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October 11, 2007
Vol. 8, No. 39
Inside This Issue

ACROSS THE STATE

Journal Star: SCHIP needs Nebraska delegation

UNMC rural recruitment program successful

Rural health safety net funding update

IN THE NATION

House panel approve mental health parity measure

Study examines latest changes in health insurance coverage

Many U.S. Hispanics struggle with health care system

MEMBER NEWS

Good Samaritan and Alegent commemorate Patient-Centered Care Month

Immanuel Medical Center marks 120 years of healing

Economic development grant will benefit Beatrice hospital

FAMC offers safe "trick-or-treating" tips

REGULATION WATCH

NPI required in January on Medicare fee-for-service claims

New Stark regulations and physician recruiting

QUALITY

National effort to measure and report on quality and cost unveiled

WORKFORCE

Hospital employment climbs 0.33 percent in September

Program helps war vets find health care jobs

EMERGENCY PREPAREDNESS

Web site offers pandemic planning resources

WEB SITE

Go Local Nebraska Web site links consumers to quality health information

EVENTS

 

Journal Star: SCHIP needs Nebraska delegation

The four Republicans in Nebraska’s congressional delegation need to return to our state’s fine tradition of responsible, pragmatic problem-solving when it comes to the controversial issue of providing health care for children.

That means standing up against President Bush’s veto of legislation that would have expanded the successful State Children’s Health Insurance Program (SCHIP). Bush has chosen this issue to draw a line in the sand against the program on the basis of ideology, saying, “I believe in private medicine, not the federal government running the health care system.” Nebraskans should take a cue from fellow Republican Sen. Charles Grassley of Iowa, who said, “The bill is not a government takeover of health care. The bill is not socialized medicine. Screaming ‘socialized medicine’ during a health care debate is like shouting ‘fire’ in a crowded theater. It is intended to cause hysteria that diverts people from looking at the facts. To those of you who make such outlandish accusations, I say, go shout ‘fire’ somewhere else. Serious people are trying to get real work done. Now’s the time to get this done.”

Read the full editorial or read a related article by Sen. Ben Nelson.

— Lincoln Journal Star, October 7, 2007.


UNMC rural health recruitment program proves successful

A 15-year study of the University of Nebraska Medical Center’s Rural Health Opportunities Program (RHOP) released this month indicates that 57 percent of graduates are practicing in Nebraska rural communities and 10 percent are practicing in rural communities in other states. The RHOP program is a collaboration between Chadron State College, Wayne State College and UNMC. Read more.


Rural health safety net funding update

Acting Agriculture Secretary Conner announced the selection of 78 grant recipients for Distance Learning and Telemedicine grants totaling $22.3 million in 31 states. The U.S. Department of Agriculture (USDA) Rural Development's mission is to increase economic opportunity and improve the quality of life for rural residents. Rural Development has invested more than $76.8 billion since 2001 for equity and technical assistance to finance and foster growth in home ownership, business development, and critical community and technology infrastructure. More than 1.5 million jobs have been created or saved through these investments. Nebraska organizations receiving grants include: Faith Regional Health Services $149,435; Good Samaritan Hospital Foundation $116,952; Educational Service Unit No. 17 $500,000; and Educational Service Unit No. 8 $474,424. For more information visit the USDA's Web site.

— Nebraska Rural Health Association, E-News, October, 2007.

 

House panel approves mental health parity measure

(CQ Today) – A House subcommittee approved a mental health coverage parity bill Wednesday, advancing it to consideration before the full Energy and Commerce panel. Before the Health Subcommittee approved the measure (HR 1424) by voice vote, Democrats defeated several Republican amendments that would have made the bill more like legislation (S 558) the Senate passed last month. Both bills would require health insurers that offer mental health benefits as part of an insurance plan to make them equal to traditional medical and surgical benefits. The Senate bill, which has the support of business and industry, is less prescriptive in what it would require insurers to cover. The House legislation goes further, with a broader definition of what constitutes mental illness. It also has an earlier implementation requirement.

— Nebraska Chamber of Commerce Daily Update, October 11, 2007.


Study examines latest changes in health insurance coverage

The proportion of non-elderly Americans with health insurance declined to 82.1 percent in 2006, according to a new study of Census Bureau data by the Employee Benefit Research Institute. Based on the Bureau’s March 2007 Current Population Survey, 62.2 percent of U.S. residents under age 65 had employment-based health benefits last year, while Medicaid and the State Children’s Health Insurance Program (SCHIP) covered 13.4 percent. “It appears that 2005 might be the beginning of a new trend, where the erosion in employment-based coverage is not being offset by expansions in public programs,” the report concludes. Last year, nearly two-thirds of uninsured workers were self-employed or working in private-sector firms with fewer than 100 employees, the study notes. One-third of the uninsured were in families earning less than $20,000 a year.

— AHA News Now, October 8, 2007.


Many U.S. Hispanics struggle with health care system

Geographic locale and language weigh heavily on U.S. Hispanics' ability to get good health care, and many have difficulty navigating the health care system, according to a study. Read the full article.

— Washington Post, Oct 10, 2007.

 

Good Samaritan Hospital and Alegent Health commemorate Patient-Centered Care Awareness Month

Good Samaritan Hospital in Kearney and Alegent Health in Omaha are joining other hospitals nationwide in commemorating the first annual Patient-Centered Care Awareness Month this October. The awareness building campaign will pay tribute to hospitals that are complementing their clinical capabilities with a patient-centered approach to care that prioritizes patient comfort, dignity, empowerment and well-being. Recognizing statewide efforts to foster a more patient-centered health care experience, Governor Dave Heineman signed a proclamation this morning commemorating Patient-Centered Care Awareness Month in Nebraska and acknowledging Good Samaritan Hospital and Alegent Health’s commitment to practicing patient-centered care.

“While we are delighted to participate in Patient-Centered Care Awareness Month this October, in reality, at Good Samaritan Hospital, every month is patient-centered care month,” said Carol Wahl, vice president of patient services at Good Samaritan Hospital. “We are routinely considering ways to enhance everyday interactions with patients, clinical processes, and our physical environment to ensure that our patients feel well cared for, informed, and empowered to take charge of their own health and wellness.” Read more.


Immanuel Medical Center marks 120 years of healing

OMAHA, Neb. – From its humble beginnings in 1887, Immanuel Medical Center has been a beacon of hope and place of healing for the body, mind and spirit of every person in its care for patients living in north and northwest Omaha and surrounding areas. Today, Immanuel Medical Center is one of Alegent Health’s flagship medical centers and is committed to remaining a vital asset to the community for many years to come. This is demonstrated through Alegent Health’s recent announcement of a major renovation and expansion project.

The Alegent Health family invited the community to mark 120 years of the Immanuel Healing Experience by attending the Service of Celebration this Wednesday at the Holling Center on the hospital’s campus. Bishop David deFreese of the Nebraska Synod, Evangelical Lutheran Church of America, delivered the message and benediction at the celebration. Read more.


Economic development grant will benefit Beatrice hospital

The U.S. Department of Agriculture (USDA) announced on Sept. 26 that Norris Public Power District received a $300,000 grant through the Rural Economic Development Loan and Grant Program. Norris was one of 30 recipients resulting in $16.6 million in loans and grants that were awarded. The grant will assist the Beatrice Community Hospital and Health Center in the addition of an in-house MRI scanner.

Norris will establish a revolving loan fund to promote rural economic development and to assist other eligible recipients after the hospital repays the loan. The Rural Economic Development Loan and Grant Program provides zero-interest loans and grants to Rural Development utility program borrowers, which in turn re-lend the money at zero interest to local entities to promote economic development. Andrea Schafer, manager of public relations and economic development, stated “Norris is among an elite group of recipients and is extremely excited to receive the grant. Norris will now be able to play a bigger role in rural economic development and we look forward to assisting other recipients in the future.”

— Norris Public Power News Release, September, 2007.


FAMC offers safe "trick-or-treating" tips

FREMONT, Neb. –  Fremont Area Medical Center (FAMC) Emergency Department physicians hope to see few trick-or-treaters due to Halloween hazards. “We’re not too worried about minor stomach aches caused by eating too much candy,” says Dr. Curtis Batten, FAMC emergency physician, “but we do see some kids with eye injuries from sharp objects and injuries from incidents with motor vehicles.” To ensure a safer Halloween, click to read Batten's suggestions.
 

NPI required in January on Medicare fee-for-service claims

Beginning Jan. 1, the Centers for Medicare & Medicaid Services (CMS) will require hospitals and other health care providers to use a National Provider Identifier (NPI) when they bill Medicare fiscal intermediaries and Medicare Administrative Contractors, the agency said in a notice this week. Claims that contain only a legacy provider identifier in their primary fields will be returned as "unprocessable," the agency said. CMS said it was taking the “next step towards full implementation of the NPI” because the vast majority of institutional providers already include the NPI on their Medicare claims. Providers may include both an NPI and legacy identifier in the primary fields through April 2008. However, CMS recommends they submit at least some claims with only an NPI to assure their claims will process successfully when an NPI alone is required, beginning May 1, 2008.

— AHA News Now, October 5, 2007.


New Stark regulations and physician recruiting

In September of this year the Center for Medicare and Medicaid Services (CMS) released final regulations implementing Phase III of the Stark Law. These regulations include provisions pertaining to physician recruiting arrangements.

In particular, they amend previous Stark physician recruiting regulations that were released in 2004. One of the 2004 regulations stipulated that a hospital funding recruitment for an existing medical group could only pay for “additional incremental expenses” that accrue to the group because of the new physician. It could not pay for a pro-rated share of the group’s fixed overhead expenses such as office rent, equipment, or personnel, unless such expenses were a direct result of the new physician joining the group. Read more.

— Merritt, Hawkins & Associates, October 9, 2007.

 

National effort to measure and report on quality and cost unveiled

A broad-based group of health care organizations and health quality experts kicked off a national effort to help improve the quality of U.S. health care. The Robert Wood Johnson Foundation (RWJF) will provide nearly $16 million in grants to develop and test a single national approach to bring consistency to efforts to measure and report information on the quality and cost of care that patients receive. The project will combine data from many different national health plans to provide a broader picture of physicians' care across their entire practices. Read more.

— Robert Wood Johnson Foundation, October 3, 2007.

 

Hospital employment climbs 0.33 percent in September

Employment at the nation's hospitals rose 0.33 percent in September to a seasonally adjusted 4,565,400 people, the Bureau of Labor Statistics reported today. That's 14,800 more than in August and 113,700 more than a year ago. Without seasonal adjustment, which removes the effect of fluctuations due to seasonal events, those numbers show hospitals employed 4,566,000 people in September—5,000 more than in August and 114,900 more than a year ago. The nation's overall unemployment rate rose by one-tenth of a percentage point in September to 4.7 percent.

— AHA News Now, October 5, 2007.


Program helps war vets find health care jobs

Among the many challenges facing health care today, staffing shortages top the list. A new organization hopes to ease the suffering through simple matchmaking. Hire Heroes, a group formed by the Health Careers Foundation, aims to pair wounded veterans with health care organizations desperately in need of employees. Program organizers got the idea after seeing soldiers survive wounds that would have been critical or fatal in past wars thanks to significant medical advances. Read more.

— Amy Lillard, Hospitals and Health Networks.

 

Web site offers pandemic planning resources

A new Web site can help community and state public health planners prepare for a flu pandemic. PandemicPractices.org brings together more than 130 peer-reviewed practices from four countries, 22 states and 33 counties. Compiled by the Center for Infectious Disease Research & Policy and the Pew Center on the States, the site highlights approaches that communities have developed to address three key areas: altering standards of clinical care, communicating effectively about pandemic flu and delaying and diminishing the impact of a pandemic. Among other topics, the searchable database includes practices that showcase how to manage scarce resources during a pandemic, share core messages in multiple languages, safeguard vulnerable populations, provide medical care when hospitals and clinics are overwhelmed, teach people to care for ill family members at home and engage schools to reduce the spread of illness.

— AHA News Now, October 8, 2007.

 

Go Local Nebraska Web site links consumers to quality health information

Go Local Nebraska (http://medlineplus.gov/nebraska) is a cooperative initiative among the National Library of Medicine (NLM), the McGoogan Library of Medicine at the University of Nebraska Medical Center (UNMC), and Nebraska’s public libraries to connect Nebraskans to vital health resources. Go Local Nebraska includes Web sites, contact information and service descriptions for hospitals, physicians, nursing homes, support groups and many other health resources.

A unique feature of Go Local Nebraska is its cooperation with the nationally recognized Consumer Health Information Resource Service (CHIRS), which has existed for more than 20 years. This free service, provided by medical librarians from the UNMC McGoogan Library of Medicine, allows Nebraskans to request health-related information about any health condition or concern. Medical librarians research the condition and provide a tailored package of information that may include: journal articles, book chapters, pamphlets and Web resources. This service is linked from within Go Local Nebraska, but can also be accessed at http://www.unmc.edu/library/consumer. For more information, visit the Go Local Nebraska Web site at http://medlineplus.gov/nebraska. Read the full article.

 

NHA 2007 Annual Convention and Trade Show
October 31-November 2, 2007 – Cornhusker Marriott Hotel, Lincoln, NE
"Pathways: Navigating the Nature of Health Care." The NHA's Annual Convention is Nebraska's largest gathering of health care professionals.

Mental Health and Substance Abuse Interpreting Specialty Workshop
October 15, 17, 22 and 24 – Omaha, NE
Center for Transcultural Learning

National Framework and Preferred Practices for Quality Palliative Care: Raising the Bar
October 16, 2007 – Audioconference
Sponsored by the Center to Advance Palliative Care

York General Health Care Services Breast Cancer Survivor Night Out
October 16, 2007 – York General Hospital

Fall Workers' Compensation Seminar
October 17, 2007 – Great Plains Regional Medical Center, North Platte, NE
October 18, 2007 – Farm Bureau Office, Lincoln, NE

NHA Critical Access Hospital Conference on Quality
October 18, 2007 – Holiday Inn & Convention Center, Kearney, NE
For more information contact Monica Seeland, NHA vice president of quality initiatives, at 402/742-8152 or mseeland@nhanet.org

Clinical Spanish Communication
October 18, 2007 – Omaha, NE 
For clinical or administrative health care professionals with intermediate level Spanish speaking skills. Sponsored by the Center for Transcultural Learning.

York General Health Care Services Diabetes Fair
November 1, 2007 – York Medical Clinic

Jefferson Health Care Foundation Holiday Dazzle
November 9, 2007

 

Visit the Events page on the NHA Web site for more information on any of the events. If you have an event you would like listed on the NHA Web site, submit it to Heather Bullock, marketing and events coordinator, at hbullock@nhanet.org

 


NHA Newslink is published by the Nebraska Hospital Association, 3255 Salt Creek Circle, Suite 100, Lincoln, NE 68504-4761. Phone 402/742-8140, Fax 402/742-8191. Contact Christy Rasmussen, director of communications, at 402/742-8151, or email, crasmussen@nhanet.org


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