Briefs on behalf of Meriter Hospital and WHA have been filed with the Wisconsin Supreme Court in the troubling prisoner dumping case, Meriter Hospital, Inc. v. Dane County. As previously reported, this case involves a county prisoner who was at Meriter for a total of 34 days; his medical bills totaled more than $187,000. The county claimed that because the prisoner had been released from custody after the third day of hospitalization, the county was not responsible for the prisoner’s medical bills beyond the first three days. The evidence indicates that the prisoner was released so the County could avoid paying overtime for a required guard at the hospital. The prisoner was in a coma and determined not to be a flight risk. Once the prisoner was released from the hospital, the prisoner was taken back into custody. In addition to avoiding overtime payments, the County is arguing that it should be able to avoid paying for the prisoner’s medical bills.

WHA stressed in its amicus brief that the County is claiming to be entitled to avoid its financial responsibility as a reward for unauthorized conduct. "Without any constitutional or statutory authorization, the County took it upon itself to intervene in the justice system to obtain the release of a habitual criminal. It did this, not because it learned of his innocence or for any other substantive purpose but, by its own admission, in order to save money. It imposed the care and monitoring of this convicted felon, with violent offenses on his record, to the nursing staff of Meriter Hospital."

On behalf of Meriter in its reply brief, Guy DuBeau, an attorney with Axley Brynelson, LLP, argues that Dane County "does not dispute that counties and sheriffs across the state have shown an interest in this case, or that what it did with respect to [the prisoner], if sanctioned, would provide a road map for avoiding the statutory requirement to pay for prisoner care."

Interestingly, in its brief, Dane County argues that, "Meriter’s attempts to ascribe a sinister purpose to the Sheriff fail . . . because there is nothing to prevent the Sheriff from taking the action taken."

The Wisconsin Counties Association also will file an amicus brief in this case. Oral arguments before the Supreme Court are scheduled for September 22, 2004.

The National Rural Health Association (NRHA) honored Harold Brown, CEO, Prairie du Chien Memorial Hospital, for his dedication and commitment to rural health care by presenting him with the first-ever Lifetime Achievement Award. NRHA hosted a special reception in his honor and presented the award on May 28, 2004 during their annual convention in San Diego.

"NRHA would not be at all where it is today without your faithful, longstanding support and service," Tim Size, executive director of the Rural Wisconsin Health Cooperative, wrote in a letter to NRHA supporting Brown’s award. "If there ever was a guy that put a lie to the belief that one rural hospital administrator can’t possibly make a difference, it is Harold Brown."

WHA President Steve Brenton commended Brown for his dedication to the advancement of rural health.

"Harold is truly a role model, representing the very best that Wisconsin’s community hospitals consistently produce. His track record in Prairie du Chien has been admired and imitated," Brenton said. "The NRHA Lifetime Achievement Award recognizes leadership and vision that his friends and colleagues in Wisconsin have long acknowledged and cherished."

The award is designed to recognize individuals who have truly gone above and beyond in their service to rural health care. Harold Brown is one such individual, and has been singled out for his hard work in this field, according to NRHA President D. David Sniff.

"For more than four decades, Harold has worked hard to continuously improve the lives of so many Americans who live in rural communities," Sniff said. "This award recognizes an outstanding career in service to rural health care."

Harold was not the only Brown to receive recognition. Karen Brown, Harold’s wife, was honored as being one of Wisconsin’s first family practice nurse practitioners.

There’s still time to register for the 2004 Wisconsin Rural Health Conference, June 23-25, at the Kalahari Resort & Convention Center in Wisconsin Dells. The full conference brochure with registration information is included in this week’s packet and is available on the web site at www.wha.org.

Hospital administrators, chief financial officers, management staff, nurse leaders and trustees are encouraged to attend this conference. There will be special trustee education sessions on June 24. The conference has been submitted for 6.0 long-term care continuing education credits and has been approved for 6.0 ACHE category II credits.

Late the week of May 24, Governor Doyle vetoed SB 568, which would have provided a state income tax credit for a portion of an individual’s contribution to an HSA. HSAs are currently deductible from federal income tax. The bill was championed by Sen. Alberta Darling (R-River Hills), Reps. Bonnie Ladwig (R-Racine), Becky Weber (R-Green Bay) and Steve Wieckert (R-Appleton).

As reported in the May 21 edition of The Valued Voice, WHA registered in support of this bill believing that it would increase access to health care, especially for those small business owners who are struggling to provide coverage for their employees. The Governor vetoed the bill because he believed it would benefit higher-income individuals and decrease employer-sponsored health insurance. Reps. Wieckert and Weber disagree and believe that most people utilizing health savings accounts are middle income and uninsured. The Governor also believed that the cost of the tax break for HSAs was too high. The Fiscal Bureau estimated that it would cost the state around $38 million over the next eight years.

Two weeks ago, Democratic presidential candidate Sen. John Kerry accused President Bush of ignoring the steady rise in health care costs and pursued that theme during a week-long trek across the nation where he deployed photo opportunities to portray "average" families struggling to pay their medical bills. That’s not the last we’ll hear about health care. The issue will be a major theme this summer and fall as we approach the November elections.

A recent analysis of the Bush and Kerry health plans by Washington Post writer Ceci Connelly described the President’s proposal as "modest" compared to Kerry’s $700 billion, 10-year package that purports to provide coverage to 27 million currently uninsured Americans. Although details are sketchy (probably a wise decision as the greater the detail, the larger the opportunity for critical analysis), Kerry’s program focuses on three major themes:

• The Kerry plan uses two current government health programs, Medicaid and the Children’s Health Insurance Program, as a catalyst to provide coverage to low-income parents of children currently enrolled in those programs. States would receive payment from the federal government for enrolling more people in the programs but would presumably need to come up with their matching dollars. [This is similar to BadgerCare and hence may be meaningless for Wisconsin.] Additionally, The Kerry proposal phases out the Medicaid DSH program that currently benefits a number of Wisconsin hospitals treating disproportionate numbers of low-income patients.
  
• The Kerry plan would allow individuals and small businesses to obtain coverage through the federal employees health care plan with tax credits to cover up to half the cost of employee premiums. Details are fuzzy about this approach but one could expect that adverse selection will make this an expensive initiative. Wisconsin’s experience with the Health Insurance Risk Sharing Plan (HIRSP) might be a good benchmark. That program largely uses mandated provider discounts and assessments on health plans to "subsidize" premiums for high-risk lives.
  
• The most ambitious proposal in the Kerry plan is his call to "federalize" catastrophic health care. This would involve having the federal government pick up 75% of the cost of catastrophic cases once a patient’s health care tab reaches $50,000. Supporters of this approach argue that by mandating "disease management," federalizing catastrophic care will be cost-effective. But the mechanics underlying the enforcement of such a mandate, presumably through government fiat, are not available. Also missing from this proposal are details about provider payments. Presumably, once the health care bill exceeds $50,000, government-determined hospital, physician and other provider rates of payment will be established…probably using Medicare fee schedules. And what happens if "savings" attributed to "disease management" aren’t realized?

The purpose of this column is not to disparage the Kerry proposals (President Bush’s reliance on "tort reform" as a health care cost containment strategy is dubious at best). But when it comes to health care cost "solutions" it’s essential that we press for specific details embodied within each and every plan before we embrace the largely symbolic politic rhetoric. Uncovering those details, one might suspect, will be a challenge.

Steve Brenton
President

Three Wisconsin hospitals are showcased in the latest edition of AHA’s "Workforce Ideas in Action 4: Case Examples." The hospitals that were included in Volume 4 include: Children’s Hospital of Wisconsin, Grant Regional Health Center, and Gundersen Lutheran. This brings to 14 the number of case examples from Wisconsin. Thanks to WHA members for submitting their examples and leading the way to tackling the tough challenges that surround the health care workforce.

As part of the ongoing work of the AHA Commission on Workforce for Hospitals and Heath Systems, workforce ideas are solicited and published. Volume 4 will be mailed to AHA member hospitals within the next week.

The Wisconsin Society for Healthcare Human Resources Administration and WHA will sponsor a ‘Best Practices’ workshop on September 29 in Brookfield featuring case examples from the AHA’s "In Our Hands" series. Leo Brideau, CEO, Columbia St. Mary’s, who was a member of the AHA Commission on Workforce for Hospitals, will be a featured presenter. Case studies on successful programs that have been implemented in the area of workforce will be presented by WHA member hospitals. September 29 is the date for the workshop, which will be held in Brookfield immediately preceding the WSHHRA fall conference.

Two great ways to learn how Wisconsin’s hospitals are leading the way in addressing workforce issues: Find and read Workforce Ideas in Action 4. Register and attend the Best Practices Workshop.

The first half of 2004 has been a busy time for advocacy for Covenant Healthcare System as invitations were extended to legislators to tour system hospitals and meet with staff. Sen. Spencer Coggs met with employees at St. Joseph Regional Medical Center in February; Rep. Shirley Krug toured St. Joseph Regional Medical Center in May. Rep. Leah Vukmir will tour The Wisconsin Heart Hospital in June and meet with employees and medical staff. Rep. Ann Nischke will tour St. Joseph Regional Medical Center in June, Sen. Tim Carpenter will visit St. Francis Hospital in July and details need to be completed for visits by Rep. Josh Zepnik to tour St. Francis Hospital, Sen. Gwendolynne Moore to visit St. Michael Hospital and Sen. Tom Reynolds to visit the St. Joseph Outpatient Center later this summer.

"Advocacy visits are a great way to have our employees meet with their elected officials and demonstrate our commitment to providing high quality health care for our communities," said Julie Swiderski, regional director of government relations for Covenant Healthcare.

Individuals from Children’s Hospital pushed the number of contributors to Healthy Wisconsin past the 300 mark this week. Colleagues from Covenant Healthcare System, Froedtert and Community Health Care are poised to be added to the contribution champions later this month. Supporters at Meriter, Mercy Health System, The Monroe Clinic and Community Memorial Hospital, Menomonee Falls continue to send in their responses for the conduit, state PAC and AHAPAC.

After two short months, Healthy Wisconsin has reached 72% of its goal with more than 300 individuals making contributions to support advocacy efforts. The campaign trails across the state are beginning to take shape, and Healthy Wisconsin supporters will be a critical element to many of the races. There is ample time for more participation and we look forward to a robust June for Healthy Wisconsin!

PRESIDENT ($1,000 and above)
Howe, Ed Aurora Health Care
Size, Tim Rural Wisconsin Health Cooperative
Brenton, Stephen Wisconsin Hospital Association
Albrecht, David Bellin Memorial Hospital
Anderson, Loren Aurora Health Care Southern Lakes
Vice, Jon Children's Hospital of Wisconsin
Ela, Susan Aurora Health Care
Johnson, George Reedsburg Area Medical Center
Brenton, Mary E. Wisconsin Hospital Association
Wolf, Edward Lakeview Medical Center
Westrick, Paul Columbia St. Mary's-Milwaukee Campus
Warmuth, Judith Wisconsin Hospital Association
Walsh, Lorelle Aurora Health Care
Turkal, Nick Aurora Health Care
Titus, Rexford ProHealth Care
Steinman, John Aurora Health Care
Starmann Harrison, Mary SSM Health Care-Wisconsin
Spaude, Paul Wausau Hospital
Worrick, Gerald Door County Memorial Hospital
Smith, Linda Aurora BayCare Medical Center
Size, Pat Rural Wisconsin Health Cooperative
Shabino, Charles Community Health Care, Inc.
Quinn, George Wisconsin Hospital Association
Petasnick, William Froedtert Memorial Lutheran Hospital
Nestor, Donald Aurora Health Care
Nannis, Paul Aurora Health Care
Lucas, Ann Wisconsin Hospital Association
Leitch, Laura Wisconsin Hospital Association
Kaufman, Nancy Aurora Health Care
Huxley, Eliot Aurora Health Care
Gazzana, Thomas Children's Hospital of Wisconsin
Fale, Robert Agnesian HealthCare
Desien, Nicholas Ministry Health Care
Buettner, Susan Aurora Health Care
Brideau, Leo Columbia St. Mary's-Columbia Campus
Borgerding, Eric Wisconsin Hospital Association
Bonk, Daniel Aurora Sheboygan Memorial Medical Center
Bloch, Jodi Wisconsin Hospital Association
Bea, Javon Mercy Health System
Bazan, Bill Wisconsin Hospital Association
Barton, James Aurora Health Care
Banks, P. Gregory Aurora Health Care - Kettle Moraine Region
Ambrosius, Mark Aurora - St. Luke's Medical Center
Braddock, Jonathan WHA Financial Solutions, Inc.
Kachelski, Joe WHA Information Center
Birkenstock, Timothy Children's Hospital of Wisconsin
Dunigan, Thomas Children's Hospital of Wisconsin
Woodard, Larry Children's Hospital of Wisconsin

CHAIRMAN ($500-999)
Potter, Terri Meriter Hospital
Hymans, Daniel Memorial Medical Center
Entwistle, David University of Wisconsin Hospital and Clinics
Wick, Timothy Burnett Medical Center
Thompson, Scott Aurora Health Care
Teigen, Bobbe Sauk Prairie Memorial Hospital
Talsky, Joyce Columbia St. Mary's-Columbia Campus
Schmidt, Michael Saint Joseph's Hospital
Schafer, Michael Spooner Health System
Runge, Charles Froedtert Memorial Lutheran Hospital
Robertstad, John Oconomowoc Memorial Hospital
Range, Richard Baldwin Area Medical Center
Pandl, Therese Columbia St. Mary's-Milwaukee Campus
Olson, Edward Waukesha Memorial Hospital
Olson, David Bay Area Medical Center
Olkowski, Leland Community Health Care, Inc.
Morgan, Dwight Aurora Health Care
McGee, Fred Meriter Hospital
Martin, Jeff Saint Michael's Hospital
Lefert, Gerald St. Marys Hospital Medical Center
Lautermilch, Karen St. Nicholas Hospital
Kryda, Michael Ministry Health Care
Koehler, Thomas Aurora BayCare Medical Center
Grady, Glen Memorial Medical Center
Fish, David St. Joseph's Hospital
Eiler, Gary University of Wisconsin Hospital and Clinics
Buser, Kenneth All Saint's Healthcare
Britton, Gregory Beloit Memorial Hospital
Borgerding, Dana Wisconsin Hospital Association
Biros, Marilyn SSM Health Care-Wisconsin
Richardson, Dana Wisconsin Hospital Association
Grasmick, Mary Kay Wisconsin Hospital Association
Brown, Lori Children's Hospital of Wisconsin
Duncan, Larry Children's Hospital of Wisconsin
Flowers, Patty Children's Hospital of Wisconsin
Jones, Michael Children's Hospital of Wisconsin
Miller, Robert Children's Hospital of Wisconsin
Niemer, Margaret Children's Hospital of Wisconsin
Reynolds, Sheila Children's Hospital of Wisconsin

CAPITOL ($250-499)
Lyons, James Waukesha Memorial Hospital
Priest, MD, Geoffrey Meriter Hospital
Marciano, Karol Columbia Hospital
Van Court, Bernie Bay Area Medical Center
Schumacher, Elizabeth Meriter Hospital
Schroeder, Larry Sauk Prairie Memorial Hospital
Sanicola, Suzanne Columbia St. Mary's-Columbia Campus
Roraff, Greg Memorial Hospital of Taylor County
Ronstrom, Stephen Sacred Heart Hospital
Potter, Brian Wisconsin Hospital Association
Plaisance, Stephen Sauk Prairie Memorial Hospital
Neidenbach, Joseph St. Vincent Hospital
Navera, Ann Aurora Health Care Southern Lakes
Meyer, Miles Meriter Hospital
Maroney, Lisa University of Wisconsin Hospital and Clinics
Mantei, Mary Jo Bay Area Medical Center
Ketterhagen, James Columbia St. Mary's-Milwaukee Campus
Kerwin, George Bellin Memorial Hospital
Jaeger, Lee Aurora Health Care
Jacobson, Terry St. Mary's Hospital of Superior
Hofer, John Bay Area Medical Center
Harding, Edward Columbus Community Hospital
Grundstrom, David Flambeau Hospital
Friese, Carolyn St. Vincent Hospital
Dreher, Charles Columbia St. Mary's-Milwaukee Campus
Decker, Michael T. Divine Savior Healthcare
Dagnon, Patricia Prairie du Chien Memorial Hospital
Carlson, Dan Bay Area Medical Center
Bultema, Janice University of Wisconsin Hospital and Clinics
Buerstatte, Gary Waukesha Memorial Hospital
Brandel, Patrick Holy Family Memorial Medical Center
Blask, Daniel ProHealth Care
Bezucha, Gary Boscobel Area Health Care
Bayer, Tom St. Vincent Hospital
Barricklow, Mickey Eagle River Memorial Hospital
Cutler, Dave WHA Financial Solutions, Inc.
Skaden, John Saint Joseph's Hospital

SENATE ($100-249)
Nick, Mary Meriter Hospital
Needham, Jean Holy Family Hospital
Fry, Robert Bellin Memorial Hospital
Constable, Thomas ProHealth Care
Brasseaux, Mary St. Nicholas Hospital
Olson, Christine Aurora Medical Center
Lockhart, MD, Jack Gundersen Lutheran
Calhoun, William Howard Young Medical Center
Sczygelski, Sidney Community Health Care, Inc.
Riddle, Roberta Wisconsin Hospital Association
Frank, Jennifer Wisconsin Hospital Association
White, Michelle WHA Financial Solutions, Inc.
Whitby, Lea Calumet Medical Center
Walker, Troy St. Clare Hospital and Health Services
Umland, Steve Ministry Health Care
Tracey, Robert Franciscan Skemp Healthcare-Sparta Campus
Thundercloud, Debbie Bellin Memorial Hospital
Swandby, Janet Coenen/Swandby Associates, Inc.
Strombom, Peter Meriter Hospital
Stanford, Matthew Wisconsin Hospital Association
Schmidt, Kari Aurora Health Care
Schaetzl, Ron St. Clare Hospital and Health Services
Sater, Lois St. Marys Hospital Medical Center
Roethle, Linda Bellin Psychiatric Center
Rocheleau, John Bellin Memorial Hospital
Riegler, John Aurora Health Care
Pichotta, Naomi West Allis Memorial Hospital
Peterson, Kimberly Bellin Memorial Hospital
Peickert, Barbara Hayward Area Memorial Hospital and Nursing Home
Nelson, Nanine ProHealth Care
Nelson, James Fort Atkinson Memorial Health Services
Mulder, Doris Beloit Memorial Hospital
Mlynarek, Robert ProHealth Care
Miller, Barbara St. Marys Hospital Medical Center
McAvoy, Michael All Saint's Healthcare
Landdeck, John R. Beaver Dam Community Hospitals
Kuehni-Flanagan, Tracy Sacred Heart Hospital
Johnson, Curtis Tri-County Memorial Hospital
Jelle, Laura St. Clare Hospital and Health Services
Huettl, Patty Sacred Heart Hospital
Hoege, Beverly Reedsburg Area Medical Center
Hisgen, William Meriter Hospital
Gauger, Dennis All Saint's Healthcare
Gardner, James Waukesha Memorial Hospital
Fuss, Tom Meriter Hospital
Forbush, Marilyn St. Clare Hospital and Health Services
Elsen, Mary Pat St. Clare Hospital and Health Services
Coller, James St. Mary's Hospital Medical Center
Churitch, Karen Hayward Area Memorial Hospital and Nursing Home
Christianson, Roger St. Marys Hospital Medical Center
Brenny, Terry Stoughton Hospital Association
Braun, Jim Flambeau Hospital
Bolen, David Beloit Memorial Hospital
Bestor, William Community Memorial Hospital
Beglinger, Joan St. Marys Hospital Medical Center
Banzhaf, Elaine Waukesha Memorial Hospital
Aulik, Julie University of Wisconsin Hospital and Clinics
Arnett, E Aurora Health Care Southern Lakes
Anderson, Susan Beloit Memorial Hospital
Anderson, Frances Meriter Retirement Services
Albers, Kirstin Meriter Hospital
Callies, Julie WHA Information Center
Cote, Sean WHA Financial Solutions, Inc.
McNally, Maureen Froedtert Memorial Lutheran Hospital

ASSEMBLY ($75-99)
Rothfuss, James Meriter Hospital
Peiffer, Susan Sacred Heart Hospital
Katzman, Leslie Meriter Hospital
Jacobs, Jean Aurora - St. Luke's Medical Center
Clayton, Lynn Adams County Memorial Hospital and Nursing Care Un
Burger, Kristy Moundview Memorial Hospital and Clinics

CLERK ($1-74)
Woleske, Chris Bellin Memorial Hospital
Wilmet, Jody Bellin Memorial Hospital
Williams, Joyce Stoughton Hospital Association
Werner, Kathleen Meriter Hospital
Sio, Tim Meriter Hospital
Schemm, Donna Sacred Heart Hospital
Rosemeyer, Sally Boscobel Area Health Care
Rickelman, Debbie WHA Information Center
Possin, Charles Meriter Hospital
Peot, Tracy Bellin Memorial Hospital
Pahl, Joan Meriter Hospital
Myers, Robert Vernon Memorial Hospital
Mosack, Kathleen Sacred Heart Hospital
Mohr, Carol Sacred Heart Hospital
Mathews, Larry St. Vincent Hospital
Marcouiller, Don Memorial Medical Center
LuCore, Michael Sacred Heart Hospital
Kulig, Kathy Tri-County Memorial Hospital
Klug, Martha Oconomowoc Memorial Hospital
Kalepp, Mandy Wisconsin Hospital Association
Juckem, Elizabeth Columbia Hospital
Jones, Mary Meriter Hospital
Johnson, Kimberly Sacred Heart Hospital
Johnson, Jere Mercy Health System
Jenkins, Brad Meriter Hospital
Hundt, Pamela Sacred Heart Hospital
Hribar, Tammy Wisconsin Hospital Association
Hofer, John Bay Area Medical Center
Herbert, William Meriter Hospital
Hassemer, Robert Sacred Heart Hospital
Furlong, Marian Hudson Hospital
Franson, Patricia Meriter Hospital
Findling, James Aurora Health Care
Deich, Faye Sacred Heart Hospital
Coats, Robert Meriter Hospital
Clymer, John Hudson Hospital
Buelow, William Meriter Hospital
Boudreau, Jenny WHA Financial Solutions, Inc.
Bloom, Deborah Sacred Heart Hospital
Blomberg, David Hayward Area Memorial Hospital and Nursing Home
Beaudry, David Holy Family Memorial Medical Center
Bank, Carol Divine Savior Healthcare
Allen, Timothy Sacred Heart Hospital
Peskie, Walt Flambeau Hospital
Van Acker, Patricia Eagle River Memorial Hospital
Weckwerth, Gary Aurora Health Care
Klinge, Ann Memorial Medical Center
Seldal, Kent Memorial Medical Center
Mason, Robert Sacred Heart Hospital
Koerner, James Sacred Heart Hospital
Hon, Ronald Sacred Heart Hospital
Beckler, Rick Sacred Heart Hospital
Schumann, Shannon WHA Information Center
Margan, Rob Wisconsin Hospital Association
Williams, Gerald Sacred Heart Hospital
Thorsness, Tom Sacred Heart Hospital
Sullivan, Anne Memorial Medical Center
Stephens, Mary Sacred Heart Hospital
Sprengeler, John Sacred Heart Hospital
Scieszinski, Robert Door County Memorial Hospital
Schultz, Rebecca Sacred Heart Hospital
Schrautnagel, Patricia Memorial Medical Center
Schneider, Matthew Sacred Heart Hospital
Schmelzle, Barbara Sacred Heart Hospital
Santini, Kathy Memorial Medical Center
Richbourg, Mary Sacred Heart Hospital
Pengra, Mary Sacred Heart Hospital
Padilla, Gilbert Sacred Heart Hospital
Nicolaus, David Flambeau Hospital
Nezworski, Joseph Sacred Heart Hospital
Maurer, Mary Holy Family Memorial Medical Center
Larsen, TerriAnn Sacred Heart Hospital
Johnson, Howard Lakeview Medical Center
Hansen, Karen Memorial Medical Center
Friedlander, William Hudson Hospital
Evenson, Wendy Sacred Heart Hospital
Dwyer, Amy Sacred Heart Hospital
DeSart, Dawn Wisconsin Hospital Association
DeMars, Nancy Sacred Heart Hospital
Cunningham, Louise Hudson Hospital
Clark, Jeanne Hudson Hospital
Cich, Dawn St. Mary's Hospital of Superior
Caven, Michael Memorial Medical Center
Brunner, Pam Sacred Heart Hospital
Brockman, Susan Meriter Hospital
Benn, Cheryl Sacred Heart Hospital
Barry, Barbara Memorial Medical Center
Aminpour, Ali Sacred Heart Hospital
Castelaz, Kathy St. Vincent Hospital
Pielhop, Judy Sacred Heart Hospital
Lien, Kristine Sacred Heart Hospital
Gullicksrud, Lynn Sacred Heart Hospital
Evans, Carol Memorial Medical Center
Ebel, Carol Sacred Heart Hospital
Boelte, Leah Wisconsin Hospital Association
Anich, Matthew Memorial Medical Center
Piper, Barbara Sacred Heart Hospital
Axelsen, Kathern Sacred Heart Hospital
Stout, Johni WHA Financial Solutions, Inc.
Skulan-Balmer, Anna Sacred Heart Hospital
Segerstrom, Amy Sacred Heart Hospital
Melby, Shirley Tri-County Memorial Hospital
McKay, Jean Sacred Heart Hospital
Carlson, Carol Sacred Heart Hospital
Austin, Jocelyn WHA Financial Solutions, Inc.

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