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November 15, 2007
Vol. 8, No. 43
Inside This Issue

ACROSS THE STATE

Nebraska's representatives signed Tubb Jones/Porter letter

IN THE NATION

FCC announces $400 million rural telehealth program

CBO reports on health care spending outlook

2007 "Country Doctor of the Year" leaves retirement to save rural hospital

MEMBER NEWS

Great Plains Regional Medical Center CEO named a "Woman of Achievement"

Faith Regional Health Services Recognized for Quality and Excellence

Good Samaritan Hospital announces soon to be tobacco-free campuses

First in Midwest: Repair of thoracic aneurysm under local anesthesia performed at The Nebraska Medical Center

REGULATION WATCH

CMS delays provisions of Phase III Stark rule

QUALITY

A study at The Nebraska Medical Center shows community-acquired MRSA is thriving in Nebraska

Joint Commission: Hospitals make strides in patient safety

TECHNOLOGY

Confusing terms prompt call for health IT glossary

HHS takes new steps to advance health IT

WORKFORCE

President vetoes Labor-HHS appropriations bill

Slice: Nursing student gets ready to "stick it to ya"

UNMC welcomes 177 new students in School of Allied Health Professions

 

EVENTS


Caring Kind award recipient photos are now available. Click here for more information.

Nebraska's representatives signed Tubb Jones/Porter letter

As of November 12, 2007, 307 members of the U.S. House - including all three of Nebraska's members - signed the letter urging the IRS to revise its proposed Form 990 Schedule H to allow for reporting the full value of hospital community benefits, including Medicare underpayments and bad debt. NHA thanks those hospitals who weighed in with their lawmakers on their concerns as well as our Nebraska Congressional Delegation for their responsiveness and support of this issue.


FCC announces $400 million rural telehealth program

The Federal Communications Commission (FCC) will provide $400 million to create broadband telehealth networks to expand access to health care in rural and underserved communities, the agency announced Tuesday. The Rural Health Care Pilot Program will facilitate telemedicine programs in 42 states and three U.S. territories. Program participants will receive funding to bolster existing telehealth networks or support up to 85 percent of the costs to design, engineer and construct innovative and efficient broadband systems, the agency said.

— AHA News Now, November 13, 2007.


CBO reports on health care spending outlook

Absent any change in federal law, U.S. spending on health care would climb from 16 percent of gross domestic product (GDP) to one-quarter by 2025 and 49 percent by 2082, the Congressional Budget Office (CBO) projected yesterday. The Medicare and Medicaid portion of health care spending would grow faster than the overall rate, from 4 percent of GDP in 2007 to 7 percent in 2025 and 19 percent in 2082, the CBO said. CBO cautions that “significant uncertainty” surrounds such long-term projections and that growth “could turn out to be substantially higher or lower.” The agency said federal policy options to slow Medicare and Medicaid spending growth include reducing payment rates, financial incentives to encourage cost-effective care, and greater bundling of payments to cover all of the services associated with a treatment, disease or patient.

— AHA News Now, November 14, 2007.


2007 "Country Doctor of the Year" leaves retirement to save rural hospital

IRVING, Texas – In December, 2006, Pike County Memorial Hospital in rural Murfreesboro, Ark., had three physicians on its staff. By January, 2007, it had none. The only hospital in the county and the second largest employer in town was faced with imminent closure. An 81-year-old physician came out of retirement, working around the clock to maintain care and save the hospital. Read the full story.

 

Great Plains Regional Medical Center CEO named a "Woman of Achievement"

November 3, The North Platte Telegraph sponsored the first "Head 2 Toe Women's Expo", which named the 2007 Women of Achievement (WOA). The event honored women who have made significant contributions to their community. "The WOA began as a recognition to honor our local women who have made great contributions to our community," said Telegraph Business Manager, Pat Snyder. They have demonstrated leadership, worked to improve the quality of life, and have a tremendous commitment to service in North Platte."

Cindy Bradley, CEO of Great Plains Regional Medical Center, was selected as the Woman of Achievement for the business category. “She has touched many people in the community,” said Pat Keenan, North Platte resident, who nominated Bradley for the award. “Through her vision and commitment to quality, the administrator of Great Plains Regional Medical Center has helped bring GPRMC from a rural hospital to a regional medical center serving more than 198,000 patients every year.” The NHA congratulates Ms. Bradley.

— Diane Wetzel, The North Platte Telegraph, November 4, 2007.


Faith Regional Health Services Recognized for Quality and Excellence

OMAHA, Neb. – Blue Cross and Blue Shield of Nebraska is pleased to recognize Faith Regional Health Services of Norfolk, Neb.,  for its commitment to delivering the best health care possible to people living in northeast Nebraska. Because of this achievement, Blue Cross and Blue Shield of Nebraska honors Faith Regional Health Services with the first Blue Cross and Blue Shield of Nebraska 2007 Recognition for Quality award.

The Recognition for Quality awards stem from Blue Cross and Blue Shield of Nebraska’s desire to recognize and reward network providers for their participation and achievement in an established range of health care quality improvement initiatives. These standards have been set by the federal government, health insurers, national health care and medical professional organizations. They are used to measure, report, improve and monitor the care given to their patients, our members. Read more.

— Blue Cross and Blue Shield of Nebraska news release, November 6, 2007.


Good Samaritan Hospital announces soon to be tobacco-free campuses

KEARNEY, Neb. – To mark the 31st anniversary of the Great American Smokeout today, November 15, Good Samaritan Hospital has announced that it will implement a policy making all of its campuses tobacco-free on January 1, 2008.

“Becoming a tobacco-free entity is another way we can carry out our mission of creating healthier communities,” said John W. Allen, president and CEO of Good Samaritan Hospital. “While we know that creating and supporting a tobacco-free campus will require significant change for many, it’s simply the right thing to do when it comes to health,” Allen said. Effective January 1, 2008, the use of all tobacco products on Good Samaritan Health Systems properties will be prohibited. Read more.


First in Midwest: Repair of thoracic aneurysm under local anesthesia
performed at The Nebraska Medical Center

OMAHA, Neb. – Dwight Bowers remembers listening to his doctors and nurses talk amongst themselves during a recent surgery. The surgery was to repair a life threatening aneurysm located in his thoracic aorta, the body’s largest artery. “I knew from what the surgeons told me that it was rare to be awake during this type of surgery,” said the 50-year-old from Dannebrog, Neb. “So, that made me want to concentrate all the more on what my doctors were saying.” Read the full article.

 

CMS delays provisions of Phase III Stark rule

The Centers for Medicare & Medicaid Services (CMS) will publish a final rule Nov. 15, delaying by one year certain limits affecting the compensation arrangements that academic medical centers (AMC) and nonprofit “integrated health care systems” may have with affiliated physician organizations. The limits were included in the “stand in the shoes” provisions of the Phase III Stark final rule on physician self-referral, which takes effect Dec. 4. The new rule delays the specified provisions to Dec. 4, 2008 only for these organizations so CMS can fully evaluate their impact within AMCs and 501(c)(3) integrated health care systems. It cites the potential for “significant disruption” in the health care field if the provisions required many compensation agreements that previously did not trigger application of the physician self-referral law to satisfy the requirements of an exception.

— AHA News Now, November 13, 2007.

 

A study at The Nebraska Medical Center shows community-acquired MRSA is thriving in Nebraska

OMAHA, Neb. - Newspaper and television reports have recently been full of tragic stories about persons succumbing to a bacterial infection caused by community-acquired methicillinresistant Staphylococcus aureus (S. aureus), also known as CA-MRSA. However, there has been little data reported regarding the prevalence of this bug in Nebraska.

Recently, a team of researchers at The Nebraska Medical Center reported their findings that indicate CA-MRSA is thriving in Nebraska, but contrary to some of the hype, most infections caused by CA-MRSA are relatively mild skin and soft tissue ailments that can be treated fairly easily. Read more.


Joint Commission: Hospitals make strides in patient safety

The performance of accredited hospitals on quality measures for heart attack, heart failure, pneumonia and surgical care continues to improve, but gaps in overall performance remain, according to the Joint Commission’s second annual report on hospital quality. For example, Commission-accredited hospitals provided smoking cessation advice to 89.4 percent of patients admitted with pneumonia in 2006, up from 37.2 percent in 2002. They also demonstrated 90 percent or more compliance with 10 of 16 national patient safety goal requirements that address issues such as medication safety, caregiver communication and preventing patient falls. Scores in other areas suggest need for improvement, the Commission added. For example, hospitals prescribed ACE inhibitors at discharge for patients with heart failure or heart attack just 64 percent and 56 percent of the time, respectively. The report, which examines 22 national quality measures and seven patient safety goals, also found significant variability by state and between hospitals.

— AHA News Now, November 12, 2007.

 

Confusing terms prompt call for health IT glossary

A "cacophony" of competing and confusing definitions, with terms often used interchangeably, is hampering progress toward a nationwide health information network, according to the National Alliance for Health Information Technology (IT) and the Health and Human Services Department (HHS).

On behalf of the alliance, HHS called for help in defining key health IT words, such as "electronic medical record" and "electronic health record." The alliance is working with HHS to compile a glossary by March 2008. Read more.

— Aliya Sternstein, National Journal's Technology Daily, November 9, 2007.


HHS takes new steps to advance health IT

Health and Human Services (HHS) Secretary Mike Leavitt announced Tuesday that the department, through the Centers for Medicare & Medicaid Services (CMS), is proposing rules to adopt new standards to advance the use of electronic prescribing (e-prescribing) for formulary and benefit, as well as medication history transactions used under the Medicare prescription drug benefit. The Medicare Modernization Act of 2003 requires CMS to adopt final standards for e-prescribing. All providers and pharmacies transmitting prescriptions electronically for Medicare-covered drugs are required to comply with any CMS standards in effect. Read more.

— HHS News, November 13, 2007.

 

President vetoes Labor-HHS appropriations bill

As expected, President Bush vetoed legislation funding federal Labor, Health and Human Services (HHS) and Education programs for fiscal year 2008, saying the bill “spends too much.” HHS appropriations in the Congress-passed spending agreement included $2.2 billion for Ryan White AIDS programs, $683 million for the Maternal Child Health Block Grant program, $444.24 million for hospital preparedness grants, $307 million for Children’s Hospital Graduate Medical Education, $293.52 million for State Survey and Certification, $167.65 million for nursing programs, $145.4 million for rural health programs and $3 million for trauma care. A two-thirds majority in both chambers of Congress would be needed to override the veto. FY 2008 began Oct. 1. A continuing resolution funding federal programs at fiscal year 2007 levels expires Dec. 14, 2007.

— AHA News Now, November 13, 2007.


Slice: Nursing student gets ready to "stick it to ya"

This sure would be a bad moment to fumble. Jill Sears held a hypodermic needle beside a bare arm. Time to ignore the nerves and plunge ahead. Sears thought about what she had been taught. Slide it in quickly with a motion similar to thrusting a dart toward a dartboard. She arrived at this point from a desire to help others. And helping would involve the power — actually, the requirement — to hurt others from time to time.

The country girl from southeastern Nebraska has wanted to be a nurse since high school. There was no life-changing moment. Sears, 22, just enjoys caring for people. She knew nursing would be right for her. Nothing in her first semester as a University of Nebraska Medical Center nursing student has changed that belief — certainly not the fact that she will have to plunge needles into arms. Read the full article.

— Rick Ruggles, Omaha World Herald, November 11, 2007.


UNMC welcomes 177 new students in School of Allied Health Professions

The University of Nebraska Medical Center’s (UNMC) School of Allied Health Professions (SAHP) welcomed 177 new students this fall. The SAHP at UNMC offers 10 educational programs leading to careers in the following health professions: clinical laboratory science, clinical perfusion, cytotechnology, diagnostic medical sonography, medical nutrition, nuclear medicine technology, physical therapy, physician assistant, radiation therapy and radiography. Allied health is the collective name given to more than 200 health-related professions. Read more.

 

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

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

Final CY 2008 Hospital Outpatient PPS Update Webinar
December 4, 2007

Nursing Law Update 2007 Webinar
December 7, 2007

Technical Component of Evaluation and Management (E/M) Coding Webinar
December 13, 2007

Integrating Palliative Care Into Long-Term Care Seminar
December 13, 2007 – Lincoln, NE

Click here for a list of upcoming NHA audioconferences and webinars.

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 in Newslink or 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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