August 7, 2015
Volume 59, Issue 31


WHA, RWHC Host CMS’s Cavanaugh in Wisconsin
Monroe Clinic and Grant Regional site visits focus on rural GME, quality and value


The Wisconsin Hospital Association (WHA) and Rural Wisconsin Health Cooperative (RWHC) hosted Baltimore-based Sean Cavanaugh, deputy administrator and director for the Center for Medicare at the Centers for Medicare & Medicaid Services’ (CMS), August 3 in Wisconsin. This CMS visit is another element of WHA and RWHC’s collective efforts to engage CMS on important rural hospital and health care-related issues. During Cavanaugh’s time in Wisconsin, he visited Monroe Clinic and Grant Regional Health Center (Lancaster) to hear about Wisconsin efforts on rural graduate medical education and quality/value initiatives in small and rural hospitals. 

Cavanaugh was joined in Wisconsin by colleagues Nanette Foster Reilly, CMS consortium administrator for financial management & fee-for-service operations, and Gregory Dill, CMS associate regional administrator, division of financial management and fee-for-service operations, Region V—Chicago Regional Office.

“Last August, we met personally with Sean Cavanaugh in Washington, DC to discuss the value and role of rural hospitals in Wisconsin and across the country. At that time we extended an invitation to travel to our state and personally visit rural facilities,” said WHA President/CEO Eric Borgerding. “We greatly appreciate Mr. Cavanaugh’s willingness to come this week and learn how care is delivered in rural settings, and we appreciate the opportunity to continue advancing this important dialogue.” 

Monroe Clinic President/CEO Mike Sanders kicked the day off with insight into his hospital’s vision to provide “exceptional health care and an exceptional experience” and that the hospital provides excellent value and quality. Sanders made sure to note that from Monroe’s perspective they operate under the approach that “Bigger isn’t better. Better is better.” 

Attendees then learned about efforts in Wisconsin related to graduate medical education (GME). Presentations included WHA, the Wisconsin Council on Medical Education & Workforce (WCMEW), RWHC, Medical College of Wisconsin (MCW) and the University of Wisconsin School of Medicine and Public Health, who all provided an overview of collaborative efforts going on statewide. WHA Chief Medical Officer Chuck Shabino, MD, and WCMEW Executive Director George Quinn highlighted ongoing work in Wisconsin on GME, including successful efforts to secure state-level GME funding, which has already resulted in the creation of six new GME programs and four program expansions. 

Ken Simons, MD from The Medical College of Wisconsin discussed MCW’s new medical school campus in Green Bay, which accepted its first class of 26 medical students this year as well as MCW’s intentions for a Wausau-based campus. Byron Crouse, MD, provided insight into the University of Wisconsin-Madison’s WARM program, the Wisconsin Academy for Rural Medicine, and RWHC’s Kara Traxler provided an overview of efforts to help connect rural hospitals with technical assistance in all areas of rural GME. 

These 10,000-foot presentations were then brought home by Monroe Clinic’s Mark Thompson. MD and Lori Rodefeld, who discussed Monroe Clinic’s approach to GME and their GME “value proposition.” Thompson discussed the importance of GME programs not only for expanding access to care in rural communities, but to train future physicians who are culturally competent in rural settings. 

During the dialogue session, the group discussed CMS policies that inhibit more forward movement in GME, including the problems with legacy (micro) caps, rural training track limits and definitional issues. Thompson also mentioned physician problems with policies stemming from the Recovery Audit program. 

For the afternoon session, attendees traveled to Grant Regional Health Center, a critical access hospital (CAH) in Lancaster, where the focus was on quality improvement, patient satisfaction and cost efficiency efforts. 

“Grant Regional Health Center was pleased to host CMS and demonstrate the commitment of Wisconsin hospitals, large or small, in pursuing high-quality health care,” said Nicole Clapp, President/CEO. “Our doors are open in wellness and in illness, and that’s a privilege we take seriously. We hope CMS left with a better understanding of the value that rural hospitals like ours provide to Medicare.”

WHA Chief Quality Officer Kelly Court and RWHC’s Beth Dibbert gave an overview of how Wisconsin’s rural hospitals participate in programs such as WHA’s CheckPoint and Partners for Patients initiatives. One statistic Court cited is the fact that 98 percent of Wisconsin’s CAHs participate in the Partners for Patients initiative to reduce patient harm and readmissions. 

Court also made certain to alert CMS to a soon-to-be-released report from the National Quality Forum’s Rural Measures Committee. Court co-chaired the committee as it researched and made recommendations on how CMS should address quality measurement in small, rural facilities that typically have lower volumes of cases. 

“WHA, RWHC and our rural hospitals thank CMS’ Sean Cavanaugh, Nanette Foster Reilly and Greg Dill for their willingness to travel to Wisconsin to see how rural health care is delivered,” said Jenny Boese, WHA vice president, federal affairs & advocacy. “We also thank Rep. Ron Kind’s office for helping facilitate, and we look forward to continuing our work with Congress and CMS on these important rural issues.” 


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WHN Forum Panelists Discuss Broad Array of Health Care “Hot Topics”
Forum covered Medicaid expansion, behavioral health, state health insurance and more


Even though it is only a very remote possibility that Wisconsin would ever expand Medicaid, it remains a hot topic. Medicaid expansion was the first question Wisconsin Health News (WHN) Editor Tim Stumm raised with a group of health care association executives at a WHN forum held August 4 in Madison. 

In his response, WHA President/CEO Eric Borgerding said during the last budget session, WHA received many inquiries from legislators on both sides of the aisle on the financial and political ramifications of Medicaid expansion.

“It is in the realm of possibilities… but it’s on the fringe of the realm,” according to Borgerding. “What keeps it on the radar is the dollars involved, because if you look at what Wisconsin did do on Medicaid, we have a net of 80,000 more people enrolled in Medicaid. We now probably have more people enrolled in Medicaid than we’ve ever had. And that was without taking the expansion.” He added, “Whether you like it or not, we expanded Medicaid without doing the ACA version of expansion.”

Borgerding joined three Wisconsin Association executives, including: Stephanie Harrison, CEO, Wisconsin Primary Health Care Association; Nancy Wenzel, CEO, The Wisconsin Association of Health Plans; and Rick Abrams, CEO/executive vice president, Wisconsin Medical Society.

Harrison described the important role the health centers played in the regional enrollment networks to connect those eligible with coverage. 

“We focused our members on making sure that people were enrolled to help make the Wisconsin plan work, and then help those who are at 100 percent FPL and over to retain their coverage,” Harrison said. “When you are talking about people at the lower end of the income spectrum, being able to retain coverage is more of an art than a science.”

Borgerding noted that he would not be surprised if Wisconsin seeks a “1332 waiver,” which offers wide latitude to states for transforming their health insurance and health care delivery systems. All the panelists basically agreed that they are not expecting a large-scale change to the ACA, but some of the revenue generators in the ACA will be on the table, including the medical device tax, the “Cadillac” insurance tax, and the Independent Payment Advisory Board (IPAB). 

“Keep in mind, as these go away, so do a lot of the funding sources for those things that a lot of us like about the ACA, including subsidies for premiums on the exchange and for those states that did expand Medicaid, that includes the government paying for 100 percent of the Medicaid expansion,” Borgerding said. 

When asked about post-budget legislative priorities, Wenzel said the decision of whether the state will self-fund the state employee health insurance plan looms large over her Association—a concern shared by WHA.

Citing a recent study, Wenzel said self-funding a group that comprises 14 percent of Wisconsin’s commercial health insurance market would have a broad and devastating impact on the state. 

“It could also have an impact on Wisconsin’s competitive health insurance market, on state budget stability, on the economy and jobs and on consumer choice, and on our health care delivery system,” according to Wenzel. “We are opposed because we believe that a competitive model is the most effective model in the country. Our competitive model has saved the state over a billion dollars in the last five years. Moving to self-funding could cost the state $100 million or more.” 

Borgerding agreed, noting that the state Legislature has a stake in decision. “We have seen the Legislature on many occasions inject itself into certain types of decisions…On the issue of self-funding state employee health insurance, we think it is appropriate and reasonable for the Legislature to have a role.”

“WHA’s post-budget priorities are keenly focused on public policy that enables our members to deliver high-quality, high-value health care,” according to Borgerding. This includes passing the physician licensure compact and a behavioral health bill.

Borgerding is optimistic the Legislature will support a bill aiming to improve care coordination for behavioral health patients. The initiative calls for establishing a web-based inpatient psychiatric bed tracker that is modeled after a similar program in Minnesota. The tracker would provide real-time information about the availability of beds, lead to better care delivery and save money, Borgerding said. 

The legislation would also include a care coordination pilot within the Medicaid program. Providers that can provide “a full continuum of behavioral health care” would contract with the Department of Health Services. Borgerding said those providers would likely be paid a per-member-per-month amount to better manage care for those suffering from mental illness who frequently appear in emergency rooms, “the costliest place and sometimes least appropriate place to be receiving care,” Borgerding noted. 

A final part of the program would reimburse mental health consultations in the Medicaid program. Such consultations could be part of a primary care visit, if a doctor encounters someone with a behavioral health issue and brings in a psychiatrist to speak with them.

The project would be funded by $1 million that was originally slated for health care data collection and set aside in the 2015-’17 state budget by the Joint Finance Committee. Walker vetoed the appropriation because the budget lacked details on the proposal. Rep. Mary Czaja (R-Irma) plans to pursue the bill this fall. 

Abrams said the Society also supports the “speedy passage” of the physician licensure compact and said it is a top legislative priority for his group. Another area Abrams said is a concern is the abuse of prescription drugs and the heroin problem. 

“Overdoses are taking more Americans than auto accidents,” according to Abrams. “To that end, we need to help educate our doctors so they know how they can address this problem.” 

Responding to a question about population health, Abrams said as a state and as providers, we need to start connecting the medical and public health communities. Doctors can provide great care, but if the person is homeless or illiterate, the care won’t make a difference because the patient is not able to comply or does not understand the care plan. 

“This is an outcome we cannot tolerate,” Abrams said. 

The next Wisconsin Health News event on September 1 in Madison will feature three Wisconsin health leaders: Robert Nesse, MD, CEO, Mayo Clinic Health System; Art Nizza, CEO, Meriter-UnityPoint Health; and Sue Turney, MD, CEO, Marshfield Clinic Health System. For information contact Tim Stumm at 608-216-8898, or via email at tstumm@wisconsinhealthnews.com.

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2015 Wisconsin Hospitals Conduit & State PAC Update - $100,000 to Goal

The 2015 Wisconsin Hospitals Conduit and State PAC fundraising campaign needs to raise just over $100,000 to reach the goal to raise $270,000 by the end of the year. So far the campaign has raised more than $165,000 from 202 individuals. 

“The 2015 Campaign is an important rebuilding one, as the 2014 Campaign disbursed a record $342,000 in a single year to 109 candidate campaigns and left our balances low,” according to 2015 Advocacy Committee Chair Ed Harding. “That is why we need to reach our goal sooner and keep up a strong pace heading into fall,” he added.

Individual contributors are listed in The Valued Voice by name and affiliated organization on a regular basis. Special thanks to the contributors to date who are listed alphabetically by contribution amount category below. The next publication of the contributor list will be in the August 14 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
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
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
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
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
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 
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
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
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 
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
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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Physician Licensure Compact Receives Majority Support in Assembly and Senate

Legislation to implement an expedited licensure process for physicians wanting to practice across state lines has garnered enough co-sponsors to account for a majority in both the state Assembly and state Senate. Assembly Bill 253, the Interstate Physician Licensure Compact Implementation legislation, has received broad, bipartisan support in both chambers of the Legislature with 56 sponsors in the Assembly and 17 sponsors in the State Senate. 

The legislation, which has been supported by the health care industry in Wisconsin, will be heard before the Assembly Committee on Health August 18. This will be the first step forward in adopting the Compact in Wisconsin. Eleven states, including Illinois, Iowa and Minnesota, have adopted the physician licensure compact legislation. Legislation adopting the physician licensure compact has been introduced in eight additional states, including Michigan and Wisconsin.

Assembly Bill 253 and its counterpart legislation in the Senate, Senate Bill 196, were introduced by Rep. Nancy VanderMeer (R-Tomah) and Sen. Sheila Harsdorf (R-River Falls). The Interstate Physician Licensure Compact is a voluntary, expedited licensure process for those wanting to be licensed in multiple states. Provisions of the legislation only impact those who choose to participate in this voluntary process.

During WHA’s Advocacy Day earlier in 2015, over 600 people attended meetings with their local legislators and asked them to sponsor the bill. Within days after Advocacy Day, more than 70 lawmakers signed on as co-sponsors of the legislation.

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Prescription for Success: A Workshop for Hospital Foundations
A complimentary program brought to you by WHA, WORH and RWHC

August 20, 2015
Riverwalk Hotel, Neenah

This program is available at no cost to hospital foundation staff, but pre-registration is required.
Register today at: http://events.SignUp4.net/Foundation15.

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State Broadband Grant Application Process Opens

The Wisconsin Public Service Commission has posted the process for organizations to apply for up to $1.5 million in grants to provide reimbursement for equipment and construction expenses incurred to extend or improve broadband telecommunications service in underserved areas of Wisconsin. Grant applications are due September 30.

According to the Public Service Commission, an application for a grant may be submitted by any of the following entities:

• An organization operated for profit or not for profit, including a cooperative;
• A telecommunications utility;
• A local government that has a legal partnership or joint venture with one of the above.

The funding was authorized in the recently enacted state budget bill and expands the available funds from $500,000 per year to $1.5 million per year. 

Additional information about the State Broadband Expansion Grant Program and additional details about eligibility and the application process can be found at: http://psc.wi.gov/utilityInfo/tele/broadband/grants/bbGrantApplicationPage.htm.

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Successful Launch to WHA APNP Hospitalist Webinar Series
Session 2 offered September 2


Staff from more than 70 hospitals and health systems participated August 5 in the first of a three-part, complimentary WHA webinar series focused on the use of advanced practice clinicians (APCs) in hospitalist programs. 

Quarles & Brady attorneys Sarah Coyne, Kerry Moskol and Leah McNeely provided their insights into the multiple legal parameters relevant to an APC hospitalist program and described challenges hospitals face when considering use of APCs as hospitalists during the complimentary webinar presentation. Quarles & Brady is a silver-level WHA corporate member.

Session two, scheduled September 2, will focus on various APC hospitalist structures that can be implemented in CAHs or PPS hospitals, as well as provide an overview of regulatory risks involved in these programs and propose strategies to mitigate the risks. The final session, scheduled October 6, will describe practical steps hospitals need to take to implement an APC hospitalist program, including a discussion of bylaw considerations, privileging documents, co-signature timeframes, and policies and procedures.

Complete descriptions of the three sessions and online registration can be found at: http://events.SignUp4.net/2015APHospWebSeries. There is no fee for WHA hospital and corporate members to participate, but pre-registration is required. This WHA Member Forum webinar series is intended for and limited to staff of WHA hospital and WHA corporate members only, as a membership benefit. For WHA corporate membership information, contact Jennifer Frank, jfrank@wha.org or 608-274-1820.

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Medicare Releases PPS Rules, New Bundled Payment Model 
WHA summaries and hospital-specific analysis available


In addition to the nice weather that summer brings, it is also the season for CMS to release their Medicare proposed and final prospective payment system rules for hospital based services ranging from inpatient and outpatient, to home health, psychiatric, rehab and SNF services. In addition, there is a new bundled payment model for hip and knee replacements for the hospitals in the Milwaukee and Madison MSAs. 

WHA has excellent resources on wha.org to help members understand these important Medicare payment rules, by providing detailed rule summaries and hospital-specific analysis on the financial impact of the changing rules. 

All completed PPS rule summaries can be found on the WHA website at www.wha.org/medicare.aspx. Once there, see the left hand side of the webpage for the PPS topic of interest to you.

The hospital-specific fiscal analysis of the Medicare PPS payment rules and the Bundled Payment Model can be obtained on the WHA member portal at http://members.wha.org/Home.aspx.

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Register Now for the Rural Medical Educators Faculty Development Conference

The Wisconsin Collaborative for Rural Graduate Medical Education (WCRGME) and the Rural Wisconsin Health Cooperative (RWHC) will present their third annual Rural Medical Educators Faculty Development Conference Friday, September 25 from 8:30 a.m. – 3:30 p.m. The theme is “Efficiency in Teaching.”

The purpose of the conference is to support rural and community medical education by providing faculty development for faculty and community preceptors which recognizes the unique advantages and challenges of these settings. 

Resident and medical student faculty and community preceptors are encouraged to attend. There is no charge for WCRGME members; the fee for non-WCRGME members is $75, which includes program handouts, continental breakfast, refreshments and lunch.

AAFP (American Academy of Family Physicians) CME Credit is applied for and estimated to be 5-6 credits. The conference will be held at the RWHC Office & Training Center at 880 Independence Lane, Sauk City, WI. Registration deadline is September 11.

Register here. For more information, email Jill Niemczyk, program assistant, at jniemczyk@rwhc.com or call 920-652-0238. 

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Anthem Names Samitt Chief Clinical Officer 

Anthem announced Craig Samitt, MD, MBA will join the company as chief clinical officer, effective September 21, 2015. In this newly-established role, Samitt will report directly to Joseph Swedish, president and CEO, Anthem, and will also serve as a member of the company’s executive leadership team.

Samitt has extensive experience in the transformation of health care delivery and insurance sector. In July, Samitt facilitated the WHA Board Planning Session. Samitt is in his fourth year of serving as 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. 

Samitt noted during the Board planning session that Wisconsin is more ready than other parts of the country to move from a “volume to a value-based environment.” 

“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,” Samitt told WHA Board members.

Samitt has more than 20 years of experience leading integrated delivery systems. Prior to joining Oliver Wyman, Samitt served as the president and CEO of HealthCare Partners, a division of DaVita HealthCare Partners. From 2006 through 2013, Samitt was president & CEO of the Dean Health System in Wisconsin, one of the largest integrated delivery systems in the Midwest.

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