June 26, 2015
Volume 59, Issue 25
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2015 Rural Health Conference Attracts Rural, Urban Health Care Leaders
The relationship between employers and rural hospitals and health systems was one of several important topics explored at the 2015 Wisconsin Rural Health Conference. While the emphasis was on “rural,” the ideas and themes that headlined the conference were applicable to even the most urban settings in Wisconsin.
More than 300 attendees gathered in Wisconsin Dells for the 2015 Wisconsin Rural Conference June 18-19. From the opening address to the final “note” of the conference delivered by Irish Tenor Ronan Tynan, hospital administrators, trustees and physicians participated in sessions ranging from reimbursement issues and health care transparency to technology.
The State of Health Care in Wisconsin: WHA and RWHC share rural perspectives on key issues
Population demographics in rural Wisconsin are driving changes not only in how health care is delivered, but also who is paying for it. People living in rural areas tend to be older than their urban counterparts in a state where the retirement age population is quickly increasing. (See WISTAX Facts article below.)
WHA President/CEO Eric Borgerding and Rural Wisconsin Health Cooperative (RWHC) Executive Director Tim Size co-presented in what has become one of the most anticipated keynotes at the Rural Health Conference. Here are some highlights Borgerding shared:
Size said he is very proud of the strong and productive relationship between WHA and RWHC. That partnership has helped advance advocacy efforts in both Washington DC and Madison, and it has facilitated quality improvement efforts in all hospitals. In fact, Wisconsin rural hospitals participate in public reporting and quality initiatives that are not taking place in other states.
“Rural hospitals in Wisconsin are well positioned to meet the triple aim: Better care, better health and lower costs,” according to Size.
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New Legislator Profile: Sen. Devin LeMahieu (R-Oostburg)
Sen. LeMahieu: WI Worker’s Comp program “is not broken…is on the leading edge”
Sen. Devin LeMahieu made it a point to visit every hospital in his legislative district, and he is impressed with each and every one.
“It is definitely important to have good health care, and we do in the 9th Senate district,” LeMahieu told WHA Valued Voice Editor Mary Kay Grasmick. LeMahieu’s district includes Calumet, Sheboygan and Manitowoc counties. “Our hospitals are economic development assets. The hospitals and health systems are good community partners, helping our businesses to grow.”
In addition, LeMahieu pointed out that Holy Family is the largest employer in Manitowoc, while Aurora is among the largest in Sheboygan. The economic impact of the hospitals and health systems in terms of job creation is felt throughout the region.
LeMahieu said he is looking forward to having a good relationship with the hospitals in his district. During his hospital visits, he said he heard concerns about changes that were under consideration in the Wisconsin Worker’s Compensation program, especially with the fee schedule.
“The system we have in place now is working well. It is providing a great service, and we are on the leading edge,” LeMahieu said, “We don’t need to fix something that is not broken.”
As a new member of the Senate Health Committee, he is particularly interested in learning more about the challenges providers are facing. One area of concern providers have shared with him is mental health as it relates to barriers to access related to a shortage of psychiatrists in rural areas. LeMahieu said more needs to be done to attract these professionals.
“The Aging and Disability Resource Center in Sheboygan County does a very good job, but I know other communities might not have that support. I think that is one strength in our district,” he said. “There is still a lot of need out there (mental health services), and we need to make sure those who need the help can access it.”
LeMahieu said he supports the interstate physician licensure compact bill as a “common sense way to cutting the red tape” and expedite the licensure process for those states that participate in the Compact.
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50 and 166 - Individuals Step up for Hospitals PAC Campaign
To date, $150,000 has been raised in the Wisconsin Hospitals Conduit and State PAC annual fundraising campaign. This puts the 2015 campaign over 55 percent of the $270,000 goal as compared to last year at this same time when the 2014 campaign was at 44 percent of the goal.
The individuals listed below are each one of the 166 campaign supporters participating in the 2015 fundraising campaign.
“The 166 individuals who have already contributed are responsible for helping the campaign get off to a record start,” said Jodi Bloch, WHA political affairs consultant.
Importantly, 50 of the contributors participate at the Platinum Club leadership level of $1,500 or more.
All 166 individual contributors including the Platinum Club members are listed in The Valued Voice by name and affiliated organization on a regular basis. A special thanks to these individuals who are the earliest contributors to the 2015 Campaign and who are listed below. Contributors are listed alphabetically by contribution amount category. The next publication of the contributor list will be in the July 10 edition of The Valued Voice. For more information, contact Jodi Bloch at 608-217-9508 or Jenny Boese at 608-274-1820.
|Contributors Ranging from $1 - $499|
|Anderson, Phil||Sacred Heart Hospital|
|Appleby, Jane||Aurora Health Care|
|Ballentine, Anne||Wheaton Franciscan Healthcare|
|Bayer, Tom||St. Vincent Hospital|
|Bard, Jeffrey||Aurora Medical Center - Oshkosh|
|Brenny, Terrence||Stoughton Hospital|
|Cardinal, Lori||Agnesian HealthCare|
|Carter, Shane||Aurora Medical Center - Oshkosh|
|Clark, Renee||Fort HealthCare|
|Collins, Sherry||Wisconsin Hospital Association|
|Colman, Gerard||Aurora Health Care|
|Coopman, Dianne||St. Mary's Janesville Hospital|
|Cormier, Laura||Bellin Hospital|
|Culotta, Jennifer||St. Clare Hospital & Health Svcs|
|Davidson, Lisa||Wisconsin Primary Health Care Association|
|Dux, Larry||Froedtert & MCW Community Mem. Hosp|
|Feeney, John||Community Health Network, Inc.|
|Fielding, Laura||Holy Family Memorial|
|Freitag, Vanessa||Our Lady of Victory Hospital|
|Hafeman, Paul||St. Vincent Hospital|
|Hamilton, Mark||UW Hospitals and Clinics|
|Harrington, Kathleen||Mayo Health System - Eau Claire|
|Jelle, Laura||St. Clare Hospital & Health Services|
|Klay, Chris||St. Joseph's Hospital|
|Knutzen, Barbara||Agnesian HealthCare|
|Lampman, Sandra||St. Mary's Hospital|
|Leschke, John||Mercy Medical Center|
|Lynch, Sue||Mayo Health System - Franciscan HC|
|McArdle, PeggyAnn||Agnesian HealthCare|
|McMeans, Scott||Holy Family Memorial|
|Mercer, Carla||Reedsburg Area Medical Center|
|O'Hara, Tiffanie||Sundial Software|
|Olson, Bonnie||Sacred Heart Hospital|
|Peiffer, Susan||Sacred Heart Hospital|
|Riddle, Roberta||Rusk County 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|
|Swanson, Kaitlin||HSHS-Eastern WI Division|
|Tapper, Joy||Milwaukee Health Care Partnership|
|Theiler, Brian||Gundersen Tri-County Hospitals & Clinics|
|Van Abel, Lois||Bellin Hospital|
|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|
|Dolohanty, Naomi||Aurora Health Care|
|Ericson, Allen||Froedtert & MCW St. Joseph's Hospital Campus|
|Frangesch, Wayne||Wheaton Franciscan Healthcare|
|Furlong, Marian||Hudson Hospital & Clinics|
|Golanowski, Marie||Aurora St. Luke’s Medical Center|
|Graul, Mark||Children’s Hospital of Wisconsin|
|Gustafson, Andy||SSM Health Care-Wisconsin|
|Halida, Cheryl||St. Joseph's Hospital|
|Hanson, Gail||Aurora Health Care|
|Heaney, Dwight||Fort HealthCare|
|Jacobson, Terry||St. Mary’s Hospital of Superior|
|Jensema, Christine||HSHS-Eastern Wisconsin Division|
|Kingston, Mary Beth||Aurora Health Care|
|Kirsch, Jennifer||Gundersen Health System|
|Lange, George||Westgate Medical Group, CSMCP|
|Larson, Margaret||Mercy Medical Center|
|Latta, Richard||Godfrey & Kahn, SC|
|Lindberg, Steve||Mayo Clinic Health System - Red Cedar|
|Mohorek, Ronald||Ministry Health Care|
|Mulder, Doris||Beloit Health System|
|Nelson, James||Fort HealthCare|
|O’Day, Thomas||Godfrey & Kahn, SC|
|Oland, Charisse||Rusk County Memorial Hospital|
|Ose, Peggy||Riverview Hospital Association|
|Peterson, Douglas||Chippewa Valley Hospital|
|Quinn, George||Wisconsin Hospital Association|
|Reardon, Brian||Hospital Sisters Health System|
|Roesler, Bruce||The Richland Hospital|
|Rozenfeld, Jon||St. Mary’s Hospital - Madison|
|Rude, Nels||The Kammer Group|
|Seitz, Verna||ProHealth Care, Inc.|
|Selberg, Heidi||HSHS-Eastern Wisconsin Division|
|Shabino, Charles||Wisconsin Hospital Association|
|Shorter, Tom||Godfrey & Kahn, SC|
|Simaras, Jim||Wheaton Franciscan Healthcare|
|Sisney, Mary||Children's Hospital of Wisconsin|
|Stuart, Philip||Tomah Memorial Hospital|
|Teigen, Seth||St. Mary’s Hospital|
|Thurmer, DeAnn||Waupun Memorial Hospital|
|Van Meeteren, Bob||Reedsburg Area Medical Center|
|Yaron, Rachel||Ministry St. Clare’s Hospital|
|Zenk, Ann||Ministry St. Mary’s Hospital|
|Contributors Ranging from $1,000 - $1,499|
|Ashenhurst, Karla||Ministry Health Care|
|Bedwell, Elizabeth||Children's Hospital of Wisconsin|
|Bloch, Jodi||Wisconsin Hospital Association|
|Brenton, Andrew||Wisconsin Hospital Association|
|Connors, Larry||St. Mary's & St. Vincent Hospital|
|Cullen-Schultz, Jeannie||JP Cullen & Sons|
|Geboy, Scott||Hall, Render, Killian, Heath & Lyman|
|Just, Lisa||Aurora Health Care-South Region|
|Kerwin, George||Bellin Hospital|
|Killoran, Carrie||Aurora Health Care|
|Lewis, Jonathan||St. Mary's Hospital|
|McCawley, Thomas||Beloit Health System|
|Punzenberger, Lindsay||Children’s Hospital of Wisconsin|
|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||St. Joseph's Hospital|
|Court, Kelly||Wisconsin Hospital Association|
|Decker, Michael||Divine Savior Healthcare|
|Dotson, Jason||Beloit Health System|
|Frank, Jennifer||Wisconsin Hospital Association|
|Grasmick, Mary Kay||Wisconsin Hospital Association|
|Harding, Edward||Bay Area Medical Center|
|Kammer, Peter||The Kammer Group|
|McKevett, Timothy||Beloit Health System|
|Natzke, Ryan||Marshfield Clinic|
|Nauman, Michael||Children's Hospital of Wisconsin|
|Olson, David||Froedtert & The Medical College of Wisconsin|
|Russell, John||Columbus Community Hospital|
|Schulze, Connie||Ministry Health Care|
|Sexton, William||Crossing Rivers Health Medical Center|
|Sheehan, John||UW Hospitals and Clinics|
|Wallace, Michael||Fort HealthCare|
|Contributors Ranging from $2,000 - $2,999|
|Alig, Joanne||Wisconsin Hospital Association|
|Anderson, Sandy||St. Clare Hospital & Health Svcs|
|Duncan, Robert||Children's Hospital & Health System|
|Herzog, Mark||Holy Family Memorial|
|Hilt, Monica||St. Elizabeth Hospital|
|Kachelski, Joe||WI Statewide Health Info Network|
|Leitch, Laura||Hall Render|
|Levin, Jeremy||Rural Wisconsin Health Cooperative|
|Lewis, Gordon||Burnett Medical Center|
|Mettner, Michelle||Children’s Hospital of Wisconsin|
|Pandl, Therese||HSHS-Eastern Wisconsin Division|
|Meyer, Daniel||Aurora BayCare Medical Ctr Green Bay|
|Potter, Brian||Wisconsin Hospital Association|
|Potts, Dennis||Aurora St. Luke’s Medical Center|
|Sanders, Michael||Monroe Clinic|
|Sliwinski, Ron||UW Hospitals and Clinics|
|Stanford, Matthew||Wisconsin Hospital Association|
|Troy, Peggy||Children’s Hospital of Wisconsin|
|Contributors Ranging from $3,000 - $4,999|
|Boatwright, Damond||SSM Health Care-Wisconsin|
|Jacobson, Catherine||Froedtert & The MCW|
|Little, Steve||Agnesian Health Care|
|Neufelder, Dan||Ministry Health Care|
|Normington, Jeremy||Mercy Medical Center|
|O’Brien, Kyle||Wisconsin Hospital Association|
|Size, Tim||Rural Wisconsin Health Cooperative|
|Standridge, Deb||Wheaton Franciscan Healthcare|
|Starmann-Harrison, Mary||Hospital Sisters Health System|
|Turkal, Nick||Aurora Health Care|
|Contributors Ranging from $5,000+|
|Borgerding, Eric & Dana||Wisconsin Hospital Association|
|Brenton, Stephen||Wisconsin Hospital Association|
|Tyre, Scott||Capitol Navigators, Inc.|
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HRSA Releases Rule on 340B Ceiling Prices, Penalties
The Health Resources and Services Administration (HRSA), which has oversight of the 340B drug discount program, released one of two expected proposed rules on the 340B program. The proposal released this week is relatively narrow and sets the specifics around 340B ceiling prices and penalties by manufacturers for failing to comply with those. This rule was required under the Affordable Care Act. The second, much-anticipated “mega-guidance” is still expected to be released by HRSA in the coming months.
In its proposed rulemaking, HRSA indicates the following:
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Action on Capitol Hill: IPAB, Observation Notices, Direct Supervision
Multiple pieces of legislation that would impact hospitals and health systems continue to move in Washington, D.C. on both the House and Senate sides. Here is a round-up of several of interest this week:
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Gundersen Physician Leader Speaks to National Press Club on Physician Licensure Compact
A Gundersen Health System physician and medical vice president, Marilu Bintz, MD, was one of five panelists from across the country at a National Press Club event to discuss state legislation to implement an interstate physician licensure compact. The panel titled “Expanding Access to Health Care through the Interstate Medical Licensure Compact,” was held June 24 and was sponsored by the Federation of State Medical Boards at the National Press Club offices in Washington, DC.
Hospitals and health care systems from across the Midwest and the rest of the country have been working to adopt legislation to implement this Compact. The Compact would create a voluntary process for expedited licensure for physicians in multiple compact states, while also maintaining state authority to regulate disciplinary processes and the practice of medicine in each individual state. In Wisconsin, legislation drafted to implement the Compact ensures that any cost to the state for implementation of the Compact can only be paid for by those physicians that choose to be licensed through the Compact.
“The interstate Compact carries the potential to streamline licensure to everyone’s benefit,” said Bintz during the panel discussion. “Member states will be able to transparently share license information. Physicians will get licenses more quickly, perhaps in a matter of days. Patients will have better access to their physicians. And the result will be increased access to care.”
In Wisconsin, WHA-supported Assembly Bill 253 and Senate Bill 196 were recently introduced to implement the provisions of the interstate physician licensure compact in this state. The companion pieces of legislation were introduced by Rep. Nancy VanderMeer (R-Tomah) in the Assembly and Sen. Sheila Harsdorf (R-River Falls) in the Senate. Both bills are currently sitting in their respective health committees awaiting a public hearing.
During WHA’s Advocacy Day in late April, nearly 650 hospital supporters asked their elected officials to co-sponsor the legislation. The legislation now has a bipartisan list of 72 co-sponsors and is expected to receive Committee action later this summer. According to www.licenseportability.org, the Compact has been enacted in nine states and introduced in an additional 10 other states, including Wisconsin.
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Advanced Practice Clinician Hospitalist Programs Focus of WHA Webinar Series
Beginning August 5, WHA will host a three-part webinar series focused on different practical and legal issues that must be considered when implementing an advanced practice clinician (APC) hospitalist program.
The August 5 session will focus on the various legal parameters relevant to an APC hospitalist program and challenges hospitals face when considering use of APCs as hospitalists. The second session September 2 will discuss ways to structure hospitalist programs in critical access hospitals, the limitations of using APCs in PPS hospitals, and the potential risks involved with these programs and viable mitigation strategies. The third and final session October 6 will examine the practical steps hospitals need to take to implement an APC hospitalist program. All programs will be presented by the Health Law Group attorneys of Quarles & Brady.
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 member hospitals and corporate members only, as a benefit of membership.
Full descriptions of the three sessions, as well as online registration, are available at http://events.SignUp4.net/2015APHospWebSeries.
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Annual Workshop for Hospital Foundation Leaders Scheduled August 20
Hospital foundation directors, their board members and hospital executives are invited to attend “Prescription for Success: A Workshop for Hospital Foundations,” August 20 in Neenah. This year’s workshop will focus on moving donors along the continuum of philanthropy, discussing pipeline-building strategies at all levels of giving, including annual giving, major gifts giving and planned giving.
With the partnership and support of the Wisconsin Office of Rural Health (WORH), the Wisconsin Hospital Association (WHA) and the Rural Wisconsin Health Cooperative (RWHC), this annual workshop is available at no cost to hospital and hospital foundation staff; however, pre-registration is required.
The Hospital Foundation Workshop will be held Thursday, August 20 at Riverwalk Hotel in Neenah. A full workshop brochure is in this week’s packet. Online registration is now available at http://events.SignUp4.net/Foundation15.
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WISTAX Facts: Wisconsin’s Retirement-Age Population Growing Rapidly
The most recent estimates show the population of Wisconsin residents age 65 and over is growing much faster than the population as a whole. The 65-and-up age group grew 9.1 percent from 2010-2013. In that time, the number of Wisconsinites ages 45-64 increased 1.4 percent and the 18-44 population group declined 0.8 percent. The number of residents under the age of 18 fell 2.5 percent from 2010-2013. Overall, Wisconsin’s total population increased 0.8 percent to 5.73 million.
The Wisconsin Taxpayers Alliance is a nonpartisan, nonprofit research organization dedicated to good government through citizen education since 1932.
Source: Wisconsin Taxpayers Alliance and the Wisconsin Newspaper Association
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