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October 25, 2007
Vol. 8, No. 41
Inside This Issue

Annual Convention Oct. 31 - Nov. 2nd

ACROSS THE STATE

Nebraska Hospitals and Governor Heineman salute veterans in health care

Film shows how cultural differences can affect patient care

IN THE NATION

Rising costs alter how Americans use health care

MEMBER NEWS

Celebrating a decade of excellence at The Nebraska Medical Center

Easy measures stop the spread of MRSA and staph from Good Samaritan Hospital

Nepalese man expresses gratitude to Madonna Rehabilitation Hospital after car accident

Alegent Health’s Metro Cancer Centers receive national accreditation

REGULATION WATCH

CMS RFP details plan to implement RACs in all states by March 2008

QUALITY

Study examines factors that contribute to resident errors

EMERGENCY PREPAREDNESS

National strategy for public health and medical preparedness issued

EVENTS

 

NHA Annual Convention is next week

The 2007 NHA Annual Convention brings together hundreds of health care professionals to gain insights on leadership, industry trends, quality excellence and motivation. This event is a great opportunity to discover how your organization can enhance strategic planning and turn aspirations into actions. Learn from nationally-recognized experts who will provide guidance on choosing the right path on a rugged terrain. Among these experts is keynote speaker Fred Lee, author of bestseller If Disney Ran Your Hospital – 9 ½ Things You Would Do Differently.

Network with colleagues and make new business contacts at the NHA Trade Show on Thursday. This year’s Trade Show features more than 85 companies that will introduce you to helpful products and services as well as offer exciting prizes throughout the event. The Convention concludes on Friday with the heartwarming Caring Kind Luncheon. Nebraska hospitals will recognize their finest at this annual celebration of caring with the help of Linda Ball, RN, who will present “You Make a Difference.” In addition, the recipients of the Excellence in Service Award, the Quest for Excellence Award, the Trustee of the Year Award and the graduates of Class IV of the NHA Leadership Institute will be recognized.

The 2007 NHA Annual Convention is an important resource for navigating health care and charting your course for future success. We look forward to seeing you there, Oct. 31 - Nov. 2nd, at the Cornhusker Marriott Hotel in Lincoln, Neb. For more information click here. NOTE: The NHA office will be closed next week from Oct. 31 - Nov. 2 for the Annual Convention, and Newslink will not be published.

 

The Nebraska Hospital Association and Governor Dave Heineman Salute Veterans in Health Care

LINCOLN, Neb. — Kevin Harringer, a flight nurse and paramedic for Regional West Medical Center, in Scottsbluff, Neb., currently serves on the Wyoming Air National Guard. Kevin’s unit transported the second largest number of evacuees from Louisiana after Hurricane Katrina. Daniel Remigio, a volunteer at Madonna Rehabilitation Hospital in Lincoln, Neb., who served in the U.S. Marine Corps from 1942 to 1946 and from 1952 to 1954, was one of the first officers to start an “African-American” Marine Corps Anti-Aircraft Gunnery Battalion.

Kevin Harringer and Daniel Remigio are two of 321 veterans and current service men and women that Nebraska’s hospitals are saluting in the fall edition of the Nebraska Hospital Association’s (NHA) quarterly magazine, Healthier Nebraska, which was released this week. Nebraska’s hospitals were invited to submit the names of veterans and current service men and women who are associated with their organizations.

“Our service men and women are an important part of the health care team,” said NHA President, Laura J. Redoutey, FACHE. “Nebraska’s hospitals need people who are flexible, mission-oriented and who put care for others above all else,” says Redoutey. “These admirable values are exactly what the Armed Forces inculcates in its service men and women who provide excellent leadership in health care delivery.” Read more or view the magazine.


Film shows how cultural differences can affect patient care

OMAHA, Neb. – "Hold Your Breath," a documentary on the challenges of multicultural health care, will have its Omaha premier at 7 p.m. this evening. Presented by the Creighton University Center for Health Policy & Ethics (CHPE) in partnership with Nebraska Educational Television, the showing will take place at the Hixson-Lied Science Building, Room G4, located on the Creighton campus at 27th and Burt Streets. The event is free to the public.

The film follows the dramatic and tragic journey of Mohammad Kochi, an older Afghani refugee living in California. Kochi, who is dying of gastric cancer, must navigate the twists and turns his health care takes as his Islamic world and deep faith in Allah collide with western medicine's scientific focus. Directed by Maren Grainger-Monsen, M.D., and Julia Haslett, the 2005 documentary is the first in what will be an annual CHPE event, titled "Film Program on Healthcare Ethics, Justice, and Culture."

The film will be followed by a panel discussion featuring health care experts, including staff of Creighton's Cancer Counseling Program, a Creighton pharmacy professor and a Stanford University faculty member who participated in the filming of "Hold Your Breath." For more information, call 402/280-2017. For information and educational resources, visit http://chpe.creighton.edu/chpe/holdyourbreath.htm

— National Network of Libraries of Medicine, Creighton University Health Sciences Library, October 17, 2007.

 

Rising costs alter how Americans use health care

More than six in 10 Americans with health insurance reported that they were paying more for their health plan in the past year and of these, 81 percent said the increase caused them to try to take better care of themselves and talk to the doctor more carefully about treatment options and costs. In addition, 64 percent of the respondents to the Health Confidence Survey said they went to the doctor only for more serious conditions or symptoms; 50 percent delayed going to the doctor; and 28 percent skipped or did not fill doses of their prescriptions.

Those results and others led the authors to conclude that rising health care costs are changing the way Americans use the health care system in both positive and negative ways. Read more.

— by Cinda Becker, Modern Healthcare's Daily Dose, October 24, 2007.

 

Celebrating a decade of excellence at The Nebraska Medical Center

OMAHA, Neb. – This month, The Nebraska Medical Center and the University of Nebraska Medical Center are celebrating a decade of excellence - a successful 10-year partnership between the two entities. “Our success did not happen by chance,” said Glenn Fosdick, FACHE, president and CEO of The Nebraska Medical Center. “The hospital board and the medical center leaders had a clear and concise vision from the beginning and we have remained committed to that vision even when facing challenges.”

Before the 1997 merger of the two hospitals, both Bishop Clarkson Memorial Hospital, founded in 1869, and University Hospital, founded in 1917, had each established themselves as leaders in health care. “The first heart transplant, the first kidney transplant and the first dialysis treatment in the state of Nebraska were all performed under Clarkson Hospital programs,” Fosdick said. “University Hospital pioneered the transplantation of peripheral stem cells for lymphoma treatment and performed the first liver transplant in the state. Our partnership with the University of Nebraska Medical Center only makes us a better organization.” Read more.


Easy measures stop the spread of MRSA and staph from Good Samaritan Hospital

Over the last few months, Good Samaritan Hospital’s Infection Control office has been receiving calls from the public about methicillin-resistant Staphylococcus aureus, or MRSA. National news stories have brought this infection to the forefront, and local cases have raised concerns about how someone might acquire MRSA and special considerations for those who have it.

Staphylococcus aureus, often referred to simply as "staph," are bacteria commonly carried on the skin or in the nose of healthy people. Approximately 25 to 30 percent of the population has the bacteria in their nose, but no infection. In the U.S., staph bacteria are one of the most common causes of skin infections. Most of these skin infections are minor (such as pimples and boils) and can be treated without antibiotics. However, staph bacteria also can cause serious infections (such as wound infections, bloodstream infections and pneumonia). Read more.


Nepalese man expresses gratitude to Madonna Rehabilitation Hospital after car accident

LINCOLN, Neb. – When Ram Pathak declares, “I’ve come a long way,” the statement has dual meaning. First, the Nepal native is thousands of miles from his homeland, after relocating to Bellevue, Neb., in 2005, to attend college. Secondly, injuries from a recent car accident sent him to Madonna Rehabilitation Hospital where he’s made extensive inroads on his rehabilitation.

Pathak was driving home June 29, 2007, after a full day of undergraduate classes at Bellevue University and working the evening shift as a telemarketer. He was exiting a ramp on I-80 when the glare off a truck’s headlights caused him to veer left and lose control of his car. His automobile was totaled. Pathak suffered a dislocated hip and damaged his C5-C6 vertebrae. He was hospitalized at Creighton University Medical Center in Omaha, Neb., for three weeks.

“When I came to Madonna, I had no sensory in my left leg and could only shuffle about 25 feet with a walker,” Pathak shared. His therapy team focused on exercises to assist him in building leg strength and regaining balance. Read more.


Alegent Health’s Metro Cancer Centers receive national accreditation

OMAHA, Neb. - The Alegent Health Cancer Center – with locations at all metro-Omaha Alegent Health campuses and the Midwest Cancer Center – has received a three-year Network Accreditation with Commendation from the American College of Surgeons’ Commission on Cancer (CoC). The CoC is a consortium of professional organizations dedicated to improving survival and quality of life for cancer patients through standard setting, prevention, research, education and the monitoring of comprehensive quality care.  Read more.

 

CMS RFP details plan to implement RACs in all states by March 2008

Last week, the Centers for Medicare & Medicaid Services (CMS) issued a request for proposals for contractors to implement its Recovery Audit Contractor (RAC) program beginning in March 2008. Originally, this was a demonstration project in the states of California, Florida and New York. The Tax Relief and Health Care Act of 2006 made the program permanent and instructed the agency to expand the program nationwide by 2010. However, the RFP indicates CMS’ intentions for RACs to review inpatient and outpatient hospital claims for coding errors in all 50 states by March 2008. The rollout timeframe for RAC review of more complex claims reviews, such as review of medical necessity, has not yet been determined. RACs review Medicare claims, and where they identify and collect overpayments they get to keep 25 percent of the dollar amount.

— AHA News Now, October 22, 2007.

 

Study examines factors that contribute to resident errors

Physicians-in-training are more vulnerable than other clinicians to medical errors that stem from poor teamwork, according to a new study by the Agency for Healthcare Research and Quality (AHRQ). Based on a review of closed medical liability claims, the study found that errors in judgment (72 percent), teamwork breakdowns (70 percent), and lack of technical competence (58 percent) were the most common contributing factors in errors involving trainees. Supervision and patient handoff problems were the most common teamwork problems; and both were more common among errors that involved trainees (54 percent) than those that did not (7 percent). Robert Dickler, senior vice president for the Association of American Medical Colleges’ Division of Health Care Affairs, said such studies “are valuable to the academic medical community. They point to areas where further investigation is needed and increase our ability to refine and enhance the educational process.” The study appears in the Oct. 22 Archives of Internal Medicine.

— AHA News Now, October 23, 2007.

 

National strategy for public health and medical preparedness issued

The White House last week issued a directive establishing a National Strategy for Public Health and Medical Preparedness. The strategy focuses on disease surveillance; the stockpile and distribution of vaccines, drugs and other medical countermeasures; mass casualty care; and community resilience. The document creates multiple federal task forces to develop an implementation plan for the strategy. It also directs the Secretary of Health and Human Services to establish an office for emergency medical care, and develop templates that provide “minimum operational plans” to enable communities to distribute and dispense medical countermeasures within 48 hours. The document also directs the Secretary of Homeland Security to establish a mechanism for relaying up-to-date and specific information on public health threats to state and local public health officials, among other actions.

— AHA News Now, October 22, 2007.

 

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.

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

Jefferson Health Care Foundation Holiday Dazzle
November 9, 2007 – Fairbury, NE

Baird Holm Health Law Forum
November 16, 2007 – Omaha, NE

UNMC Mental Health Symposium
November 16, 2007 – Omaha, NE

 

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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