About 70 legislators, staff and others came to a Capitol hearing room on Tuesday, June 29 to learn more about private sector efforts to collect and publicly report health care information. The event, sponsored by Rep. Curt Gielow (R-Mequon), and Rep. Sheldon Wasserman (D-Milwaukee), featured presentations and Web site demonstrations from WHA’s CheckPoint^SM program, the Wisconsin Collaborative for Health Care Quality (WCHQ), the WHA Information Center (WHAIC) and Wisconsin Manufacturers and Commerce (WMC).

As Wisconsin’s health care delivery and financing system moves towards a consumer focused/cost-sharing model, publicly available, comparable information is in growing demand. As a result, lawmakers on both sides of the aisle are turning their attention towards health care information, and many are impressed with what they see coming from private sector partnerships.

"We need to know how good our hospitals and our clinics really are, and where we can improve what we do — Checkpoint and The Collaborative are tools, developed by employers and health care providers together, to help us do that," said Representative Curt Gielow, vice chair of the Assembly Health Committee, in his introductory comments. "The efforts you’ll see described this afternoon break new ground. They are a long first step in helping consumers, policymakers and health care planners know the answers to ‘how much’ and ‘how good’ in Wisconsin. They’re worth a look, and I think this introduction today will show you that."

"Let me first say it’s no secret that I am not a big fan of the government-run physician office visit data program that was put into place six years ago," said Representative Wasserman, ranking Democrat on the Assembly Health Committee. "It has been a complete waste of time and money, and it has failed to produce information that is meaningful to consumers—or to anyone. In contrast, WHA with its CheckPoint initiative, the Collaborative and other private entities are providing quality data in an easy-to-understand format that everyone can use. These efforts to take health care up a notch benefit all citizens, and make Wisconsin one of the most progressive states in the nation in providing real health care data for real people."

"There is an emerging, information driven, picture of health care in Wisconsin – information about quality and cost combined to convey a measure of value," WHA Sr. Vice President Eric Borgerding said in opening remarks. "Lawmakers called upon providers to be more engaged and responsive to patients and employers, and we heard you. Today, the private sector is responding. Employers and providers are partnering on exciting new data initiatives that have rapidly surpassed anything the state has done in more than 10 years."

WHA Sr. Vice President George Quinn presented on behalf of CheckPoint. Quinn explained the origins of WHA’s quality and safety reporting program and described the methods by which the publicly reported measures are developed and released. "We have a strong steering committee comprised of employers, insurers, doctors, hospitals, nurses, quality improvement professionals and researchers that directs our current and future efforts," Quinn said. "Having everyone at the table to help guide our efforts means there is buy-in and, ultimately, a reliable and meaningful set of measures …. and this is just the beginning. We are very excited about the future."

Currently, 122 hospitals are in CheckPoint representing 99% of all hospital admissions in Wisconsin.

Donald Logan, MD, Chief Medical Officer with Dean Health System, presented on behalf of the Wisconsin Collaborative for Healthcare Quality (WCHQ), another promising information effort. He highlighted the breadth of WCHQ measures, which includes information from hospitals, clinics and health plans, as well as the role of the business community. "The lion has laid down with the lamb, so to speak," Logan said. "You have purchasers and providers working together and making real progress. That has not been the experience with other programs." In demonstrating WCHQ’s website, Logan noted that it contained a link to CheckPoint, and vice versa. "You may get the impression that these are competing initiatives, but nothing could be farther from the truth. These are complimentary efforts."

On June 22, WCHQ announced that it will more than double in size with the addition of 11 new participating hospitals, physician practices and health systems from every major market in Wisconsin.

WHAIC Vice President Joe Kachelski provided a brief history of inpatient hospital and ambulatory surgery center data collection in Wisconsin. Since 1989, the state Bureau of Health Information has collected price, utilization and other hospital and ambulatory surgery center data. In January 2004, WHAIC assumed those functions. Kachelski described the process by which data collection was privatized to the WHAIC, and the technological improvements that have streamlined the collection and reporting process. "When we took on this challenge, we had some big goals: to improve timeliness, efficiency and innovation in hospital data collection and reporting, and to improve accessibility and utility of hospital data. We are well on our way to meeting those goals," Kachelski said. In 2005, the WHAIC will begin collecting and publishing hospital outpatient data as well.

Representing the state’s largest business group, WMC Vice President James Buchen closed the program by conveying his organization’s support for these efforts. "Increasingly employers are realizing they need to go about the business of buying health care differently, in a way that puts more decision making in the hands of employees and that ultimately leads to a true health care market," Buchen said. "If that is to happen, and happen well, health care information will be the key. We believe the programs are absolutely headed in the right direction and are pleased to be a part of these private sector efforts."

For more information about the briefing, or to receive a copy of the materials distributed, contact Angela Miloszewicz at 608-274-1820. For more information, visit the following websites:

The Wisconsin Supreme Court filed its opinion in the Maurin v. Hall case Friday morning (July 2), upholding the constitutionality of the noneconomic damage limit in the wrongful death statute as the limit on total noneconomic damages recoverable from health care providers in a medical malpractice wrongful death case. The court held that this limit combines the damages available for medical malpractice and wrongful death (the caps are not to be stacked). In an amicus brief filed with the Court, the WHA and the Wisconsin Medical Society asked the Court to recognize that the noneconomic damage caps are a vitally important part of Wisconsin’s comprehensive medical liability system that are constitutionally permissible legislative policy choices. In the majority opinion, Justice David Prosser acknowledged that, "Over the past 30 years, the legislature has demonstrated an abiding interest in controlling the costs of health care, including the costs related to medical malpractice."

An analysis of the case will appear in a future issue of The Valued Voice.

As reported in the April 4, 2004 issue of The Valued Voice, the Centers for Medicare and Medicaid Services (CMS) published on March 26, 2004, Phase II of its regulations under the "Stark" physician self-referral law. WHA has submitted a comment letter to CMS regarding the new regulations that raises concerns and suggests revisions relating to: 1) the regulations’ exceptions for physician recruitment and retention; 2) issues involving the strict liability nature of the Stark law and the possible imposition of sanctions that are disproportionate to the noncompliance; and 3) the regulations’ exception for remuneration unrelated to designated health services. A copy of the comment letter can be found on the WHA website under the Legal and Regulatory section at www.wha.org/legalAndRegulatory/starkcomment6-23-04.pdf

The final Stark II, Phase II rule becomes effective on July 26, 2004. For more information, contact Matthew Stanford at mstanford@wha.org, or Laura Leitch at lleitch@wha.org or 608-274-1820.

During a visit to Hayward on June 25, Governor Jim Doyle presented a Critical Access Hospital Certificate of Approval to Hayward Area Memorial Hospital.

Like other hospitals throughout Northern Wisconsin, Hayward Area Memorial Hospital had been struggling in recent months to make ends meet. This vital designation will help ensure the continued viability of the hospital by allowing it to receive cost-based reimbursement from Medicare and Medicaid for its services to the people of the Hayward area, the Governor said.

"If we had not acted, the hospital may have faced the prospect of closing its doors or dramatically scaling back the services it provides," Governor Doyle said. "This designation will provide additional income for the hospital, ensuring its financial stability and access to quality, affordable health care for the people of this region."

Hayward Area Memorial Hospital is a 25-bed hospital. It has an estimated annual payroll of $7 million and 280 full and part-time employees.

"I worked very hard to make this designation a reality, because I understand the vital role that this hospital plays in the physical and economic health of the Hayward area," Governor Doyle said. "With this designation, we will protect 280 jobs at the hospital and keep the economy of this area strong."

Hayward is now one of 37 rural hospitals in Wisconsin that have been designated as Critical Access Hospitals. A Critical Access Hospital must be located outside a Metropolitan Statistical Area and be located in a rural county or a rural area of an urban county. It must operate with a limit of 25 beds, provide 24-hour emergency medical services, and provide 24-hour nursing services when patients are present in the facility.

An Oxford, Mississippi-based trial lawyer, whose success in suing tobacco companies has resulted in multi-billion dollar settlements and a personal fortune that includes a private Gulfstream jet and a 120-foot yacht, has filed a class-action suit against a dozen not-for-profit hospital systems over alleged billing and collection abuses.

Richard Scruggs and other lawyers with historic ties to tobacco litigation claim that hospitals are routinely overcharging uninsured patients retail prices and then subjecting them to harsh bill-collection tactics. "This is going to force a major re-evaluation of not-for-profit hospitals," Scruggs says. "We want them to be doing what they are supposed to do." What they are "supposed to do" according to Scruggs is "earn their tax exemption."

The class-action suit comes at the same time that two Congressional committees are holding hearings on the hospital billing and collection issue. Those hearings also seek to link the tax exemption issue to hospital billing and collection practices.

The plaintiff bar’s decision to demonize community hospitals is significant. It guarantees a lot of media attention and focus on patient-specific billing experiences that will likely lead to reactive "solutions." And the decision to question whether hospitals "deserve" their historic tax exempt status…a multi-million dollar issue in Wisconsin alone…provides a clarion call for necessary public education led by WHA on behalf of our community hospital members.

In that vein, this past April, WHA’s Board adopted new voluntary billing and collection guidelines that demonstrate just how seriously community hospitals take their commitment to provide patient care regardless of ability to pay.

The WHA-developed guidelines suggest minimum income eligibility levels for financial assistance, the need to ensure that discounted bills to low-income or uninsured patients are not inconsistent with amounts charged to a typical insured patient, and suggests that several specific collection practices should be avoided. In a press release issued in early May announcing the guidelines, WHA pointed out that in 2002, Wisconsin hospitals provided charity care to an average of 518 patients at a cost of more than $485,000 every day. In all, more than 189,000 individuals received over $177 million in charity care in 2002. And that doesn’t begin to take into account bad debt that is "written off" at amounts exceeding charity care levels.

Health and Human Services Secretary Tommy Thompson reviewed the WHA Board-passed guidelines and stated that "the Wisconsin Hospital Association has developed a thoughtful, well-reasoned approach to this very problem (billing and collection policies), and I commend them for their efforts and thank them for the hard work they’ve done. This new proposal will serve the patients who are served in Wisconsin’s hospitals and the hospitals in Wisconsin well."

While the trial bar schemes to make not-for-profit hospitals their latest "deep pocket," it’s worth noting the real story. And that’s a story we should be eager to talk about.

Steve Brenton
President

On June 25, 2004, Attorney General Lautenschlager issued a letter in response to a request for her opinion from Representative Curt Gielow (R-Mequon), stating that it is her opinion that health care providers may offer their patients discounts on their bills based on the patients’ prompt payment of those bills as long as the discounts are offered to all patients and there is no discrimination. While there is some uncertainty in the industry concerning discounting in general, this opinion arguably provides more flexibility in Wisconsin.

"WHA truly appreciates the Attorney General’s position on this important issue," said WHA President Steve Brenton upon learning of the opinion. "This decision is one more indication that the government is becoming sensitive to the charge that they have created roadblocks to responsible payment policies designed to address the needs of health care providers and their patients."

The Attorney General dismissed concerns about exposure to charges of fraudulent billing, stating that, "This should not restrict the health care provider from offering a discount as long as there is disclosure to the insurance company of the discount." Further, the Attorney General stated that the statutory prohibition on health care providers reducing or eliminating their fees in relation to co-pays and deductibles would not prohibit such discounts. The Attorney General wrote that a prompt pay discount would not be restricted by the statutory provision, "because it is not related or conditioned to the amount of the deductible or co-payment owed by the patient."

WHA worked with Representative Curt Gielow to obtain the Attorney General opinion. "I am very pleased with the Attorney General’s letter as it will allow hospitals and other health care providers to work with their patients to reduce the amount of their bill while making the payment of the bill more timely, helping to reduce overall administrative costs paid by all consumers of health care services." Representative Gielow stated.

In her letter, Attorney General Lautenschlager commented upon Representative Gielow’s involvement in the issue, "I would like to thank you for your concern with ever-rising health care expenses and finding ways that patients and health care providers can benefit."

von Briesen and Roper Attorney Scott Taebel, who worked closely with WHA to identify and frame the issues, stated, "This opinion could be of great benefit to the members of WHA and their patients. Further, anything we can do to reduce administrative costs of collections for hospitals ultimately benefits all payers of health care services."

A copy of the Attorney General’s letter, Representative Gielow’s request, and von Briesen and Roper’s Client Bulletin on this issue can be viewed on the WHA Web site under legal and regulatory.

Governor Jim Doyle announced that he has appointed Greg Britton, president and CEO at Beloit Memorial Hospital, to the Board on Health Care Information effective June 16, 2004.

According to Doyle, Britton’s experience, knowledge and dedication will serve as "a true asset to my administration and be of great benefit to the people of Wisconsin."

The Board on Health Care Information serves to guide the Bureau of Health Information in its data gathering capacities.

You still have a few days to submit your nominations for WHA’s annual Distinguished Service Award and Trustee Award, as well as for the ACHE Young Healthcare Executive Award. The nominations deadline is July 7.

As a reminder, these prestigious annual awards include:

• Distinguished Service Award is presented to a senior health care executive who has made an exemplary commitment to WHA and the community he/she serves
• Trustee Award honors a trustee of a WHA member organization who has made an exemplary commitment to his/her community and to the organization on whose board he/she serves
• ACHE Young Healthcare Executive Award is presented to a member of the American College of Healthcare Executives under the age of 40 who has shown exceptional professional development

Details about the nomination process and criteria for nomination can be found in the annual awards brochure on the WHA web site at www.wha.org. For more information, contact WHA’s executive office at 608-274-1820.

Partners of WHA, Inc. (Partners), the non-profit, volunteer service organization affiliated with WHA, raised a total of $3.66 million through almost 500 fundraising activities and volunteered 1.57 million hours of service for Wisconsin hospitals in 2003, as reported by Pat Dagnon, Partners President, at recent Partners spring regional meetings.

Partners is made up of volunteer and auxilian groups at 80 Wisconsin hospitals. As of December 31, 2003, Partners had 14,297 adult members and 2,773 teen volunteers, an increase over 2002 membership. Teen volunteers contributed an additional 50,277 hours of service to their hospitals in 2003.

Partners awarded 500 scholarships to students seeking health care-related degrees in 2003, amounting to more than $407,000. The Partners once again increased their total representation at WHA’s 2004 Advocacy Day to more than 260 people, making this year’s Advocacy Day the most well-attended in Advocacy Day’s history.

"It is rewarding work our Partners do for their health care facilities. Partners appreciate the support they receive from WHA and its staff. We salute our local health care facilities for the services they provide in their communities and wish them continued success," said Dagnon.

Founded in 1951 as Wisconsin Hospital Association Auxiliaries, Partners 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.

The Wisconsin Technical College System had good news for the Select Committee on Health Care Workforce Development at its meeting June 21 in Madison. Tom Heffron, WTCS education director, said they have successfully increased health occupation training opportunities for special populations through the careful use of a federal grant. Heffron said WTCS used grant money to target special populations, which were defined as those students who were economically or academically challenged or limited in their proficiency with the English language. The Workforce Investment grant was used to improve access to labs, faculty and other support systems that can help better prepare students who are already training to become CNAs or surgical and imaging technicians. Seven technical college districts and five Workforce Development Boards used the grant to serve 1,194 students who are currently enrolled or soon will be enrolled in training programs for careers in health care

Roberta Gassman, secretary of the Department of Workforce Development, conveyed Governor Jim Doyle’s continued commitment to and concern about the adequacy of the health care workforce. She reported that he had expressed that same commitment in his presentation at the Department’s Workforce Development Conference the previous week in Milwaukee.

Sally Cutler, director, North Central Workforce Development Board, gave a brief update on the activities of the 11 Workforce Development Boards that are related to health care training. Each board has representation from education and industry, but historically the health care workforce has not been a focus of the Boards. Three of the boards have representation from the hospital leadership and several more have health care practitioners on them.

Judy Warmuth, WHA vice president of workforce development, has encouraged WHA members to volunteer for their board. "These boards receive and distribute money from the Department of Labor to benefit the workforce," she said. "Hospitals should participate in the decisions about workforce issues in their area."

Select Subcommittee Reports were offered on the following initiatives:

• The recruitment/retention group has focused on retention and presented a plan to introduce, encourage, and support no-lift practices in health care facilities. The group outlined research and demographic information that support the initiative as well as barriers to implementation related to patient and family reluctance, cost and staff concerns.
• The group working on funding efforts has a grant proposal designed to educate additional nursing faculty using non-traditional formats allowing nurses to continue employment while pursuing graduate degrees.
• The Department of Health and Family Services’ project on regulatory reform is still an internal project, but a public announcement will happen this summer.
• Sue Gleason, DWD, briefly summarized other groups’ work on public awareness, current Wisconsin efforts, and data analysis.

Top

The 2004 Healthy Wisconsin Campaign is at midpoint and individuals from four organizations have surpassed their prior support and set the pace for the campaign. Individuals from Sacred Heart Hospital, Eau Claire lead the pack in participation with 50 colleagues stepping forward to support Healthy Wisconsin with $1,870 in support. Community Health Care/Wausau Hospital follows at a close second with 45 individuals contributing $5,250. From WHA/WHA Financial Solutions and WHA Information Center, 31 individuals have sent over $15,000 to support advocacy efforts. Aurora Health Care individuals come in number one in total dollars by directing over $25,000. To date, individuals from 68 organizations have made a commitment to the Healthy Wisconsin Conduit, and individuals from 50 organizations have supported the Healthy Wisconsin PAC, reaching 90% of the annual goal.

At midpoint in the campaign, the level of support has outpaced prior years. Each year more individuals signal their active support for hospital advocacy by participating in the campaign. These dollars help Healthy Wisconsin support the election campaigns of individuals running for office who support high quality, responsive health care in communities across the state. Every participant in Healthy Wisconsin signals to elected officials that people working in health care are active, involved and interested in how legislative and regulatory activities impact how they perform their job and follow their mission of delivering health care to their friends and neighbors at home.

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

Doerr, Christopher Columbia St. Mary’s - Milwaukee

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

Radoszewski, Pat Children’s Hospital of Wisconsin

Erickson, Leif Aurora Health Care - South Region

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 Ctr.

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, LLC

Birkenstock, Timothy Children’s Hospital of Wisconsin

Dunigan, Thomas Children’s Hospital of Wisconsin

Woodard, Larry Children’s Hospital of Wisconsin

Potter, Terri Meriter Hospital

Hymans, Daniel Memorial Medical Center

Entwistle, David University of Wisconsin Hospital & 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

Anderson, Sandy St. Clare Hospital and Health Services

Buck, Catherine Froedtert Memorial Lutheran Hospital

Forman, Elizabeth Froedtert Memorial Lutheran Hospital

Karuschak, Michael Amery Regional Medical Center

Manders, Dan Mile Bluff Medical Center

Olson, Edward Waukesha Memorial Hospital

O’Connell, Blaine Froedtert Memorial Lutheran Hospital

Sachdeva, Ramesh Children’s Hospital of Wisconsin

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

Lyons, James Waukesha Memorial Hospital

Priest, MD, Geoffrey Meriter Hospital

Marciano, Karol Columbia Hospital

Kostroski, Sharon Saint Joseph Hospital

Mellowes, Linda Columbia St. Mary’s - Milwaukee Campus

Neikirk, Jon Froedtert Memorial Lutheran Hospital

Nockerts, Steven Richland Hospital

Swiderski, Julie Covenant Healthcare System

Wilk, Leonard Aurora Sinai Medical Center

Wrabl, Carol Saint Joseph’s Hospital

Kluesner, Kevin Aurora Health Care - South Region

Moore, Alfred Community Health Care/Wausau Hospital

Needham, Jean Holy Family Hospital

Heifetz, Michael SSM Health Care, Wisconsin

Van Court, Bernie Bay Area Medical Center

Hamilton, Mark University of Wisconsin Hospital and Clinics

Schumacher, Elizabeth Meriter Hospital

Schroeder, Larry Sauk Prairie Memorial Hospital

Sanicola, Suzanne Columbia St. Mary’s-Columbia Campus

Blanchard, Michael Saint Joseph’s Hospital

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

Nick, Mary Meriter Hospital

Fry, Robert Bellin Memorial Hospital

Constable, Thomas ProHealth Care

Brasseaux, Mary St. Nicholas Hospital

Carr Lee, Mary Meriter Hospital

Heider, Lisa Community Memorial Hospital

Deitrich, Dean Community Health Care/Wausau Hospital

Olson, Christine Aurora Medical Center

Lockhart, MD, Jack Gundersen Lutheran

Hyland, Carol Agnesian Health Care

Calhoun, William Howard Young Medical Center

Sczygelski, Sidney Community Health Care, Inc.

Messinger, Joseph Columbia St. Mary’s - Milwaukee Campus

Riddle, Roberta Wisconsin Hospital Association

Penczykowski, James St. Mary’s Hospital Medical Center

Frank, Jennifer Wisconsin Hospital Association

Pollard, Dennis Community Memorial Health

Jensen, Russell St. Mary’s Hospital Medical Center

Meixelsperger, Jeffery St. Mary’s Hospital Medical Center

Koenig, Mary Vernon Memorial Hospital

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

Thundercloud, Debbie Bellin Memorial Hospital

Swandby, Janet Coenen/Swandby Associates, Inc.

Schroeder-Jaeger, Keri Froedtert Memorial Lutheran Hospital

Waldoch, Timothy Froedtert Memorial Lutheran Hospital

Ziebell, Janice St. Luke’s Medical Center

Meyer, Jeffery Osceola Medical Center

Pandle, G. John Froedtert Memorial Lutheran Hospital

Strombom, Peter Meriter Hospital

Stanford, Matthew Wisconsin Hospital Association

Schmidt, Kari Aurora Health Care

Little, Steven Agnesian 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 Mem. Hospital/NursingHome

Nelson, Nanine ProHealth Care

Nelson, James Fort Atkinson Memorial Health Services

Mulder, Doris Beloit Memorial Hospital

Bernklau, Robert Memorial Hospital of Taylor County

Deverman, Robert Aurora Health Care

Macken, Thomas Community Health Care/Wausau Hospital

Mallery, Peggie Community Health Care/Wausau Hospital

Siebecker, William Community Health Care/Wausau Hospital

Boylan, Michelle Community Health Care/Wausau Hospital

Casanova, James Community Health Care/Wausau Hospital

Danner, Forrest Community Health Care/Wausau Hospital

Day, Kenneth Community Health Care/Wausau 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

Nevers, Rick Community Health Care/Wausau Hospital

Rohling, Cathleen Community Health Care/Wausau Hospital

Hessert, Peter Community Health Care/Wausau Hospital

Postler-Slattery, Diane Community Health Care/Wausau Hospital

Norton, Andrew Community Health Care/Wausau Hospital

Dykehouse, Rodney Community Health Care/Wausau Hospital

Churitch, Karen Hayward Area Mem. Hospital/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, LLC

Cote, Sean WHA Financial Solutions, Inc.

McNally, Maureen Froedtert Memorial Lutheran Hospital

Rothfuss, James Meriter Hospital

Peiffer, Susan Sacred Heart Hospital

Katzman, Leslie Meriter Hospital

Jacobs, Jean Aurora - St. Luke’s Medical Center

Adams, Daniel Memorial Medical Center

Clayton, Lynn Adams Co. Mem. Hospital/Nursing Care

Burger, Kristy Moundview Memorial Hospital and Clinics

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, LLC

Possin, Charles Meriter Hospital

Peot, Tracy Bellin Memorial Hospital

Black, John Community Health Care/Wausau Hospital

Pahl, Joan Meriter Hospital

Hook, James Community Health Care/Wausau Hospital

Kimbel, Deanne Community Health Care/Wausau Hospital

Prince, Nancy Community Health Care/Wausau Hospital

Schade, Randy Community Health Care/Wausau 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

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Blomberg, David Hayward Area Mem. Hospital/Nursing Home

Beaudry, David Holy Family Memorial Medical Center

Bank, Carol Divine Savior Healthcare

Allen, Timothy Sacred Heart Hospital

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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

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Margan, Rob Wisconsin Hospital Association

Williams, Gerald Sacred Heart Hospital

Thorsness, Tom Sacred Heart Hospital

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Sprengeler, John Sacred Heart Hospital

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Schultz, Rebecca Sacred Heart Hospital

Schrautnagel, Patricia Memorial Medical Center

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Santini, Kathy Memorial Medical Center

Richbourg, Mary Sacred Heart Hospital

Pengra, Mary Sacred Heart Hospital

Padilla, Gilbert Sacred Heart Hospital

Nicolaus, David Flambeau Hospital

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Maurer, Mary Holy Family Memorial Medical Center

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Johnson, Howard Lakeview Medical Center

Hansen, Karen Memorial Medical Center

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Evenson, Wendy Sacred Heart Hospital

Dwyer, Amy Sacred Heart Hospital

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DeMars, Nancy Sacred Heart Hospital

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Clark, Jeanne Hudson Hospital

Cich, Dawn St. Mary’s Hospital of Superior

Caven, Michael Memorial Medical Center

Petersen, Susan Community Health Care/Wausau Hospital

Rayborn, Sharon Community Health Care/Wausau Hospital

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Turtenwald, Robyn Community Health Care/Wausau Hospital

Brunner, Pam Sacred Heart Hospital

Brockman, Susan Meriter Hospital

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Barry, Barbara Memorial Medical Center

Aminpour, Ali Sacred Heart Hospital

Castelaz, Kathy St. Vincent Hospital

Tuttle, Kathryn Memorial Medical Center

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Voigt, Yolanda Community Health Care/Wausau Hospital

Lien, Kristine Sacred Heart Hospital

Gullicksrud, Lynn Sacred Heart Hospital

Evans, Carol Memorial Medical Center

Bouvat, Dale Community Health Care/Wausau Hospital

Cohen, Joan Community Health Care/Wausau Hospital

Demien, Kent Community Health Care/Wausau Hospital

Drengler, Kathryn Community Health Care/Wausau Hospital

Ertl, Denise Community Health Care/Wausau Hospital

Gantner, Sue Community Health Care/Wausau Hospital

Garavet, Scott Community Health Care/Wausau Hospital

Hamilton, Lisa Community Health Care/Wausau Hospital

Lorenz, Bruce Community Health Care/Wausau Hospital

Mroczenski, Ron Community Health Care/Wausau Hospital

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Boelte, Leah Wisconsin Hospital Association

Anich, Matthew Memorial Medical Center

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Skulan-Balmer, Anna Sacred Heart Hospital

Segerstrom, Amy Sacred Heart Hospital

Melby, Shirley Tri-County Memorial Hospital

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Carlson, Carol Sacred Heart Hospital

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