November 9, 2012
Volume 56, Issue 45


2012 – A Year of Election Contrasts
State picks Democratic President and U.S. Senator; Republicans gain full control of Legislature

The conclusion of the November elections brings to an end, for the time being at least, Wisconsin’s run as the near-center of the political universe. In a year that saw changes to the state’s collective bargaining laws become the catalyst for massive protests and a string of recall elections, and one of Wisconsin’s own become a vice-presidential candidate, there was no shortage of national media attention on the Badger state.

The constant flurry of political activity produced a seemingly endless barrage of campaign commercials, passionate speeches and memorable events. In the end, voters made their choices. The results from Wisconsin prove the state remains a microcosm of the entire country—so evenly divided on political views that individuals continue to be compelled to crisscross political party lines when choosing between local, state and national candidates.

Nationally, all remains the same in terms of party control within the different levels of the federal government. President Obama won his second term in office, defeating Republican challenger Mitt Romney by a 50-48 percent margin (at the time of writing). Democrats retained control in the U.S. Senate helped by a win by Democrat Tammy Baldwin who defeated Republican Tommy Thompson to replace retiring Democratic Senator Herb Kohl for Wisconsin’s open Senate seat. Republicans retained control in the U.S. House with all Wisconsin House incumbents—Reps. Ryan, Ribble, Petri, Moore, Sensenbrenner, Kind, and Duffy—being reelected. Replacing Tammy Baldwin in Wisconsin’s 2nd Congressional District is Democrat Mark Pocan.

"The elections will not alleviate the need to address the immense fiscal challenges facing this country, but will clearly impact the future of Medicare and the degree to which we see real reform, or just more provider payment cuts," said WHA Executive Vice President Eric Borgerding.

"The elections will, of course, influence implementation of the ACA in Wisconsin and Washington, DC. But frankly, our hospitals and health systems were committed to delivering better quality, better value care well before the ACA was enacted," Borgerding added. "In Wisconsin, improving health care quality and value is health care reform, regardless of the election."

Although Democrats carried the high profile Presidential and U.S. Senate races in Wisconsin, the 2012 elections saw Republicans gain back control of the State Senate, where half of the seats were up for reelection, and slightly increase their majority in the Assembly. The 2012 election also marked the first to use the newly-drawn legislative districts.

The Senate here saw two pivotal races change the balance of power. In the 12th Senate District (SD), Representative Tom Tiffany (R-Hazelhurst) defeated Democrat Susan Sommer (D-Phelps) to win the seat held by retiring Senator Jim Holperin (D-Conover). Republicans appear to be on the verge of a two-seat majority in the Senate with Rick Gudex (R-Fond du Lac) currently holding a 590 vote lead over incumbent Senator Jessica King (D-Oshkosh) in the 18th SD, pending a possible recount. King previously defeated former Senator Randy Hopper (R-Fond du Lac) in a recall election.

In an unusual scenario, the November 6 general election day was also the date set for a primary election to determine the Republican candidate for the open 33rd SD, made vacant when former Senator Rich Zipperer (R-Pewaukee) left his seat to become Governor Walker’s deputy chief of staff and senior counsel. In that primary, Rep. Paul Farrow (R-Waukesha) defeated Rep. Chris Kapenga (R-Delafield). The general election for the seat in that strongly Republican district is set for December 4. With Farrow generally considered the likely winner, Republicans will head into the next legislative session with an 18-15 majority.

In the Assembly, Republicans strengthened their current 59-39-1 margin by one, growing their majority control to 60-39 when the new session begins in January 2013. Among the most watched races were those held by Republicans but considered to be Democratic seats. In the 51st Assembly District (AD), Howard Marklein (R-Spring Green) retained his seat, defeating Maureen May-Grimm (D-Mineral Point). But in the 43rd AD, Evan Wynn (R-Whitewater) lost to Rep. Andy Jorgensen (D-Fort Atkinson) who left his old 37th AD that had become more Republican to run in the 43rd. And in the 44th AD, Joe Knilans (R-Janesville) lost to Deb Kolste (D-Janesville). Also losing his seat was Roger Rivard (R-Rice Lake) in the 75th AD who was defeated by Stephen Smith (D-Shell Lake).

Republicans won the 25th AD, made vacant by the retirement of Bob Ziegelbauer (I-Manitowoc) as Paul Tittl (R-Manitowoc) defeated Jim Brey (D-Manitowoc).

Republicans picked up several other seats formerly held by Democrats, but made more Republican through redistricting. In the 13th AD, made vacant by the retirement of Rep. Dave Cullen (D-Milwaukee), Rob Hutton (R-Brookfield) defeated John Pokrandt (D-Wauwatosa). In the 15th AD, made vacant by the retirement of Rep. Tony Staskunas (D-West Allis), Joe Sanfilippo (R-West Allis) defeated Cindy Moore (New Berlin). In the 22nd AD, current Rep. Don Pridemore (R-Hartford), formerly of the 99th AD and who previously won in the Republican primary, takes over for Rep. Sandy Pasch (D-Whitefish Bay). Pasch, who was unchallenged in the general election, moves over to the 10th AD which she moved into and where she won a Democratic primary to replace Elizabeth Coggs (D-Milwaukee) who lost her bid for 6th SD.

Redistricting also lead to Republican pick-ups in the 37th AD, vacated by Jorgensen, where John Jagler (R-Watertown) defeated Mary Arnold (D-Columbus) and in the 42nd AD where Keith Ripp (R-Lodi) defeated Paula Cooper (D-Pardeeville). The 42nd was previously held by Fred Clark (D-Baraboo) who defeated Scott Frostman (R-Baraboo) in the 81st AD, a seat previously held by former Rep. Kelda Helen Roys (D-Madison). Also winning were Rep. Samantha Kerkman (R-Genoa City) who defeated Rep. John Steinbrink (D-Pleasant Prairie) in the 61st AD, a redistricted seat made vacant by the retirement of Bob Turner (D-Racine), and Tom Weatherston (R-Racine) who defeated Melissa Lemke (D-Racine) in the 62nd AD, the seat formerly held by Steinbrink.

Democrats also made redistricting-related gains in seats formerly occupied by Republicans. Rep. Janis Ringhand (D-Evansville) defeated Beth Schmidt (R-Orfordville) in the 45th AD. Rep. Amy Loudenbeck (R-Clinton), who previously represented the 45th AD, won her race in the 31st AD. Also winning for Democrats were Robb Kahl (D-Monona) who defeated Sandy Bakk (R-McFarland) in the 47th AD, previously represented by Ripp, and Rep. Cory Mason (D-Racine) who ran unopposed in the 66th AD, previously held by Kerkman.

Both new and returning legislators will immediately turn their focus to job creation and budget decisions when the next legislative sessions begin in January. In Washington and in Madison, WHA will work to ensure the voice of hospitals and health systems are a significant part of the debates as lawmakers strive for the best public policy possible.

Top of page (11/9/12)


Wisconsin Hospitals PAC and Conduit Campaign at 93% of Goal

The 2012 Wisconsin Hospitals State PAC and Conduit campaign has raised $235,317 to date putting the campaign over 93 percent of the annual goal. Since the last update two weeks ago,19 more individuals have participated, putting the total number of contributors to the 2012 campaign at 390. So far, this total is the largest amount that the campaign has raised in a single year and just over $14,000 away from the $250,000 year end goal.

June recall elections coupled with November elections meant contributions to candidate campaigns continued at a strong pace and sometimes a hectic pace these last few weeks before the elections. To date more than $266,000 has been disbursed to candidate campaigns from the Wisconsin Hospitals PAC and by individuals through their Wisconsin Hospitals Conduit accounts.

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 21 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
Balzer, John Froedtert Health
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
Braun, James Flambeau Hospital
Brenholt, Craig St. Joseph's Hospital
Brenny, Terrence Stoughton Hospital Association
Brenton, Andrew Wisconsin Hospital Association
Buettner, Susan Aurora Health Care
Burgener, Jean Aspirus Wausau Hospital
Busch, Rebecca Spooner Health System
Buss, Diane St. Mary's Hospital
Bychinski, Paul Aspirus Wausau Hospital
Calhoun, William Mercy Medical Center
Campau, Patricia Columbia St. Mary's, Inc.
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
Cole-Ouzounian, Denise St. Mary's Hospital
Collins, Sherry Wisconsin Hospital Association
Coopman, Dianne St. Mary's Janesville Hospital
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
Debilzen, Mary Holy Family Memorial
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
Dwyer, Maxine St. Mary's 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
Ferrigno, Sandra St. Mary's Hospital
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
Gigot, Kelly St. Vincent 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
Hansen, Karen Memorial Medical Center - Ashland
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, 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
Kraut, Lucy Columbia St. Mary's Milwaukee 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
Pinske, Heather St. Mary'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
Turtenwald, Robyn Community Memorial Hospital
Tuttle, Kathryn Memorial Medical Center - Ashland
Vergos, Kathryn Ripon Medical Center
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
Fry, William Columbia St. Mary's, Inc.
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
Rakowski, Mark Children's Hospital of Wisconsin
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
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
Klein, Richard Aurora Health Care
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
Sohn, Jonathan Wheaton Franciscan Healthcare
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
Byrne, Frank St. Mary's Hospital
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.


Top of page (11/9/12)



Governor’s Task Force on College, Workforce Readiness Makes Progress

The intense focus on workforce issues and jobs continues with Governor Scott Walker taking steps on multiple fronts to remove barriers that are keeping employers from growing their workforce and creating new jobs. John Zorbini, Aurora Health Care senior vice president, human resources, a member of the Task Force, reported to at the WHA Workforce Council meeting November 8 that the Task Force is making progress. Zorbini, a WHA workforce council member, was nominated by WHA and serves on the task force as an employer representative.

Zorbini said the Task Force is formulating a response to statewide concerns from employers that there is a mismatch between applicants’ job skills and the skills required to perform the work. Governor Walker created a Task Force on College and Workforce Readiness to recommend policies and programs that align Wisconsin’s education system with workforce needs.

WHA Executive Vice President Eric Borgerding focused his election update specifically to its implications on workforce-related issues. The Council members’ feedback to Borgerding included examples of the complexity of sorting and reconciling the provisions of different employer mandates at the state and federal level, which has been an ongoing problem for WHA members. These differences are costly to administer, complex and confusing to hospitals and employees alike. Council members also provided feedback on possible changes to licensure processes, education efforts for registered nurses and potential administrative rule changes.

Top of page (11/9/12)


President’s Column: What do Election Results Mean for Wisconsin?

Governor Scott Walker noted this week that Wisconsin has an independent streak when it comes to elections. How true that was Tuesday for a state that handed President Obama and Dane County Congresswoman Tammy Baldwin convincing wins at the top of the ticket while increasing the Republican majority in the Assembly and returning control of the State Senate to the GOP.

Nationally, the Obama victory is seen in some quarters as a reprieve for the Affordable Care Act (ACA)/Obamacare. But in reality, the reform law was never facing extinction given that Republicans were never remotely in a position for securing the 60 votes necessary to overcome a filibuster that would have occurred with a repeal bill in the Senate. The reality is that the law will be implemented, but not without opportunities for improvement, especially at the state level.

States like Wisconsin still control much of the destiny of the ACA. The Supreme Court’s decision in June relating to state-level decisions around Medicaid expansion means that Wisconsin will develop its own plan designed to distinguish Medicaid eligibility from participation in the subsidized insurance exchange for thousands of low-income individuals between 100 and 133 percent of the federal poverty level. WHA’s own Medicaid Re-engineering Group is charting the Association’s position on this important issue and will soon have meaningful recommendations that align with already established coverage principles (see www.wha.org/medicaid/MRGguidingPrinciples.pdf.)

Speaking of exchanges, Governor Walker must soon decide whether or not Wisconsin will develop and run its own exchange or default to federal bureaucrats. Most stakeholders, including WHA, instinctively prefer the later and are eager to deploy resources to meet tight timelines for an exchange that must be up and running on January 1, 2014. Regardless of one’s politics, it is difficult to fathom how Wisconsin would be better off with Washington D.C. running our new virtual insurance marketplace.

Perhaps it is too much to ask but given the inevitability of ACA/Obamacare implementation, it would be helpful if a level of pragmatism and compromise prevails as we move ahead toward 2014. And compromise must include taking another look at features of the law requiring redress (the Massachusetts wage index boondoggle and repeal of the IPAB for example).

Steve Brenton
President

Top of page (11/9/12)


Rules for Wisconsin Prescription Drug Monitoring Program Take Effect Jan. 1

Licensed professionals that dispense drugs identified as state or federal controlled substances and Tramadol to patients will need to begin collecting data to report to the Prescription Drug Monitoring Program (PDMP) on January 1, 2013. Every licensee of the Department of Safety and Professional Services (DSPS) that has prescriptive authority will be notified by letter of the program requirements. Those licensees that do not dispense monitored drugs should request to be made exempt from the program requirements. All program information and the request for exemption form can be found on the DSPS website at: http://dsps.wi.gov/PDMP.

2009 Wisconsin Act 362 created the PDMP and placed it under the authority of the Pharmacy Examining Board (PEB). Since that time, the PEB has requested and received funding for the program and developed the Administrative Rule (PHAR 18) that provides program guidance.

Effective January 1, 2013, dispensers are required to collect and submit specific data within seven days of dispensing a monitored prescription drug. A vendor has been selected to manage the online database, but the contract is not completed and the data collection portal will not be available on the program start date. Dispensers will be notified when the site is operational and that they must submit all data collected since the program start date.

Key points regarding the program:

The value of the PDMP to providers will be the ability to review an individual patient’s history of having monitored drugs dispensed to them. This function of the program will not be available until there is an accumulation of information in the database. Practitioners authorized to prescribe will be notified when the look up function becomes available and will be provided information on how to access that component of the database.

Top of page (11/9/12)


DHS Delays Medicaid Implementation of EAPG Pricing for Fee-for-Service Claims

The Wisconsin Department of Health Services (DHS) announced November 8 that it will delay the implementation of the new EAPG methodology for paying Medicaid outpatient fee-for-service claims until April 1, 2013. Originally scheduled for a January 1 implementation date, the EAPG timeline has been pushed back in order to ensure accurate modeling and to give hospitals adequate time to review the new methodology.

DHS has two Medicaid Advisory Group meetings coming up as part of the annual rate setting process. The agendas have changed since originally announced with the EAPG information and discussion being moved back to December 12.

The New Timeline for Rate Setting is as follows:

Nov. 16 Meeting – Discuss Policy Decisions for 2013 Rate Year and Overview of Inpatient and Outpatient Rate Methodology

Dec. 12 Meeting – Present 2013 EAPG Weights and Rates, Inpatient DRG Rates and Outpatient Per Diem Rates

Jan. 1, 2013 – 2013 Inpatient and Outpatient Per Diem Rates effective for both HMO and FFS claims

April 1, 2013 – Implement EAPG pricing for Fee-For-Services Outpatient Claims

The November 16 meeting will be held at 1 W. Wilson Street in Room 751 starting at 10 a.m. For anyone wishing to participate by phone, the call-in number is 877-402-9753, Access Code: 1703775.

Materials from previous Medicaid Advisory Group meetings can be found on the WHA website at www.wha.org/MAG.aspx.

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CMS Adopts Medicare Outpatient Payment Rules for CY 2013

The Centers for Medicare and Medicaid Services (CMS) has released the calendar year (CY) 2013 final rule for the Medicare Outpatient Prospective Payment System (OPPS). The final rule reflects the annual update to the Medicare fee-for-service outpatient payment rates and policies based on regulatory changes put forward by CMS and legislative changes previously adopted by Congress.

The rule also includes provisions that update the payment rates and policies for Ambulatory Surgical Centers, update quality reporting program requirements for inpatient rehabilitation hospitals, update the Electronic Quality Reporting Pilot that is part of the Electronic Health Record Incentive Program and update the Quality Improvement Organization regulations.

A copy of the final rule and other resources related to the OPPS are available on the CMS Web site at www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/HospitalOutpatientPPS/Hospital-Outpatient-Regulations-and-Notices-Items/CMS-1589-FC.html.

The major hospital OPPS-related sections of the final rule are summarized below. Program changes are effective for services provided on or after January 1, 2013.

OPPS Payment Rate: CMS’ final rule rate updates, along with adjustments for budget neutrality, result in an outpatient conversion factor of $71.313 for CY 2013 compared to $70.016 for CY 2012, a 1.9 percent increase. The final rate is the result of a 2.6 percent market basket increase (proposed at 3.0 percent), an Affordable Care Act (ACA)-mandated productivity market basket reduction of 0.7 percentage points (proposed at 0.8 percentage points), an ACA-mandated pre-determined market basket reduction of 0.1 percentage point, and slightly positive adjustments to maintain program budget neutrality.

Absent from the final rule is guidance as to how CMS will implement the 2.0 percent sequestration reduction to all lines of Medicare payment authorized by the Budget Control Act of 2011 and set to take effect in 2013 unless congress intervenes.

Wage Index and Labor-Related Share: The labor-related portion of the OPPS conversion factor is adjusted for differences in area wage levels using a wage index. CMS did not propose and is not adopting any major changes to the wage index and labor share used under the OPPS. CMS will use the federal fiscal year 2013 Inpatient PPS (IPPS) wage indexes including all reclassifications and add-ons, application of the rural floor, and adjustments for budget neutrality. CMS will continue to apply the wage index to a labor-related share of 60 percent.

Changes to the APC Payment Weights: CMS is adopting its proposal to change how the Ambulatory Payment Classification (APC) payment weights are calculated for CY 2013. The change modifies the basis of the weight calculation from median-based hospital costs for services in the APC groups to geometric mean-based costs. CMS believes this change will make the weights more reflective of service costs and bring greater consistency between the methodologies used to calculate weights under the OPPS and IPPS, allowing the agency to make better cross-system comparisons and examine issues of payment parity between the two payment systems.

A comparison of the current APC payment rates to the newly adopted rates shows that the rates for 38 percent of the 426 APCs with payment weights will change by plus 5 percent or more. The payment rates for 13 percent of the APCs with payment weights will change by minus 5 percent or more. The remaining 49 percent have payment rates that change by less than +/-5 percent when compared to the current rates. This comparison factors in all changes to the APCs for CY 2013, including the adopted change that modifies the basis of the weight calculation to mean-based costs.

Outlier Payments: To maintain total outlier payments at 1.0 percent of total OPPS payments, CMS will maintain the CY 2012 outlier fixed-dollar threshold of $2,025 for CY 2013. Outlier payments will be triggered when the cost of furnishing a service or procedure by a hospital exceeds 1.75 times the APC payment amount and exceeds the APC payment rate plus the fixed-dollar threshold.

Expiration of Hold-Harmless Payments to Small Rural Hospitals and Continuation of the 7.1 percent Add-On for SCHs and EACHs: The outpatient hold-harmless payment policy applicable to rural hospitals with 100 or fewer beds that was extended for one-year by the Middle Class Tax Relief and Job Creation Act of 2012 will expire on December 31, 2012. CMS does not have the authority to extend these payments beyond CY 2012 without authorizing legislation. Sole Community Hospitals (SCHs) and Essential Access Community Hospitals (EACHs) will continue to receive the 7.1 percent payment increase established by CMS in CY 2006 for all services and procedures paid under the OPPS, excluding drugs, biologicals, brachytherapy sources, and devices paid under the pass-through payment policy.

Physician Supervision Requirements for Outpatient Services in Hospitals and CAHs: CMS is adopting its proposal to extend, through CY 2013, the non-enforcement of the direct supervision requirement related to outpatient therapeutic services for Critical Access Hospitals (CAHs) and small rural hospitals with 100 or fewer beds. CMS first adopted this non-enforcement policy in CY 2011 when the agency revised and further defined several policies related to the physician supervision of outpatient services. The delay in enforcing this supervision requirement on CAHs and small rural hospitals will provide the Federal Advisory APC Panel, established in CY 2012, with additional time to continue its assessment of the appropriate supervision levels for individual hospital outpatient therapeutic services. CMS does not plan to extend the non-enforcement policy beyond CY 2013.

Updates to the Hospital OQR Program: CMS did not propose and is not adopting any major changes or expansion to the Hospital Outpatient Quality Reporting (OQR) Program for CY 2014 payment determinations and beyond. CMS is confirming the suspension of data collection for the measure OP-19: Transition Record with Specified Elements Received by Discharged Emergency Department Patients. Also, CMS is adopting its proposal to defer data collection for one year, until January 1, 2014, for the measure OP-24: Cardiac Rehabilitation Patient Referral from an Outpatient Setting. This measure will be used for CY 2015 payment determinations rather than CY 2014 determinations as previously adopted.

As adopted in previous rulemaking, for CY 2013 payment determinations, hospitals were required to successfully report on a total of 23 quality measures. As a result of previously and newly adopted OQR Program changes, hospitals must successfully report on a total of 24 measures for CY 2014 payment determinations and 25 measures for CY 2015 payment determinations. A complete list of QQR Program measures for CY 2014 and CY 2015 payment determinations is available on pages 915-916 of the display copy of the final rule Federal Register. Hospitals that do not successfully participate in the OQR Program are subject to a 2.0 percentage point reduction to the OPPS market basket update for the applicable year–the reduction factor has not changed.

A full detailed analysis of the 2013 OPPS rule will be available in the coming weeks on the WHA website at www.wha.org/pps_outpatient.aspx.

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WHEPP to Bring WISCOM to 128 Hospitals; Installation Begins Soon

Hurricane Sandy ripped a path of destruction across the east coast and forced the evacuation of several hospitals. The storm tested the veracity of the hospitals’ emergency preparedness plans and their emergency communications systems.

The Wisconsin Hospital Emergency Preparedness Program (WHEPP) is working with 128 Wisconsin hospitals to connect them to the Wisconsin Interoperability System for Communications, known as WISCOM. WISCOM is a network of 74 towers and supporting infrastructure that serves 95 percent of the state. The network will serve all public safety and public service users and disciplines, which will enable hospitals to communicate locally, regionally and statewide with EMS, air ambulances and with other hospitals.

Hospitals are often only able to communicate with nearby facilities. Likewise, field personnel can only communicate to the nearest hospitals, or in some instances, only to county hospitals. Inter-facility transports, including ground and air, can only communicate for a few miles from the departure and a few miles prior to their arrival at a hospital. Hospitals and EMS are required to have a VHF radio and EMS-B capabilities, but these radios have very limited range. Regional and statewide alerting is only available if the Internet and other communications platforms, such as cell phones that depend on fiber lines, are functioning and available.

When it is fully implemented, WISCOM will provide a much broader range and more reliable way for responders and hospitals to communicate.

"Wisconsin is one of the first states to utilize the communications network as a hospital preparedness tool," according to Paul Wittkamp, Wisconsin’s EMS communications coordinator.

Wittkamp said installation is expected to begin soon. Hospitals will be contacted to arrange details. When this is done, a few pilot installations can begin when the hardware inventory starts to arrive, which should be in a matter of weeks. The program must be fully in place and operational by the end of June 2013.

For more information contact: Kevin Wernet, Wisconsin Hospital Emergency Preparedness Program Director, at 608-266-3128 or Kevin.Wernet@dhs.wisconsin.gov, or Paul Wittkamp, State EMS Communications Coordinator, at 608-261-9306 or Paul.Wittkamp@dhs.eisconsin.gov.

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Member News: Spooner Named President of Columbia St. Mary’s Hospital Division

Allan Spooner has been appointed president of Columbia St. Mary’s Hospital Division including Columbia St. Mary’s Hospital Milwaukee, Columbia St. Mary’s Hospital Ozaukee, Sacred Heart Rehabilitation Institute, and Columbia St. Mary’s Women’s Hospital. Spooner assumes the position from interim president, Marion Purdue. Spooner began his role October 29, 2012.

"I am delighted to welcome Allan Spooner to the leadership team at Columbia St. Mary’s," said Mark Taylor, president/CEO, Columbia St. Mary’s Health System. "Some years ago, I had the distinct pleasure of working with Allan at St. John Providence Health System in Detroit, MI, where he served as vice president of business and corporate development. During that time I witnessed Allan’s strong leadership skills in clinical program development, engaging communication style and demonstrated success in managing a multi-hospital environment. We are fortunate to have someone of his caliber and solid track record join our team, advancing our mission and our deep commitment to patient care."

Spooner has more than 18 years experience in health care leadership including his most recent role as president and chief executive officer at the Rose de Lima Campus of Dignity Health’s St. Rose Dominican Hospitals in Henderson, Nevada. Prior to joining St. Rose, Spooner served as a vice president for Ascension Health, St. Louis, MO. He also served as vice president, business and corporate development at St. John Providence Health System in Detroit, MI. Spooner’s past experience includes tenure at Tenet Health System and a consulting role at KPMG Peat Marwick. Spooner received an AB in Engineering Science from Dartmouth College in New Hampshire and an MBA in Finance and Policy Studies from the University of Chicago School of Business.

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Wisconsin Health Care Providers and WI-1 DMAT Team Respond to Hurricane Sandy

A contingent from the Wisconsin-1 Disaster Medical Assistance Team (WI-1 DMAT) was deployed November 3 to the East Coast to assist in relief efforts after Hurricane Sandy. This Hurricane Sandy emergency strike team consists of a number of medical professionals from across the state of Wisconsin.

WI-1 DMAT is part of a federally-coordinated system that provides medical capabilities in the event of a large-scale emergency that overwhelms normal local and state medical resources. A Disaster Medical Assistance Team consists of medical, logistical, and administrative personnel, as well as all of the equipment required to deliver medical care in an austere environment. Volunteers from hospitals, clinics, and EMS agencies throughout the state make up the WI-1 DMAT.

For more information about WI-1 DMAT, visit the team website at www.wi1dmat.org.

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Wisconsin Hospitals Community Benefits: Tobacco Use and Exposure

Tobacco use is the single most preventable cause of disease and death in Wisconsin. More people die of tobacco-related disease than alcohol, cocaine, heroin, homicide, suicide, motor vehicle accidents and HIV/AIDS combined. Wisconsin hospitals offer a variety of education and smoking cessation classes to help people kick the habit. In addition, all Wisconsin hospitals are tobacco free, campus wide, to signal their support of creating an environment that promotes wellness.


Joining forces to ‘Shine a Light on Lung Cancer’

More than 2,000 fifth and sixth grade students in La Crosse and Trempealeau Counties received a helpful reminder of the dangers of smoking last November, thanks to Gundersen Lutheran Health System’s efforts to "Shine a Light on Lung Cancer."

Gundersen Lutheran’s mission focuses on improving the health of the communities we serve. Knowing that lung cancer is the leading cause of cancer death in the United States and is expected to grow by more than 13 percent over the next five to 10 years, Gundersen Lutheran’s Lung Cancer Task Force took action during National Lung Cancer Awareness Month – November 2011.

In addition to a community-wide educational event, they encouraged local school districts to incorporate anti-smoking and lung cancer awareness lessons into their health curriculum. To help with this effort, they distributed lung cancer awareness glow bracelets and educational posters stating, "Smoke free is the way to be!"

Local school districts were very receptive to incorporating these lessons into their curriculum. Teachers say that something as simple as a bracelet can get kids thinking about what they’re learning and keep them thinking about it. "The bracelets are a reminder [for the students] to think about the decisions that they make and how tobacco can have a negative effect on their life," says Justin Running, a teacher from the West Salem School District.

"These glow bracelets not only served as a conversation piece but empowered the students to act as educators," reports Kristen Marcou, project manager, Gundersen Lutheran Center for Cancer & Blood Disorders. "We were very pleased to learn that the kids spread the message about the dangers of smoking to their friends and family."

Gundersen Lutheran Health System, La Crosse


Making tobacco free a reality

Gundersen Lutheran Health System understands that breaking tobacco dependence is difficult, and there is not a one-size-fits-all approach. For those struggling with a nicotine addiction, Gundersen Lutheran’s Community & Preventive Care Services offers a free Journey to Freedom Nicotine Cessation and Relapse Prevention Support Group.

This is a free support group for individuals of all ages who are thinking about quitting tobacco use, are currently working on it or need help in coping once they’ve quit. It is intended to be one tool among many offered at Gundersen Lutheran that can provide tobacco users with ongoing support and relapse prevention. A different health and wellness topic is offered each month.

Not only does this group save participants hundreds of dollars, but it offers users helpful tools such as free quit packs and carbon monoxide screenings just for attending. However, its rewards have a far greater impact down the road, such as saving thousands of dollars in health care costs due to chronic illnesses such as asthma, COPD and cancers of the lung and mouth.

Gundersen Lutheran has formed a partnership with community organizations, including the County Health Department and neighboring hospitals. Interested tobacco users often receive referrals to this free monthly support group, which is unique to our area. Those who have taken advantage of the support group and Gundersen Lutheran’s Journey to Freedom Nicotine Cessation Clinic have an increased chance of success with an average 40 to 50 percent cessation rate—much higher than a smoker quitting on their own, which is about 3 to 5 percent.

Gundersen Lutheran Health System, La Crosse


No ifs, ands, or butts about it: Tobacco-free class changes lives

In April 2012, Mayo Clinic Health System – Northland began offering an eight-session smoking cessation program at no charge.

Sara Peterson, 32, is one of the several participants who benefited from the program. Ever since her first cigarette at age 14, she had made multiple attempts to quit. When Peterson began smoking upwards of a pack a day, she realized the habit had become a source of tension in her life. An avid runner, her stamina declined. Cigarette breaks interrupted family gatherings. Meanwhile, the expensive addiction was straining her pocket book.

"I just couldn’t rationalize smoking anymore," Peterson says. "I was trying to quit, and I wasn’t succeeding until I took this class. Before this group all of my quit attempts were horrible. The difference is like night and day."

"Every day is a choice to be a non-smoker," she says. "I got some top-notch help for free. This class has been so life-changing."

Mayo Clinic Health System-Northland, Barron


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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