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December 29, 2010
Vol. 11, No. 40

In This Issue

ACROSS THE STATE

Nelson explores alternative to insurance mandate

Stopgap funding stops Nebraska jobs, starts season of uncertainty

Fortenberry named chairman of agriculture subcommittee

IN THE NATION

CMS to open registration for EHR incentive programs in January

Website spoofing targets hospitals' websites

CMS seeks comment on whether EMTALA should apply to inpatients

MEMBER NEWS

Memorial Health Center announces interim CEO appointment

Saunders Medical Center names new leader

UNMC to host 24-hour skate-a-thon to raise funds for Parkinson’s research

Cancer navigators easing patient paths

LEGISLATIVE WATCH

President signs bill funding federal programs through March 4

Certification rule affects hospital discharges to home health

HHS issues proposed rule for insurance rate reviews

EVENTS
 

Nelson explores alternative to insurance mandate

WASHINGTON—The question of whether the federal health care overhaul's individual mandate is constitutional will now almost certainly land in the lap of the U.S. Supreme Court. A federal judge on Monday became the first to rule against the law, striking down its requirement that every American buy or otherwise obtain health insurance. That ruling could bring more attention to U.S. Sen. Ben Nelson's pursuit of alternatives to the mandate.

Earlier this year, the Nebraska Democrat asked the Government Accountability Office and the Congressional Budget Office to examine different ways to achieve the goal at the heart of the mandate: to get as many people as possible into the nation's health insurance pools. Bringing young and healthy people into that pool is seen as key to the legislation's requirements that health insurance companies offer coverage to everyone—even those with pre-existing conditions. READ MORE»

Omaha World-Herald (Live Well Nebraska.com), December 14, 2010
 

Stopgap funding stops Nebraska jobs, starts season of uncertainty

WASHINGTON—This is the season of celebration when families and friends gather across our state for fellowship, to catch up and look forward to the promise of the coming year. Unfortunately, for quite a few Nebraskans the next few months and maybe longer will be a season of uncertainty. READ MORE»

bennelson.senate.gov, December 27, 2010
 

Fortenberry named chairman of agriculture subcommittee

WASHINGTON—Congressman Jeff Fortenberry will serve as chairman of the House Agriculture Committee’s Subcommittee on Department Operations, Oversight and Credit in the 112th Congress beginning in January. The subcommittee will have jurisdiction in the oversight of the United States Department of Agriculture (USDA), one of the federal government’s largest agencies, and responsibilities involving program review and analysis, special investigations and agricultural credit.

“I am honored to accept this leadership role in the new Congress,” Fortenberry said. “Agriculture’s benefits to our nation go far beyond food security; it stabilizes and strengthens our economy, increases our energy independence, and builds new opportunities in rural America. It is critical that our farm policies and programs fairly and efficiently serve America’s farm and ranch families and the Americans who depend on them.”

“This new subcommittee role will help us continue important work on promoting new opportunities in specialized food markets and renewable energy, reconnecting rural and urban America, and exploring the challenges of growing concentration in agriculture and the increasing age of the American farmer. I look forward to working with my colleagues on these and other matters as we begin the new Congress in January.” Fortenberry has served on the House Agriculture Committee since 2005.

fortenberry.house.gov, December 22, 2010



CMS to open registration for EHR incentive programs in January

Hospitals and physicians can register for the Medicare and Medicaid electronic health record (EHR) incentive programs beginning January 3, 2011 at www.cms.gov, but are not required to do so immediately, the Centers for Medicare & Medicaid Services (CMS) announced. Hospitals and physicians that can meet federal "meaningful use" criteria will receive incentive payments and avoid payment penalties that begin in 2015. State Medicaid programs may offer incentive payments for up to five years beginning in 2011 to eligible providers that implement, upgrade or demonstrate meaningful use of certified EHR technology. According to CMS, Medicaid EHR incentive programs will be available January 3 in Alaska, Iowa, Kentucky, Louisiana, Oklahoma, Michigan, Mississippi, North Carolina, South Carolina, Tennessee and Texas. In February, registration will open in California, Missouri and North Dakota. Other states likely will launch their Medicaid EHR programs during the spring and summer of 2011. Participating providers must register for the Medicaid EHR programs on the CMS website, and then complete the process through their state Medicaid agency's website. For more information, click here.  READ FULL RELEASE»

AHA News Now, December 23, 2010
 

Website spoofing targets hospitals' websites

The AHA is advising hospitals to police their website domain names to ensure that they are not victims of website spoofing for fraudulent or deceitful purposes after learning of a recent incident involving a hospital's website. Website spoofing is the creation of a fake website by a different person or organization with the intention of misleading users of an organization's true website. Typically, the spoofing website will adopt the design of the target website using a similar website address or URL. Spoofing of a hospital's website creates potential risk for the personal information of patients and raises serious other legal issues for the hospital, including fraud, trademark infringement and cybersquatting (registering a website with the intent of selling it to the proper owner). If a hospital discovers a spoofing or false website, it should promptly consult legal counsel. "We typically would advise the website owner who had been victimized to send a strongly worded cease and desist letter to the website registrant and, if a separate entity, a copy to the registrar," says Sherri Way, a Denver-based attorney who frequently advises organizations on a variety of business-related legal issues. "We also would advise the website owner to consider posting a notice on the true website advising patients, physicians and other third parties of the potential confusion. Further action may be necessary, depending on the particular circumstances."

AHA News Now, December 22, 2010
 

CMS seeks comment on whether EMTALA should apply to inpatients

CMS issued a request for comment on whether there is a need to revisit its Emergency Medical Treatment and Labor Act (EMTALA) policies regarding hospital inpatients and the responsibilities of hospitals with specialized capabilities. Under current regulations, a hospital's EMTALA responsibilities are complete when a hospital, in good faith, admits an individual with an unstable emergency medical condition as an inpatient. CMS is specifically asking for comment on individuals who are admitted as inpatients through the emergency department with a known emergency medical condition that has not been stabilized and subsequently need to be transferred to another hospital with specialized capabilities for stabilizing treatment. Comments will be accepted until Feb. 21, 2011. READ MORE»

AHA News Now, December 22, 2010

 

Memorial Health Center announces interim CEO appointment

SIDNEY—The Memorial Health Center (MHC) Board of Directors announced this week that Douglas A. Faus, MBA, MHA, has been appointed as the interim Chief Executive Officer (CEO) of Memorial Health Center until a permanent CEO is selected. The national search for this position is currently being conducted.

“We want to make sure that we do our due diligence to find the right fit for Memorial Health Center and the communities we serve,” said Rob Robinson, MHC board of directors chairman. “Appointing an interim CEO allows us time to do that while ensuring that the hospital is successfully operating on a day-to-day basis and achieving goals in the meantime.” READ FULL RELEASE»

Memorial Health Center press release, December 21, 2010


Saunders Medical Center names new leader

WAHOO—A new hand been chosen to take the helm at the Saunders Medical Center (SMC). Ken Archer has been chosen as the new Chief Executive Officer (CEO) for SMC in Wahoo. The Saunders Medical Center Board of Trustees approved the agreement with Archer at a special meeting on Dec. 16. SMC board of trustees Director Glenn Baumert said the search to find a permanent CEO took longer than expected, but the outcome was worth the effort. He said Archer was an extremely strong applicant and will be a great fit for the facility. "He'll bring a lot of energy and compassion to the position," Baumert stated. READ MORE»

— Wahoo Newspaper, December 22, 2010
 

UNMC to host 24-hour skate-a-thon to raise funds for Parkinson’s research

OMAHA—The University of Nebraska Medical Center (UNMC) is out to put Parkinson’s disease on ice. On Jan. 28-29, 2011, the UNMC Ice Rink will host the first-ever UNMC Skate-a-thon for Parkinson’s with skaters hitting the ice for 24 straight hours to raise money for Parkinson’s research. Skating will begin at 6 p.m. on Jan. 28 and conclude at 6 p.m. on Jan. 29. The event is open to the public – skaters and non-skaters alike. Skaters will be on the ice continually, but non-skaters are encouraged to come and enjoy the festivities and show their support.

“We can handle up to 125 people on the ice at any time, but there also is plenty of room for spectators,” said Keith Swarts, director of business services. “We would love nothing better than to have a huge turnout. We’re hoping to literally get thousands of people to join us for this event.” READ MORE»

UNMC press release, December 21, 2010
 

Cancer navigators easing patient paths

LINCOLN—Beyond that door lies an uncertain path. Many will stumble onto a trail of nausea and bewildering medical complexities. Others will find a short but fearful road. Still others will find a highway unexpectedly smoother than their relatives encountered a generation ago. Few would describe the path as easy.

"Nobody goes through cancer without needing some support," says Karen Pribnow, a cancer nurse navigator at Saint Elizabeth Cancer Institute. Pribnow and fellow nurse navigator Jay Swanson assist the travelers, offering practical tips, describing the lay of the land, connecting patients with programs.

Saint Elizabeth's cancer nurse navigators grew from a 2007 National Cancer Institute initiative to bring the best practices of advanced cancer care programs to local communities, where the vast majority of cancer patients receive care. READ MORE»

Lincoln Journal Star, December 28, 2010
 


President signs bill funding federal programs through March 4

President Obama signed legislation (H.R. 3082) funding most government programs at current levels through March 4. Congress approved the bill late yesterday, when the previous continuing resolution was set to expire. Congress has yet to finalize 12 appropriations bills funding health and other programs through fiscal year 2011.

AHA News Now, December 22, 2010
 

Certification rule affects hospital discharges to home health

The Medicare Learning Network has released an article on the new Medicare home health certification requirement effective January 1, 2011. As a condition for payment, hospital and other physicians certifying a patient's eligibility for the home health benefit must document that they or an allowed non-physician practitioner has had a face-to-face encounter with the patient. The encounter must occur within 90 days prior to the start of home health care or within 30 days after the start of care. CMS will allow physicians who attend to the patient in acute and post-acute settings to certify the need for home health care, initiate the orders for home health services, and "hand off" the patient to their community-based physician to review and sign off on the plan of care, the article notes. READ MORE»

AHA News Now, December 22, 2010
 

HHS issues proposed rule for insurance rate reviews

The Department of Health and Human Services (HHS) issued a proposed rule establishing a process for reviewing "unreasonable" health insurance rate increases in the individual and small group markets. For rate increases on or after July 1, 2011, an increase of 10 percent or more in the preceding 12-month period would trigger a rate review under the rule, either by the state or HHS if the state lacks a rate review process. According to HHS, 43 states have a rate review process in the individual or small group markets. Beginning in calendar year 2012, HHS would set annual state-specific thresholds for rate increases based on data and cost trends in that state. Insurer justifications for proposed increases exceeding the annual threshold would be posted at www.healthcare.gov and the insurer's website. The Patient Protection and Affordable Care Act requires health insurers to justify unreasonable increases to the HHS secretary and applicable state before implementing them. In 2014, the ACA empowers states to exclude health plans that show a pattern of excessive or unjustified premium increases from the new health insurance exchanges. HHS' Office of Consumer Information and Insurance Oversight will accept comments on the proposed rule for 60 days after its publication in the Dec. 23 Federal Register.

— AHA News Now, December 21, 2010



Operation: Reintegration. Military Culture Workshop
January 14, 2011
BryanLGH West, Lincoln

Memorial Health Care System Annual Membership Meeting
January 14, 2011

MHCS Diabetic Support Group
January 18, 2011

Look Good Feel Better Class
January 24, 2011
5:30 p.m.

MHCS Auxiliary Meeting
January 24, 2011

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 Kelley Porter, Director of Communications, kporter@nhanet.org.

 


NHA Newslink is published by the Nebraska Hospital Association, 3255 Salt Creek Circle, Suite 100, Lincoln, NE 68504-4778. Phone 402/742-8140, Fax 402/742-8191. Contact Kelley Porter, Director of Communications, at 402/742-8151, or email, kporter@nhanet.org


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