May 25, 2018

Volume 62-Issue 21

Health Care Experts Discuss Wisconsin’s Prescription Drug Monitoring Program

Community partners meet with DSPS Secretary and Opioid Task Force

Laura Gutierrez, Lisa Schnedler, Ann Zenk, Sarah Bradley

Wisconsin’s Department of Safety and Professional Services (DSPS) partnered with WHA to set up roundtables across the state to foster discussion about Wisconsin’s enhanced Prescription Drug Monitoring Program (ePDMP).

On May 22, 16 members of Iowa County’s Opioid Task Force met with DSPS Secretary Laura Gutierrez and PDMP Deputy Director Sarah Bradley at Upland Hills Health in Dodgeville. Upland Hills leaders and clinicians, law enforcement officers and county service providers discussed the state’s effort to combat the opioid abuse epidemic which has tripled the number of overdose visits to Wisconsin hospitals since 2010. There has been a 10 percent reduction in opioid prescriptions dispensed in the last 12 months, but there is more work to be done. 

WHA President/CEO Eric Borgerding said, “We welcome the opportunity to support and facilitate these roundtables recognizing the role hospitals and health systems play in delivering care to those suffering from substance abuse.  Important work is being done to identify community needs and recommend proactive solutions to address Wisconsin’s opioid abuse epidemic.”

At the Upland Hills roundtable, Gutierrez praised the community partnerships in Oshkosh, Green Bay, Oconomowoc and Dodgeville, noting “The PDMP is the tool to uncover the issues so groups like yours can work on solutions.” Bradley provided an overview of the system and said, “In Wisconsin, we chose to build our own system so that the PDMP can be improved based on user feedback.” Participant feedback will be used to continue to improve the program, and will also be shared with the Governor’s Opioid Task Force.

The team at Upland Hills agreed with Gutierrez that the ePDMP can be a useful tool, noting, “The data should guide our state efforts and resources.” The group also concurred with Gutierrez when she characterized the program as supportive not prescriptive, saying “We don’t want to build a system that mandates care, such as a restriction on the number or amount of pain medications prescribed after a major surgery.” 

DSPS will complete several more roundtables throughout the summer and into early fall.

The original Wisconsin PDMP was launched in 2013 and was enhanced to become the ePDMP in 2017. Physicians and advanced practice clinicians, pharmacies, and law enforcement officers who become aware of incidents associated with the possession or use of controlled substances electronically report information to the ePDMP.

There are 46,000 health care users and 2,000 dispensing providers who create more than 9 million records each year in the ePDMP.

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Your Donations Help Wisconsin Hospitals State PAC & Conduit Near Halfway Mark

Donate now to make future contributor lists

Thanks to your donations, the Wisconsin Hospitals State PAC and Conduit has almost reached the halfway mark of its $312,500 fundraising goal for 2018. To date, a total of $139,307 has been contributed by 128 individuals.

The 2018 fundraising campaign is based on the calendar year. On average, members have contributed more than $6,500 each week—with an average contribution of $1,088 per person!

To make sure your name is on future contributor lists, go to www.whconduit.com  or contact WHA’s Kari Hofer at 608-268-1816 or Nora Statsick at 608-239-4535. 

Contributors ranging from $5,000 to $9,999 - Leaders Circle
Borgerding, Eric & Dana Wisconsin Hospital Association
Troy, Ronald & Peggy Children’s Hospital of Wisconsin
Tyre, Scott Capitol Navigators, Inc.
Contributors ranging from $3,000 to $4,999 - Platinum Club
Boatwright, Damond SSM Health
Brenton, Stephen Wisconsin Hospital Association
Duncan, Robert Children’s Hospital of Wisconsin
Jacobson, Catherine Froedtert & The Medical College of WI
Kammer, Peter The Kammer Group
Kerwin, George Bellin Hospital
Little, Steven SSM Health
Mettner, Michelle Children’s Hospital of Wisconsin
Meyer, Daniel Aurora BayCare Medical Center
Normington, Jeremy Ascension Wisconsin
O’Brien, Kyle Wisconsin Hospital Association
Pandl, Therese HSHS - Eastern Wisconsin Division
Potter, Brian Wisconsin Hospital Association
Sherry, Bernie Ascension Wisconsin
Stanford, Matthew Wisconsin Hospital Association
Starmann-Harrison, Mary Hospital Sisters Health System
Turney, Susan Marshfield Clinic
Wallace, Michael Fort HealthCare
Woleske, Christine Bellin Health
Zenk, Ann Wisconsin Hospital Association
Contributors ranging from $2,000 to $2,999 - Gold Club
Drury,David & Barri Children’s Hospital of Wisconsin
Hanus, Andrew Aurora Health Care
Hofer, Kari Wisconsin Hospital Association
Kachelski, Joe Wisconsin Statewide Health Information Network
Khare, Smriti Children’s Hospital of Wisconsin
Leitch, Laura Wisconsin Hospital Association
McKevett, Timothy Beloit Health System
Natzke, Ryan Marshfield Clinic
Russell, John Columbus Community Hospital
Schulze, Connie UW Health
Size, Tim Rural Wisconsin Health Cooperative
Teigen, Seth Ascension Wisconsin
White-Jacobs, Mary Beth Black River Memorial Hospital
Contributors ranging from $1,500 to $1,999 - Gold Club
Anderson, Sandy Ascension Wisconsin
Boese, Jennifer Clifton, Larson, Allen LLP
Dibbert, Beth Wisconsin Hospital Association
Ellinger, Lisa Wisconsin Hospital Association
Frank, Jennifer Wisconsin Hospital Association
Harding, Edward Aurora - Bay Area Medical Center
Hoelter, Jon Wisconsin Hospital Association
Lewis, Gordon Burnett Medical Center
Lindberg, Steven Mayo Clinic Health System
Marquis, Stephanie Wisconsin Hospital Association
Newson, Reggie Ascension Wisconsin
Oland, Charisse HSHS - St. Joseph’s Hospital
Pollard, Dennis Froedtert Health
Rohrbach, Dan Southwest Health Center
Rose, Laura Wisconsin Hospital Association
Sexton, William Crossing Rivers Health Medical Center
Sheehan, John UW Health - The American Center
Standridge, Debra Ascension Wisconsin
Contributors ranging from $1,000 to $1,499
Brenton, Andrew Wisconsin Hospital Association
DeGroot, Dan Stoughton Hospital Association
Derks, Jenny Ascension - Calumet Medical Center
Dietsche, James Bellin Hospital
Edwards, Gordon Marshfield Clinic
Ericson, Allen Froedtert & MCW
Hafeman, Paula HSHS - Eastern Wisconsin Division
Levin, Jeremy Rural Wisconsin Health Cooperative
Miller, Kimberly Beaver Dam Community Hospital
Miller, Thomas Children’s Hospital of Wisconsin
Mueller, Jennifer WHA Information Center
Murali, Narayana Marshfield Clinic
Nelson, Duane Children’s Hospital of Wisconsin
Norell, Brett Holy Family Memorial
Peterson, Douglas Chippewa Valley Hospital
Sanders, Michael Monroe Clinic
Schafer, Michael Spooner Health System
Van Meeteren, Bob Reedsburg Area Medical Center
Contributors ranging from $500 to $999
Bass, Robert Reedsburg Area Medical Center
Bloch, Jodi Children’s Hospital of Wisconsin
Collins, Sherry Wisconsin Hospital Association
Gustafson, Sara UW Health
Hartberg, David Gundersen - Boscobel Area Hospital and clinics
Heaney, Dwight Fort HealthCare
Hogan, Denis Bellin Health System
Jensema, Christine HSHS - Eastern Wisconsin Division
Kellar, Richard Aurora West Allis Medical Center
Kneiser, Patti Froedtert & The Medical College of WI
Larson, Margaret Affinity Health - Mercy Medical Center
Layman, Benjamin SSM Health - Janesville
Marquardt, Amy Hospital Sisters Health System
McCawley, Thomas Beloit Health System
McNally, Maureen Froedtert & The Medical College of WI
Nelson, James Fort HealthCare
O’Brien, Colleen Bellin Health System
Rakowski, Mark Children’s Hospital of Wisconsin
Roesler, Bruce The Richland Hospital
Rude, Nels The Kammer Group
Rutkowski, Jennifer Grant Regional Health Center
Shabino, Charles Wisconsin Hospital Association
Stuart, Philip Tomah Memorial Hospital
Thompson, Mark Aurora Health Care
Voelker, Thomas Aspirus Riverview Hospital & Clinics
Contributors ranging from $1 to $499
Ashenhurst, Karla Ministry Health Care
Bard, Jeffrey Aurora Medical Center - Oshkosh
Brenner, Holly SSM Health - St. Agnes Hospital
Byrne, Frank SSM - St. Mary’s Hospital
Cliffe, Elizabeth Ascension Wisconsin
Competente, Brian WHA Information Center
Evenson, Rock Froedtert & The Medical College of WI
Ewald, Sandra Aurora Health Care
Fielding, Laura Holy Family Memorial, Inc.
Grasmick, Mary Kay Wisconsin Collaborative for Healthcare Quality
Hardin, Scott Aurora Health Care
Lee, Don Ascension Medical Group
Levin, Sandra  
Mance, Jennifer Children’s Hospital of Wisconsin
McManmon, Kristin Wheaton Franciscan - All Saints
Rogers, Tracy Ascension Wisconsin
Roller, Rachel Aurora Health Care
Ross, Daniel Wheaton Franciscan - All Saints
Roundy, Ann Columbus Community Hospital
Selberg, Heidi HSHS - Eastern Wisconsin Division
Statsick, Nora Wisconsin Hospital Association
Tapper, Joy Milwaukee Health Care Partnership
Trinkner, Steve Wisconsin Hospital Association
Waldoch, Timothy Ascension Wisconsin
Williams, Janice WHA Information Center

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Congress Sends Veterans Health Care Access Bill to President Trump

Legislation makes it easier for veterans to access health care services from community providers

On May 23, the U.S. Senate overwhelmingly approved a bill that supports our veterans in getting their health care from community providers. The bill easily cleared the House and is expected to be signed into law by President Trump before Memorial Day.

The $52 billion reform bill adds funding for the Veterans Affairs (VA) Choice program that was slated to run out of money by the end of May. The Congressional Budget Office projects that 640,000 more veterans nationwide will seek services from private providers outside the VA each year due to reforms in the bill.

Key provisions of the bill include:

  • Consolidates multiple VA community care programs into one permanent Veterans Community Care Program.
  • Increases access by removing current 30-day wait or 40-mile drive eligibility requirements. Based on the needs of veterans, the VA will develop new criteria to define how veterans may access community providers outside the VA.
  • Establishes Medicare rates for participating providers and higher rates for highly rural providers. The VA must develop a provider network with this provision.
  • Requires prompt payments to participating providers
  • Establishes a pilot VA residency program and a loan repayment program for residents training in high-demand specialties, areas with a high density of veterans, or where there is a physician shortage

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Fleuette Joins WHA as Government Relations Coordinator

Laurie FleutteLaurie Fleuette has joined WHA to serve as government relations coordinator, with a primary focus of administering the Wisconsin Hospitals State PAC and Conduit – the largest disbursing conduit in Wisconsin. Fleuette joins WHA after nearly two decades holding various administrative assistant and bookkeeping roles, most recently for nearly a decade in a large parish in Madison.

“WHA’s government relations coordinator supports our staff, our member councils and work groups, and administers the Wisconsin Hospitals State PAC and Conduit” said Kyle O’Brien, WHA senior vice president, government relations. “Laurie will play a key role on our government relations team as we continue to be a leader in health care advocacy at both the state and federal levels.”

Fleuette holds a bachelor’s degree in economics from the University of California – Irvine and various technology and paralegal certificates.

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Participate in Web Sessions on Antimicrobial Use and Earn Continuing Education Credit

Register for June 11 session from the convenience of your office

Participate in a live webinar with WHA to earn a continuing education credit! 

Thoughtful use of antimicrobials is key to preventing hospital-acquired infections and curbing the epidemic of multi-drug resistant organisms.  The best available evidence can sometimes be buried in 20+ page clinical guidelines, so WHA is offering a four-part live webinar series about evidence-based best practices of antibiotic stewardship.

WHO SHOULD PARTICIPATE: physicians, advanced practice providers, nurses and quality professionals

NEXT TOPIC:  Evidence-based Strategies to Avoid Prescribing Unnecessary Antibiotics

DATE:  June 11

PRESENTER:  Robert Redwood, MD, MPH

COST:  $0 but you must pre-register

About the live webinar session: we use video conference technology called Zoom. You’ll be able to see the presenter and his material, other participants, and converse during the webinar.  Zoom is a web-based technology, and you do not need an account to participate. We’ll send you a link you can open – it’s that easy.

Dr. Redwood is WHA’s physician improvement advisor who works full time as an emergency and preventive medicine physician at Divine Savior Hospital in Portage. He is also chair of the hospital’s antimicrobial stewardship committee.

Register for sessions and view the webinar series: visit www.whareg4.org/WebJournalClub.

Webinar topic questions: Beth Dibbert or 608-274-1820

Registration or recorded session questions:  Kayla Chatterton or 608-274-1820

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Forums Provide Essential Learning in Survey Readiness, Medical Staff Quality

Over 40 participants gathered for the latest WHA Quality Forum sessions

May 2018 Quality Forum participants

Earlier this month, Bob Wilcox, manager of accreditation and regulatory resources for Mayo Clinic Health System provided key resources for managing day of survey, understanding statements of deficiency and plans of correction, and how to shift the organizational culture to a state of continuous survey readiness.

Paula Allen, quality coordinator, ThedaCare-Shawano, said, “Please consider having the Survey Readiness seminar available as a standing opportunity….The content covered yesterday is probably one of the most beneficial and applicable of any seminar I have attended. The presenter did a fantastic job.”

Creating a robust and effective medical staff quality program is a challenge many hospitals face. On May 18, Shelly Egstad, director of quality and compliance at Tomah Memorial Hospital, provided the group with that hospital’s journey from a peer review of “Gotcha” to learning and “Great Job.” Tomah has sought to move away from a punitive, reactive approach to a culture where evidence-based learning is coupled with patient safety, justice, and education.

Robert Redwood, MD, MPH led the afternoon session by describing how hospitals can effectively recruit, engage and reward physicians in quality improvement and performance monitoring.

For more information about the WHA Quality Forum series, and next offerings, visit us online.

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JUNE 5:  Post-Acute Care: Working Together Across the Care Continuum for Positive Patient Outcomes Conference

Join partners on the continuum of care—hospitals, skilled nursing facilities, and home health providers—to share best practices for transitions of patients to post-acute care settings. We’ll also discuss innovative strategies to create positive outcomes for discharged patients. Register online now for this one-day conference. 

Keynote speaker:  Eric Coleman, MD, MPH

Nationally known transitions-of-care expert

Professor of medicine and head of the Division of Health Care Policy and Research at the University of Colorado

DATE:  Tuesday, June 5

LOCATION:  Red Lion Hotel Paper Valley – Appleton (formerly Radisson Paper Valley Hotel)

PARTNERS:  WHA, LeadingAge Wisconsin, LeadingChoice Network, Wisconsin Association for Home Health Care

REGISTRATION QUESTIONS: Kayla Chatterton or 608-274-1820

CONFERENCE TOPICS:  Laura Rose, WHA vice president, policy development

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JUNE 27-29:  Rural Health Conference

Register your leadership team and your hospital’s board of trustees for the 2018 Wisconsin Rural Health Conference – June 27 to June 29 at the Osthoff Resort in Elkhart Lake. We’ll highlight public policy issues affecting rural health care, identify how the delivery of and access to rural health care are changing, and discuss how data and technology are improving health care for rural populations. Register online.

Hotel reservations must be made by June 6 for the discounted rate—rooms will sell out quickly.

Keynote speaker:  Benjamin Anderson

CEO of Kearny County Hospital, a critical access hospital in a racially diverse and medically underserved area in southwest Kansas

Anderson has received national acclaim for his work in physician recruitment, health promotion, women’s health initiatives and rural health care delivery innovations and was named in 2014’s Modern Healthcare’s Up & Comers recognizing young executives who have made significant contributions in the areas of health care administration, management and policy.

DATE:  June 27-29

LOCATION:  Osthoff Resort – Elkhart Lake

HOTEL RESERVATIONS: call 800-876-3399 and ask for the Wisconsin Hospital Association block

REGISTRATION QUESTIONS: Kayla Chatterton or 608-274-1820

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