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December 27, 2007
Vol. 8, No. 49
In This Issue

ACROSS THE STATE

Lincoln one of 10 markets for CMS post-acute demonstration

Gaps in mental care transition

Term limits to silence state's Senate speaker

IN THE NATION

Children's health insurance hits wall on growth

MEMBER NEWS

CUMC donates over 19,000 lbs. of food for needy

New CEO named for Ogallala Community Hospital

Henderson Health Care Services commits to healthy lifestyles

Faith Regional hospital physicians receive board certification

REGULATION WATCH

IRS finalizes Form 990, new Schedule H

United Healthcare revises new inpatient admission notification policy

Congress approves extension of Mental Health Parity Act

TECHNOLOGY

Alegent.com goes mobile

Nebraska Methodist Hospital offers "CarePages"

WORKFORCE

Hispanic growth in rural towns creates health care challenges

EVENTS


Lincoln one of 10 markets for CMS post-acute demonstration

The Centers for Medicare & Medicaid Services (CMS) last week identified the 10 markets it will recruit for its voluntary post-acute care provider demonstration. They are: Boston; Chicago; Dallas; Lakeland/Tampa, FL; Lincoln, NE; Louisville, KY; Rapid City, SD; Rochester, NY; San Francisco; and Seattle. CMS also identified nine alternative markets. The demonstration will develop a common patient assessment tool to be used for Medicare beneficiaries upon discharge from general acute hospitals, and upon admission and discharge from post-acute settings, including long-term care hospitals, inpatient rehabilitation facilities, skilled nursing facilities and home health agencies.  Providers will be contacted between January and July, and data collection will begin between late May and early September. For more information contact Barbara Gage, principal investigator at RTI, at pat-comments@rti.org.

—AHA News Now, December 20, 2007.
 

Gaps in mental care transition

Young adults with mental illnesses similar to mall shooter Robert Hawkins' may fall through cracks in the mental health system because of the disconnected smattering of services and providers. Hawkins, the 19-year-old Omahan who killed eight people and himself Dec. 5 at the Von Maur department store at Westroads Mall, had been made a ward of the state in his early teens so he could get psychiatric care. Nebraska spent $265,000 on residential and day treatment for him. Read the full article.

— Karyn Spencer, Omaha World Herald, December 23, 2007.
 

Term limits to silence state's Senate speaker

LINCOLN, Neb. — Ernie Chambers, the 'Defender of the Downtrodden' who can talk bills to death, begins his final session. He is both loved and loathed.

Ernie Chambers, 70, is a former barber and black radical who, through sheer force of will, has become this conservative state's most unlikely power broker. In his nearly four decades in the Legislature, the state senator has mastered the fine art of talking bills to death. "In Washington they call it a filibuster," one legislative leader once joked. "In Lincoln they call it an Ernie." Read the full article.

— Nicholas Riccardi, Los Angeles Times, December 24, 2007.

 

Children's health insurance hits wall on growth

The modest spending increase that Congress approved for a popular children's health insurance program will maintain coverage for those already enrolled, but many lacking insurance will have to look elsewhere. Few expected such a result when 2007 began. Democrats proposed a huge spending increase on the federal-state partnership known as the State Children's Health Insurance Program (SCHIP). Read the full article.

— AP/The Tennessean, December 26, 2007.

 

CUMC donates over 19,000 lbs. of food for needy

OMAHA, Neb. — There were literally mountains of food in Creighton University Medical Center’s (CUMC) Becic Dining room on Thursday, December 20. This year’s Feed the Need food donation drive was a success. Creighton University Medical Center faculty and staff collected 19,445 pounds of food to donate to the Siena/Francis House. Debby Daley with Tenet Corporate said CUMC’s food drive was the biggest Feed the Need food drive this year. “I’m very proud of your hard work and contributions to this year’s Feed the Need campaign,” said CUMC CEO Linda Ollis. Read more.
 

New CEO named for Ogallala Community Hospital

OGALLALA, Neb. — Jim Ferando, Banner Health Western Region president, has named Bob Edwards, MBA, as chief executive officer (CEO) at Ogallala Community Hospital (OCH) in Ogallala, Neb., effective Tuesday, Jan 1. Edwards replaces interim CEO Dena Klockman who will resume her position as chief finance officer (CFO) for the hospital. Klockman recently celebrated 25 years with Banner Health. Read the full news release.

Henderson Health Care Services commits to healthy lifestyles

HENDERSON, Neb. — Effective January 1, 2008, Henderson Health Care Services, Inc. will be promoting a healthy life style program. The program, HeLP, will include a Wellness Winner’s Club available to all employees for participation in events including exercise and/or weight loss. Healthy meal options and snacks will also be implemented.

The second phase will be effective May 1, 2008, when Henderson Health Care Services, Inc. becomes tobacco-free. No tobacco use of any kind will be permitted inside or anywhere on our hospital campus including hospital grounds and parking areas. Henderson Health Care Services, Inc. has been a smoke-free facility for years but will now extend the policy throughout the campus. “We are committed to providing the healthiest environment possible for our patients, residents, employees, visitors and volunteers,” says Cheryl Brown and Marianna Harris, administrators. Read more.
 

Faith Regional hospital physicians receive board certification

NORFOLK, Neb. — Faith Regional Health Services is pleased to announce that three hospital medicine physicians have received board certification in internal medicine. Hospital medicine physicians, commonly referred to as hospitalists, specialize in internal medicine and are trained to provide inpatient care for a wide variety of patients. Read more.

 

IRS finalizes Form 990, new Schedule H

The Internal Revenue Service (IRS) recently released its final revised Form 990 and new Schedule H, which tax-exempt hospitals must use to demonstrate compliance with the community benefit standard. After receiving hundreds of comments from the hospital community and Congress, IRS elected to include Medicare underpayment and patient bad debt on the community benefit reporting form; restored community building programs as a reportable benefit; removed the “burdensome” billing information chart; and delayed for one year the Schedule H filing requirement for any portions unrelated to identifying information. "Hospitals are strongly committed to transparency and accountability. The improvements that IRS made to Schedule H will help communities throughout the nation better understand the incredible range of programs, services and activities that hospitals provide to those they serve every day," AHA President and CEO Rich Umbdenstock said. “We will continue to work with IRS and the Congress to ensure Schedule H reaches it highest potential as a trusted information source for communities everywhere.” Read an AHA Special Bulletin regarding the final Form 990 and new schedule H.

— AHA News Now, December 20, 2007.
 

United Healthcare revises new inpatient admission notification policy

Responding to hospitals’ concerns, United Healthcare yesterday announced it has further revised its new inpatient admissions notification policy to allow contracting hospitals to notify it of all weekend and federal holiday inpatient admissions by the next business day through June 30, 2008. Hospitals will still need to notify United of any weekday admissions within 24 hours in order to receive full reimbursement of their contracted rates. United also said it will conduct a pilot study of 200 facilities to identify and address any operational issues with the new notification requirements. Under the new policy, effective Dec. 3, hospitals that provide notification between 24 hours and 72 hours of admission will see a reduction of 50 percent of the average daily payment rate for each day preceding the notification. If the notification is provided after 72 hours or not at all, the reimbursement reduction will be 50 percent of the contracted rate for the entire admission.


Congress approves extension of Mental Health Parity Act

Congress passed legislation Friday extending the Mental Health Parity Act of 1996 until the end of 2008. Included in the Heroes Earnings Assistance and Relief Tax Act of 2007 (H.R. 3997), the extension will prohibit group health plans that provide medical, surgical care and mental health care from imposing coverage limits on mental health provisions that don’t apply to other types of medical treatment, and imposes a $100 fine per day for violations. The extension does not eliminate a loophole in the 1996 law that allows group health plans to impose higher co-payments, deductibles and coinsurance payments for mental health services.

—AHA News Now, December 21, 2007.

 

Nebraska Methodist Hospital Pathology Center implements robotic diagnostic system

When a potentially life-changing diagnosis is at stake, patients and physicians want test results from the lab to be quick and accurate. New equipment at The Pathology Center at Methodist Hospital is helping to provide such results.

The Pathology Center has implemented a robotic diagnostics system that automates laboratory testing procedures while significantly reducing the potential for error. Robotics automatically move bar-coded specimens along the testing track. The process automatically forwards normal test results and most abnormal test results that are auto-verified by the laboratory computer system to the physician who ordered the testing. Auto-verification can also trigger automatic retesting and can signal a technologist for further intervention with the specimen. Read more.

 

Alegent.com goes mobile

OMAHA, Neb. — Alegent Health is once again taking the lead in the nation in health care technology by making it possible for consumers on the go to receive breaking health news headlines, updates, directions—even pictures of newborns delivered at area Alegent hospitals. Alegent.com recently launched a new site that’s exclusive for consumers with mobile handheld devices including Smart Phones and PDAs to access. Read more.
 

Nebraska Methodist Hospital offers "CarePages"

OMAHA, Neb. — Families and friends of patients at Methodist Hospital now have a way to stay in touch via the internet through CarePages. CarePages are free, private Web pages that allow patients and their families to post patient condition and progress without having to place numerous telephone calls. Patients can receive messages of support, post photos and send compliments to caregivers.

“This service is beneficial to both patients and those who care about them,” said Roger Hertz, vice president of information technology at Methodist Health System. “Updates are provided when patients and their families feel it is appropriate. Likewise, family and friends can keep up with a patient’s progress without making repeated telephone calls.” Read more.

 

Hispanic growth in rural towns creates health care challenges

HANOVER, Pa. (AP) — Encouraging Hispanics to get flu shots in this rural community near the Maryland border proved a tough job for Gino Salazar. Whenever the part-time community health worker at Hanover Hospital told Hispanic residents about the hospital's vaccination clinics, they resisted, fearing the shots would make them sick. But when the hospital took the clinics to churches with predominantly Hispanic congregations--with Peru native Salazar making a pitch at Sunday services--they came in droves. "We thought if they saw one person going in (for a shot), then everybody would start coming in," Salazar said. "It became a mass vaccination."  Read the full article.

— High Plains/Midwest Ag Journal, December 19, 2007.

 

Implementation of an EMR in a Community Hospital Webinar
January 9, 2008

Ensuring Compliance: The 30 Patient Safety Practices for Better Health Care Webinar
January 10, 2008

Chargemaster Pricing, Charge Compression and Devices Webinar
January 15, 2008

Smoke-free Lobby Day
January 22, 2008 – Lincoln, NE

Preventing Health Care Associated Infections Webinar
January 29, 2008

Recent Stark II Developments Impacting Hospitals - Reporting and Phase II Webinar
January 31, 2008

The Joint Commission Medical Staff Standards: 2008 Update Webinar
January 31, 2008

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. Send news items to Christy Rasmussen, director of communications, at crasmussen@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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