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Physician Edition

01-17-2018


January 17, 2018

Volume 6-Issue 2


Register Today for WHA Physician Leadership Development Conference

Over the past 12 years, WHA has hosted nearly 1,800 physician leaders at the annual WHA Physician Leadership Development Conference, in an effort to assist members in providing the necessary education to new physician leaders and those identified as having leadership potential.

WHA will host its 13th annual “Physician Leadership Development Conference” Friday, March 9 and Saturday, March 10, 2018 at The American Club in Kohler. Leaders of member hospitals are encouraged to identify several new hospital and clinic physician leaders who would benefit from this popular, proven, in-state option for physician leadership development training.

As new physician leaders are moving beyond their clinical training, they have the need to learn and employ a new approach to managerial decision-making and problem solving. New physician leaders must now represent both clinical and managerial interests, and many need resources to assist them in making the transition. That’s where the WHA Physician Leadership Development Conference can help.

This highly regarded event offers high-quality education from nationally-recognized American Association for Physician Leadership faculty with less travel expense and less time out of the hospital or clinic and away from patients, than the national offerings.

Conference information and online registration can be found at www.cvent.com/d/ktql9j. Share this information with new physician leaders right away, so they can mark their calendars and get registered, as the Early Bird Discount is available only until January 31, and the special room rate at The American Club is only available until the room block fills, which it does quickly each year.

Top of page (1/12/18)

President’s Column: Despite Uncertainty in Washington, WI Health Care Steadily Leads the Nation

This column is reprinted from the Wisconsin Bankers Association’s 2018 Wisconsin Economic Report.

2017 was another year of outstanding performance from Wisconsin’s health care system. The highly regarded Agency for Healthcare Research and Quality (AHRQ) ranked Wisconsin health care #1 in the country. This was one of several studies last year that applauded the performance of Wisconsin health care, including having the highest quality rural hospitals, being one of the best states for physicians, the best state for nurses and the best provider-owned health plans in the country.

While these accolades are noteworthy, more remarkable is Wisconsin’s sustained performance. Last year’s top AHRQ ranking was laudable, but even more impressive is that in the 11 years these rankings have been released, Wisconsin has never shown worse than seventh (#1 three times, #2 four times). Our top-ranked health care also delivers downstream benefits for Wisconsin businesses. In times of severe labor shortages, every day on the job matters, and Wisconsin leads the nation in returning injured workers back to their jobs, back to productivity.

Wisconsin’s health care has been so good for so long that most people take it for granted. However, a recent WHA poll of our member hospital and health system leaders, those in part responsible for sustaining that excellence, revealed growing concern over the instability of the insurance market and its impact in Wisconsin.

In my column last year, I said repealing Obamacare, which seemed a certainty in the wake of the election, would prove easier said than done… and it has. Love or hate it, nearly a quarter million Wisconsinites get health insurance from the Obamacare exchange (and probably three times that number are happy their kids, parents, or friends have that coverage). Since Obamacare went into effect in 2014, Wisconsin’s uninsured rate, now at 5.7 percent, has been nearly cut in half. That’s the good news. At the same time, insurance premiums on the exchanges have been steadily rising, indeed spiking in 2018 by an average of 36 percent in Wisconsin. Generous federal subsidies mean most exchange enrollees won’t feel these increases, but those subsidies cost money and Uncle Sam is picking up the growing tab.

One of the key ingredients for high-performing heath care systems is access to insurance coverage. It’s one of the reasons Wisconsin has performed so well for so long. But if Congress can’t deliver on its pledge to replace Obamacare, where does that leave us? The current system could limp along, crippled by incrementally dismantling its components which, absent a comprehensive replacement, will exacerbate both premium increases and taxpayer costs. And if the exchanges eventually fall apart (as some policymakers desire) with nothing to replace them, the ranks of uninsured could swell.

These are not armchair contemplations for Wisconsin health care leaders. As noted in our member survey, the fragmented state of Obamacare is one of the “keep you up at night” concerns most gripping health care today. Since becoming law in 2010, our members have been redesigning care systems and realigning resources within the policy and regulatory frameworks of Obamacare. Given a relative level of stability, some semblance of certainty, Wisconsin health care leaders will not only adapt, but as the record shows, they will excel under any environment. After years of dealing with Dodd-Frank and its related regulatory upheavals, Wisconsin’s banking industry can certainly empathize with health care’s desire for stability and clarity.

Amidst unprecedented uncertainty one thing has, unfortunately, remained constant: the price-inflating dynamic of government “cost shifting.” To be sure, more insurance coverage has meant fewer unpaid medical bills and “uncompensated care” in hospitals has fallen along with our uninsured rate. But wiping out those gains are growing losses from government programs like Medicaid and Medicare.

Medicaid reimburses Wisconsin hospitals about 65 cents for every dollar they spend providing care; Medicare about 78 cents. Those pennies add up to about $2.8 billion/year in unpaid costs (not charges) that must be shifted to everyone else. According to the Greater Milwaukee Business Foundation on Health, below cost hospital reimbursement from these two programs accounts for about 31 percent of the price of hospital care for businesses in southeastern Wisconsin. It’s a phenomena WMC dubbed “the hidden health care tax” and adds billions to the health care spend for employers, workers, and families. For Medicaid alone the “hidden health care tax” now tops $1 billion annually, higher than any actual tax in Wisconsin, including the corporate income tax. The piecemeal disassembly of Obamacare won’t address that ongoing problem and could actually make it worse.

Eric Borgerding
President/CEO

Top of page (1/5/18)

WHA’s Involvement in Dental Access Highlighted in WHN Panel Presentation


At a Wisconsin Health News (WHN) event January 9, WHN Editor Tim Stumm noted the growing body of evidence of the importance of oral health on good overall health and asked panelist Laura Rose, WHA vice president, policy development, why dental access has become a bigger priority for WHA going forward and what areas WHA plans to focus on. Rose explained hospitals saw almost 32,000 patients in emergency departments in 2016 for preventable dental conditions. Many of these visits could have been avoided by proper dental care. However, many Wisconsin residents lack access to dental care, particularly among the Medicaid population. Casey Himebauch, Wisconsin’s deputy Medicaid director who was also on the panel, added that only 37 percent of dentists are Medicaid certified, and of those, only 47 percent see 26 or more Medicaid patients per year.

In addition to Rose and Himebauch, panelists included Matt Crespin, associate director of the Children’s Health Alliance of Wisconsin; Monica Hebl, DDS, a member of the Wisconsin Dental Association House of Delegates; and Greg Nycz, executive director of the Family Health Center of Marshfield.

Rose also noted that patients with special needs who require dental treatment to be provided under general anesthesia were cared for at 49 Wisconsin hospitals in 2016, with most of the care being concentrated in about 13 of those hospitals. Nycz noted that parents sometimes travel 500 miles round trip to access dental care for their family members with special needs. Rose said a major factor limiting access is the astronomical cost of hospital-based dental care. The costs are so high because of the time needed to perform treatments on these patients and the number of providers who must be present in the operating room. When Medicaid is the payer, a significant loss of revenue to the hospital is always the result. Additionally, there is a need for more trained dentists to provide this care. Currently, there isn’t a general practice dentistry residency program in Wisconsin. These programs train dentists in hospital-based dentistry. Rose noted WHA’s Special Needs Dental Patients Work Group is looking at ideas for making care more available for this vulnerable population.

All members of the panel mentioned poor Medicaid reimbursement as an issue for dental access. Hebl mentioned Wisconsin’s Medicaid rates for dental care are the lowest in the country for adults and third lowest for children. Rose agreed that low Medicaid reimbursement rates is an issue, but not just for dentists. In 2016, hospitals incurred $1.1 billion in charges for care provided to Medicaid patients that was not reimbursed by the Medicaid program.

The divide between medical and dental care is another problem that impedes dental access. Nycz pointed out the “historic divide” between medicine and dentistry is reflected in the fact that most medical schools spend very little time training medical students on the importance of the oral cavity and how it affects the health of the rest of the body. Crespin noted the Legislature’s passage of AB 146 (which was strongly supported by WHA) is a sign of the trend toward medical-dental integration. This legislation will permit dental hygienists to practice in expanded settings, including hospitals and medical clinics, without dentist supervision. One goal is to integrate dental screening, preventive education and dental referrals into well-baby visits.

Panelists also addressed the emerging issue of using mid-level dental providers, such as dental therapists (DTs) and expanded function dental auxiliaries (EFDAs), as a way to expand access to dental care. Both Crespin and Rose talked about their visits to the University of Minnesota’s dental school to learn about the impact of dental therapists on access to dental care in Minnesota. Rose said while WHA hasn’t yet taken a formal position on the licensure of DTs in Wisconsin, she was impressed with the ability of DTs in Minnesota to work under general supervision of a dentist, which enables them to reach rural and other underserved areas and treat patients without having the dentist present. Crespin stressed that DTs always work as part of the dental team, and Hebl noted that allowing EFDAs to practice in Wisconsin could make dental practices more efficient and might enable dentists to see more patients, including Medicaid patients.

All agreed that much needs to be done to increase dental access in Wisconsin, and if everyone works together for better dental access we could solve the problem.  

Top of page (1/12/18)

DHS Announces New Grants to Support Graduate Medical Education

Grant program a key WHA policy initiative to increase physician workforce

A new round of state grant funding totaling more than $2.9 million to support development of three new residency programs and eight new resident positions in current programs was awarded this week by the Wisconsin Department of Health Services (DHS). The new round of grants builds upon over $22 million in new funding and matching private investment in graduate medical education (GME) enabled by the creation of the DHS Graduate Medical Education Program first established in the 2013-15 state budget and expanded in the 2017-19 state budget. Developed by and a key state budget priority for WHA, the previous awards from the program have created seven new residency programs on track to train at least 79 new residents in Wisconsin.

“It is rewarding to see the DHS grant program, a public policy solution created, championed and now grown by WHA, moving forward toward fulfillment of all of our mutual objectives of expanding GME in critical shortage areas,” said Eric Borgerding, WHA president/CEO. “WHA looks forward to continuing to work with our members, DHS, legislators and the governor as we pursue our standing agenda to expand GME in Wisconsin.”

DHS announced new three-year grants to support development of new GME programs at:

  • Ascension St. Michael’s Hospital, Stevens Point – Family Medicine
  • Health Sisters Health System (HSHS) St. Mary’s Hospital Medical Center, Green Bay – Family Medicine
  • The Medical College of Wisconsin, Milwaukee – Addiction Psychiatry Fellowship

Existing accredited GME programs receiving new funding for new resident positions for the length of the residency are:

  • Gundersen Lutheran Medical Center Family Medicine Resident Training Program
  • SSM Health Monroe Clinic Hospital Rural Family Medicine Resident Training Program
  • The Medical College of Wisconsin Central Psychiatry Resident Training Program
  • University of Wisconsin-Madison Addiction Medicine Fellowship Program

“Based on current data, we know that Wisconsin faces a significant physician shortage in the near future due to a number of factors, including an aging population, increases in chronic diseases and retiring physicians,” Gov. Scott Walker said. “Our investments in expansion of GME programs help ensure that we can meet this challenge. This year, we also increased our investments in addiction medicine and addiction psychiatry to address the opioid crisis by supporting new fellowships in these specialties.”

“DHS applauds the hard work demonstrated by these successful applicants, including creating partnerships with rural facilities for new clinical training opportunities,” DHS Secretary Linda Seemeyer said. “We know that this training coupled with residents who have prior or existing ties to Wisconsin significantly increases the likelihood that resident physicians will establish their practices in these or similar rural areas.”

Top of page (1/5/18)

Make Plans to Attend 2018 WHA Advocacy Day, March 21

Each year the Wisconsin Hospital Association’s Advocacy Day event draws more than 1,000 hospital and health system advocates to Madison to learn and to advocate. Attendees hear from top-notch national and state speakers and that afternoon have the opportunity to meet personally with their state legislators or staff. You won’t want to miss this event in 2018. Advocacy Day takes place Wednesday, March 21, 2018 in Madison at the Monona Terrace. Registration and event details are available at www.whareg4.org/2018AdvocacyDay and www.wha.org/advocacy-day.aspx.

The 2018 morning keynote will be Mara Liasson, national political correspondent for National Public Radio (NPR), who will look at the current political landscape and what it means for today and tomorrow. She will be followed by a legislative panel discussion and Governor Walker has been invited again as the luncheon keynote. Some 650 attendees then participate in legislative meetings in the afternoon. (An optional pre-event webinar will be offered closer to the date for those going on legislative visits, and an issue briefing will happen at Advocacy Day as well.)

While Advocacy Day is free, registration is necessary. Register today for Advocacy Day 2018 at www.whareg4.org/2018AdvocacyDay or www.wha.org/advocacy-day.aspx. For Advocacy Day questions, contact Kayla Chatterton at kchatterton@wha.org or 608-274-1820.

2018 WI Hospitals State PAC & Conduit Kick-off Breakfast, March 21
Contribute $250 or more to attend

The Wisconsin Hospitals State PAC & Conduit fundraising campaign will kick off the 2018 fundraising year with an invite-only breakfast the morning of March 21. Individuals who contribute a minimum of $250 by that date are invited to attend the kick-off breakfast the morning of Advocacy Day. A full breakfast will be served and attendees will hear from special guests. Contribute to either the Wisconsin Hospitals State PAC, Wisconsin Hospitals Conduit or both today by logging onto www.whconduit.com or by calling Nora Statsick at 608-239-4535.

Top of page (1/12/18)

CPOE Regulatory Flexibility Focus of February 7 WHA Webinar

On February 7, WHA is offering the WHA member forum: Update on Computerized Provider Order Entry (CPOE) Reporting Under Federal Payment Programs. This complimentary webinar will review the current CPOE reporting requirements for hospitals and physicians under federal payment programs that require demonstration of meaningful use of electronic health record (EHR) technology: the Medicare and Medicaid EHR Incentive Programs for hospitals and physicians and the Merit-Based Incentive Payment System (MIPS) for physicians and other eligible clinicians. The webinar will explain, among other things, that hospitals and physicians are no longer required to report CPOE in order to avoid Medicare penalties.

This complimentary webinar is open to all WHA hospital and corporate members, but pre-registration is required. An audio recording of the webinar will be available after the event, but you must pre-register to receive the recording.

For more information and to register, go to www.whareg4.org/CPOEUpdate. For content questions, contact Andrew Brenton at 608-274-1820 or abrenton@wha.org. For registration questions, contact Kayla Chatterton at kchatterton@wha.org or 608-274-1820.

Top of page (1/12/18)

CMS to Allow States to Impose Work Requirements for Medicaid Recipients

WHA reiterates concerns to DHS on WI’s proposed policies

On January 11, the Centers for Medicare and Medicaid Services (CMS) announced a new policy that would allow states to make participation in work or other community engagement a requirement for Medicaid recipients. The announcement immediately drew national attention, with those opposed indicating it will likely undergo legal challenges in the days to come. 

The new policy by CMS represents a fundamental change to the Medicaid program. In its letter to state Medicaid directors, CMS indicated that requiring work or participation in community engagement activities meets the objectives of the Medicaid program because work helps to promote physical, mental and emotional health. CMS says the requirements would be allowed only for Medicaid recipients who are not elderly, pregnant or disabled. States would be required to seek federal approval through a waiver process, commonly known as the 1115 waivers. 

Wisconsin is one of ten states that have submitted—but not yet received approval for—requests to CMS seeking approval for several Medicaid policy changes, including work requirements. This was done in June 2017 as a proposed amendment to the existing waiver related to adults without dependent children or “childless adults.” In addition to the work requirements, Wisconsin’s proposal also included several other new policies such as the imposition of premiums and copayments for Medicaid recipients. (See
May 19, 2017 Valued Voice article.

While CMS’ new guidance supports states interests in implementing work requirements, Wisconsin may need to make changes to its proposed policy to be compliant with CMS’ guidance. For example, CMS’ guidance clarifies that states should consider community service and other activities that could count toward the work requirement. CMS also says states should exempt individuals with acute medical conditions. Both of these are issues WHA raised in its comment letters to DHS and CMS in June 2017. 

CMS also outlines the requirements for monitoring and evaluation of the work requirements to ensure they meet outcomes, including “whether those requirements assist beneficiaries in obtaining sustainable employment or other productive community engagement and whether sustained employment or other productive community engagement leads to improved health outcomes.”

In Wisconsin, although the waiver amendment has yet to be approved, the underlying childless adult waiver is set to expire in December 2018. DHS is planning to submit a request for a waiver extension.  As such, on January 5, 2018, WHA took the opportunity to again advance its concerns regarding policies such as premiums and copayments, and to encourage DHS to seek enhanced federal funding for its expansion of Medicaid to the childless adult population. WHA’s comments can be found here

Top of page (1/12/18)

WI Hospitals State PAC & Conduit Surpasses Fundraising Goal!

340 individuals contributed in 2017; disbursements top $225,000

The Wisconsin Hospitals State PAC & Conduit surged past its aggressive $312,500 fundraising goal in late December on the way to hitting a record-setting total of $317,569. A total of 340 individuals contributed in 2017 to propel the campaign forward. What were a few of the year-end stats for 2017?

  • Over $6,107 was raised, on average, each week in 2017.
  • Contributors gave an average of $934 each.
  • Club Level giving continued growing in 2017 with 85 individuals giving at one of the three levels:
    • Leaders Circle ($5,000+) – 6 individuals contributed at this level.
    • Platinum Club ($3,000-$4,999) – 21 individuals contributed at this level. This is up 6 contributors over 2016.
    • Gold Club ($1,500-$2,999) – 58 individuals contributed at this level. This is up 9 contributors over 2016
  • In 2017, 70 new contributors came on board.
  • In a non-election year, over $225,000 was still disbursed to candidate campaigns, both Democrats and Republicans.

“Thank you, again, to everyone who contributed in 2017. Your generosity and commitment to political advocacy is greatly appreciated,” said WHA President/CEO Eric Borgerding. “Additionally, thank you to the many Wisconsin Hospitals Conduit contributors who disbursed hundreds of thousands of dollars in this non-election year. Your commitment helps keep Wisconsin health care moving forward.”

See the final list of 2017 Wisconsin Hospitals State PAC & Conduit contributors below.
 

Contributors ranging from $1 to $499
 
Anderson, Eric Aspirus, Inc.
Anderson, Marty Marshfield Clinic
Bagnall, Andrew HSHS - St. Nicholas Hospital
Bauman, Jan Divine Savior Healthcare
Bea, Javon Mercyhealth 
Bengtson, Carolyn Mercyhealth Hospital & Trauma Center - Janesville
Benning, Joanna Mercyhealth 
Benz, Betsy Aurora Medical Center- Two Rivers
Bortner, Barbara Mercyhealth Hospital & Trauma Center - Janesville
Breen, Melissa Marshfield Clinic
Brenner, Holly Agnesian HealthCare
Burch, Todd Aspirus Riverview Hospital & Clinics
Busch, Rebecca Spooner Health System
Brice, Kaitlin HSHS - Eastern Wisconsin Division
Byrne, Frank SSM - St. Mary's Hospital
Cahoy, Jim WHA Information Center
Cameron, Kelli Mercyhealth Hospital & Trauma Center - Janesville
Carr, Alistair WHA Information Center
Clark, Julie HSHS - St. Joseph's Hospital
Cliffe, Elizabeth Ascension Wisconsin
Collins, Sherry Wisconsin Hospital Association
Cook, John Mercyhealth Hospital & Trauma Center - Janesville
Competente, Brian WHA Information Center
Cranley, Patrick Mercyhealth Hospital & Trauma Center - Janesville
Danner, Forrest Aspirus Clinics
Decker, Michael Divine Savior Healthcare
Derks, Jenny Affinity Health - Calumet Medical Center
Dettman, Amy Bellin Hospital
Dorsey, John Mercyhealth Hospital & Medical Center - Walworth
Dresang, Andrew Froedtert Health
Drone, Kim Wisconsin Hospital Association
Dux, Larry Froedtert & MCW Community Memorial Hospital campus
Gordon, Edwards Marshfield Clinic
Ferrigno, Sandra SSM - St. Mary's Hospital
Fielding, Laura Holy Family Memorial, Inc.
Foley, Kathy Kelsey Aspirus
Folstad, John HSHS - Sacred Heart Hospital
Franzen, Kimberly HSHS - St. Vincent Hospital
Garibaldi, Isabelle Watertown Regional Medical Center
Goelzer, Mark Mercyhealth Hospital & Trauma Center - Janesville
Groskreutz, Kevin HSHS - St. Joseph's Hospital
Halida, Cheryl HSHS - St. Joseph's Hospital
Hall, Jennifer Mercyhealth Hospital & Trauma Center - Janesville
Hallatt, Jeni Mercyhealth Hospital & Medical Center - Walworth
Hanson-Mays, Joan Black River Memorial Hospital
Harris, Kathleen Ascension Mercy Medical Center
Hart, William Columbia St. Mary's Hospital - Milwaukee
Hermel, Cindy Aspirus Wausau Hospital
Hieb, Laura Bellin Hospital
Helgeson, Jason HSHS - Eastern Wisconsin Division
Hendrix, Jamie Columbus Community Hospital
Hill, Juliet HSHS - Sacred Heart Hospital
Hinner, William Ascension St. Clare's Hospital
Jensen, Tom Mercyhealth 
Johnson, Kimberly HSHS - Sacred Heart Hospital
Kaufmann, Marilyn Holy Family Memorial, Inc.
Kempen, Jacob Aspirus Wausau Hospital
Klay, Chris HSHS - St. Joseph's Hospital
Kluth, Doreen HSHS - St. Vincent Hospital
Koebke, Troy Bellin Hospital
Kruse, Joe Mayo Clinic Health System - Franciscan Healthcare
Layman, Ben SSM - St. Mary's Janesville Hospital
Lerch, Shawn Sauk Prairie Healthcare
Lippert, Michele Mercyhealth Hospital & Trauma Center - Janesville
Luehring, Sally HSHS - St. Vincent Hospital
Lux, Teresa Froedtert & MCW Community Memorial Hospital campus
Lynch, Sue Mayo Clinic Health System - Franciscan Healthcare
Malone, Virginia SSM - St. Mary's Hospital
Manning, Bradley Meriter - UnityPoint Health
Mannix, Peter HSHS - St. Clare Memorial Hospital
Manley, Paula Prevea Health/Hospital Sisters Health System
Margan, Rob Wisconsin Hospital Association
Markgraf, Janelle Aspirus Langlade Hospital
Maurer, Mary Holy Family Memorial, Inc.
McCawley, Thomas Beloit Health System
McMeans, Scott Aurora BayCare Medical Center 
Meicher, John SSM - St. Mary's Hospital
Mercer, Carla Reedsburg Area Medical Center
Miller, Thomas Children's Hospital of Wisconsin
Mirasola, Tony WHA Information Center
Nagle, Dan WHA Information Center
Nevers, Rick Aspirus Medford Hospital & Clinics, Inc.
Nicklaus, Todd Aspirus, Inc.
O'Brien, Colleen Bellin Health System
O'Connell, Kevin Aspirus Wausau Hospital
O'Keefe, James Mile Bluff Medical Center
Page, Alison Western Wisconsin Health
Parker, Bessant Aspirus Langlade Hospital
Pavelec-Marti, Cheryl Ascension St. Michael's Hospital
Peck, Lori Aspirus, Inc.
Peiffer, Susan HSHS - Sacred Heart Hospital
Pempek, Kalynn Aspirus, Inc.
Penovich, Carrie Aurora Medical Center - Two Rivers
Pinske, Heather SSM - St. Mary's Hospital
Potempa, Debra Mercyhealth 
Prunty, Brian Aspirus
Quackenboss, Tatum HSHS - St. Vincent Hospital
Revnew, Dorothy ProHealth Care - Oconomowoc Memorial Hospital
Riddle, Roberta Rusk County Memorial Hospital
Ripsch, Sue Mercyhealth 
Risley-Gray, Ruth Aspirus, Inc.
Roethle, Linda Bellin Hospital
Rude, Nels The Kammer Group
Rudquist, Debra Amery Hospital & Clinic
Rumpf, Michael Fort HealthCare
Schaetzl, Ron SSM - St. Clare Hospital & Health Services
Schattschneider, Tami Agnesian - Ripon Medical Center
Schrieber, Sue Mercyhealth 
Selle, Ginger SSM - St. Clare Hospital & Health Services
Sheehan, Heather Hayward Area Memorial Hospital and Nursing Home
Smith, Robert Aspirus Wausau Hospital
Stamas, Peter Ascension St. Clare's Hospital
Strasser, Kathy Aspirus, Inc.
Statz, Darrell Rural Wisconsin Health Cooperative
Staudenmayer, Suzanne WHA Information Center
Stelzer, Jason SSM - St. Clare Hospital & Health Services
Stephens, Brian Door County Medical Center
Tandberg, Ann HSHS - St. Joseph's Hospital
Tapper, Joy Milwaukee Health Care Partnership
Telega, Craig Marshfield Clinic
Thompson, Mark SSM Health - Wisconsin
Thompson, Mark Aurora Health Care
Thorton, Eric SSM - St. Mary's Janesville Hospital
Tincher, Pat Aspirus Langlade Hospital
Trinkner, Steve WHA Information Center
Van den Heuvel, Paul Mercyhealth 
VanStraten, Randy Bellin Hospital
Waldoch, Timothy Columbia St. Mary's, Inc.
Walker, Troy SSM - St. Clare Hospital & Health Services
Walters, Robert Mercyhealth 
Werkheiser, Cindy Monroe Clinic
Westbrook, Diane River Falls Area Hospital
Wetenkamp, Vicki Holy Family Memorial, Inc.
Wilczek, Teri Marshfield Clinic
Wymelenberg, Tracy Aurora Health Care
Wysocki, Scott SSM - St. Clare Hospital & Health Services
Yarbrough, Ruth Mercyhealth 

Contributors ranging from $500 to $999
 
Alstad, Nancy Fort HealthCare
Bayer, Tom HSHS - St. Vincent Hospital
Braun, James Flambeau Hospital
Brenny, Terrence Stoughton Hospital Association
Brophy, Michael Aurora Health Care
Carlson, Peter Aurora Psychiatric Hospital
Cormier, Laura Bellin Hospital
Cottrell, Michael HSHS
Curran-Meuli, Jane Holy Family Memorial, Inc.
DeGroot, Dan HSHS - St. Clare Memorial Hospital
Dexter, Donn Mayo Clinic Health System - Eau Claire
Edwards, Gordon Marshfield Clinic
Elfner, Christopher Bellin Health System
Elkins, Kelly Ascension/Columbia St. Mary's
Fitzpatrick, Carrie Aurora Health Care
Francaviglia, Stephen Aurora Health Care
Francisco, Margo SSM - St. Mary's Hospital
Geboy, Scott Hall, Render, Killian, Heath & Lyman
Gille, Larry HSHS - St. Vincent Hospital
Graf, John Watertown Regional Medical Center
Griffin, Gregory  
Gutsch, Mike Cumberland Healthcare
Hartberg, David Gundersen - Boscobel Area Hospital and Clinics
Heaney, Dwight Fort HealthCare
Herbst, Amy Children's Hospital of Wisconsin
Herzog, Sarah Ascension/Wheaton Franciscan Healthcare
Jensema, Christine HSHS - Eastern Wisconsin Division
Johnas, Lora HSHS - Sacred Heart Hospital
Just, Lisa Aurora Memorial Hospital of Burlington
Keddington, Richard Watertown Regional Medical Center
Kersten, Juliet Children's Hospital of Wisconsin
Kingston, Mary Beth Aurora Health Care
Kneiser, Patti Froedtert & The Medical College of Wisconsin
Larson, Margaret Ascension Mercy Medical Center
Lentz, Darrell Aspirus Wausau Hospital
Logemann, Cari Aspirus, Inc.
McDonald, Brian Aurora Health Care
McMeans, Scott Aurora BayCare Medical Center - Green Bay
McNally, Maureen Froedtert & The Medical College of Wisconsin
Miller, Brent Marshfield Clinic
Myers, Karen Stoughton Hospital Association
Nelson, Meg Children's Hospital of Wisconsin
Nelson, James Fort HealthCare
O'Brien, Colleen Bellin Health System
Ordinans, Karen Children's Hospital of Wisconsin
Pearson, Jane SSM - St. Mary's Janesville Hospital
Peterson, Douglas Chippewa Valley Hospital
Pfaff, Marion Marshfield Medical Center
Quinn, George Wisconsin Hospital Association
Richardson, Todd Aspirus
Richman, Tim Ascension/Wheaton Franciscan Healthcare
Rocole, Theresa Ascension/Wheaton Franciscan Healthcare
Roesler, Bruce The Richland Hospital
Roundy, Ann Columbus Community Hospital
Rislov, Amy Aurora Health Care
Rutkowski, Jennifer Grant Regional Health Center
Schnedler, Lisa Upland Hills Health
Sczygelski, Sidney Aspirus, Inc.
Shabino, Charles Wisconsin Hospital Association
Sprecher, Lon  
Statsick, Nora Wisconsin Hospital Association
Strasser, Kathy Aspirus, Inc.
Stuart, Philip Tomah Memorial Hospital
Van Meeteren, Bob Reedsburg Area Medical Center
Vergos, Katherine Agnesian - St. Agnes Hospital

Contributors ranging from $1,000 to $1,499
 
Bard, Jeffrey Aurora Medical Center - Oshkosh
Bedwell, Elizabeth Children's Hospital of Wisconsin
Brenton, Andrew Wisconsin Hospital Association
Buck, Catherine Froedtert & The Medical College of Wisconsin
Cadieux, Marc Children's Hospital of Wisconsin
Dietsche, James Bellin Hospital
Doty, Kelsie UW Health
Ericson, Allen Froedtert & MCW St. Joseph's Hospital Campus
Falvey, Patrick Aurora Health Care
Fields, Mary Aurora Health Care
Foley, John Aurora Health Care
Furlong, Marian Hudson Hospital & Clinics
Garcia-Thomas, Cristy Aurora Health Care
Geraghty, Tricia Children's Hospital of Wisconsin
Grebe, Michael Aurora Health Care
Gunn, Veronica Children's Hospital of Wisconsin
Gustafson, Andy & Sara SSM Health
Gutzeit, Michael Children's Hospital of Wisconsin
Hafeman, Paula HSHS - Eastern Wisconsin Division
Jacobson, Terry St. Mary's Hospital of Superior
Jelle, Laura SSM - St. Clare Hospital & Health Services
Kadlec, Mark SSM Health
Katt, Jeff Aurora Health Care
Kulick, Dr. Steven ProHealth Care, Inc.
Lewis, Jonathan SSM - St. Mary's Hospital
McGrail, Michael Aspirus, Inc.
Miller, Kimberly Beaver Dam Community Hospitals
Mugan, James Agnesian HealthCare
Muzi, Titus Aurora Health Care
Nelson, David HSHS - Sacred Heart Hospital
Nelson, Meg Children's Hospital of Wisconsin
Newcomer, Peter UW Health
Norell, Brett Holy Family Memorial, Inc.
Pollard, Dennis Froedtert Health
Punzenberger, Lindsay Children's Hospital of Wisconsin
Reardon, Brian Hospital Sisters Health System
Reding, Dr. Douglas Ascension Wisconsin
Robertstad, John ProHealth Care - Oconomowoc Memorial Hospital
Rohrbach, Dan Southwest Health Center
Roller, Rachel Aurora Health Care
Sahajpal, Ajay Aurora Health Care
Sanders, Robert Children's Hospital of Wisconsin
Schafer, Michael Spooner Health System
Siddalingaiah, Vasanth Aurora Health Care
Sohn, Jonathan Ascension Wisconsin
Tector, Leslie Children's Hospital of Wisconsin
Ter Horst, Thomas SSM Health
Thota, Venkata Aurora Health Care
Veldhouse, Paul Children's Hospital of Wisconsin
Voelker, Dr. Thomas Aspirus Riverview Hospital & Clinics
Wolf, Edward Marshfield Clinic

Contributors ranging from $1,500 to $1,999 - Gold Club
 
Anderson, Andy Aurora Health Care
Anderson, Sandy Ascension Ministry Health Care 
Bakkum, Kyle Vernon Memorial Healthcare
Barth, Andrew Aspirus Langlade Hospital
Brussow, Julie Security Health Plan
Clapp, Nicole Grant Regional Health Center
Coffman, Joan HSHS - St. Joseph's Hospital
Colman, Gerard Aurora Health Care
Court, Kelly Wisconsin Hospital Association
Doeringsfeld, Jean WHA Information Center
Frank, Jennifer Wisconsin Hospital Association
Grasmick, Mary Kay Wisconsin Hospital Association
Gustafson, Sara UW Health
Gullingsrud, Tim Hayward Area Memorial Hospital and Nursing Home
Harding, Edward Bay Area Medical Center
Heywood, Matthew Aspirus, Inc.
Hilt, Monica Ascension St. Elizabeth Hospital
Hogan, Denis Bellin Health System
Jensen, Jerard Marshfield Clinic
Kluesner, Kevin Ascension Wisconsin
Levin, Jeremy Rural Wisconsin Health Cooperative
Lewis, Gordon Burnett Medical Center
Lindberg, Steve Mayo Clinic Health System - Red Cedar
McKevett, Timothy Beloit Health System
Newson, Reggie Ascension Wisconsin
Oland, Charisse Rusk County Memorial Hospital
Rose, Laura Wisconsin Hospital Association
Rozenfeld, Jonathan SSM - St. Mary's Hospital
Sanders, Michael Monroe Clinic
Sexton, William Crossing Rivers Health Medical Center
Sheehan, John UW Health - The American Center
Teigen, Seth Ascension Wisconsin
Telega, Craig Marshfield Clinic Health System
Turney, Dr. Sue Marshfield Clinic Health System
White-Jacobs, Mary Beth Black River Memorial Hospital
Woleske, Chris Bellin Hospital
Zenk, Ann Wisconsin Hospital Association

Contributors ranging from $2,000 to $2,999 - Gold Club
 
Bahr, Jeffery Aurora Health Care
Bloch, Jodi Children's Hospital of Wisconsin
Bolt, Elizabeth UW Health
Dallman, Michael University of WI Hospital and Clinics
Faure, Bruce Aurora Health Care
Flannery, Bob UW Health
Hanson, Gail Aurora Health Care
Hanus, Andrew Aurora Health Care
Heisler, John Aspirus Wausau Hospital
Herzog, Mark Holy Family Memorial, Inc.
Kachelski, Joe Wisconsin Statewide Health Information Network
Kaplan, Alan UW Health
Khare, Smriti Children's Hospital of Wisconsin
Lappin, Michael Aurora Health Care
Leitch, Laura Wisconsin Hospital Association
Manas, Julie HSHS - Sacred Heart Hospital
Natzke, Ryan Marshfield Clinic
Norbin Killoran, Carrie Aurora Health Care
Potts, Dennis Aurora St. Luke's Medical Center
Robaidek, Jay UW Health
Russell, John Columbus Community Hospital
Schulze, Connie UW Health
Turney, Dr. Sue Marshfield Clinic Health System

Contributors ranging from $3,000 to $4,999 - Platinum Club
 
Alig, Joanne Wisconsin Hospital Association
Andersen, Travis Ascension Wisconsin 
Boatwright, Damond SSM Health
Boese, Jennifer Wisconsin Hospital Association
Duncan, Robert Children's Hospital of Wisconsin
Jacobson, Catherine Froedtert & The Medical College of Wisconsin
Kammer, Peter The Kammer Group
Kerwin, George Bellin Hospital
Little, Steven Agnesian HealthCare
Meyer, Daniel Aurora BayCare Medical Center 
Normington, Jeremy Ascension North Central Region 
O'Brien, Kyle & Laura Wisconsin Hospital Association
Pandl, Therese HSHS - St. Clare Memorial Hospital
Potter, Brian Wisconsin Hospital Association
Sherry, Bernie Ascension Wisconsin
Simons, Preston Aurora Health Care
Standridge, Debra Ascension Wisconsin
Stanford, Matthew Wisconsin Hospital Association
Starmann-Harrison, Mary Hospital Sisters Health System
Tyre, Scott Capitol Navigators, Inc
Wallace, Michael Fort HealthCare

Contributors ranging from $5,000 to $9,999 - Leaders Circle
 
Borgerding, Eric & Dana Wisconsin Hospital Association
Brenton, Stephen Wisconsin Hospital Association
Mettner, Michelle Children's Hospital of Wisconsin
Size, Tim Rural Wisconsin Health Cooperative
Troy, Peggy & Ron Children's Hospital of Wisconsin
Turkal, Nick Aurora Health Care