause readmission rates to an average of 5.58 percent through September 2014 from 8.6 percent in August of 2012—a 35 percent improvement.”

Amery implemented TeamSTEPPS in the spring of 2014. With TeamSTEPPS, “we have improved the structure for our eight quality initiative teams in promoting the right people on the right teams to achieve the right results,” said Jackson.

Here is a link to AHRQ’s Wisconsin Case Studies: http://www.ahrq.gov/policymakers/case-studies/index.html?f[0]=field_case_study_state:53



Top of page (8/28/15)

October Conference Features “Health Care as an Economic Development Asset” 

“Health Care as an Economic Development Asset” is one of several topics that will be featured at the Business Ready WI - 2015 Annual Conference hosted by Economic Development Washington County,  October 5-6 in West Bend at the West Bend Mutual Insurance-Prairie Center. WHA President Eric Borgerding and UW-Whitewater Economist Russ Kashian, PH.D., will present “Healthcare as an Economic and Workforce Development Asset” on October 6.  Lt. Gov. Rebecca Kleefisch will open the conference that same day with her keynote address, “Let’s Grow Wisconsin.”

This event features a full-day conference October 6, with special interest sessions the afternoon of October 5. The Business Ready WI - Annual Conference is designed to provide a unique learning and networking experience for business professionals, public administrators and community leaders at all levels.  This event also provides an opportunity to share best practices with those interested in local and regional business growth, new job creation and expanding economic prosperity across Wisconsin.  The theme of the conference is, “Powering Economic Growth through Investment, Innovation, and Workforce.”

Wisconsin hospitals and health system leaders see great value for their communities by their participation in economic development activities. Moundview Memorial Hospital & Clinics recently sponsored an economic development conference in Green Lake.

“Economic development is the cornerstone of improving the health status of rural communities,” said Don Heinz, CEO at Moundview Memorial Hospital & Clinics.  “Access to well-paying jobs can lead to more opportunities for residents to make healthier lifestyle choices for their families.”

More than 200 public, private, and regional leaders are expected to attend this annual event. The agenda and online registration are available at the conference website address: http:/BusinessReadyWI.com/Conference, and at EDWC 262-335-5769.

 

Top of page (8/28/15)


WCMEW to Host 2015 Team-Based Care Summit

The Wisconsin Council on Medical Education and Workforce (WCMEW) will be holding its second annual Team-Based Care Summit November 12 at the Radisson Paper Valley Hotel in Appleton.

Building upon Wisconsin’s work on health care redesign and advancing team-based care, this Summit will provide a day of interdisciplinary education and discussion that will serve to strengthen existing teams, catalyze new team development, bridge care silos, and spark new ideas.

“We wanted to build on the great foundation laid at last year’s Summit,” said George Quinn, WCMEW executive director.“This year, attendees will learn how teams work across care settings, and about tools and tips on areas such as using metrics, quantifying outcomes, and leveraging learners to support care teams.”

Registration will open in late September.


Top of page (8/28/15)



September 2 Webinar Focuses on Advanced Practice Hospitalist Structure

Register Today!

This complimentary WHA Member Forum webinar will focus on various APC hospitalist structures that can be implemented in critical access or PPS hospitals.

There is no fee for WHA hospital and corporate members to participate, but pre-registration is required. This WHA Member Forum is intended for and limited to staff of WHA hospital and WHA corporate members only, as a benefit of membership.

More information and on-line registration available at http://events.signUp4.net/2015APHospWebSeries

 

 


Top of page (8/28/15)