October 26, 2012
Volume 56, Issue 43


MCW’s Community Medical Education Program Receives Enthusiastic Response

The Medical College of Wisconsin (MCW) continues its development work to create a community medical education program in Wisconsin. According to MCW President/CEO John Raymond, MD, the Medical College is now in the process of choosing specific locations for classrooms and offices. Two areas—central Wisconsin and Green Bay—and eight specific sites within those two areas are under consideration.

Raymond told the Wisconsin Council on Medical Education and Workforce (WCMEW) at their October 23 meeting in Madison that the idea of educating medical students on campuses that are located in more rural areas of the state has received an enthusiastic response from hospitals, health systems, and from the medical community.

WHA Senior Medical Advisor Chuck Shabino, MD pointed out that local physician engagement is critical. Raymond assured the group that physicians have voiced interest in and support for the idea of a community-based medical education program.

"Several of our senior leaders have met with physicians who are interested in teaching in the program," according to Raymond. "Many of the physicians point out to us that they are excited to teach students because it brings an entirely new dimension to their career."

Raymond said that in meetings with elected state representatives and senators, they have identified the project as a local economic development opportunity. The business community is equally excited, and in each community they have self-assembled support teams to assist MCW in making the expansion successful.

The MCW program creates an opportunity for collaboration with existing allied health programs and for inter-professional training with students in affiliated programs, such as nursing, pharmacy, dentistry, physician’s assistant and social work.

An expanded medical school is just the first step, however. Raymond emphasized the importance to create more opportunities for residencies in Wisconsin.

"Having an expanded medical school is one step in the continuum," Raymond said. "MCW would like to work with our WCMEW partners to identify a strong plan for expanded residency programs in Wisconsin."

WHA Senior Policy Advisor George Quinn outlined the WHA Board-approved work plan that identifies six areas that are critical in addressing the shortage of GME opportunities in Wisconsin. Quinn shared the work plan, developed with input from the WHA Board and members along with key stakeholders, which will:

  1. Provide members with basic information on GME;
  2. Engage in public policy advocacy related to GME;
  3. Create a resource for hospitals involved in GME;
  4. Encourage the development of consortiums;
  5. Engage physicians in supporting GME programs; and,
  6. Create a statewide infrastructure.

WHA Executive Vice President Eric Borgerding said WHA will develop a strategic, consensus-building approach to advocacy for GME and the physician workforce issues that align with the Board-approved work plan. It is one of a handful of key issues that WHA has discussed with more than 70 candidates during visits over the past couple of months. He also said WHA is working with Wisconsin Health News to host a lunch program that will focus on the physician shortage and other workforce issues.

WCMEW member Nancy Sugden shared a Wisconsin Health Workforce Data Collaborative report that analyzed the 2011/12 physician workforce survey data. The study provides baseline information that is helpful in determining whether the current number of medical school graduates, the retention rate of Wisconsin graduates, and the rate of recruitment of U.S. medical school graduates and international graduates, if sustained, will be sufficient to replace retiring physicians and maintain the current population to physician ratio as the population increases. Sugden said the report emphasizes the importance of data collection, and she suggested that similar studies of physician assistants, advanced practice nurses, and other health professionals will be necessary to understand how changes in the health care delivery system will influence the demand for physicians.

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WHA Medicaid Reform Group Discusses Exchange Cost Sharing and Benefits

On October 23, the WHA Medicaid Reengineering Group (MRG) held the second of three planned meetings. The group is tackling questions around Medicaid coverage in light of the Supreme Court’s decision that the Medicaid expansion is optional for states. The group is comprised of member CEOs and CFOs.

The meeting focused on understanding alternatives to the Medicaid program that might be available in 2014. One alternative for some could be subsidized coverage in a health insurance exchange. The MRG discussed the differences between Medicaid benefits and cost-sharing, and the potential benefits and cost-sharing that would be offered in the exchanges.

A second alternative is the Federal Basic Health Program. This is an optional program for states that was included in the health care reform law. Other states are considering whether to implement such a program, but some are holding off given the federal government has not yet issued regulations on the topic.

"It’s important that we try to understand the alternatives," said Nick Desien, CEO of Ministry Health and Chair of the MRG. "There are a lot of moving parts, and we need to consider what it means in terms of coverage expansion and what the impacts could be for providers and for the state."

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Wisconsin Hospitals PAC and Conduit Campaign at 91% of Goal

The 2012 Wisconsin Hospitals State PAC and Conduit campaign has raised $228,500 to date putting the campaign over 91 percent of the annual goal to raise $250,000 by year’s end. In the last two weeks, 26 additional individuals have participated putting the total number of contributors to the 2012 campaign at 371. This year-to-date total is also an increase of almost $44,000 ahead of last year’s pace, and $10,000 ahead of the 2010 record-setting campaign year.

Disbursements to candidate campaigns continue at a rapid pace during the last weeks before the election. So far in 2012, more than $220,000 has been disbursed to candidate campaigns from the Wisconsin Hospitals PAC and by individuals through their Wisconsin Hospitals Conduit accounts. That number will continue to grow in the remaining 12 days before the election.

Of the total contributors, 15 percent are members of the Platinum Club. Those 54 members have contributed $1,500 or more to the 2012 campaign and will be receiving a premium recognition item commemorating their membership next month. Thank you to all those 2012 contributors to date who are listed below. Contributors are listed alphabetically by contribution amount category. The next publication of the contributor list will be in the November 9 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 to $499
Ambs, Kathleen St. Mary's Hospital
Appleby, Jane Aurora Health Care
Arendt, Kathleen Aspirus Wausau Hospital
Ashenhurst, Karla Ministry Health Care
Bair, Barbara St. Clare Hospital & Health Services
Beglinger, Joan St. Mary's Hospital
Bell, Kristine Aspirus Wausau Hospital
Bernklau, Robert Aspirus Wausau Hospital
Bessen, Paulette Ministry Saint Michael's Hospital
Biros, Marilyn SSM Health Care-Wisconsin
Bliven, David Aspirus Wausau Hospital
Bosio, David Aspirus Wausau Hospital
Boson, Ann Ministry Saint Joseph's Hospital
Bowers, Laura SSM Health Care-Wisconsin
Brenholt, Craig St. Joseph's Hospital
Brenton, Andrew Wisconsin Hospital Association
Buettner, Susan Aurora Health Care
Burgener, Jean Aspirus Wausau Hospital
Buss, Diane St. Mary's Hospital
Bychinski, Paul Aspirus Wausau Hospital
Calhoun, William Mercy Medical Center
Carlson, Peter Aurora Psychiatric Hospital
Censky, Bill Holy Family Memorial
Cieslak Duchek, Mary Aurora Health Care
Clark, Julie St. Joseph's Hospital
Clesceri, Maryann Aurora Health Care
Coil, Joseph St. Clare Hospital & Health Services
Collins, Sherry Wisconsin Hospital Association
Cox, Tamarah Aspirus Wausau Hospital
Culotta, Jennifer St. Clare Hospital & Health Services
Cummings, Mike Aurora Health Care
Dahl, James Fort HealthCare
Dalebroux, Steve St. Mary's Hospital
Danner, Forrest Aspirus Wausau Hospital
Davis, Leslie Aurora Health Care
DeRosa, Jody St. Mary's Janesville Hospital
Dettman, Amy Bellin Hospital
Dietrich, Dean Aspirus Wausau Hospital
Dodd, Petra Aspirus Wausau Hospital
Drengler, Kathryn Aspirus Wausau Hospital
Drexler, Rochelle Aspirus Wausau Hospital
Dufek, Nancy Memorial Medical Center - Ashland
Dux, Larry Community Memorial Hospital
Elliott, Roger St. Joseph's Hospital
Entenmann, Kim St. Joseph's Hospital
Ericson, Allen Froedtert Health St. Joseph's Hospital
Fabich, Robb Aspirus, Inc.
Facey, Alice St. Clare Hospital & Health Services
Fielding, Laura Holy Family Memorial
Francaviglia, Stephen Aurora Health Care
Freimund, Rooney Bay Area Medical Center
Fuchs, Thomas St. Joseph's Hospital
Gajeski, Lynn St. Vincent Hospital
Garavet, Scott Aspirus Wausau Hospital
Garibaldi, Isabelle Wheaton Franciscan Healthcare - All Saints
Garvey, Gale St. Mary's Hospital
Gates, John Aurora Health Care
Giedd, Janice St. Joseph's Hospital
Govier, Mary Holy Family Memorial
Grady, Raymond Aurora Health Care
Granger, Lorna ProHealth Care, Inc.
Gresham, James Wheaton Franciscan Healthcare
Groskreutz, Kevin St. Joseph's Hospital
Grundstrom, David Flambeau Hospital
Gulan, Maria Aspirus Wausau Hospital
Halida, Cheryl St. Joseph's Hospital
Hamilton, Mark
Hart, Daniel Community Memorial Hospital
Hattem, Marita Aspirus Wausau Hospital
Hedrington, Brian Sacred Heart Hospital
Heinzen, James Aurora Medical Center in Hartford
Hieb, Laura Bellin Hospital
Hill, Nick St. Joseph's Hospital
Hinker, Jennifer Aspirus Wausau Hospital
Hinton, George Aurora Sinai Medical Center
Hockers, Sara Holy Family Memorial
Hoege, Beverly Reedsburg Area Medical Center
Holub, Gregory Ministry Door County Medical Center
Huber, Mark Aurora Health Care
Hueller, Julie Wheaton Franciscan Healthcare
Huemmer, Paul St. Mary's Hospital
Irwin, Ron Aurora Health Care
Jelle, Laura St. Clare Hospital & Health Services
Jensema, Christine HSHS-Eastern Wisconsin Division
Jensen, Russell St. Mary's Hospital
Johnas, Nancy Aspirus Wausau Hospital
Johnson, Eric ProHealth Care - Rehabilitation Hospital of WI
Johnson, George Reedsburg Area Medical Center
Jones, Mary Meriter Hospital
Jurenec, Anne ProHealth Care - Rehabilitation Hospital of WI
Karow, Deborah Ministry Health Care's Howard Young Medical Center
Karuschak, Michael Amery Regional Medical Center
Keene, Kaaron Memorial Health Center
Kelsey Foley, Kathy Aspirus Wausau Hospital
Kempen, Jacob Aspirus Wausau Hospital
Kepchar, Dennis Ministry Health Care
King, Steve St. Mary's Hospital
Kingston, Mary Beth Aurora Health Care
Klay, Lois St. Joseph's Hospital
Klein, Richard Aurora Health Care
Klein, Tim Holy Family Memorial
Kleinschmidt, Sherry Aspirus Wausau Hospital
Koch, Doug Aurora Health Care
Kocourek, Cathie Aurora Medical Center in Two Rivers
Konkel, John Aurora Health Care
Koss, Gail Aspirus, Inc.
Kowske, Steve Aurora Health Care
Krause, Carolyn Meriter Hospital
Krueger, Kari St. Mary's Janesville Hospital
Lachecki, Therese Memorial Medical Center - Ashland
Lambrecht, Randy Aurora Health Care
Lampman, Sandra St. Mary's Hospital
Larson, Teresa ProHealth Care - Rehabilitation Hospital of WI
Larson, William St. Joseph's Hospital
Leonard, Mary Kay St. Mary's Hospital
Lewandowski, Terri Ministry Our Lady of Victory Hospital
Logemann, Tim Aspirus Wausau Hospital
Lucas, Roger Aspirus Wausau Hospital
Ludgin, Richard Aurora Health Care
Lynch, Sue Mayo Health System - Franciscan Healthcare
Marcouiller, Don Memorial Medical Center - Ashland
Margan, Rob Wisconsin Hospital Association
Markgraf, Janelle Langlade Hospital - An Aspirus Partner
Maroney, Lisa
Mason, Paul Wheaton Franciscan Healthcare - All Saints
Maurer, Mary Holy Family Memorial
McMeans, Scott Holy Family Memorial
Meicher, John St. Mary's Hospital
Merline, Karen
Merrick, Marianne St. Mary's Hospital
Mohr, Carol Sacred Heart Hospital
Moon-Mogush, Cindy Aurora Health Care
Moss, Kenneth Meriter Hospital
Murphy, Thomas Aurora Health Care
Neeno, Joan St. Mary's Janesville Hospital
Nelson, Dean St. Mary's Hospital
Nevers, Rick Aspirus, Inc.
Nguyen, Juliet Sacred Heart Hospital
Nicklaus, Todd Aspirus, Inc.
Norbin Killoran, Carrie Aurora Health Care
Norton, Marcella Aspirus Wausau Hospital
O'Hara, Tiffanie Wisconsin Hospital Association
Ojala, Theresa St. Mary's Hospital
Olson, Bonnie Sacred Heart Hospital
Olson, Christine Aurora Medical Center in Kenosha
Olson, David Froedtert Health
Olson, Keri St. Clare Hospital & Health Services
Ose, Peggy Riverview Hospital Association
Peck, Lori Memorial Health Center
Peiffer, Susan Sacred Heart Hospital
Pempek, Kalynn Aspirus Wausau Hospital
Penczykowski, James St. Mary's Hospital
Pennebecker, Allen Ministry Saint Michael's Hospital
Pirsig-Anderson, Jane Aurora Health Care
Platt-Gibson, Melanie St. Clare Hospital & Health Services
Prunty, Brian Aspirus Wausau Hospital
Quinn, George Wisconsin Hospital Association
Reinke, Mary Meriter Hospital
Reising, Chris Aspirus, Inc.
Renneker, Jim Aurora Sinai Medical Center
Reynolds, Kristen Aurora Health Care
Richbourg, Mary Sacred Heart Hospital
Rocheleau, John Bellin Hospital
Roethle, Linda Bellin Hospital
Roundy, Ann Columbus Community Hospital
Rozenfeld, Jonathan St. Mary's Hospital
Rubenzer, Deanne St. Joseph's Hospital
Rudolph, Wade Sacred Heart Hospital
Rueber, Joel Aspirus, Inc.
Samuelson, Bonnie Aspirus Wausau Hospital
Sanicola, Suzanne Columbia St. Mary's Columbia Hospital
Saunaitis, Tamara Meriter Hospital
Schaetzl, Ron St. Clare Hospital & Health Services
Schneider, David Langlade Hospital - An Aspirus Partner
Schraufnagel, Patricia Memorial Medical Center - Ashland
Schuelke, Susan Community Memorial Hospital
Schwartz, Mary St. Clare Hospital & Health Services
Scinto, Jeanne Aspirus Wausau Hospital
Sczygelski, Sidney Aspirus Wausau Hospital
Sender, Jon
Sheehan, Heather Hayward Area Memorial Hospital and Nursing Home
Sio, Tim Wheaton Franciscan Healthcare - All Saints
Slomczewski, Constance Wheaton Franciscan Healthcare - All Saints
Stapelfeldt, Kimberly Aurora Medical Center in Hartford
Steevens, Alan St. Clare Hospital & Health Services
Stelzer, Jason St. Clare Hospital & Health Services
Stewart, Jeff Children's Hospital of Wisconsin
Strasser, Kathy Aspirus, Inc.
Strobel, Donald Aspirus Wausau Hospital
Sullivan, Anne Memorial Medical Center - Ashland
Tapper, Joy Milwaukee Health Care Partnership
Teigen, Seth St. Mary's Hospital
Thornton, Eric St. Mary's Janesville Hospital
Thurmer, DeAnn Waupun Memorial Hospital
Tobin, Susan Aspirus Wausau Hospital
Turner, Sally Aurora Health Care
Tuttle, Kathryn Memorial Medical Center - Ashland
Voelker, Thomas Aspirus Wausau Hospital
Walker, Troy St. Clare Hospital & Health Services
Wanless, Kathy Aspirus Wausau Hospital
Watts, Susan St. Vincent Hospital
Wojciechowski, Gary Aspirus Wausau Hospital
Woleske, Chris Bellin Psychiatric Center
Worrick, Gerald Ministry Door County Medical Center
Wymelenberg, Tracy Aurora Health Care
Wysocki, Scott St. Clare Hospital & Health Services
Zaher, Beth
Zaverl, Kimberly Froedtert Health
Zeller, Brad Hayward Area Memorial Hospital and Nursing Home
Contributors ranging from $500 to $999
Arca, Marjorie Children's Hospital of Wisconsin
Bard, Jeffrey Aurora Health Care
Bonin, Christopher Aurora Health Care
Borgerding, Dana
Brooks, Alenia Aurora Health Care
Brophy, Michael Aurora Health Care
Bukowski, Cathy Ministry Eagle River Memorial Hospital
Bultema, Janice
Buser, Kenneth Wheaton Franciscan Healthcare - All Saints
Carlson, Dan Bay Area Medical Center
Chess, Eva Aurora Health Care
Chumbley, Bud Aspirus, Inc.
Clough, Sheila Ministry Eagle River Memorial Hospital
Dietsche, James Bellin Hospital
Eckels, Timothy Hospital Sisters Health System
Ewing, Thomas Aurora Health Care
Fields, Mary Aurora Health Care
Garcia-Thomas, Cristy Aurora Health Care
Guffey, Kerra Meriter Hospital
Hanson, Gail Aurora Health Care
Hart, Shelly Aurora Health Care
Heifetz, Michael SSM Health Care-Wisconsin
Houlahan, Beth
Huettl, Patricia Holy Family Memorial
Hyland, Carol Agnesian HealthCare
Jacobson, Terry St. Mary's Hospital of Superior
Joyner, Ken Bay Area Medical Center
Just, Lisa Aurora Medical Center in Hartford
Kellar, Richard Aurora West Allis Medical Center
Kerwin, George Bellin Hospital
Klimisch, Ronald Aspirus Wausau Hospital
Larson, Margaret Mercy Medical Center
Lentz, Darrell Aspirus, Inc.
Mantei, Mary Jo Bay Area Medical Center
May, Carol Sauk Prairie Memorial Hospital
McDonald, Brian Aurora Health Care
McKennie, Randall Aurora St. Luke's Medical Center
McKevett, Timothy Beloit Health System
McNally, Maureen Froedtert Health
Miller, Jim Children's Hospital of Wisconsin
Nelson, Dave SSM Health Care-Wisconsin
Nelson, James Fort HealthCare
Pollard, Dennis Froedtert Health
Potts, Dennis Aurora Health Care
Richards, Theresa Ministry Saint Joseph's Hospital
Rickelman, Debbie WHA Information Center
Roberts, Paula Children's Hospital of Wisconsin
Sale, Nora Froedtert Health
Samitt, Craig Dean Health
Selberg, Heidi HSHS-Eastern Wisconsin Division
Shabino, Charles Wisconsin Hospital Association
Simaras, James Wheaton Franciscan Healthcare
Skowlund, Kathleen Aurora Health Care-South Region
Statz, Darrell Rural Wisconsin Health Cooperative
Stuart, Philip Tomah Memorial Hospital
Swanson, Kerry St. Mary's Janesville Hospital
Talley, Barbara St. Clare Hospital & Health Services
Taplin Statz, Linda SSM Health Care-Wisconsin
Trenschel, Robert Aurora Health Care
VanCourt, Bernie Bay Area Medical Center
Wilk, Leonard Aurora Medical Center in Grafton
Zenk, Ann Ministry Saint Mary's Hospital
Zorbini, John Aurora Health Care
Contributors ranging from $1,000 to $1,499
Anderson, Sandy St. Clare Hospital & Health Services
Bablitch, Steve Aurora Health Care
Bailet, Jeffrey Aurora Health Care
Banaszynski, Gregory Aurora Health Care
Bedwell, Elizabeth Children's Hospital of Wisconsin
Britton, Gregory Beloit Health System
Buck, Catherine Froedtert Health
Byrne, Frank St. Mary's Hospital
Court, Kelly Wisconsin Hospital Association
Deich, Faye Sacred Heart Hospital
Edwards, Susan ProHealth Care, Inc.
Falvey, Patrick Aurora Health Care
Fischer, Edwin Fort HealthCare
Francis, Jeff Ministry Health Care
Frank, Jennifer Wisconsin Hospital Association
Garcia, Dawn St. Joseph's Hospital
Gunn, Veronica Children's Hospital of Wisconsin
Gutzeit, Michael Children's Hospital of Wisconsin
Herzog, Mark Holy Family Memorial
Hilt, Monica Ministry Saint Mary's Hospital
Hymans, Daniel Memorial Medical Center - Ashland
Johnson, Charles St. Mary's Hospital
Kelch, Elaine
Kosanovich, John Watertown Regional Medical Center
Lappin, Michael Aurora Health Care
Loftus, Philip Aurora Health Care
Martin, Jeff Ministry Saint Michael's Hospital
Mattes, Dan Wheaton Franciscan Healthcare
Mohorek, Ronald Ministry Health Care
Niemer, Margaret Children's Hospital of Wisconsin
Peterson, Douglas Chippewa Valley Hospital
Radoszewski, Pat Children's Hospital of Wisconsin
Reynolds, Sheila Children's Hospital of Wisconsin
Ricci, Anthony Aurora Memorial Hospital of Burlington
Robertstad, John ProHealth Care - Oconomowoc Memorial Hospital
Roller, Rachel Aurora Health Care
Runge, Charles Froedtert Health
Russell, John Columbus Community Hospital
Sanders, Robert Children's Hospital of Wisconsin
Schafer, Michael Spooner Health System
Size, Pat
Tempelis, Eric Gundersen Lutheran Health System
Uhing, Michael Children's Hospital of Wisconsin
Westrick, Paul Columbia St. Mary's Columbia Hospital
Wolf, Edward Lakeview Medical Center
Contributors ranging from $1,500 to $1,999
Alig, Joanne Wisconsin Hospital Association
Barney, Steven SSM Health Care-Wisconsin
Bloch, Jodi Wisconsin Hospital Association
Boese, Jennifer Wisconsin Hospital Association
Canter, Richard Wheaton Franciscan Healthcare
Clapp, Nicole Grant Regional Health Center
Coffman, Joan St. Joseph's Hospital
Eichman, Cynthia Ministry Our Lady of Victory Hospital
Geboy, Scott Hall, Render, Killian, Heath & Lyman
Gorelick, Marc Children's Hospital of Wisconsin
Grasmick, Mary Kay Wisconsin Hospital Association
Hahn, Brad Aurora Health Care
Harding, Edward Bay Area Medical Center
Kammer, Peter The Kammer Group
Lewis, Gordon Burnett Medical Center
Maciver, Carolyn Aurora Health Care
Meyer, Daniel Aurora BayCare Medical Center in Green Bay
Natzke, Ryan Marshfield Clinic
O'Brien, Mary Aurora St. Luke's Medical Center
Postler-Slattery, Diane Aspirus Wausau Hospital
Potter, Brian Wisconsin Hospital Association
Stanford, Matthew Wisconsin Hospital Association
Wallace, Michael Fort HealthCare
Warmuth, Judith Wisconsin Hospital Association
Contributors ranging from $2,000 to $2,999
Brenton, Mary E.
Desien, Nicholas Ministry Health Care
Duncan, Robert Children's Hospital of Wisconsin
Erwin, Duane Aspirus, Inc.
Jacobson, Catherine Froedtert Health
Kachelski, Joe Wisconsin Statewide Health Information Network
Katen-Bahensky, Donna
Kief, Brian Ministry Saint Joseph's Hospital
Leitch, Laura Wisconsin Hospital Association
Levin, Jeremy Rural Wisconsin Health Cooperative
Little, Steven Agnesian HealthCare
Manas, Julie Sacred Heart Hospital
Merline, Paul Wisconsin Hospital Association
Mettner, Michelle Children's Hospital of Wisconsin
Neufelder, Daniel Affinity Health System
Normington, Jeremy Moundview Memorial Hospital & Clinics
Oliverio, John Wheaton Franciscan Healthcare
Pandl, Therese HSHS-Eastern Wisconsin Division
Sanders, Michael Monroe Clinic
Sexton, William Prairie du Chien Memorial Hospital
Starmann-Harrison, Mary Hospital Sisters Health System
Taylor, Mark Columbia St. Mary's, Inc.
Woodward, James Meriter Hospital
Contributors ranging from $3,000 to $4,999
Borgerding, Eric Wisconsin Hospital Association
Fish, David Hospital Sisters Health System
Turkal, Nick Aurora Health Care
Contributors $5,000 and above
Bjork, Tanya
Brenton, Stephen Wisconsin Hospital Association
Size, Tim Rural Wisconsin Health Cooperative
Tyre, Scott Capitol Navigators, Inc


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CMS National Provider Call Features Physician Speaker

The Centers for Medicare and Medicaid Services (CMS) sponsored a National Provider Call on Thursday, October 25, 2012 featuring speaker Ginger Boyle, MD, CCS, CCD-P, practicing family physician in Spartanburg, South Carolina, faculty with the Spartanburg Family Medicine Residency Program, and an AHIMA certified coder. Boyle is also a physician advisor for the Spartanburg Regional Health System case management/utilization review, clinical documentation integrity, and documentation integrity programs.

Boyle explained how her health system is preparing for ICD-10 implementation from several dimensions including the Steering Committee, the Awareness and Education Committee, HIM Management and ICD-10 code-specific training, documentation improvement and integrity, operational implementation, testing and the transition.

"Physician education and buy-in are critical, and without it we will have a garbage in/garbage out scenario," Boyle said. "Physicians can be taught, they should focus on the good ICD-10 brings us, ICD-10 is not an oncoming train, and with a well-planned implementation, we can achieve smooth, sweet success," she added.

Topics covered by other speakers during the call were general ICD-10 requirements and CMS implementation planning, an update on national coverage determinations and ICD-10 and an update on ICD-10 and administrative simplification. The PowerPoint presentation from the call is available at: www.cms.gov/Outreach-and-Education/Outreach/NPC/National-Provider-Calls-and-Events-Items/2012-10-25-ICD-10-Call.html. A transcript and audio will be available in the near future.

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WHA Powers On With Hospital Listening Sessions, Telephone Town Halls
Senator Ron Johnson, Rep. Sean Duffy, WHA Post-Election Analysis

On October 26, close to 40 hospital constituents participated in WHA’s Telephone Town Hall with U.S. Representative Sean Duffy. And on October 29, 60 hospital constituents will meet personally with U.S. Senator Ron Johnson at WHA’s hospital listening session at Holy Family Memorial in Manitowoc.

"Wisconsin health care providers have a great story to share with our elected officials about their commitment to high value care and better outcomes," said WHA President Steve Brenton. "WHA strongly believes that opportunities for hospital constituents to talk personally with Members of Congress are essential for moving health care forward in ways that do not continue to disadvantage high value states like ours."

WHA’s next Telephone Town Hall will be held November 13 and 15 and is entitled: "Post Election Analysis: What the Results Mean for Wisconsin Health Care." Featured presenters will be WHA President Steve Brenton and Executive Vice President Eric Borgerding, who will describe what the elections mean in terms of decisions to be made on Medicaid and health insurance exchanges as well as on Congressional activities during the lame duck session and beyond.

The WHA Hospital Listening Sessions along with Telephone Town Halls have been a mainstay over the past year as a means for WHA to educate and motivate hospitals on important issues. 2012 events held or scheduled to date include:

Additional events are in progress so watch The Valued Voice for details in the coming weeks and months. For questions, contact WHA’s Jenny Boese at jboese@wha.org or 608-268-1816.

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Community Partnerships Key to Reducing Readmissions
Regional workshops bring stakeholders together to improve care transitions

Two care transition workshops were recently held in Rice Lake and Viroqua with nearly 300 representatives attending from hospitals, public health agencies, nursing homes, aging units, aging and disability resource centers, assisted living facilities and home health care agencies.

The workshops brought representatives from the local "care continuum" together to discuss hospital readmission trends, identify best practices for preventing readmissions, and to examine potential collaborations that could be used to reduce readmissions.

Stephanie Sobczak, WHA manager of quality improvement, facilitated an exercise with the groups where the participants diagrammed their local system of care and then identified opportunities for improvement. It is helpful for care providers to take a systems view of their local care continuum before focusing on the details. This establishes a shared framework for problem solving on a bigger scale, according to Sobczak. Participants were encouraged to continue group meetings and move forward with their efforts to ensure smoother patient transitions in their communities.

"The real benefit of these events was to establish new relationships among care providers so they can come together to improve communication and processes related to transferring patients from the hospital to other sites of care," according Sobczak. Plans are underway to determine the level of interest for additional workshops.

The workshops were sponsored by the Wisconsin Hospital Association, the Wisconsin Office of Rural Health, MetaStar and several other key stakeholders representing long-term care and community organizations. These groups are all members of the Wisconsin Transition of Care Steering Committee, of which WHA is one of the founding members, and they share a commitment to facilitating work at the local level.

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Grassroots Spotlight: Sen. Kedzie Visits Beloit Health System, Fort HealthCare

Over the past week State Sen. Neal Kedzie (R-Elkhorn) visited several of the hospitals he now represents due to legislative redistricting. Those visits included Beloit Health System and Fort Healthcare in Fort Atkinson.

During his time at both hospitals, Sen. Kedzie was able to talk and learn from each hospital’s respective senior leadership about their commitment to the community, recent innovative initiatives as well as health care issues of importance.

In addition, Sen. Kedzie was able to tour both facilities and see firsthand how each hospital is committed to providing high-quality, high-value care.

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WHA Staff Continue Partners for Patients Site Visits

Tom Kaster, WHA quality improvement advisor, recently visited three hospitals participating in WHA’s Partners for Patients quality initiative.

Kaster’s visits included Tomah Memorial Hospital, Tri-County Memorial Hospital in Whitehall, and St. Joseph’s Community Health Services in Hillsboro. All three hospitals have improvement leaders that are participants in the HRET Improvement Fellowship.

"It is very obvious their involvement in the fellowship has given them an advantage to bring IHI’s model for improvement back to their facilities and initiate outstanding quality improvement projects. It is easy to see that these leaders understand how to build great improvement teams that can drive rapid improvement through small tests of change," said Kaster.

Tomah Memorial Hospital, Tomah

While at Tomah Memorial Hospital, Kaster met with a group of department leads, nurse managers and front line staff to present a general overview of Partners for Patients in our state. Tomah is actively working on the OB Adverse Events, CAUTI and Surgical Site Infections Partners for Patients initiatives. They talked about their progress on each initiative and what next steps they will be taking to further improve the culture of safety and quality of care at their facility. In addition, a group of front line staff and nurse leaders recently returned from the WHA Transforming Care at the Bedside (TCAB) event and were brimming with excitement and positive energy about how they were going to work to improve outcomes in their hospital.

Overall, Tomah is extremely engaged, excited and focused on quality improvement. They are well positioned to continue to drive positive change and improve patient care throughout their organization.

Tri-County Memorial Hospital, Whitehall

Kaster met with both the falls reduction team and the readmissions improvement team at Tri County Memorial Hospital. They have made good progress in the Falls Reduction Initiative. In regards to their readmissions progress, they have been making great strides utilizing small tests of change. Fortunately, Tri-County Memorial’s Readmission team includes a member from their adjoining nursing home. This connection is providing them with valuable insight on how they can better coordinate care between the hospital and nursing home, which in turn has proven to reduce readmissions.

St Joseph’s Community Health Services, Hillsboro

St Joseph’s Community Health Services has been extremely active in their two WHA Partners for Patients Initiatives. Kaster had the opportunity to present on using small tests of change to test multiple interventions and drive rapid improvement, as well as strategies for displaying and interpreting data.

It was exciting to hear they have had success with implementing several great interventions, but are not satisfied with stopping there. They already had plans to launch additional evidence-based practices that are proven to reduce readmissions and falls.

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Partners of WHA Announce "Best of the Best" Awards

The Partners of WHA has named Faye Deich, chief operating officer at Sacred Heart Hospital in Eau Claire, and Jon Rozenfeld, former chief operating officer and executive vice president of St. Mary’s Hospital in Madison, as their 2012 Best of the Best Administrative Award recipients. Each year, the Partners of WHA Best of the Best Administrative Award recognizes an on-site hospital executive who demonstrates a cooperative, supportive, enthusiastic, and well-defined relationship with his or her volunteer organization. Both awards were presented October 7 at the Partners of WHA Annual Convention in Madison.

Deich was nominated for this award by the Volunteer Partners of Sacred Heart Hospital. In nominating her, the Volunteer Partners indicated, "Our administrator is very vocal about the fact that our volunteers are an integral part of our mission. They bring something extremely valuable: themselves. Their service brings cheer and gentle assistance to many in need."

Rozenfeld was nominated for the 2012 award by the St. Mary’s Hospital Auxiliary members. In nominating him, the members stated, "Our administrator is an enthusiastic ambassador for the volunteers and Auxiliary members. (He) recognizes and takes seriously our role, motivation and overall success. Our administrator leads by example and is a role model for all administrators, staff, volunteers, and community leaders."

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Partners of WHA Recognize Volunteer Excellence at Annual Convention

Partners of WHA, the statewide hospital volunteer organization, celebrated hospital volunteerism and recognized volunteer excellence at its state convention October 16-18 in Madison. More than 350 Partner’s members attended the conference.

The convention featured a hospital CEO panel discussion on health reform, access to health care and rising health care costs. The panel, moderated by WHA Executive Vice President Eric Borgerding, included WHA member CEOs Sandy Anderson of St. Clare Hospital in Baraboo; Terry Brenny of Stoughton Hospital; Frank Byrne, MD, of St. Mary’s Hospital in Madison; and Dan Neufelder of Ministry Health Care and Affinity Health System.

Partners of WHA also awarded their annual Wisconsin Award for Volunteer Excellence (WAVE Award) to four volunteer member organizations, honoring outstanding programs in the categories of community service programs, fundraising, in-service hospital volunteer programs, and community outreach/collaboration.

The 2012 WAVE Award recipients were:

Volunteers of UW Health Partners-Watertown Regional Medical Center: Safety Center

Safety Center offers a variety of child safety products with volunteers trained to answer questions and properly fit helmets. Volunteers present at community events each year, bringing car seats, helmets and smoke detectors to ensure people know how to use them and where to find the Safety Center. They also provide sleep sacks to each baby born at the hospital and have established a fund for needy families who can’t afford car seats.

St. Vincent Hospital Auxiliary: The HEAL Program (Helping Elevate thru Art & Love)

The HEAL Program gives ill children a way to communicate, express and understand their feelings through art and interaction with a therapy dog. Participants paint two pictures on canvas with the help of a volunteer art therapist and her dog. The children keep one painting and the other is displayed in the annual art show and sold, with the proceeds benefiting HEAL and the hospital’s Child Life program.

Partners of Stoughton Hospital: Dancing With the Stoughton Stars

Nearly 70 volunteers were needed to make this event successful, from the dancers, judges and instructors to the ticket sellers, greeters, and ushers. Six dancer couples from all areas of the community committed to securing sponsorships, dance lessons and costumes. More than 600 people attended the event and net proceeds of over $23,000 were raised to assist with the purchase of a digital medical imaging archiving system for Stoughton Hospital.

Partners of St. Joseph’s Hospital in Chippewa Falls: Lake Wissota "Last Chance on the Lake"

This event is an effort to provide outdoor activity to the community in the winter months, promote fitness and healthy fellowship to all ages, and broaden the Partners support base in the community by collaborating with outside groups with similar goals. They offer a 10K and 30K ski course, a classic 10K course, a 10K snowshoe course and a children’s race.

Founded in 1951 as Wisconsin Hospital Association Auxiliaries, Partners of WHA, Inc. emphasizes volunteer service and participation in grassroots advocacy, public policy and community health education, and health career programs for Wisconsin hospitals. Additionally, Partners promotes leadership development offering resources and educational seminars to local hospital volunteer and auxiliary groups, and shares information on successful community health education initiatives, advocacy and fundraising activities and trends on volunteerism through a variety of channels, including its quarterly newsletter, Reaching Out. More information can be found at www.partnersofwha.org.

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Wisconsin Hospitals Community Benefits: Charity Care

Fear of a bill should never prevent a patient from seeking care at a Wisconsin hospital. Wisconsin hospital charity care programs provided $232 million to more than 700 patients each day last year. The stories that follow illustrate the deep commitment and continuing concern that hospitals have to their patients to ensure they receive the care they need regardless of their ability to pay.

Wheaton Franciscan provides emotional healing for patient

After decades of on and off heart issues, Chris Maurer found himself with more health complications – kidney cancer. The 62-year-old always managed the medical expenses from his surgeries and hospital visits with private health insurance from his employer. But with the economic downturn, Chris lost his job and his insurance after working 40 years in consumer finance in the automotive industry.

Chris remained on his insurance plan for a time through COBRA, but after exhausting his savings and assets, he could no longer afford the premiums. Without health insurance to cover his medical bills, Chris began to lose hope as his health problems increased in severity.

"I had private health insurance for years, and I always took care of myself. I was faced with a situation that I didn’t know how to handle," said Chris. "I found myself with the daunting task of asking, ‘Where do I go? Who do I turn to?’"

In early 2012, as Chris was being treated at Wheaton Franciscan – Elmbrook Memorial for both heart and kidney complications, he was approached by Cris Liebhauser, the Wheaton Franciscan Financial Counselor. Not only did she help Chris apply for Wheaton’s Community Care Program, but she also connected him with resources to pursue coverage through Medicaid and Medicare due to his severe kidney condition.

"Wheaton’s timing couldn’t have been any better. You can really shut down in dealing with everything when you realize what you are going through and the possibility that things can get worse," said Chris.

Chris met criteria to receive free care from Wheaton to cover his IV treatments for anemia and other services. While he hopes to eventually have government insurance, Wheaton will pay for tens of thousands of dollars in uncovered costs for the kidney dialysis Chris requires.

After his financial counseling sessions and qualifying for Wheaton’s Community Care program, Chris began to feel less anxious and stressed in a time of uncertainty.

"So much of healing is related to your emotional state. It really impacts your immune system. Having support from Wheaton Franciscan Healthcare was a huge load of my shoulders," said Chris.

Wheaton Franciscan – Elmbrook Memorial, Brookfield


Cancer does not discriminate

Lung cancer does not discriminate by age or gender. Each year in the United States, lung cancer in non-smokers affects more people than AIDS.

Yet it was the startling discovery for a young newlywed couple beginning their life together to be told of a diagnosis of lung cancer. While both had full-time jobs, the wife had minimal health insurance coverage and the husband was uninsured.

The wife, 23 years old, was rushed into the Emergency Department at Aurora Medical Center in Kenosha with severe pain throughout her body. After a biopsy was performed, she was apprised of her diagnosis and the treatment that would be needed.

When the young couple met with a financial counselor to discuss payment options, they learned about Aurora’s Helping Hand program. An Aurora financial counselor assisted them in completing the application. We can only imagine their relief when they learned that the patient qualified for a 100 percent discount for the care and treatment she would need.

Aurora Medical Center Kenosha


Team of hope

According to the American Cancer Society, one in two American men and one in three American women will develop cancer in their lifetimes. Each year, as a means of helping the millions of people whose lives are by touched by cancer, Memorial Health Center participates in the American Cancer Society’s Walk/Run of Taylor County.

In 2011, Memorial Health Center’s Team of Hope raised more than $3,000 for the American Cancer Society. This total was enough to put the team in first place among the 22 fundraising teams. Overall, the event raised $20,646.96 to help fund cancer research and the American Cancer Society programs that benefit people facing cancer.

This year’s Team of Hope was made up of more than 60 Memorial Health Center and Aspirus VNA Medford staff members, their family and friends.

Memorial Health Center (An Aspirus Partner), Medford


Janesville Jets Team up with Mercy Health System to Fight Cancer

Mercy Health System’s "Paint the Rink Pink" event with the Janesville Jets helped raised awareness of and generated funds for cancer treatment. The event was held October 19 and October 20 when the Janesville Jets played the Coulee Region Chill in support of cancer awareness. The event was also sponsored by Bliss Communications, the Janesville Gazette and WCLO. After both games, the Jets will held a live auction of the specialty pink jerseys the players wore with net proceeds being donated to the Mercy Foundation with funds earmarked for the Mercy Regional Cancer Center. Mercy Health System handed out pink thundersticks each night and provided cancer awareness literature.

Mercy Health System, Janesville


Submit community benefit stories to Mary Kay Grasmick, editor, at
mgrasmick@wha.org.

Read more about hospitals connecting with their communities at www.WiServePoint.org.

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