October 23, 2015
Volume 59, Issue 42
Top of page (10/23/15)
Guest Column: Support for the Interstate Medical Licensure Compact
By State Senator Howard Marklein (R-Spring Green)
The Interstate Medical Licensure Compact is a new, voluntary licensing option by which physicians who wish to practice in multiple states would be eligible for an expedited licensing process in participating states. Under the U.S. Constitution, states are able to enact their own compacts for shared interests while retaining individual state authority over licensing and regulation of professions. Iowa, Illinois and Minnesota are among the 11 states that have already enacted the Compact into law.
Participation in this Compact would be strictly voluntary for physicians. State medical boards would continue to retain authority over licensing and discipline of physicians in their own states. In Wisconsin, the Interstate Medical Licensure Compact has received broad support from the medical community, including hospitals, physicians and clinics.
This proposal would be especially beneficial for physicians in Wisconsin because 10,391 of these physicians are licensed in multiple states, which is a higher proportion than the national average. By streamlining the licensure process, Wisconsin can continue to attract high-quality physicians. This compact would give them the flexibility to practice in multiple states while giving the opportunity for physicians in other states to practice in Wisconsin.
The vast majority of the 17th Senate District is rural. The Senate District I represent is one of the largest in the State of Wisconsin, with all or parts of nine counties. The southern part of the district borders Iowa and Illinois and runs to the top of Juneau County. It is critical that my constituents in these nine counties receive the health care they need, given the rural nature of our communities. This benefits my constituents, who may see doctors who are licensed to practice in Iowa, Illinois and Wisconsin. It can be difficult attracting young physicians to rural areas to practice medicine. I want to make it easy for our rural hospitals to recruit physicians from other states.
Assembly Bill 253 boasts a broad range of bipartisan support, with 77 legislators that have signed onto the bill. The bill has passed the State Assembly by an overwhelming margin of 95-1. It awaits action by the State Senate. I hope to see our House act on it very soon. Wisconsin can be a leader in health care by being one of the first 12 states to enact this important compact. I support this legislation and ask my colleagues in the Senate to do the same.
Howard Marklein is the State Senator for the 17th Senate District of Wisconsin. He represents all of Lafayette, Grant, Juneau and Richland Counties and parts of Sauk, Iowa, Green, Monroe and Vernon Counties.
Top of page (10/23/15)
Wisconsin Hospitals State PAC & Conduit Campaign Update
$53,000 Left to Reach 2015 Goal
Over the last two weeks, the 2015 Wisconsin Hospitals State PAC and Conduit Campaign has added 13 contributors and raised an additional $17,000 to bring the campaign’s total to $217,356. The Campaign is now at 80 percent of the annual goal to raise $270,300 by year’s end.
The average contribution is $805. So far 270 individuals have joined together to support this year’s annual campaign. Thank you to those who are listed on page 12 by name and affiliated organization by contribution amount category. The next publication of the contributor list will be in the November 6 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|
|Aittama, Craig||Ministry - St. Michael's Hospital|
|Alstad, Nancy||Fort HealthCare|
|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|
|Bisterfeldt, Joan||Wheaton Franciscan Healthcare|
|Bollig, Dale||SSM - St. Mary's Hospital|
|Brenny, Terrence||Stoughton Hospital|
|Brisch, Donald||Holy Family Memorial|
|Bunten, Sherry||Aspirus Langlade Hospital|
|Cardinal, Lori||Agnesian HealthCare|
|Carlson, Dan||Aurora - Bay Area Medical Center|
|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|
|Danner, Forrest||Aspirus Wausau Hospital|
|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|
|Dwyer, Maxine||SSM - St. Mary's Hospital|
|Evans, Kim||Bellin Hospital|
|Feeney, John||Community Health Network, Inc.|
|Fielding, Laura||Holy Family Memorial|
|Freitag, Vanessa||Our Lady of Victory Hospital|
|Gagnon, Annette||HSHS - Eastern Wisconsin Division|
|Grundstrom, David||Ministry - Flambeau Hospital|
|Gullicksrud, Lynn||Sacred Heart Hospital|
|Gutsch, Mike||Cumberland Healthcare|
|Hafeman, Paula||St. Vincent Hospital|
|Halida, Cheryl||HSHS - St. Joseph's Hospital|
|Hamilton, Mark||UW Hospitals and Clinics|
|Harasim, Edward||Wheaton Franciscan Healthcare|
|Harrington, Kathleen||Mayo Health System - Eau Claire|
|Helgeson, Jason||HSHS - Eastern Wisconsin Division|
|Hernandez, Terri||HSHS - St. Joseph's Hospital|
|Herzog, Sarah||Wheaton Franciscan Healthcare|
|Hofer, John||Bay Area Medical Center|
|Jelle, Laura||St. Clare Hospital & Health Services|
|Kaufmann, Marilyn||Holy Family Memorial|
|Kelsey Foley, Kathy||Aspirus Wausau Hospital|
|Kempen, Jacob||Aspirus Wausau Hospital|
|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|
|LaBarge, Margie||Ministry Health Care|
|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|
|Nevers, Rick||Aspirus, Inc.|
|Nicklaus, Todd||Aspirus, Inc.|
|O'Hara, Tiffanie||Sundial Software|
|Olson, Bonnie||Sacred Heart Hospital|
|Ordinans, Karen||Children's Hospital of Wisconsin|
|Ostrander, Gail||HSHS - Eastern Wisconsin Division|
|Palecek, Steve||HSHS - St. Joseph's Hospital|
|Peck, Lori||Aspirus, Inc.|
|Peiffer, Susan||Sacred Heart Hospital|
|Pempek, Kalynn||Aspirus Wausau Hospital|
|Penovich, Carrie||Aurora Medical Center - Two Rivers|
|Pritchard, Paul||Prevea Health/HSHS|
|Radke, Chad||Aspirus Wausau Hospital|
|Range, Bonnie||Holy Family Memorial|
|Revnew, Dorothy||ProHealth Care - Oconomowoc Memorial Hospital|
|Richman, Tim||Affinity Health - Calumet Medical Center|
|Riddle, Roberta||Rusk County Memorial Hospital|
|Rocheleau, John||Bellin Health|
|Roethle, Linda||Bellin Memorial Hospital|
|Roundy, Ann||Columbus Community Hospital|
|Rudquist, Debra||Amery Hospital & Clinic|
|Schaetzl, Ron||SSM - St. Clare Hospital & Health Services|
|Schneider, David||Aspirus Langlade Hospital|
|Schubring, Randy||Mayo Health System - Eau Claire|
|Sciuti, Jennifer||Aurora Health Care|
|Selle, Ginger||St. Clare Hospital & Health Services|
|Sio, Tim||Wheaton Franciscan - All Saints|
|Statz, Darrell||Rural Wisconsin Health Cooperative|
|Stelzer, Jason||St. Clare Hospital & Health Services|
|Strasser, Kathy||Aspirus, Inc.|
|Strobel, Victoria||Marshfield Clinic|
|Swanson, Kaitlin||HSHS - Eastern WI Division|
|Tandberg, Ann||HSHS - St. Joseph's Hospital|
|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|
|Voelker, Thomas||Aspirus Wausau Hospital|
|Waldoch, Timothy||Columbia St. Mary's Inc.|
|Walker, Troy||St. Clare Hospital & Health Services|
|Werkheiser, Cindy||Monroe Clinic|
|Wheeler, Susan||St. Nicholas Hospital|
|Whitinger, Margaret||Agnesian HealthCare|
|Wipperfurth, Kay||Fort HealthCare|
|Wold, Gwen||Amery Regional Medical Center|
|Contributors Ranging from $500 - $999|
|Anderson, Layton||Ministry - St. Joseph's Hospital|
|Bagnall, Andrew||St. Nicholas Hospital|
|Bailet, Jeffrey||Aurora Health Care|
|Deich, Faye||HSHS - Sacred Heart Hospital|
|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|
|Kostroski, Sharon||Ministry - St. Joseph's Hospital|
|Lange, George||Westgate Medical Group, CSMCP|
|Larson, Margaret||Mercy Medical Center|
|Latta, Richard||Godfrey & Kahn, SC|
|Lindberg, Steve||Mayo Clinic Health System - Red Cedar|
|May, Carol||Sauk Prairie Memorial Hospital|
|McNally, Maureen||Froedtert & MCW|
|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|
|Pollard, Dennis||Froedtert & The Medical College of Wisconsin|
|Quinn, George||Wisconsin Hospital Association|
|Reardon, Brian||Hospital Sisters Health System|
|Richards, Theresa||Ministry - St. Joseph's Hospital|
|Rocole, Theresa||Wheaton Franciscan Healthcare|
|Roesler, Bruce||The Richland Hospital|
|Rohrbach, Dan||Southwest Health Center|
|Rozenfeld, Jon||St. Mary’s Hospital - Madison|
|Rude, Nels||The Kammer Group|
|Sczygelski, Sidney||Aspirus Wausau Hospital|
|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|
|Smith, Gregory||Wheaton Franciscan Healthcare|
|Stern, Robert||Wheaton Franciscan Healthcare|
|Stuart, Philip||Tomah Memorial Hospital|
|Teigen, Seth||St. Mary’s Hospital|
|Thurmer, DeAnn||Waupun Memorial Hospital|
|Van Court, Bernie||Bay Area Medical Center|
|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|
|Bagemihl, Katherine||Froedtert & The Medical College of Wisconsin|
|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|
|Gutzeit, Michael||Children's Hospital of Wisconsin|
|Just, Lisa||Aurora Health Care-South Region|
|Killoran, Carrie||Aurora Health Care|
|Lentz, Darrell||Aspirus Wausau Hospital|
|Lewis, Jonathan||St. Mary's Hospital|
|McCawley, Thomas||Beloit Health System|
|McGowan, Kathryne||Aspirus, Inc.|
|Punzenberger, Lindsay||Children’s Hospital of Wisconsin|
|Radoszewksi, Pat||Children's Hospital of Wisconsin|
|Rakowski, Mark||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|
|Sanders, Robert||Children's Hospital of Wisconsin|
|Sato, Thomas||Children’s Hospital of Wisconsin|
|Schafer, Michael||Spooner Health System|
|Schmidt, Cheryl||Affinity Health - St. Elizabeth Hospital|
|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|
|Heywood, Matthew||Aspirus, Inc.|
|Harding, Edward||Bay Area Medical Center|
|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|
|Kief, Brian||Ministry - St. Joseph's Hospital|
|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|
|Kammer, Peter||The Kammer Group|
|Kerwin, George||Bellin Hospital|
|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 (10/23/15)
Senate Passes Behavioral Health Legislation with Unanimous Vote
Senate Bill 293 receives 30-0 vote in State Senate, moves to Assembly
Legislation enacting two Medicaid behavioral health pilot programs and a mental health bed tracking system passed the floor of the State Senate this week on a unanimous, 30-0 vote. The legislation, which was introduced October 9, moved quickly through the Senate Health and Human Services Committee and was passed by the Senate October 20. The legislation has 72 co-sponsors.
Following the Senate vote, WHA President/CEO Eric Borgerding released a statement applauding the bipartisan action of the Senate.
“Senate Bill 293 will demonstrate the roles Wisconsin hospitals and health systems can have in better managing physical health, behavioral health and social services for Medicaid patients with significant behavioral health needs,” said Borgerding. “We commend the Wisconsin State Senate for today’s unanimous adoption of this bipartisan legislation.”
The legislation was authored by Sens. Leah Vukmir (R-Wauwatosa) and Janet Bewley (D-Ashland) and Reps. Mary Czaja (R-Irma) and Deb Kolste (D-Janesville). In testimony before the Senate Health and Human Services Committee, lead author Czaja told the Committee the bill is a “three-part initiative that seeks to better coordinate mental health services and to improve outcomes for Wisconsin Medicaid patients who are suffering from mental illness.”
Senate Bill 293 has now been sent to the State Assembly and awaits action in that chamber. WHA continues to work with Rep. Paul Tittl (R-Manitowoc), chair of the Committee on Mental Health Reform, to schedule a public hearing on this legislation in the Assembly.
See a copy of Senate Bill 293.
Top of page (10/23/15)
Nygren Amends HOPE Legislation with WHA-Backed Changes
Health Committee recommends passage
In a meeting of the Assembly Health Committee October 22, lawmakers took up and adopted amendments introduced by Rep. John Nygren that would make various changes to his Heroin, Opiate, Prevention and Education (HOPE) package of legislation. The amendments were all adopted on a unanimous vote by Republicans and Democrats on the Committee.
The policy in this HOPE package that has garnered the most attention from WHA members is the requirement in Assembly Bill 364 for practitioners to check the Prescription Drug Monitoring Program (PDMP) before prescribing a monitored drug to a patient. Some of the most notable changes in the amendment to the bill include:
Top of page (10/23/15)
Grassroots Spotlight: Children’s Hospital of Wisconsin Hosts Area Legislators
This month, State Sen. Nikiya Harris Dodd and U.S. Rep. Gwen Moore each toured Children’s Hospital of Wisconsin inpatient units and met with community service leaders about Children’s work in foster care, social services and community navigators.
Top of page (10/23/15)
Medical Examining Board Unexpectedly Advances Telemedicine Rule
WHA: Additional stakeholder input needed on rule
The Wisconsin Medical Examining Board (MEB) unexpectedly and with little discussion approved new draft rule language governing physician use of telemedicine services at its meeting on October 22. The action begins the rule promulgation process that will include review by the Governor’s Office, the appropriate standing committees in the Legislature and the Joint Committee on Review of Administrative Rules. The draft language was largely based on language recently enacted by the Iowa Medical Board.
WHA Vice President for Workforce & Clinical Practice Steve Rush provided the only public comment to the MEB on the draft rule language. Rush informed the MEB that very few stakeholders have reviewed the draft language and expressed concern that the draft language had only been made available a few days before the meeting.
Rush further commented to the MEB that WHA will work with the WHA Telemedicine Task Force to provide further comment to the MEB, the Department of Safety and Professional Services and the Governor’s Office about the proposed rules.
“Many Wisconsin hospitals and clinics are already successfully utilizing telemedicine services to provide high quality and more accessible health care in communities throughout Wisconsin,” said Rush. “Wisconsin needs to carefully review this rule to ensure it does not disrupt or unnecessarily add to the costs of providing telemedicine services to Wisconsin patients and communities.”
A copy of the draft rule language can be found at www.wha.org/pdf/TelemedicineMED24draft.pdf.
Top of page (10/23/15)
Health Care Jobs Important To Community, Kures Tells WHA Workforce Council
Workforce development and economic development are often seen as two separate entities rather than two sides of the same coin, according to Matt Kures, community development specialist with the University of Wisconsin-Extension’s Center of Community and Economic Development. Kures presented “Demographic and Economic Trends Influencing Wisconsin’s Future Workforce” to the WHA Council on Workforce Development at their October 22 meeting in Madison.
Kures presentation centered on a theme of how understanding and applying Wisconsin demographics can serve as a powerful tool in addressing current and future workforce demands.
“I am beginning to see that key stakeholders in Wisconsin understand that one cannot speak about workforce and at the same time not talk about economic development, and vice versa,” according to Kures. Health care jobs, in particular, are an important part of a community’s economic vitality, he added. High-demand, high-paying jobs requiring a college degree are often absent in rural communities that lack health care jobs. Hospitals and health systems in rural areas, however, offer careers for those who have advanced degrees.
Kures addressed a myth that Wisconsin is experiencing a “brain drain”; that is, individuals with college degrees are leaving the state. Kures stated, “When compared to other states, Wisconsin is not experiencing a ‘brain drain,’ rather, Wisconsin is experiencing a lack of ‘brain gain.’” He explained that data reveals Wisconsin is unable to attract college-prepared individuals from out-of-state to relocate within our state borders. This impacts health care more than other major employers, such as manufacturing, because a higher percentage of jobs in health care require formal education. Kures said the focus should be on why our net in-migration rate, or “brain gain” is not keeping pace with our net out-migration rate, or “brain drain.” Kures shared that the workforce needs of health care are unique in Wisconsin because of this imbalance.
“If you look at the job sectors that have large need, such as manufacturing, those are the same jobs that often do not require a college education. Health care jobs for the most part do. So this ‘brain gain’ issue is especially relevant for hospitals and health care employers,” according to Kures.
Top of page (10/23/15)
Rush Appointed to Workforce Development Board of South Central WI
Steve Rush, WHA vice president for workforce and clinical practice, has been appointed to the Board of Directors of the Workforce Development Board of South Central WI (WDB). WDB Executive Director Pat Schramm, along with Dane County Executive Joe Parisi, asked Rush to join the board for an initial two-year term beginning in November, 2015. Schramm said she recommended Rush for his “outstanding achievements in health care workforce issues” and that he would “be a great asset” to the WDB organization.
The Workforce Development Board of South Central Wisconsin is led by a board of directors, chosen to represent the diverse groups involved with workforce and economic development issues and challenges. Their leadership team is comprised of experts in workforce development, economic development, training, education, public policy, human resources, business management and strategic development. The Board brings their expertise and targets investments to effectively align the needs of job seekers and employers. A focus on collaboration drives well-rounded, strategic solutions for a better local economy.
Top of page (10/23/15)
Nordin to Lead New Mayo Clinic Family Medicine Residency Program in NW WI
Terri Nordin, MD, has been named director of the new Mayo Clinic Family Medicine Residency Program in northwest Wisconsin.
Nordin will lead the Mayo Clinic Family Medicine Residency Program planned to open in July 2017 with the first class graduating in 2020. She will work with other Mayo Clinic physicians and staff in and around Eau Claire to recruit and train high-caliber residents who exhibit commitment to patient-centered care, excellence, compassion and integrity. During the course of their three-year training, the physician residents will see patients at Mayo Clinic Health System sites in Eau Claire, as well as in rural sites in the Barron, Bloomer, Menomonie and Osseo areas. Mayo Clinic also is collaborating with HSHS Sacred Heart Hospital and Marshfield Clinic for residents to receive training at their facilities.
The Mayo Clinic Family Medicine Residency Program is one of six locations that received funding from a grant program administrated by the Department of Health Services, which was backed by WHA.
The grant program will provide $3.3 million over three years to hospitals to create new medical residencies for physicians so they are able to complete their training in rural or underserved areas of the state.
“Hospitals assume a huge responsibility and commit human and financial capital to create the infrastructure necessary to educate and train new physicians for Wisconsin,” according to WHA President/CEO Eric Borgerding. “The grants boost these efforts by providing the support these organizations need to build much-needed new residency programs.”
Gov. Scott Walker included funding for the new residency programs in the 2013-2015 biennial budget; a move that was supported by research from, and strongly backed by, WHA.
“Our goal is to provide an exceptional family medicine training program that will attract high-quality residents to northwest Wisconsin,” says Dr. Nordin. “Many residents choose to stay and practice within the geographic area where they train, and we hope this program will help meet the immediate and future primary care needs here in Wisconsin.”
The northwest Wisconsin program will accommodate as many as 15 residents, five per year over the three-year residency. The program would continue to graduate five residents each year who are equipped to provide full-spectrum care to patients of any age.
Top of page (10/23/15)
Register Now: WCMEW Team-Based Care Summit on November 12
The Wisconsin Council on Medical Education and Workforce (WCMEW) is hosting a one-day event focused on designing and advancing team-based care. Team-Based Care Summit 2015: Transforming Concepts into Reality will be held November 12 in Appleton. Register now at http://events.SignUp4.net/15TBC1112.
The Summit will begin with an opening keynote session focused on improving population health through team-based care. A plenary session will examine payer perspectives on team-based care. Breakout sessions will focus on using metrics as a guide for team-based care; provide a how-to guide to managing workflows, protocols and team member roles; ways to leverage learners in existing or developing teams; and measuring the outcomes of a team’s impact.
Registration is now open for this event. For information, including the day’s agenda, visit: http://events.SignUp4.net/15TBC1112. Registration questions can be directed to Jenna Hanson at email@example.com or at 608-274-1820.
Top of page (10/23/15)
WHA Member Forum: Nov 11 Webinar Will Focus on New Meaningful Use
WHA will host a members-only webinar aimed at hospital leaders that will focus on the new EHR meaningful use final rules released in October.
The Centers for Medicare & Medicaid Services (CMS) released a joint rule October 6, 2015, that finalizes proposals made in two separate 2015 proposed rules regarding the meaningful use requirements of the EHR Incentive Program. While the joint rule provides some flexibility for hospitals and physicians in 2015 and 2016, other aspects of the joint rule raise the bar for provider performance as early as 2015.
This complimentary webinar will be held Wednesday, November 11, at 10:00 a.m. The discussion will cover important provisions of the joint rule, highlighting new compliance provisions for meaningful use “modified Stage 2” (2015 through 2017) and meaningful use “Stage 3” (beginning in 2018). While there is no fee to participate, pre-registration is required. Sign-up information, as well as more information about this webinar, may be found at http://events.SignUp4.net/15MeaningfulUseWebinar. This webinar is intended for and limited to staff of WHA members only, as a benefit of membership.
For more information contact Andrew Brenton, WHA assistant general counsel, at 608-274-1820 or firstname.lastname@example.org.
Top of page (10/23/15)
WHA/PSW Boot Camp Focused on Care Transitions, Medication Errors
In late September through early October, the Wisconsin Hospital Association (WHA) and the Pharmacy Society of Wisconsin (PSW) hosted a three-part webinar Boot Camp series designed to improve transitions of care and reduce medication errors. The sessions were designed to help health systems learn new strategies for incorporating pharmacy department representatives into key transitional moments with patients.
“We know that pharmacists are well positioned to take the lead in reducing adverse drug events throughout a patient’s stay in the hospital and as they transition to their next provider of care,” according to PSW Vice President of Professional & Educational Affairs Sarah Sorum. “Interventions made by pharmacists, particularly at transitions of care, have been shown to improve patient care and safety and decrease costs. PSW would like to thank the Wisconsin Hospital Association and their members for their collaboration.”
The sessions were hosted by WHA and facilitated by members of the PSW Practice Advancement Leadership Team, representing health systems across Wisconsin. The PSW Practice Advancement Leadership Team is a collaboration of the pharmacy directors from five Wisconsin health systems (Aurora Health Care, Froedtert & The Medical College of Wisconsin, Ministry St. Joseph’s Hospital in Marshfield, UW Health, and the William S. Middleton VA Hospital in Madison) and their post-graduate pharmacy administration residents. The group of residents represent some of the nation’s top pharmacy school graduates.
Wisconsin hospitals have been working on improving adverse drug events, medication reconciliation and transitions of care through the WHA Partners for Patients improvement collaborative for the last three years. The ideas, research and perspectives provided by the PSW Practice Advance leadership team lay out the frame work for incorporating the invaluable knowledge that pharmacy professionals have regarding patient safety into everyday hospital transitions.
“This has been a great collaboration, and we look forward to continuing this relationship in future improvement work,” said WHA Quality Coordinator Tom Kaster.
Top of page (10/23/15)
On the Healthcare Purchasing Path
By: Dr. Dean Gruner | Post-Crescent | October 17, 2015
It’s an interesting and inexact path in the health care purchasing world right now. No one knows that better than our business customers. As we talk with them and listen to what they’re experiencing, what they’re facing and how they’re navigating forward to do well by their employees, we continually deepen our understanding of the employer purchasing market and what we need to do to both lead and respond.
What are our customers telling us lately? I talked with our ThedaCare At Work team and was heartened to hear about some shifts in business thinking and purchasing decisions around health care, and concerned by some of the trends businesses continue to face. Here’s a snapshot of what they shared with me.
Cost-shifting may be nearing its peak. While employers continue to look for ways for employees to participate in the costs of health care—a trend that’s been occurring for many years—they are increasingly aware of the risks and downside of this approach. Although high deductible health plans, and increased co-pays and out-of-pocket costs are still typical, more and more employers are realizing this trajectory has a ceiling. They’re exploring other ideas.
New payment models intrigue employers. Employers are becoming educated about alternative payment models as they look to increase predictability around costs. And, they understand that moving into those spaces requires a close partnership with us. We’re doing more consulting to help employers manage their costs. We’re getting questions about bundled payments for procedures like joint replacement. We’re being asked what we can do to lower costs and improve quality.
Employees are behaving differently. With the advent of health apps, social media prompts and personal fitness activity trackers, people are taking their health more seriously. At an individual level, more and more employees want to improve their health, believe they can do it, see change in others, and are changing their own behaviors to make it happen. What’s more, they’re bringing this new attitude and approach to work.
Worksite health care options are growing. Today’s health care market is less about one-size-fits-all, and more about what meets the needs of my workforce? Employers are answering that question by opening onsite clinics, engaging health coaches, launching wellness programs and more. They’re empowering employees to partner in improving their own health.
Narrow networks aren’t what they used to be. As employers look for high-quality providers who are skilled at managing costs, they’re anxious about being forced into a narrow network of providers. The good news is that the narrow networks of today are not the narrow networks of the 1990s. Thanks to the alignment of high-quality, lower-cost systems—like AboutHealth, of which ThedaCare is one member among eight—employers can provide access to doctors, clinics and hospitals in towns and cities across the state. That’s actually a remarkably broad network!
What can employers take away from these insights? First, there are many available options. The marketplace continues to change quickly. Keep working with your broker to understand how you can get access to all the high-quality, low-cost options you need. Then, don’t be afraid to pick up the phone and connect with us. More than ever before, we’re innovating, adapting and responding to meet individual employer needs.
The way forward will continue to change and require innovation from us all. Let’s keep talking as we walk this path together.
Find at: www.postcrescent.com/story/money/2015/10/17/healthcare-purchasing-path/73985516.
Top of page (10/23/15)
Health Literacy Month: Removing Barriers to Understanding
October is Health Literacy Month. Being sick or getting injured is bad enough without additional stress from not understanding what’s wrong and if it can be fixed. What better way is there to provide patient-centered care than making sure when they leave, patients are confident knowing what they need to do and why?
That is what health literacy is all about.
Wisconsin health care providers are making changes, and improvements, in how they communicate with patients. It is not possible to tell by looking who has low health literacy—the best approach is that of universal precautions. Just as in the clinical setting, universal precautions in health literacy means taking action to minimize risk for everyone. Communicate in a way that is understandable by all. Evidence shows even highly literate people prefer simple communications.
According to Wisconsin Health Literacy, nine of ten adults have difficulty understanding health information, and three of ten really struggle. They have trouble completing health forms, communicating symptoms, managing chronic illness or navigating health care. These patients are more frequently readmitted to the hospital because they don’t take medications properly or understand how to follow self-care instructions. People with low health literacy have poorer health knowledge, increased hospital and emergency department visits, and higher health care costs. Sadly, more are also likely to die.
Health literacy is about removing barriers to successful communication. It begins with awareness and continues with training and practice of techniques proven to make a difference. Health Literacy practices are quick and inexpensive to implement. They are more effective ways to communicate so everyone can understand and act on critical health information and services.
For more information, contact Steve Sparks, director, Wisconsin Health Literacy, at 608-257-1655 or visit WisconsinHealthLiteracy.org.
Top of page (10/23/15)
New System Standardizes Patient Tagging, Tracking in Mass Casualty Situation
A triage tagging system that is internationally and nationally known has been adopted in neighboring states and was introduced to the Northeast Wisconsin Regional Trauma Advisory Board (RTAC) in 2011. The RTAC took up a project to implement a common triage tagging system within seven Northeastern counties with support from what was then referred to as Region 3 Wisconsin Hospital Emergency Preparedness Program (WHEPP). The triage tag format was presented during an initiative to update the START/JUMP SMART triage protocol methods. The triage tagging system supports, but does not alter, the triage protocol but provides a clear and recognizable display of patient condition in good weather or bad, day or night. The new tagging system allows attending medical staff to change triage color code display back and forth as patient conduction changes and documents the patient’s personal and medical condition. Importantly, the tag system includes bar coding. This will easily adapt to and work with the coming statewide electronic patient tracking system that will be initiated this year by the Wisconsin Department of Health Services (DHS).
The new tagging system will be used by approximately 70 EMS agencies and first responder vehicles. Ten hospital emergency departments located in northeast Wisconsin have received training on the tagging system. This common tagging system will be a patient care and tracking cornerstone for the Northeast Wisconsin Healthcare Emergency Response Coalition into the future.
Top of page (10/23/15)