July 25, 2014
Volume 57, Issue 30
Study Finds SE WI Health Systems Successful in Moderating Health Care Costs
A study released July 23 by the Greater Milwaukee Business Foundation on Health, Inc. (GMBFH) clearly shows that the commitment that hospital systems in southeast Wisconsin have made to reduce health care costs and increase the quality of care are working to the benefit of employers.
The study found that average commercial insurance premiums in southeast Wisconsin have continued to moderate and improve compared to other Midwest markets. This is due to several factors, including:
"WHA members’ dedicated efforts to increase efficiency, improve quality and deliver better outcomes are translating into solid progress when it comes to slowing the price of hospital care in southeast Wisconsin. There is still much work to be done when it comes to moderating health insurance premiums, but the commitment that hospitals have made to deliver better value for employers’ health care dollars is a hallmark of Wisconsin and yet another reason for employers to locate and grow in our great state," said WHA Executive Vice President Eric Borgerding.
While health systems have made significant strides in increasing efficiency and improving quality, cost shifting from government programs and rising levels of bad debt and charity care continue to vex providers and payers alike. Cost shifting increased health care costs by 35 percent to employers in southeast Wisconsin in 2012, according to the GMBFH study, which was conducted by the consulting firm of Milliman.
"Cost shifting is the anchor that will continue to drag us down and threaten our ability to compete for and attract employers to our state," according to Borgerding. "When government programs fail to even cover the costs of the medical services for their beneficiaries, those shortfalls must be shifted to others, becoming a ‘hidden tax’ on our employers and other payers. That has a dampening effect on the progress we are making to address health care costs in Wisconsin."
WHA applauded the study’s sponsors for their continued focus on moderating health care costs by facilitating a meaningful dialogue between the employer and health care communities.
"We are proud of the innovative partnerships that exist among Wisconsin hospitals, health systems and employers that have fostered the significant and sustained results documented by this study," Borgerding said.
For more information on Wisconsin’s high value health care, go to http://wihealthcarevalue.org.
View the Milwaukee Journal Sentinel article here: www.wha.org/pdf/HospitalCostsMJS7-23-14.pdf.
Top of page (7/25/14)
Wisconsin is a state that is always on the leading edge of innovations in patient care. On November 12, the Wisconsin Council on Medical Education and Workforce (WCMEW) will showcase patient-centered, team-based care models from a dozen Wisconsin health care organizations. The one-day event, "Building a Culture for Patient-Centered Team Based Care," will be held November 12 in Wisconsin Dells.
The conference will also include two keynote presentations, "The New Role of Teams in the New American Population Health," by Maureen Smith, MD, MPH, MBA, at the UW School of Medicine and Population Health. In addition, Andy Anderson, MD, MBA and a senior vice president at Aurora Health Care, will present "Cultures that Make Teams Successful."
Discussions among participants on how cooperation and integration among health professionals leads to continuous improvement of patient care will be encouraged. In addition, poster presentations highlighting more than two dozen additional examples of successful team-based care initiatives from throughout the state will be on display.
Registration is now open for this event. For information, including the day’s agenda, visit: http://events.SignUp4.net/14TBC-1112 or review the conference brochure included in this week’s packet. Registration questions can be directed to Jenna Hanson at firstname.lastname@example.org or at 608-274-1820.
Top of page (7/25/14)
The 2014 Wisconsin Hospitals Conduit and State PAC Fundraising Campaign has raised $160,159 to date from 206 individuals. This puts the 2014 campaign at 60 percent of the goal to raise $265,000 by the end of the year. Last year’s campaign at this date was at 42 percent of the goal and the 2012 campaign, the last election year, was at 54 percent of goal.
In the last two weeks alone, the Campaign raised an additional $21,000 and added 19 more individuals. Those additional 19 are listed below as are all of the 2014 contributors to date by name and affiliated organization alphabetically by contribution amount category. Thank you! The next publication of the contributor list will be in the August 8 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|
|Alstad, Nancy||Fort HealthCare|
|Anderson, Phil||Sacred Heart Hospital|
|Anich, Matthew||Memorial Medical Center - Ashland|
|Appleby, Jane||Aurora Health Care|
|Bagnall, Andrew||St. Nicholas Hospital|
|Bair, Barbara||St. Clare Hospital & Health Services|
|Bayer, Tom||St. Vincent Hospital|
|Brenholt, Craig||St. Joseph's Hospital|
|Brenny, Terrence||Stoughton Hospital Association|
|Buser, Kenneth||Wheaton Franciscan Healthcare - All Saints|
|Cardinal, Lori||Agnesian HealthCare|
|Carlson, Peter||Aurora Psychiatric Hospital|
|Ceelen, John||Ministry Health Care|
|Clark, Julie||St. Joseph's Hospital|
|Clark, Renee||Fort HealthCare|
|Collins, Sherry||Wisconsin Hospital Association|
|Coopman, Dianne||St. Mary's Janesville Hospital|
|Cormier, Laura||Bellin Hospital|
|Dalebroux, Steve||St. Mary's Hospital|
|Donlon, Marcia||Holy Family Memorial|
|Duda, Carrie||Wheaton Franciscan Healthcare - All Saints|
|Dux, Larry||Froedtert & MCW Community Memorial Hospital campus|
|Dwyer, Maxine||St. Mary's Hospital|
|Fielding, Laura||Holy Family Memorial|
|Furlong, Marian||Hudson Hospital & Clinics|
|Gormican, John J.||Agnesian HealthCare|
|Graul, Mark||Children's Hospital of Wisconsin|
|Groskreutz, Kevin||St. Joseph's Hospital|
|Gullicksrud, Lynn||Sacred Heart Hospital|
|Gustafson, Andy||SSM Health Care-Wisconsin|
|Hafeman, Paula||St. Vincent Hospital|
|Halida, Cheryl||St. Joseph's Hospital|
|Harrington, Kathleen||Mayo Health System - Eau Claire|
|Heaney, Dwight||Fort HealthCare|
|Henricks, William||Rogers Memorial Hospital|
|Hieb, Laura||Bellin Hospital|
|Hill, Juliet||Sacred Heart Hospital|
|Jelle, Laura||St. Clare Hospital & Health Services|
|Karow, Deborah||Ministry Health Care's Howard Young Medical Center|
|Kaufmann, Marilyn||Holy Family Memorial|
|King, Steve||St. Mary's Hospital|
|Kingston, Mary Beth||Aurora Health Care|
|Klay, Chris||St. Joseph's Hospital|
|Klay, Lois||St. Joseph's Hospital|
|Koch, Mark||Mayo Clinic Health System|
|Koebke, Troy||Bellin Hospital|
|Lambrecht, Randy||Aurora Health Care|
|Larson, William||St. Joseph's Hospital|
|Leonard, Mary Kay||St. Mary's Hospital|
|Luehring, Sally||St. Vincent Hospital|
|Lynch, Sue||Mayo Health System - Franciscan Healthcare|
|Marquardt, Amy||Hospital Sisters Health System|
|Maurer, Mary||Holy Family Memorial|
|Mays, Laura||Stoughton Hospital Association|
|McMeans, Scott||Holy Family Memorial|
|Meicher, John||St. Mary's Hospital|
|Mercer, Carla||Reedsburg Area Medical Center|
|Mohr, Carol||Sacred Heart Hospital|
|Neikirk, Jon||Froedtert & The Medical College of Wisconsin|
|Newberry-Ferguson, Linda||ProHealth Care - Rehabilitation Hospital of WI|
|Oland, Charisse||Rusk County Memorial Hospital and Nursing Home|
|Ott, Virginia||St. Joseph's Hospital|
|Palecek, Steve||St. Joseph's Hospital|
|Peiffer, Susan||Sacred Heart Hospital|
|Penovich, Carrie||Aurora Medical Center in Two Rivers|
|Riddle, Roberta||Rusk County Memorial Hospital|
|Roundy, Ann||Columbus Community Hospital|
|Schweitzer, Susan||Columbus Community Hospital|
|Selle, Ginger||St. Clare Hospital & Health Services|
|Sommers, Craig||St. Mary's Hospital|
|Sparacino, Gloria||Aurora West Allis Medical Center|
|Steines, Sara||Children's Hospital of Wisconsin|
|Stephens, Brian||Ministry Door County Medical Center|
|Stranberg, Kevin||Memorial Medical Center - Ashland|
|Sullivan, Anne||Memorial Medical Center - Ashland|
|Teigen, Seth||St. Mary's Hospital|
|Theiler, Brian||Gundersen Tri-County Hospital and Clinics|
|Turtenwald, Robyn||Froedtert & MCW Community Memorial Hospital campus|
|Van Meeteren, Bob||Reedsburg Area Medical Center|
|Washburn, Juliane||Bay Area Medical Center|
|Werkheiser, Cindy||Monroe Clinic|
|Westbrook, Diane||River Falls Area Hospital|
|Wheeler, Susan||St. Nicholas Hospital|
|Woleske, Chris||Bellin Hospital|
|Wymelenberg, Tracy||Aurora Health Care|
|Ziebarth, Laura||St. Mary's Hospital|
|Contributors ranging from $500 to $999|
|Bablitch, Steve||Aurora Health Care|
|Brenton, Andrew||Wisconsin Hospital Association|
|Carlson, Dan||Bay Area Medical Center|
|Connors, Lawrence||St. Mary's Hospital Medical Center|
|Dexter, Donn||Mayo Health System - Eau Claire|
|Dietsche, James||Bellin Hospital|
|Dolohanty, Naomi||Aurora Health Care|
|Eckels, Timothy||Hospital Sisters Health System|
|Freimund, Rooney||Bay Area Medical Center|
|Granger, Lorna||Aurora Health Care|
|Gullingsrud, Tim||Hayward Area Memorial Hospital and Nursing Home|
|Huettl, Patricia||Holy Family Memorial|
|Jacobson, Terry||St. Mary's Hospital of Superior|
|Jensema, Christine||HSHS-Eastern Wisconsin Division|
|Kersten, Juliet||Children's Hospital of Wisconsin|
|Kocourek, Cathie||Aurora Medical Center in Two Rivers|
|Larson, Margaret||Mercy Medical Center|
|Malone, Virginia||St. Mary's Hospital|
|Mantei, Mary Jo||Bay Area Medical Center|
|Mulder, Doris||Beloit Health System|
|Nesse, Robert||Mayo Clinic Health System|
|O'Keefe, James||Mile Bluff Medical Center|
|Ordinans, Karen||Children's Hospital of Wisconsin|
|Peterson, Douglas||Chippewa Valley Hospital|
|Quinn, George||Wisconsin Hospital Association|
|Rohrbach, Dan||Southwest Health Center|
|Rutkowski, Jennifer||Grant Regional Health Center|
|Selberg, Heidi||HSHS-Eastern Wisconsin Division|
|Shabino, Charles||Wisconsin Hospital Association|
|Stuart, Philip||Tomah Memorial Hospital|
|VanCourt, Bernie||Bay Area Medical Center|
|White-Jacobs, Mary Beth||Black River Memorial Hospital|
|Contributors ranging from $1,000 to $1,499|
|Ashenhurst, Karla||Ministry Health Care|
|Bedwell, Elizabeth||Children's Hospital of Wisconsin|
|Clapp, Nicole||Grant Regional Health Center|
|Garcia-Thomas, Cristy||Aurora Health Care|
|Geraghty, Tricia||Children's Hospital of Wisconsin|
|Gorelick, Marc||Children's Hospital of Wisconsin|
|Gunn, Veronica||Children's Hospital of Wisconsin|
|Hart, Shelly||Aurora Health Care|
|Janis, Gerald||Aurora Health Care|
|Just, Lisa||Aurora Health Care|
|Kachelski, Joe||Wisconsin Statewide Health Information Network|
|Kostroski, Sharon||Ministy Saint Joseph's Hospital|
|Lewis, Jonathan||St. Mary's Hospital|
|Loftus, Philip||Aurora Health Care|
|Martin, Jeff||Ministry Saint Michael's Hospital|
|McDonald, Mary Beth||Aurora Health Care|
|McKevett, Timothy||Beloit Health System|
|Mohorek, Ronald||Ministry Health Care|
|Natzke, Ryan||Marshfield Clinic|
|Nauman, Michael||Children's Hospital of Wisconsin|
|Nelson, Dave||HSHS-Western Wisconsin Division|
|Norbin Killoran, Carrie||Aurora Health Care|
|Potts, Dennis||Aurora Health Care|
|Rakowski, Mark||Children's Hospital of Wisconsin|
|Rickelman, Debbie||WHA Information Center|
|Russell, John||Columbus Community Hospital|
|Sanders, Robert||Children's Hospital of Wisconsin|
|Schafer, Michael||Spooner Health System|
|Shanahan, Thomas||Children's Hospital of Wisconsin|
|Stamas, Peter||Ministry Saint Joseph's Hospital|
|Contributors ranging from $1,500 to $1,999|
|Anderson, Layton||Ministry Saint Joseph's Hospital|
|Anderson, Sandy||St. Clare Hospital & Health Services|
|Bloch, Jodi||Wisconsin Hospital Association|
|Boatwright, Damond||SSM Health Care-Wisconsin|
|Boese, Jennifer||Wisconsin Hospital Association|
|Byrne, Frank||St. Mary's Hospital|
|Coffman, Joan||St. Joseph's Hospital|
|Court, Kelly||Wisconsin Hospital Association|
|Duncan, Robert||Children's Hospital of Wisconsin|
|Falvey, Patrick||Aurora Health Care|
|Francis, Jeff||Ministry Health Care|
|Frank, Jennifer||Wisconsin Hospital Association|
|Grasmick, Mary Kay||Wisconsin Hospital Association|
|Harding, Edward||Bay Area Medical Center|
|Herzog, Mark||Holy Family Memorial|
|Hilt, Monica||Ministry Saint Mary's Hospital|
|Johnson, Jodi||Wisconsin Hospital Association|
|Levin, Jeremy||Rural Wisconsin Health Cooperative|
|Lewis, Gordon||Burnett Medical Center|
|Meyer, Daniel||Aurora BayCare Medical Center in Green Bay|
|Roller, Rachel||Aurora Health Care|
|Sexton, William||Prairie du Chien Memorial Hospital|
|Stanford, Matthew||Wisconsin Hospital Association|
|Wallace, Michael||Fort HealthCare|
|Contributors ranging from $2,000 to $2,999|
|Alig, Joanne||Wisconsin Hospital Association|
|Brenton, Mary E.|
|Brooks, Alenia||Aurora Health Care|
|Brophy, Michael||Aurora Health Care|
|Colman, Gerard||Aurora Health Care|
|Gage, Weldon||Children's Hospital of Wisconsin|
|Hanson, Gail||Aurora Health Care|
|Kief, Brian||Ministry Saint Joseph's Hospital|
|Leitch, Laura||Hall Render Killian Heath & Lyman|
|Normington, Jeremy||Moundview Memorial Hospital & Clinics|
|O'Brien, Kyle||Wisconsin Hospital Association|
|Pandl, Therese||HSHS-Eastern Wisconsin Division|
|Potter, Brian||Wisconsin Hospital Association|
|Sanders, Michael||Monroe Clinic|
|Standridge, Debra||Wheaton Franciscan Healthcare|
|Starmann-Harrison, Mary||Hospital Sisters Health System|
|Troy, Peggy||Children's Hospital of Wisconsin|
|Contributors ranging from $3,000 to $4,999|
|Jacobson, Catherine||Froedtert & The Medical College of Wisconsin|
|Kerwin, George||Bellin Hospital|
|Little, Steve||Agnesian HealthCare, Inc|
|Mettner, Michelle||Children's Hospital of Wisconsin|
|Neufelder, Daniel||Ministry Health Care|
|Turkal, Nick||Aurora Health Care|
|Contributors $5,000 and above|
|Borgerding, Eric||Wisconsin Hospital Association|
|Brenton, Stephen||Wisconsin Hospital Association|
|Size, Tim||Rural Wisconsin Health Cooperative|
|Tyre, Scott||Capitol Navigators, Inc|
Board Envisions Strength of WHA in Health Policy, Advocacy, Leadership
Top of page (7/25/14)
The unique discussions during the 2014 WHA Board Planning Session were a direct reflection of the conversations that are taking place in hospital and health system board rooms across Wisconsin. These same inspired dialogues catalyzed by some of the most skillful health care thought leaders in the country are also helping the Wisconsin Hospital Association respond to the rapidly-changing needs of its members.
Discussion leader Jamie Orlikoff challenged WHA Board members who attended the planning session July 17-18 in Green Bay to consider "turmoil" in health care now as the preamble to what will emerge as the "new normal" in the near future.
"Change is not being driven by the Affordable Care Act. Health care will not return to ‘normal’ because it never has been normal," according to Orlikoff. "The bubble around health care is bursting because of trends that were in motion prior to its passage. The ACA is a symptom of change in health care, not the driver."
Orlikoff pointed to employers as being among the most influential change agents in the health care marketplace today. Health care providers who actively partner with employers and help them lower their health care costs will help boost the state’s economy and create a business climate that attracts employers, especially in the manufacturing sector, which can help build and sustain middle-class jobs.
"We have to grow the economy and restrain the growth of health care at the same time," Orlikoff said.
Wisconsin hospitals and health systems are demonstrating their commitment to moderating costs by improving quality and increasing efficiency, which are producing measurable results. (See related story above.)
"As an organization, WHA recognizes the dynamics that are in play in our communities," said WHA Executive Vice President Eric Borgerding. "We no longer measure hospital and health systems’ economic clout by the number of jobs we create in the community; rather, we are focusing on increasing our efficiency, raising quality and delivering high-value care so local employers can grow and prosper."
Over the past few years, WHA has stepped up its physician-focused communications and education opportunities, which have been gaining momentum. An area of common interest to all WHA members has been building physician leadership skills, an area that WHA continues to grow through partnerships with other health-related organizations, including the Wisconsin Council for Medical Education and Workforce (WCMEW).
WHA Incoming Chair Therese Pandl, president/CEO, HSHS Eastern Wisconsin Division, who presided over the two-day event, emphasized that integrated health care systems based outside of Wisconsin need to work through state hospital associations.
"Health systems need to have a strong presence in the states where they are doing business. Some issues are state-specific, such as Medicaid, so even as integrated health systems develop their own internal resources, they need to work in coordination with the state hospital association," according to Pandl. "They are assets to each other."
Managing a successful health system in an environment of change creates a new demand for data and analytics, a need that WHA and the WHA Information Center (WHAIC) are well-positioned to address. The WHAIC has introduced a number of new products, with more on the way, that are aimed at responding to the need for current market-based information that is accessible and easy to understand.
"The Board planning session provides a forum for thoughtful dialogue that has fostered great ideas and facilitated the creation of some of WHA’s most successful advocacy, information and quality improvement initiatives," said WHA President Steve Brenton. "We are extremely fortunate to be in Wisconsin, a state where collaboration and cooperation can co-exist with competition. All our members have a shared mission to improve the health of the communities they serve, and they are willing to set aside differences to reach their larger goal."
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Ministry Health Care has named Bill Calhoun, president of Mercy Medical Center in Oshkosh and regional vice president for Ministry Health Care’s Eastern Region, the new president of St. Elizabeth Hospital in Appleton.
Calhoun will replace Travis Andersen who leaves to become president and CEO of Columbia St. Mary’s in Milwaukee August 4. A search is underway to fill Calhoun’s position at Mercy Medical Center.
"Bill is an inspiring and motivating leader," said Daniel Neufelder, senior vice president and chief operating officer for Ministry Health Care. "He will continue the work begun by Travis Andersen that has energized St. Elizabeth Hospital and significantly enhanced the care and services provided to the Fox Valley."
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Susan Turney, MD, MS, FACP, FACMPE, has been hired by the Marshfield Clinic Health System Board to serve as the health system’s first chief executive officer (CEO). Turney will start in her new role September 1.
A native of Mellen, Turney completed her internal medicine residency at Marshfield Clinic/Ministry Saint Joseph’s Hospital. For 22 years, she provided patient care and took on clinical and administrative roles before becoming the CEO/EVP at Wisconsin Medical Society. More recently, Turney has been president/CEO of the Medical Group Management Association. She remained connected with Marshfield Clinic when, in 2012, she became a member of the Clinic’s Health System Board of Directors.
"It will be great to have Sue back in Wisconsin," said WHA President Steve Brenton. "WHA has a strong history of collaboration with Sue, and we look forward to re-establishing a close working relationship."
Top of page (7/25/14)
Topics to be covered include:
• Applying total cost of care
• Provocative provider-purchaser-payer panel
• Medicaid payment reform initiatives
• SMARTCare BSI pilot projects
• Controlling specialty pharmacy costs
More details and an agenda will be available soon.
Top of page (7/25/14)
National Government Services is inviting Part A, Part B, Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS), and Home Health and Hospice (HH+H) providers to a single-day seminar in September or October. The road show allows a unique opportunity to network with Medicare peers and vendors across all lines of business.
This seminar is designed for new and established Medicare Part A, Part B, HH+H, and DMEPOS providers/suppliers and Part A, Part B, HH+H and DMEPOS Medicare billing office staff, leads and managers.
Location: Minneapolis Airport Marriott
Link to register: https://tp.ngsmedicare.com/payportal/prompt.jsp?CUSTCD1=A4076%20MN%2009/09/2014%20Minneapolis%20Airport%20Marriott%20Bloomington%20MN%20&FEE=150.00
Location: Holiday Inn & Suites Downtown Duluth
Link to register: https://tp.ngsmedicare.com/payportal/prompt.jsp?CUSTCD1=A4076%20MN%2009/11/2014%20Holiday%20Inn%20Suites%20Duluth%20MN%20&FEE=150.00
Location: Hyatt on Main
Link to register: https://tp.ngsmedicare.com/payportal/prompt.jsp?CUSTCD1=A4076%20WI%2009/16/2014%20Hyatt%20on%20Main%20Green%20Bay%20WI%20&FEE=150.00
Location: Marriott Madison West
Link to register: https://tp.ngsmedicare.com/payportal/prompt.jsp?CUSTCD1=A4076%20WI%2009/18/2014%20Marriott%20Madison%20West%20Middleton%20WI%20&FEE=150.00
Location: Holiday Inn Tinley Park Convention Center
Link to register: https://tp.ngsmedicare.com/payportal/prompt.jsp?CUSTCD1=A4076%20IL%2010/16/2014%20Holiday%20Inn%20Tinley%20Park%20Convention%20Center%20Tinley%20Park%20IL%20&FEE=150.00
If you have questions, contact Debbie Rickelman, vice president, WHA Information Center at email@example.com or 608-274-1820.
Top of page (7/25/14)