November 14, 2014
Volume 57, Issue 46
Legislative Leadership Selected for 2015-16 Session
Quickly following the November 4 election, caucuses in each chamber of the Legislature met to decide who will serve in leadership positions for the upcoming session. The top posts in each chamber stayed the same, with Senate Majority Leader Scott Fitzgerald (R-Juneau) and Assembly Speaker Robin Vos (R-Burlington) re-elected to their positions. Fitzgerald has been Majority Leader of the Senate since 2011 and Vos has been Speaker of the Assembly since 2013.
The lawmakers that hold these top positions have authority to appoint committee chairs, appoint committee members and decide whether or not a piece of legislation will be voted on by the full Senate or full Assembly. There are four caucuses in the Legislature, which correspond to the lawmaker’s political party and the chamber they were elected to (e.g. Senate Republican Caucus, Assembly Democratic Caucus, etc).
The retirement of Sen. Mike Ellis (R-Neenah) left an opening for the president of the Senate. This post is in the powerful position to refer bills to specific committees, which can provide a bill with a breath of life or give it the kiss of death. Three Senators competed for this position and, ultimately, Sen. Mary Lazich (R-New Berlin) was able to garner the most votes from her colleagues. She will be able to serve in that position until, at least, the end of this upcoming session.
In the Assembly, where former Majority Leader Pat Strachota (R-West Bend) retired from the Legislature, Rep. Jim Steineke (R-Kaukauna) was selected to be the next Majority Leader of that chamber. The Majority Leader is charged with leading debate on the Assembly Floor for the Assembly Republicans and works with the Speaker to set the calendar for each day when the entire Assembly is in session. Steineke previously served as the Assistant Majority Leader in the Assembly.
On the Democratic side, incumbent Assembly Minority Leader Peter Barca (D-Kenosha) faced a challenge from State Rep. Evan Goyke (D-Milwaukee), a freshman lawmaker. In the end, Barca garnered enough votes to be re-elected Assembly Minority Leader for the 2015-16 session. The Minority Leader sets the agenda, in this instance, for the Assembly Democratic Caucus.
In the Senate, current Minority Leader Chris Larson (D-Milwaukee) bowed out of his re-election bid to serve as leader in the next session after an announcement by Sen. Jennifer Shilling (D-La Crosse) that she was considering challenging him for that position. Shilling was elected to the position November 12.
The issues that impact Wisconsin hospitals have always crossed party lines. In the last legislative session, nearly all of WHA’s priority agenda items received broad and bipartisan support from the Assembly and Senate. The Wisconsin Hospital Association Government Relations team congratulates those Wisconsin lawmakers who were elected or re-elected to their leadership posts and looks forward to continuing our successful partnership in the upcoming session.
Top of page (11/14/14)
With the goal in sight, the 2014 Wisconsin Hospitals Conduit and State PAC Fundraising Campaign has raised $251,000 from 342 participants this year. There is just under $14,000 to go to reach the goal by the end of the year, which if achieved would be a record year for contributions.
Records were also shattered this year on the disbursement side in contributions to candidate campaigns. This past election year, your contributions supported 109 candidate campaigns, both Democrats and Republicans. So far the Wisconsin Hospitals Campaign has disbursed $308,000 in 2014 and over $420,000 in the 2013-2014 election cycle, which is also a new record. Over the course of the last four election cycles, the Campaign has seen a 20 percent increase in disbursements to candidate campaigns.
Thank you to all 342 individuals listed below including the 68 members of the Platinum Club. The next publication of the contributor list will be in the November 27 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|
|Aittama, Craig||Ministry Saint Michael's Hospital|
|Alstad, Nancy||Fort HealthCare|
|Anderson, Phil||Sacred Heart Hospital|
|Anich, Matthew||Memorial Medical Center - Ashland|
|Appleby, Jane||Aurora Health Care|
|Arnett, James||Meriter-UnityPoint Health|
|Babbitts, Jamie||St. Mary's Hospital Medical Center|
|Bagnall, Andrew||St. Nicholas Hospital|
|Bair, Barbara||St. Clare Hospital & Health Services|
|Ballentine, Anne||Wheaton Franciscan Healthcare|
|Bayer, Tom||St. Vincent Hospital|
|Becker, Kathleen||Aurora Health Care|
|Brenholt, Craig||St. Joseph's Hospital|
|Brenny, Terrence||Stoughton Hospital Association|
|Buser, Kenneth||Wheaton Franciscan Healthcare - All Saints|
|Campau, Patricia||Columbia St. Mary's, Inc.|
|Capelli, A.J.||Aurora Health Care|
|Cardinal, Lori||Agnesian HealthCare|
|Ceelen, John||Ministry Health Care|
|Censky, Bill||Holy Family Memorial|
|Clark, Julie||St. Joseph's Hospital|
|Clark, Renee||Fort HealthCare|
|Cliffe Kucharski, Elizabeth||Wheaton Franciscan Healthcare|
|Connor, Michael||Aurora Health Care|
|Collins, Sherry||Wisconsin Hospital Association|
|Coopman, Dianne||St. Mary's Janesville Hospital|
|Cormier, Laura||Bellin Hospital|
|Courtney, Chip||Aspirus Medford Hospital & Clinics, Inc.|
|Dalebroux, Steve||St. Mary's Hospital|
|Danner, Forrest||Aspirus Wausau 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|
|Erickson, Susan||Meriter-UnityPoint Health|
|Ewald, Sandra||Aurora Health Care|
|Ferrigno, Sandra||St. Mary's Hospital|
|Fields, Mary||Aurora Health Care|
|Fielding, Laura||Holy Family Memorial|
|Freitag, Vanessa||Ministry Our Lady of Victory Hospital|
|Furlong, Marian||Hudson Hospital & Clinics|
|Gagnon, Annette||HSHS-Eastern Wisconsin Division|
|Goldberg, David||Froedtert & MCW Community Memorial Hospital campus|
|Gormican, John J.||Agnesian HealthCare|
|Graul, Mark||Children's Hospital of Wisconsin|
|Gruber, Richard||Mercy Hospital and Trauma Center|
|Groskreutz, Kevin||St. Joseph's Hospital|
|Gulan, Maria||Aspirus Wausau 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|
|Hattem, Marita||Aspirus Wausau Hospital|
|Heaney, Dwight||Fort HealthCare|
|Helgeson, Jason||HSHS-Eastern Wisconsin Division|
|Henricks, William||Rogers Memorial Hospital|
|Hieb, Laura||Bellin Hospital|
|Hill, Juliet||Sacred Heart Hospital|
|Hockin, Jennifer||Aspirus, Inc.|
|Hofer, John||Bay Area Medical Center|
|Holub, Gregory||Ministry Door County Medical Center|
|Huber, Mark||Aurora Health Care|
|Hueller, Julie||Wheaton Franciscan Healthcare|
|Jelle, Laura||St. Clare Hospital & Health Services|
|Jensen, Russell||St. Mary's Hospital|
|Jermstad, Raymond||St. Vincent Hospital|
|Jones, Mary||Meriter-UnityPoint Health|
|Jurenec, Anne||Select Specialty Hospital - St. Luke's|
|Karow, Deborah||Ministry Health Care's Howard Young Medical Center|
|Kaufmann, Marilyn||Holy Family Memorial|
|Kelsey Foley, Kathy||Aspirus Wausau Hospital|
|Kempen, Jacob||Aspirus Wausau Hospital|
|King, Steve||St. Mary's Hospital|
|Kingston, Mary Beth||Aurora Health Care|
|Kinney, Aric||Aurora Medical Center Summit|
|Klay, Chris||St. Joseph's Hospital|
|Klay, Lois||St. Joseph's Hospital|
|Koch, Mark||Mayo Clinic Health System|
|Kocken, Christine||St. Vincent Hospital|
|Koebke, Troy||Bellin Hospital|
|Koran, Zeb||Wheaton Franciscan Healthcare - All Saints|
|Kuehni-Flanagan, Tracy||St. Joseph's Hospital|
|LaBarge, Margie||Ministry Health Care|
|Lakey, Sandy||Aspirus Wausau Hospital|
|Lambrecht, Randy||Aurora Health Care|
|Lange, George||Westgate Medical Group, CSMCP|
|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|
|Majewski, Joe||Aurora Health Care-South Region|
|Marquardt, Amy||Hospital Sisters Health System|
|Mason, Paul||Wheaton Franciscan Healthcare - All Saints|
|Maurer, Mary||Holy Family Memorial|
|Mays, Laura||Stoughton Hospital Association|
|McMeans, Scott||Holy Family Memorial|
|Maciver, Carolyn||Aurora Health Care|
|Meicher, John||St. Mary's Hospital|
|Mercer, Carla||Reedsburg Area Medical Center|
|Mohr, Carol||Sacred Heart Hospital|
|Moon-Mogush, Cindy||Aurora Health Care|
|Muzi, Titus||Aurora Health Care|
|Neikirk, Jon||Froedtert & The Medical College of Wisconsin|
|Nevers, Rick||Aspirus, Inc.|
|Newberry-Ferguson, Linda||ProHealth Care - Rehabilitation Hospital of WI|
|Nickerson, Brian||Aurora Health Care|
|Nicklaus, Todd||Aspirus, Inc.|
|Ortiz, Jose||Mayo Health System - Eau Claire|
|Ostrander, Gail||HSHS-Eastern Wisconsin Division|
|Ott, Virginia||St. Joseph's Hospital|
|Oungst, Laurie||Ministry Health Care's Howard Young Medical Center|
|Palecek, Steve||St. Joseph's Hospital|
|Pavelec-Marti, Cheryl||Ministry Saint Michael's Hospital|
|Peck, Lori||Aspirus Medford Hospital & Clinics, Inc.|
|Peiffer, Susan||Sacred Heart Hospital|
|Pempek, Kalynn||Aspirus Wausau Hospital|
|Penczykowski, James||St. Mary's Hospital|
|Penovich, Carrie||Aurora Medical Center in Two Rivers|
|Prunty, Brian||Aspirus Wausau Hospital|
|Revnew, Dorothy||ProHealth Care - Oconomowoc Memorial Hospital|
|Riddle, Roberta||Rusk County Memorial Hospital|
|Risley-Gray, Ruth||Aspirus, Inc.|
|Ross, Daniel||Wheaton Franciscan Healthcare - All Saints|
|Roundy, Ann||Columbus Community Hospital|
|Sanicola, Suzanne||Columbia St. Mary's, Inc.|
|Schaetzl, Ron||St. Clare Hospital & Health Services|
|Schneider, David||Langlade Hospital - An Aspirus Partner|
|Schubring, Randy||Mayo Health System - Eau Claire|
|Schulze, Connie||Ministry Health Care|
|Schweitzer, Susan||Columbus Community Hospital|
|Sciuti, Jennifer||Aurora Health Care|
|Selle, Ginger||St. Clare Hospital & Health Services|
|Sheehan, Heather||Hayward Area Memorial Hospital and Nursing Home|
|Sio, Tim||Wheaton Franciscan Healthcare - All Saints|
|Slomczewski, Constance||Wheaton Franciscan Healthcare - All Saints|
|Smith, Melanie||Aurora Health Care-South Region|
|Sommers, Craig||St. Mary's Hospital|
|Sparacino, Gloria||Aurora West Allis Medical Center|
|Steines, Sara||Children's Hospital of Wisconsin|
|Stelzer, Jason||St. Clare Hospital & Health Services|
|Stephens, Brian||Ministry Door County Medical Center|
|Stranberg, Kevin||Memorial Medical Center - Ashland|
|Strasser, Kathy||Aspirus, Inc.|
|Sullivan, Anne||Memorial Medical Center - Ashland|
|Tapper, Joy||Milwaukee Health Care Partnership|
|Teigen, Seth||St. Mary's Hospital|
|Theiler, Brian||Gundersen Tri-County Hospital and Clinics|
|Turtenwald, Robyn||Froedtert & MCW Community Memorial Hospital campus|
|Vanevenhoven, Joseph||Ministry Saint Michael's Hospital|
|Van Meeteren, Bob||Reedsburg Area Medical Center|
|Vergos, Katherine||Ripon Medical Center|
|Voelker, Thomas||Aspirus Wausau Hospital|
|Walczak, Laura||St. Mary's Janesville Hospital|
|Waldoch, Timothy||Columbia St. Mary's, Inc.|
|Walker, Troy||St. Clare Hospital & Health Services|
|Washburn, Juliane||Bay Area Medical Center|
|Werkheiser, Cindy||Monroe Clinic|
|Westbrook, Diane||River Falls Area Hospital|
|Wetenkamp, Vicki||Holy Family Memorial|
|Wheeler, Susan||St. Nicholas Hospital|
|White, Pam||Mayo Health System|
|Whitinger, Margaret||Agnesian HealthCare|
|Woleske, Chris||Bellin Hospital|
|Wymelenberg, Tracy||Aurora Health Care|
|Ziebarth, Laura||St. Mary's Hospital|
|Contributors ranging from $500 to $999|
|Andersen, Travis||Columbia St. Mary's, Inc.|
|Anderson, Layton||Ministry Saint Joseph's Hospital|
|Borgerding, Dana||Wisconsin Hospital Association|
|Bergmann, Michael||Aurora Medical Center Summit|
|Brenton, Andrew||Wisconsin Hospital Association|
|Carlson, Dan||Bay Area Medical Center|
|Carlson, Peter||Aurora Psychiatric Hospital|
|Connors, Lawrence||St. Mary's Hospital Medical Center|
|Deich, Faye||Sacred Heart Hospital|
|Dexter, Donn||Mayo Health System - Eau Claire|
|Dietsche, James||Bellin Hospital|
|Dolohanty, Naomi||Aurora Health Care|
|Eckels, Timothy||Hospital Sisters Health System|
|Ericson, Allen||Froedtert & MCW St. Joseph's Hospital campus|
|Frangesch, Wayne||Wheaton Franciscan Healthcare|
|Freimund, Rooney||Bay Area Medical Center|
|Graebner, David||Aurora Sheboygan Memorial Medical Center|
|Granger, Lorna||Aurora Health Care|
|Gullingsrud, Tim||Hayward Area Memorial Hospital and Nursing Home|
|Huettl, Patricia||Holy Family Memorial|
|Hyland, Carol||Agnesian HealthCare|
|Jacobson, Terry||St. Mary's Hospital of Superior|
|Jensema, Christine||HSHS-Eastern Wisconsin Division|
|Kellar, Richard||Aurora West Allis Medical Center|
|Kersten, Juliet||Children's Hospital of Wisconsin|
|Kocourek, Cathie||Aurora Medical Center in Two Rivers|
|Larson, Margaret||Mercy Medical Center|
|Lentz, Darrell||Aspirus Wausau Hospital|
|Logemann, Cari||Aspirus, Inc.|
|Malone, Virginia||St. Mary's Hospital|
|Mantei, Mary Jo||Bay Area Medical Center|
|Martin, Jeff||Ministry Saint Michael's Hospital|
|McNally, Maureen||Froedtert & The Medical College of Wisconsin|
|Miller, Clint||Spooner Health System|
|Mueller, Joan||Mayo Clinic Health System Franciscan Healthcare|
|Mugan, James||Agnesian HealthCare|
|Mulder, Doris||Beloit Health System|
|Nelson, James||Fort HealthCare|
|Nesse, Robert||Mayo Clinic Health System|
|O'Keefe, James||Mile Bluff Medical Center|
|Oland, Charisse||Rusk County Memorial Hospital|
|Ordinans, Karen||Children's Hospital of Wisconsin|
|Ose, Peggy||Riverview Hospital Association|
|Peterson, Douglas||Chippewa Valley Hospital|
|Pollard, Dennis||Froedtert & MCW Community Memorial Hospital campus|
|Quinn, George||Wisconsin Hospital Association|
|Richards, Theresa||Ministry Saint Joseph's Hospital|
|Richardson, Todd||Aspirus, Inc.|
|Rocole, Theresa||Wheaton Franciscan Healthcare|
|Rohrbach, Dan||Southwest Health Center|
|Rutkowski, Jennifer||Grant Regional Health Center|
|Schmitz, Bonnie||Agnesian HealthCare|
|Sczygelski, Sidney||Aspirus Wausau Hospital|
|Selberg, Heidi||HSHS-Eastern Wisconsin Division|
|Shabino, Charles||Wisconsin Hospital Association|
|Smith, Gregory||Wheaton Franciscan Healthcare|
|Sobal, Larry||Ministry Health Care|
|Sohn, Jon||Wheaton Franciscan Healthcare|
|Stuart, Philip||Tomah Memorial Hospital|
|Swanson, Kerry||St. Mary's Janesville Hospital|
|Thoreen, Peter||Meriter-UnityPoint Health|
|VanCourt, Bernie||Bay Area Medical Center|
|Wessels, Bill||Aspirus, Inc.|
|White-Jacobs, Mary Beth||Black River Memorial Hospital|
|Worrick, Gerald||Ministry Door County Medical Center|
|Yaron, Rachel||Ministry Saint Clare's Hospital|
|Contributors ranging from $1,000 to $1,499|
|Ashenhurst, Karla||Ministry Health Care|
|Bablitch, Steve||Aurora Health Care|
|Bagemihl, Katherine||Froedtert & The Medical College of Wisconsin|
|Bailet, Jeffrey||Aurora Health Care|
|Bakkum, Kyle||Vernon Memorial Healthcare|
|Bard, Jeffrey||Aurora Medical Center in Oshkosh|
|Bedwell, Elizabeth||Children's Hospital of Wisconsin|
|Bowers, Brenda||Wheaton Franciscan Healthcare|
|Garcia-Thomas, Cristy||Aurora Health Care|
|Geboy, Scott||Hall, Render, Killian, Heath & Lyman|
|Geraghty, Tricia||Children's Hospital of Wisconsin|
|Gunn, Veronica||Children's Hospital of Wisconsin|
|Gutzeit, Michael||Children's Hospital of Wisconsin|
|Hart, Shelly||Aurora Health Care|
|Herzog, Sarah||Wheaton Franciscan Healthcare|
|Janis, Gerald||Aurora Health Care|
|Just, Lisa||Aurora Health Care|
|Kosanovich, John||Watertown Regional Medical Center|
|Kostroski, Sharon||Ministry Saint Joseph's Hospital|
|Lappin, Michael||Aurora Health Care|
|Lewis, Jonathan||St. Mary's Hospital|
|Loftus, Philip||Aurora Health Care|
|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|
|Priest, Geoffrey||Meriter-UnityPoint Health|
|Radoszewski, Pat||Children's Hospital of Wisconsin|
|Rickelman, Debbie||WHA Information Center|
|Rislov, Amy||Aurora Health Care|
|Sanders, Robert||Children's Hospital of Wisconsin|
|Schafer, Michael||Spooner Health System|
|Schmidt, Cheryl||St. Elizabeth Hospital|
|Shanahan, Thomas||Children's Hospital of Wisconsin|
|Stamas, Peter||Ministry Saint Joseph's Hospital|
|Wolf, Edward||Lakeview Medical Center|
|Contributors ranging from $1,500 to $1,999|
|Anderson, Sandy||St. Clare Hospital & Health Services|
|Bloch, Jodi||Wisconsin Hospital Association|
|Boatwright, Damond||SSM Health Care-Wisconsin|
|Boese, Jennifer||Wisconsin Hospital Association|
|Boland, Susan||Wheaton Franciscan Healthcare - All Saints|
|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|
|Heywood, Matthew||Aspirus, Inc.|
|Hilt, Monica||Ministry Saint Mary's Hospital|
|Johnson, Jodi||Wisconsin Hospital Association|
|Kretschman, Robin||Ministry Saint Joseph's Hospital|
|Lepore, Michael||Wheaton Franciscan Healthcare|
|Lewis, Gordon||Burnett Medical Center|
|Martin, Jeff||Ministry Saint Michael's Hospital|
|Meyer, Daniel||Aurora BayCare Medical Center in Green Bay|
|Oliverio, John||Wheaton Franciscan Healthcare|
|Olson, David||Froedtert & The Medical College of Wisconsin|
|Robertstad, John||ProHealth Care - Oconomowoc Memorial Hospital|
|Roller, Rachel||Aurora Health Care|
|Russell, John||Columbus Community Hospital|
|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|
|Andersen, Travis||Columbia St. Mary's, Inc.|
|Brenton, Mary E.|
|Brooks, Alenia||Aurora Health Care|
|Brophy, Michael||Aurora Health Care|
|Clapp, Nicole||Grant Regional Health Center|
|Colman, Gerard||Aurora Health Care|
|Desien, Nicholas||Ministry Health Care|
|Gage, Weldon||Children's Hospital of Wisconsin|
|Gorelick, Marc||Children's Hospital of Wisconsin|
|Hanson, Gail||Aurora Health Care|
|Kachelski, Joe||Wisconsin Statewide Health Information Network|
|Kief, Brian||Ministry Saint Joseph's Hospital|
|Leitch, Laura||Hall Render Killian Heath & Lyman|
|Levin, Jeremy||Rural Wisconsin Health Cooperative|
|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|
|Kammer, Peter||The Kammer Group|
|Kerwin, George||Bellin Hospital|
|Little, Steven||Agnesian HealthCare|
|Mettner, Michelle||Children's Hospital of Wisconsin|
|Neufelder, Daniel||Ministry Health Care|
|Turkal, Nick||Aurora Health Care|
|Contributors ranging from $5,000 to $9,999|
|Borgerding, Eric||Wisconsin Hospital Association|
|Brenton, Stephen||Wisconsin Hospital Association|
|Size, Tim||Rural Wisconsin Health Cooperative|
|Contributors $10,000 and above|
|Tyre, Scott||Capitol Navigators, Inc.|
Advocacy Day 2015: Save The Date!
Top of page (11/14/14)
Each year, the WHA Advocacy Day event grows both in number of attendees and in the impact made on our legislators in Madison. With 1,000 attendees from 100 hospitals/systems plus dozens of corporate member organizations, you can help make the 2015 Advocacy Day event a great success by marking your calendar now for Tuesday, April 28, 2015.
While WHA is still finalizing the line-up, the day will include top-notch speakers, an informative briefing on the hot legislative issues of the day (don’t forget, the Legislature will be in full swing debating the state budget!) and a chance to represent your hospital with a personal visit with your legislator or staff at the State Capitol.
Watch for additional information about Advocacy Day 2015 as it becomes available. Make sure you have an impact in Madison on April 28. Plan now for both you and your hospital team—including senior leaders, trustees and volunteers—to attend this important event.
Top of page (11/14/14)
Wisconsin is among the highest performing states for health care in the nation—a reputation built on solid clinical performance and outstanding patient care delivered by dedicated professionals. However, in an environment that is rapidly changing, Wisconsin’s care delivery model must adapt to market forces and demographics. With a looming physician shortage and a growing number of health care professionals aging out of the workforce, multi-disciplinary teams are seen as one way to ensure that care will be accessible, affordable and effective, especially for those with chronic or complex diseases.
On November 12, nearly 200 physicians, nurses, pharmacists and executive leaders participated in the Wisconsin Council for Medical Education and Workforce (WCMEW) conference, "Building a Culture for Patient-Centered Team-Based Care." Representatives from 30 Wisconsin hospitals, health systems and clinics shared their experiences in developing and working in a team-based care model.
"In the challenging health care workforce environment and with the increase in demand for care, we know that one response is to redesign how we deliver care," said Andy Anderson, MD, MBA, Aurora Health Care, who presented a keynote address. "Our world will be focused on value—not volume—and to do that better will require a high-functioning team."
With a goal of building a systems-based, self-improving culture that energizes, empowers and enables caregivers to improve their work and solve problems, Anderson described several techniques and tools that Aurora uses to facilitate team training. One tool they use is a modified TeamSTEPPS curriculum that aligns with current Aurora tools and initiatives (see TeamSTEPPS section at end of this article).
A common outcome reported by all 30 of the organizations that presented on their team’s experience at the conference is increased patient satisfaction. The teams also said they see better outcomes and increased patient and family engagement when care is delivered by a team.
Maureen Smith, MD, MPH, PhD, with the University of Wisconsin School of Medicine and Public Health, also a keynote presenter, said the most successful teams are those that are patient-centered. "The more patient-centered a team is, the more likely they are to meet a common goal of improving quality," Smith said. "Working in a team also decreases burnout, reduces the workload and builds cohesion across the unit."
Jeffrey Miller, DNP, Medical College of Wisconsin, works within a team that serves patients who are diagnosed with HIV or AIDS. This complex patient population offers special challenges, which Miller said are more effectively addressed in a team-based care model.
"We demonstrated that we could keep people healthier by utilizing a team approach to their care, but initially there were barriers. A big one was our team included providers from several disciplines, but not all members of the team had access to the patient’s electronic medical records because there was an additional layer of confidentiality due to mental health entries in their record. However, the (WHA-supported) HIPAA harmonization bill eliminated that barrier," Miller said.
Laura Magstadt, MSN, RN, Ministry Health Care, said the aging population that is commonly served in the Eagle River area gave the team-based hospitalist program at the hospital high marks.
"Patient satisfaction really went in the right direction as we placed the patient at the center of how we provide care," according to Magstadt.
WCMEW Executive Director George Quinn said the knowledge shared at the conference is just the beginning.
"Providers organized as teams to care for patients represent the future of health care. It was impressive to hear such a wide variety of clinicians talk about how they are able to deliver care in an effective and compassionate way," said Quinn. "WCMEW will continue to serve as a catalyst in helping to disseminate team-based care throughout Wisconsin."
WHA Chief Medical Officer Chuck Shabino, MD, and Quinn both participated and helped lead the conference planning committee. Both agreed that through collaborative learning activities and sharing of best practices, Wisconsin hospitals will continue to adopt and expand team-based approaches to care.
Twelve teams presented at the conference, and an additional 18 teams represented in the poster session. More information about the teams will be featured in the November 21 issue of The Valued Voice.
TeamSTEPPS, referenced by a number of the organizations that presented at the Wisconsin Council on Medical Education and Workforce, is one tool that helps facilitate the cultural changes necessary to create and sustain a team-based approach to patient care.
WHA just recently organized an advisory group facilitated by WHA Quality Coordinator Tom Kaster, who is a master trainer in TeamSTEPPS. The goal is to organize a small collaborative of hospitals in Wisconsin that are interested in learning more about TeamSTEPPS. (See www.wha.org/data/sites/1/quality/Quality-TeamSTEPPS-7-11-14.pdf)
"We plan to leverage the knowledge that we have gained to the benefit of all our member hospitals to continue to strengthen Wisconsin’s culture of patient safety," Kaster said.
To learn more about WHA’s TeamSTEPPS activities, contact Kaster at email@example.com or 608-274-1820.
Top of page (11/14/14)
When state budget discussions start after the first of the year in the Legislature, advocating for Medicaid funding will be one of WHA’s top priorities. WHA will continue to aggressively seek adequate payment in this historically underfunded program.
At the November 13 WHA Council on Finance meeting, chaired by Steve Little, president/CEO, Agnesian HealthCare, Joanne Alig, WHA senior vice president, policy and research, reviewed the WHA legislative agenda as it relates to Medicaid and the ever-present problem of cost-shifting unpaid costs of the program to employers and private payers. In 2013, Wisconsin hospitals lost nearly $1 billion serving Medicaid patients.
"The hidden health care tax continues to be an issue for not just our members, but for Wisconsin’s employers," Alig told Council members. "WHA’s goal is to secure adequate funding for hospitals that serve this vulnerable population and cut Wisconsin’s hidden health care tax."
The Greater Milwaukee Business Foundation on Health found earlier this year that hospitals in southeast Wisconsin have reduced expenses significantly, resulting in cost savings to commercial payers. That said, the study noted that uncompensated care and below-cost reimbursement from government payers resulted in 35 percent of the overall cost of commercial coverage. WHA has said this hidden health care tax is becoming an "anchor" on the progress hospitals are making to reduce overall health care costs for Wisconsin employers.
The federal healthcare.gov website opens November 15 for health insurance price and plan comparisons. Alig said a quick review indicates many plans are structured to have high cost sharing amounts in terms of deductibles and copayments. While meeting the goal of added consumerism, unfortunately hospitals too often shoulder the burden of these payments when low income patients are unable to pay these costs. It is important that individuals and families review the silver plan level, because if they are eligible for cost sharing subsidies, they will obtain those benefits through the silver plans.
The federal health insurance exchange re-opens November 15 for annual renewals and new sign-ups. Hospitals and health systems invested considerable resources to help residents in their communities who are uninsured connect with insurance on the exchange in 2014, and many have indicated they will provide the same or even increased level of assistance this year.
With respect to Medicaid payments and reducing the hidden health care tax, WHA continues to work with the Legislature on solutions for improving Medicaid reimbursement. Hospital supporters can add their voices to the discussion by attending WHA 2015 Advocacy Day. The event is April 28, 2015, which coincides with the State Legislature’s budget process. Plan to tell your legislators how their decisions will impact your community hospital when you join with over 500 others during legislative visits that afternoon. Advocacy Day brings together 900 hospital advocates in Madison. Watch for more information in the coming months.
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Children’s Hospital of Wisconsin honored Sen. Luther Olsen (R-Ripon) and Rep. Cory Mason (D-Racine) with the "Children’s Champion" policy award for their efforts to improve children’s health care and well-being.
The Children’s Champion policy award honors public policy leaders in Wisconsin who strive to make a positive impact in the lives of Wisconsin children and families by working to move health and child well-being policy forward.
"It is my honor to work together with my colleagues and Children’s Hospital of Wisconsin, a leader in advocacy for children, to improve the health of Wisconsin¹s children," said Olsen.
"It’s our responsibility to support the policy needs of children, specifically to address child abuse, neglect and infant mortality," said Mason.
"Children’s Hospital of Wisconsin applauds Senator Olsen and Representative Mason for their work in the last several legislative sessions to champion numerous policies to improve health care for children, injury prevention laws, and initiatives to advance child health and social service laws," said Michelle Mettner, vice president, government relations and advocacy, Children’s Hospital of Wisconsin.
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One of the most difficult transitions for a new physician leader is the move from working autonomously and focusing on clinical issues to leading a team with a new approach to managerial decision-making and problem solving. The WHA 2015 Physician Leadership Development Conference will focus on the tools, techniques and skills needed to assist both new and seasoned physician leaders in making that transition.
The 2015 conference, scheduled Friday, March 13 and Saturday, March 14 at The American Club in Kohler, will be led by William "Marty" Martin, PsyD, one of this event’s most popular faculty. He will focus on ways physician leaders can lead strategic innovation and change within the organization. In addition, Barry Silbaugh, MD will help physician leaders focus on moving their perspective and skill set from that of a physician working autonomously to leading a team and influencing others to change. Both Martin and Silbaugh are nationally-recognized faculty from the American Association for Physician Leadership (ACPL), formerly the American College of Physician Executives.
Registration is now open online at http://events.SignUp4.net/15PLD, with a discounted "early bird" registration fee available to those registering by January 15. Additionally, a "host" registration option is available for senior-level hospital representatives (non-physicians) who accompany one or more of their physicians to the conference but do not need CME credit. ACPL is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. ACPL designates this live activity for a maximum of 11 AMA PRA Category 1 Credits.TM Physicians should only claim credit commensurate with the extent of their participation in the activity.
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The Centers for Disease Control and Prevention (CDC) has ordered $2.7 million in personal protective equipment (PPE) to increase Strategic National Stockpile (SNS) supplies to assist U.S. hospitals caring for Ebola patients. Products are being configured into 50 kits that can be rapidly delivered to hospitals. Each kit can provide the PPE needed by clinical teams to manage the care of one Ebola patient up to five days.
Purchases are based on PPE guidance for caring for Ebola patients that was issued by CDC October 20. The kits can be rapidly delivered from the SNS as requested to those hospitals that receive suspected or confirmed Ebola cases but may need additional PPE supplies that otherwise are not immediately available.
Although the number of kits is limited, they will help address short-term PPE needs. Purchases include impermeable gowns, coveralls, and aprons; boot covers; gloves; face shields and hoods; N95 respirators; powered-air purifying respirator systems and ancillaries; and disinfecting wipes.
There are alternatives that can be used in the event certain products are unavailable, and those alternatives are included in CDC’s guidance. CDC continues to coordinate with manufacturers, distributors and health care facilities to monitor the availability of products in the supply chain. No products are being held by manufacturers or distributors specifically for SNS orders, and SNS orders are not being prioritized ahead of orders placed by hospitals.
Hospitals should coordinate with their state public health departments if there is a need to request PPE supplies from CDC to care for an Ebola patient. The state health department will follow the established protocol for submitting this request to CDC. The latest CDC PPE guidance is available at www.cdc.gov/vhf/ebola/hcp/procedures-for-ppe.html.
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The Wisconsin Health Ministries of Ascension Health named Daniel E. Neufelder Ministry Health Care President and CEO, effective December 1, 2014. Neufelder succeeds Nick Desien, who has been in the role since 1999. Desien will continue in his position of Ascension Ministry Market Leader for Wisconsin, Kansas and Oklahoma. In this role, Desien is accountable for providing leadership, support and direction related to the strategic positioning and operational performance of both Ministry Health Care and Columbia-St. Mary’s in Wisconsin, as well as the health ministries in Kansas and Oklahoma.
"Dan has demonstrated a strong dedication to our promise of delivering person-centered care, while keeping our organization focused on operational and performance excellence every day," said Desien. "Dan’s expertise will strengthen our capabilities as a value-based provider in the new health care marketplace and support Ministry and Ascension’s culture of high reliability in both quality and safety."
Neufelder has served as senior vice president – chief operating officer for Ministry Health Care the past two years. Prior to that appointment, since 2006, he was president and chief executive officer of Affinity Health System, a part of Ministry Health Care. He is a past chair of WHA’s Board of Directors, has chaired the WHA Advocacy Committee and Nominating Awards and Bylaw Committee, and has served on the WHA Council on Public Policy and Wisconsin Hospitals Issue Advocacy Council.
Ascension Health Wisconsin includes Ministry Health Care and Columbia St. Mary’s, both based in Milwaukee. The Wisconsin Health Ministries of Ascension Health are part of Ascension.
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Frank Byrne, MD, announced he plans to retire as president of St. Mary’s Hospital January 30, 2015. However, he will remain a member of the board of directors of St. Mary’s Hospital Foundation.
"I want to thank Frank personally for his leadership, both in the hospital and in the community. He is certainly irreplaceable and we wish him, his wife Cindy and their family the very best," said Damond Boatwright, president of hospital operations for SSM Health Care of Wisconsin.
While Byrne’s work inside the hospital is impressive, equally as important is the impact he’s made on the Madison area. Byrne currently serves on the boards of the Madison Community Foundation, the Greater Madison Chamber of Commerce, the Urban League of Greater Madison, the Wisconsin Hospital Association and the Wisconsin Medical Society.
Byrne has been active in a number of professional organizations over the years, which included serving on the Board of Governors of the American College of Healthcare Executives (ACHE) and the board of the American College of Physician Executives (now the American Association for Physician Leadership), which inducted him as a Distinguished Fellow. He also received an ACHE Senior Executive Regents Award. He currently serves on WHA’s Board of Directors and has served on WHA’s Advocacy Committee (2008-2014) and Public Policy Council (2005-2008).
Prior to coming to St. Mary’s in 2004, Byrne held a variety of clinical, administrative and governance leadership roles at Parkview Health in Fort Wayne, Indiana. Early in his career, he practiced pulmonary and critical care medicine in Fort Wayne.
"I may be retiring but I won’t be slowing down," Byrne said. "I look forward to more time to focus on my other passions including music, in addition to continuing to take advantage of all the Madison area has to offer."
SSM Health Care will begin a national search for his replacement immediately.
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Lung cancer is the leading cause of cancer death and the second most diagnosed cancer in both men and women in the United States, according to the Center for Disease Control. In 2011, 14 percent of all cancer diagnoses and 27 percent of all cancer deaths were due to lung cancer. After increasing for decades, lung cancer rates are decreasing nationally, as fewer people smoke cigarettes.
Data from the WHA Information Center found there were 1,920 inpatient admissions and 33,579 outpatient visits in Wisconsin hospitals for the primary treatment or evaluation of lung cancer from July 2013 through June 2014.
* Data provided by the WHAIC (www.whainfocenter.com)
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