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March 11, 2008
Vol. 9, No. 10
In This Issue

ACROSS THE STATE

Officials approve agreements for proposed UNMC College of Nursing division in Norfolk

Senate hopeful Mike Johanns praises Nebraska's health care providers

Gov. Heineman declares March as Wellness Month in Nebraska

Flu cases rise, but may be near peak

IN THE NATION

Survey examines hospitals’ perception of large insurers

House passes mental health parity bill

States see bigger hit from Medicaid changes

MEMBER NEWS

Franklin County Memorial hospital plans $4.1 million construction project

Dad, serving in Iraq, witnesses birth of son at Good Samaritan Hospital in Kearney

Lincoln sisters represent Nebraska as ambassadors in national program

Falls City plans new hospital project

BryanLGH East plans women’s/children’s tower

FAMC presents free health fair in Dodge on March 27

CUMC and the Tenet Foundation Donate $10,000 to Omaha Community Health Center

Grant opportunities alert

National Healthcare Decisions Day

REGULATION WATCH

Committees pass budget plans that exclude Medicare, Medicaid cuts

HEALTH IT

Syracuse hospital receives loan for computers, software

Report finds 30 percent of physicians in Nebraska use EHRs

Nebraska ranks 43rd in e-prescribing

 WORKFORCE

Bill targets need for nurse educators

 

EVENTS


University of Nebraska Board of Regents approve agreements for proposed UNMC College of Nursing division in Norfolk

The University of Nebraska Board of Regents approved two agreements last week taking significant steps toward the establishment of a University of Nebraska Medical Center (UNMC) College of Nursing division in Norfolk.

The Omaha-based college has divisions in Lincoln, Kearney and Scottsbluff. The Joint Affiliation and Operating Agreement and Academic Affiliation Agreement establish formal agreements among the Board of Regents, Northeast Community College (NCC) and Faith Regional Health Services relating to the establishment of the nursing division.

The agreements implement the conditions, commitment and expectations in funding, academic affiliation and operations. The agreement also stipulates termination provisions for the Board of Regents and Northeast Community College if financial or other conditions are not met. The Joint Affiliation and Operating Agreement defines funding responsibilities by leaders of Northeast and North Central Nebraska communities, including construction of a facility. The Academic Affiliation Agreement spells out program curricula, enrollment, clinical arrangements and other academic matters. Read the full article.

— UNMC news release, March 7, 2008.

 

Senate hopeful Mike Johanns stops in Lexington, praises Nebraska's health care providers

"The war on terrorism is fundamental to our future," Mike Johanns said Monday morning of last week. Johanns, the United States Secretary of Agriculture for the last three years and former governor of Nebraska, made a trip to south central Nebraska and made a stop in Lexington Monday as part of his campaign tour. Last October, Johanns learned that Chuck Hagel would not seek reelection to the U.S. Senate and decided he would campaign for the position himself.

When asked what his focus would be if he wins the bid for office, Johanns said that he wanted to work on providing opportunities for growth in Nebraska's rural communities. "Agriculture is important," he said.  He also commented, "Health care will continue to be an issue. I will support federal policies that support our communities, our doctors and our hospitals." Johanns commented that we are blessed in Nebraska to have excellent health care and...outstanding health services are never too many miles away. Read the full article.

— Danny Gruber, Lexington Clipper Herald, March 5, 2008.

 

Gov. Heineman declares March as Wellness Month in Nebraska

LINCOLN, Neb. — Gov. Dave Heineman last week signed a proclamation declaring March as "Wellness Month" in Nebraska. Throughout the month, the Governor will be highlighting efforts that promote wellness in Nebraska, emphasizing wellness at school, work, home and in local communities. “It’s our goal to create a culture of wellness across the state,” Gov. Heineman said. “By changing our mindset, we can surround Nebraskans with wellness and improve our already good quality of life. This applies to everyone, young and old.”

Dr. Joann Schaefer, chief medical officer for the state, said, “Surrounding children with wellness at school, adults at work, communities where people live and reminding folks of the importance of choices they make at home is the cornerstone to achieving better health in Nebraska. Wellness emphasizes four components: prevention, active lifestyles, good nutrition and stress management.”  As a major employer in Nebraska, the state is trying to lead by example with LB 884, introduced by Sen. Tim Gay of Papillion, which would give the administration more flexibility to design an innovative and dynamic wellness component to the state employees’ health insurance program. Read more.

— Governor Dave Heineman news release, March 3, 2008.

 

Flu cases rise, but may be near peak

The number of flu cases has continued to rise in Nebraska, but the flu season could be close to peaking, state epidemiologist Dr. Tom Safranek said recently. There were 1,187 confirmed cases reported last week at the state's tracking labs, up about 15 percent from the previous week. Even though the number continued to rise, the rate of increase was lower than it had been earlier in February — a sign that the flu season could be leveling off, Safranek said.

Through Thursday, Feb. 28, the number of Douglas County cases was higher than any flu season's total over the past 12 years, with the exception of 2003-2004. That season, 1,040 cases were reported. Hospitals have admitted more people with flu-like symptoms this season than last season. The Nebraska Medical Center reported that 40 people had been hospitalized for the flu this season — more than double last season's count.  Safranek said there have been no flu deaths reported this season for people 18 and younger. Doctors and hospitals in Nebraska are required to report flu deaths in that age group. There is no statewide system for tracking flu deaths of people older than 18. A tally is completed at the end of the year after death certificates are reviewed. On Feb. 8, a 67-year-old Fremont, Neb., women died at Omaha's Methodist Hospital of complications from influenza. In Iowa over the past several months, three children tested positive for the flu shortly before their deaths, said Dr. Patricia Quinlisk of Iowa's Department of Public Health. Read the full article.

— Michael O'Connor, Omaha World-Herald, February 29, 2008.

 

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Survey examines hospitals’ perception of large insurers

Compared to other large health insurers, United Healthcare has the worst reputation for dealing with hospitals, paying hospitals promptly and reducing hospital paperwork, according to a survey of hospital leaders released today by public affairs firm DAVIES. The survey queried hospital CEOs, chief financial officers and directors of managed care about United, CIGNA, Aetna, Coventry/First Health, Wellpoint/Anthem, and the state or regional non-profit Blue Cross or Blue Shield plan. “All insurance companies are big and most are regarded as tight-fisted by providers,” said DAVIES President Brandon Edwards. “But the survey indicates that United takes things to a different level: providers see them as untrustworthy and dishonest. This was an unanticipated finding.”

AHA News Now, March 6, 2008.

 

House passes mental health parity bill

Last Thursday the House voted 268-148 to approve the Paul Wellstone Mental Health and Addiction Equity Act (H.R. 1424). The AHA-supported bill would require group health insurance plans offering mental health coverage to provide mental health and substance use disorder benefits on a par with medical and surgical coverage. It also would place a ban on the growth of physician-owned hospitals where the physician investor self-refers, a prohibition that the AHA has long advocated. The House bill would require insurers to cover more conditions than a mental health parity bill passed in the Senate, (S.558) and is opposed by some business and insurance groups. The two bills must still be reconciled. Read a related Letter to the Editor recently released by the NHA in response to a Forbes magazine article about physician-owned hospitals.

AHA News Now, March 6, 2008.

 

States see bigger hit from Medicaid changes

(AP) — States estimate that proposed changes to Medicaid would cost them about $50 billion in federal aid over the next five years, nearly four times the administration estimate, according to a Democratic congressional report. The nation's governors have vigorously protested the proposed Medicaid changes. They say it would amount to a shift in costs that would have to be made up by the states. Federal officials said the changes are designed to ensure that providers don't bill the program for more than the costs of providing care and that states pay their fair share of the program. Overall, the federal government will spend more than $1.2 trillion on Medicaid over the next five years. The administration projects that if all the changes it seeks were enacted, the federal government would save about $13 billion over those five years.

Nebraska Chamber of Commerce Daily Update, March 4, 2008.

 

Franklin County Memorial hospital plans $4.1 million construction project

FRANKLIN, Neb. — Franklin County residents soon will have outpatient services that compete with larger communities thanks to a $4.1 million construction project approved for the Franklin County Memorial Hospital. A groundbreaking ceremony for the project is set for 3 p.m. March 17 for hospital staff, community members and city and county officials.

“We currently have the professional staff of physicians and nurses that competes with any larger hospital,” said Jerrell Gerdes, administrator for Franklin County Memorial Hospital. “With the expansion of our facility and hospital campus, we now can offer our patients top-of-the line outpatient services,” Gerdes said.

Among the outpatient services will be a 12 foot by 16 foot aqua pool that offers resistance current, dressing rooms and showers. The cardiac rehabilitation area will be expanded to provide extended services, as well as space to house the CT scanner inside. Currently, the CT scanner is housed in a trailer in the hospital’s parking lot. The final hurdle for the construction project was approved Tuesday (March 4) when the Franklin County Supervisors approved issuance of the $3.95 million in general bonds for the hospital. Franklin County Supervisors unanimously approved the issuance of bonds as well as the purchase agreement with UMB Bank NA to purchase the bonds for sale to investors. Gerdes said the hospital expansion has already received a $1 million gift from an anonymous donor, as well as pledges from several other donors. Read the full news release.

 

Dad, serving in Iraq, witnesses birth of son at Good Samaritan Hospital in Kearney

KEARNEY, Neb. — A U.S. soldier from Shelton who is currently serving in Iraq witnessed the birth of his first child Monday via live video conference call. The conference call was possible thanks to special equipment at Good Samaritan Hospital and the work of a non-profit organization, Freedom Calls. Kyle Gilliland, Lance Corporal with the Marine Reserves, had the opportunity to be in the delivery room with his wife Patty for the labor and birth of son Kyson Wayne. Dad was present on a 20-inch monitor that allowed his wife and medical personnel to talk to and see him in real time. Kyson was born Monday at 3:30 p.m. and weighed 8 pounds, 9 ounces.

The family will reunite by video conference on Tuesday at 11 a.m., giving dad a chance to see his wife and baby for the second time in two days. Freedom Calls provides free video conference calls to soldiers serving in Iraq for important life events, including births, graduations, birthdays and other family events. This call was connected through Good Samaritan Hospital’s telemedicine equipment to a satellite uplink. The satellite service is paid for by donations to Freedom Calls (www.freedomcalls.org).

— Good Samaritan Hospital news release, March 10, 2008.

 

Lincoln sisters represent Nebraska as ambassadors in national program

OMAHA — Twin sisters from Lincoln have been selected by Children’s Hospital and the Children’s Miracle Network to represent Nebraska in the nation’s capital. This month, Children’s will send Grace and Emily Nelson, age 4, to visit The White House and Capitol Hill to share their story of medical victory. The girls were born more than two months early and spent considerable time in the Newborn Intensive Care Unit at Children’s Hospital in Omaha. They will join child ambassadors from every state as part of Children’s Miracle Network Champions Across America presented by CO-OP Financial Services. The program honors courageous children like Grace and Emily who have triumphed despite severe medical challenges.

Unlike a normal multiples pregnancy where each baby has her own water sac and placenta, Grace and Emily shared the same space – one water sac and one placenta. As they moved around in utero, their umbilical cords became intertwined and knotted. Parents Jennifer and Dann Nelson of Lincoln were told they had a 50 percent chance of having a live birth. Read the full news release, or read a related article in the Lincoln Journal Star.

— Children's Hospital news release, March 4, 2008.

 

Falls City plans new hospital project

FALLS CITY, Neb. — Community leaders and local health care professionals will do next month what hasn’t been done for 90 years in this city of 4,671: They’ll break ground for a new hospital. Yet five years ago, had you asked the Community Medical Center’s board of directors if it would have supported such an endeavor, the answer would have been, “Not likely.” Built in 1918, the hospital was expanded and renovated five times between 1963 and 1996. The board planned to renovate again because members thought new construction would cost too much. “The more we started looking at designs and the issues, (renovating) wasn’t feasible,” said Rodger Merz, a local businessman and chairman of the hospital board. Engineering and design studies put the cost of renovation at more than $20 million.

In addition, board members learned remodeling would take an estimated five years, which could have raised costs even higher, to say nothing of the long disruption to hospital operations. And when it was done, Falls City would end up with a medical center that was adequate, but not ideal. “It isn’t a good use of our money to sink this much into our facility and not get what we want to have,” Merz said. So, after lots of meetings and number crunching, the board decided to build a new $21-million, 68,000-square-foot hospital on the northern edge of town. They plan to break ground April 24 and hope the hospital will open in late 2009.

Ryan Larsen, CEO of Community Medical Center, said the hospital will pay for the project with private loans, savings and a fundraising drive. Because the hospital is an independent, nonprofit institution, no tax dollars will be used. Read the full article.

— Joe Duggan, Lincoln Journal Star, March 9, 2008.

 

BryanLGH East plans women’s and children’s tower

The largest changes this year to Lincoln’s medical landscape will occur in the city’s southeast quadrant with the planned August opening of the women's and children’s tower at BryanLGH Medical Center East. Here’s the lineup: First floor: Reception, lactation support, physician sleeping room, education classroom, prayer/reflection, patient/family lounge and spa area. Second floor: Pediatric unit with 18 private rooms. Third floor: Neonatal intensive care unit with 23 private rooms, one surgery suite and radiology/respiratory therapy work areas. Fourth floor: Labor and delivery with 15 private rooms, two surgery suites, physician lounge/sleeping room and two triage areas. Fifth floor: Ante- and postpartum unit with 15 private rooms. Sixth floor: Postpartum unit with 17 private rooms.

Lincoln Journal Star, February 25, 2008.

 

FAMC presents free health fair in Dodge on March 27

FREMONT, Neb. — Fremont Area Medical Center’s free health and wellness fair, “Health Tracks on the Road,” will be in Dodge on Thursday, March 27, from 8:30 a.m. to 11 a.m. The event will be held at St. Wenceslaus Church located at 743 2nd Street in Dodge, Neb. Representatives from FAMC will provide free health screens and information on various health-related topics in a relaxed and casual atmosphere. At 9 a.m., Dr. Jeffrey Rapp will be available to answer health questions and offer additional information on screenings.

Also offered are: wellness blood profiles for $30; Thyroid Stimulating Hormone (TSH) test for $15; Prostate Specific Antigen (PSA) Test for $15; and Glycated Hemoglobin (HgbA1C or A1c) test for $15. These tests are being offered at a reduced fee and cannot be filed through health insurance. Hepatitis C Antibody testing will be also be offered at the event, at no cost. FAMC’s Health Tracks on the Road is a free event, open to all ages, aimed at improving the overall health status of Fremont-area residents. For more information about Health Tracks on the Road, call 402/727-3404.

 

CUMC and the Tenet Foundation Donate $10,000 to Omaha Community Health Center

Omaha, Neb.— Creighton University Medical Center CEO, Linda Ollis, presented $10,000 to One World Community Health Centers on Thursday, February 28th. One World Community Health offers culturally respectful health care to the underserved populations in Omaha. People speaking at least 17 different languages have been patients at the clinic. The $10,000 will go toward women’s and children’s services. Kristine McVea, medical director of One World, said she was impressed with Creighton University Medical Center (CUMC) and Tenet for their generous contributions and support to the health center. Read more.

 

Grant opportunities alert

Recently, the Nebraska Rural Health Association released an alert of several grants that are of interest to health care providers. To read the full list, click here.

 

National Healthcare Decisions Day

On behalf of the National Healthcare Decisions Day Initiative, the Nebraska Hospice and Palliative Care Partnership (NHPCP) requests your participation in the inaugural National Healthcare Decisions Day on Wednesday, April 16, 2008. On this day, all across the country, health care facilities, health care professionals, chaplains, the legal community and others will be participating in a collective effort to highlight the importance of making advance health care decisions and to provide tools for making these decisions.

The Federal Patient Self-Determination Act requires that all Medicare-participating health care facilities inquire about and provide information to patients on advance directives. It also requires these facilities to provide community education on advance directives. Unfortunately, despite these requirements and laws giving patients a choice about their health care, it is estimated that only a small minority of Americans (approximately 37 percent of Nebraskans) have executed an advance directive. Moreover, fewer than 50 percent of severely or terminally ill patients have an advance directive in their medical records.

National Healthcare Decisions Day (NHDD) seeks to address the public’s misunderstandings about advance health care planning and advance directives, including that: a living will and a health care power of attorney are the same; advance directives are only used for limiting care; a lawyer is needed to draft an advance directive and/or that it is hard to do; or a severe illness or a catastrophic injury will never happen to them.

For more information, go to http://www.nationalhealthcaredecisionsday.org/ or www.nehospice.org.

 

Committees pass budget plans that exclude Medicare, Medicaid cuts

The House Budget Committee recently voted 22-16 to approve a fiscal year 2009 budget resolution that excludes the president’s proposed Medicare and Medicaid cuts. However, the budget blueprint includes reconciliation instructions directing the House Ways and Means Committee, which has jurisdiction over Medicare, to report legislation that decreases spending or increases revenues by $750 million over five years. The resolution also includes reserve funds for budget-neutral legislation to improve Medicare and the State Children’s Health Insurance Program (SCHIP) and prevent or delay Medicaid regulations. Last Thursday, the Senate Budget Committee voted 12-10 to approve a budget resolution that excludes Medicare cuts to hospitals, assumes the cost of extending the moratoria on several Medicaid regulations, and provides reserve funds for budget-neutral legislation to improve SCHIP and physician reimbursement. The House and Senate resolutions, expected to go to their respective floors next week, eventually must be reconciled in conference. The president’s budget plan proposed more than $182 billion in cuts to Medicare over the next five years, of which $135 billion would come from hospitals; as well as $18 billion in Medicaid cuts.

AHA News Now, March 6, 2008.

 

Syracuse hospital receives loan for computers, software

Community Memorial Hospital in Syracuse has received a $726,000 loan from USDA Rural Development for the acquisition of new computers and software. This technology will enhance medical record keeping and improve delivery of information between the hospital and adjoining clinic.

— NITC eHealth Council, eHealth News, March 2008.

 

Report finds 30 percent of physicians in Nebraska use EHRs

Creighton Health Services Research Program and the EHRNebraska program have published a new report, Status of Health Information Technology in Nebraska: Focus on Electronic Health Records (EHRs) in Physician Offices. This report describes the status of electronic health record adoption in physician offices in Nebraska along with other related implications for health information technology. The researchers found that 30 percent of physicians in Nebraska are using electronic health records, 50 percent are planning to implement an EHR system, and 20 percent have no plans for adoption. Over 70 percent of the EHR users would recommend their EHR system to their colleagues. Over 40 different EHR systems are currently in use in Nebraska. The report is available at the EHRNebraska Web site (http://ehrnebraska.org/interact/) and CHRP Web site (http://chrp.creighton.edu).

— NITC eHealth Council, eHealth News, March 2008.

 

Nebraska ranks 43rd in e-prescribing

SureScripts’ National Progress Report on E-Prescribing summarizes key statistics on the status of e-prescribing adoption and utilization in the U.S. The report estimates that 2 percent of total prescriptions in the United States were transmitted electronically. Nebraska ranks 43rd in e-prescribing. In Nebraska, .5 percent of total prescriptions were transmitted electronically in 2007. While 70 percent of community pharmacies nationally are e-prescribing, only 34 percent of Nebraska community pharmacies are e-prescribing. The ”National Progress Report on E-Prescribing” is available at http://www.surescripts.com/report/. The Nebraska report is available at http://www.surescripts.com/Safe-Rx/nonsaferx-state.aspx?sid=27 .

— NITC eHealth Council, eHealth News, March 2008.

 

Bill targets need for nurse educators

The American Organization of Nurse Executives (AONE) recently joined other national nursing organizations in applauding bipartisan legislation to address a critical shortage of nursing school faculty. The Troops to Nurse Teachers Act (S. 2705), introduced March 5 by Sen. Dick Durbin, would develop partnerships between military and civilian schools of nursing in which Nurse Corps Officers would serve as nurse educators. In a letter to Durbin, the groups said the program “would provide a much needed increase to the nurse faculty population and in turn, help develop the pool of future civilian and military nurses.” U.S. nursing schools last year turned away tens of thousands of qualified applicants, primarily due to a faculty shortage, the letter notes. AONE is an AHA subsidiary.

AHA News Now, March 7, 2008.

 

Supporting Rural Family Caregivers: Satellite Broadcast
March 19, 2008

Nebraska Hospice and Palliative Care Partnership “Living a Good Life...at the End of Life” Annual Conference
April 1 - 3, 2008 – Embassy Suites, Lincoln, NE

Memorial Health Care Systems Annual Health Fair, Seward, NE
April 2, 2008

National Healthcare Decisions Day
April 16, 2008

Elderfest '08 sponsored by Providence Medical Center
April 17, 2008 – Wayne City Auditorium, Wayne, NE

Rebuilding Lives in Nebraska: 2nd Annual Brain Injury Conference
April 24 - 25, 2008 – Midtown Holiday Inn, Grand Island, NE

Nebraska Association of Medical Staff Services (NeAMSS) 2008 Education Conference
April 25, 2008 – Georgetown Club, Omaha, 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. 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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