May 18, 2018

Volume 62-Issue 20

Dean Lobb of Marquette School of Dentistry Meets with WHA Work Group

Discuss serving dental patients with special needs

Laura Rose; William Lobb, DDS; Mary Czech-Mrochinski

Dental access is an issue at the forefront of health care, and this access can be most problematic for dental patients with special needs. In some cases, dentists may have to provide care in a hospital operating room under general anesthesia when a special needs patient presents with complex treatment needs. Appropriate training in special needs dentistry is key for dentists who want to provide this care.  

Dr. William Lobb, DDS, Dean of the Marquette University School of Dentistry (MUSOD), met with WHA’s Special Needs Dental Patients Work Group on Friday, May 11 to discuss this issue as this is an area of great interest among current Marquette students.  A priority of MUSOD is enhancing training of dental students in special needs dentistry, and Dr. Lobb noted that MUSOD is one of eight dental schools in the U.S. that has a student chapter of the Special Care Dentistry Association.  

Lobb told the Work Group that Wisconsin is one of a few states that does not currently have a post-graduate General Practice Residency program, in which special needs dentistry in a hospital setting is an area of emphasis. Dr. Lobb discussed the requirements of a residency program which include sponsorship by a hospital, or an educational institution affiliated with a hospital. He expressed interest in working with WHA and other interested parties to explore establishing a residency program in Wisconsin.

Marquette is also working on another training initiative in special needs dentistry with Children’s Hospital of Wisconsin. Work Group members Dr. Lori Barbeau, DDS, and Pam Fraser of Children’s Hospital have created opportunities for Marquette dental students to observe special needs patient care in the Children’s Dental Clinic. They are also developing a training curriculum for use by practicing dentists who want to learn techniques for treating patients with special needs. 

WHA’s Work Group concluded its meeting by discussing funding issues, especially regarding Medicaid reimbursement for dental procedures. The Medicaid program reimburses dental care based on the type of procedure, regardless of how much time the procedure takes. With special needs patients, routine procedures can take much longer than average, but this extra time is not accounted for in the reimbursement formula. Within the next few months, WHA’s Work Group will be developing proposals to address these and other issues affecting patients with special needs.  

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REMINDER:  First Contributor Listing Comes Out Next Week

Contribute to the Wisconsin Hospitals State PAC & Conduit before May 25
Plus: special June 26 presentation with Charles Franklin of Marquette Law School Poll

Since last week, 22 contributors have donated nearly $25,000 to the 2018 Wisconsin Hospitals State PAC & Conduit — thank you! Make your gift before Friday, May 25 to be included on our first contributor list, which will be published in the May 25 edition of WHA’s Valued Voice Newsletter.

SPECIAL EVENT EXCLUSIVE FOR PAC AND CONDUIT CONTRIBUTORS: the Wisconsin Hospitals State PAC and Conduit is pleased to once again host a special invite-only webinar with Charles Franklin, nationally recognized pollster and director of the Marquette Law School Poll, the largest and most respected independent polling project in state history. This invite-only opportunity on June 26 is for individuals who have contributed in 2018 to the Wisconsin Hospitals State PAC & Conduit. Franklin will provide election year insights and the latest poll numbers in this dynamic election year.

Become a part of the success story by contributing today at www.whconduit.com. You can also contact Kari Hofer at 608-268-1816 or khofer@wha.org or Nora Statsick at 608-239-4535 or nstatsick@wha.org.

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Learn More About the New ED Care Management Program

Program may pay qualifying hospitals up to $1,000 per patient

Learn more about the new Intensive Care Coordination Program legislation that incentivizes Wisconsin hospitals and health systems to offer care coordination services for patients who are high utilizers of emergency departments (EDs). Designed to study the impact of a provider-based care coordination program in Medicaid, Wisconsin Act 279 includes a provision that will reimburse hospitals a minimum of $250 and a maximum of up to $1,000 over a 12-month period for care management services. WHA will continue to work with the Wisconsin Department of Health Services (DHS) on implementing this new program, which is expected to be rolled out later in 2018:

  • Hospitals and health systems can earn up to $1,000 per Medicaid patient if the hospital can successfully reduce frequent emergency department utilization among at least half of the target patient population.
  • DHS will award up to $1.5 million annually, and is required to share any savings experienced from the intensive care coordination programs with qualifying hospitals and health systems.
  • Overall, the state and federal funding authorized by the Legislature for this program is limited to $2.25 million. Any expenditures for payments (not shared savings) beyond this appropriation must be reauthorized by the Legislature.

Read the WHA Act 279 and other legislative summaries in the Member Portal: log in at members.wha.org

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Join us for WHA’s Quality Forum Session Focusing on Meeting Federal and State Requirements

Mark your calendars for the July 17 session

Hospital quality leaders will enjoy the WHA Quality Forum which offers a series of high-priority education events focused on federal and state-related requirements and how to stay current with changing quality-related regulations. We will examine various quality-related public reporting sites, and attendees will create an action plan to measure flow and use of data. This session will be presented by Beth Dibbert, CPHQ, chief quality officer for WHA, and Kelly Court, quality consultant for the WHA.

Online registration and information for this and the other WHA Quality Forum sessions is available. Registration at each session will be limited, so those interested should register as soon as possible.

Contact Kayla Chatterton at kchatterton@wha.org for registration questions. Contact Beth Dibbert at bdibbert@wha.org for session content.

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Register Today for 2018 Wisconsin Rural Health Conference: June 27-29

Plan now to attend the 2018 Wisconsin Rural Health Conference, June 27-29, at The Osthoff Resort in Elkhart Lake. This annual event is the statewide forum for examining the issues that impact small and rural hospitals most, networking and collaborating with colleagues and bonding with your team of senior staff and members of your hospital board of trustees.

This year’s agenda includes a variety of breakout sessions to give attendees the opportunity to examine and discuss models changing the delivery of and access to rural health care, public policy issues affecting rural health care and ways in which data and technology are improving health care for rural populations.

The conference will include the popular education track focused on governance issues, including new ways for boards to approach strategic planning, essential components for a successful and sustainable hospital foundation, and understanding some of the future reimbursement models that will impact hospitals.

Make attendance at this year’s conference a priority by registering today. A full agenda and online registration are available.

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Member News: Child & Adolescent Psychiatry Hospital to Grow Facility, Programs

UnityPoint Health® – Meriter® announced it will invest more than $11 million to improve behavioral health services aimed at children and teens in the region. The organization plans to add 10 inpatient beds to the UnityPoint Health – Meriter – Child & Adolescent Psychiatry Hospital, as well as critical outpatient services for kids and teens. The expansion is anticipated to open in fall 2019. Meriter will move ahead on the project as it works in partnership with UW Health to fully assess community needs.

The current hospital has 20 inpatient beds and turns away hundreds of children during the school year due to the lack of available beds. Meriter intends to improve the functionality of existing space by assigning its current 20 beds to adolescent care and adding 10 new beds specifically for children. It also plans to add key outpatient services in a new wing that can accommodate full-day and partial-day treatment programs for this same patient population, as well as provide evening community space.

Meriter plans to break ground for the expansion, which will double the footprint of its current site on the southwest side of Madison in fall 2018.

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WCHQ Statewide Quality Improvement Event: June 19

The Wisconsin Collaborative for Healthcare Quality (WCHQ) Statewide Quality Improvement Event will be June 19 at the Monona Terrace Convention Center in Madison.

SSM President Laura Kaiser, FACHE, and Centers for Medicare and Medicaid Services Chief Medical Officer Kate Goodrich, MD will keynote the conference. Three health care organizations, including Gundersen Health System, Access Community Health Centers and UW School of Medicine and Public Health will present their success in improving chronic disease screening and treatment rates. Divine Savior Healthcare will describe how it’s using the Practice Transformation Network to prepare for the pay-for-value environment.

The event is designed for clinicians, nurses, physicians, clinic managers, quality improvement staff and executive leaders from Wisconsin health systems, medical groups and clinics. Additional information and registration can be accessed at wchq.org.

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