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By Ginger - Site Admin on Friday, December 02, 2016 11:06 AM

East Tennessee, specifically Gatlinburg and Pigeon Forge, was devastated by the recent wildfires. Several employees of LeConte Medical Center, located in nearby Sevierville, lost their primary and secondary homes. None of the hospital’s employees perished in the fires, but other community members have lost their lives and many are others still are unaccounted for.

As in the past, when natural disasters occur, the hospital community is coming together to help one another. If you would like to help, donations can be sent directly to LeConte Medical Center. Please send any checks to:

LMC Employee Assistance Fund
c/o Dr. Robert F. Thomas Foundation
LeConte Medical Center
744 Middle Creek Road, Suite #206
Sevierville, Tennessee 37862

If you wish to send a letter of support and encouragement, please send it to Jenny Hanson, President and CAO, at the above address.

By Ginger - Site Admin on Friday, November 11, 2016 8:36 AM

November 14-20, 2016, will be Get Smart about Antibiotics Week in Kentucky thanks to a proclamation by Governor Matt Bevin.

Antibiotic use is the single most important contributing factor to antibiotic resistance, and up to one-third to one-half of antibiotic use in humans is either unnecessary or inappropriate. Each year in the United States, 47 million unnecessary antibiotic prescriptions are written in doctor's offices, emergency rooms, and hospital-based clinics, which makes improving antibiotic prescribing and use a national priority. To combat antibiotic resistance and avoid adverse drug reactions, we have to use antibiotics appropriately. This means using antibiotics only when needed and, if needed, using them correctly.

Next week is a great opportunity to review appropriate use and prescribing of antibiotics with hospital staff and with patients.

By Ginger - Site Admin on Monday, November 07, 2016 10:41 AM
On Wednesday, November 9, AHA will host a webinar on Strategies for Addressing Violence in Post-Acute Care Environments. This webinar is free for AHA members.

Health care providers in various settings, including post-acute care, are taking a more active role with community partners to combat violence and to address the impact of violence on their patients and staff. In addition to needing care for physical recovery, patients in post-acute care as a result of violently acquired injuries need appropriate care to instill trust and address socioeconomic challenges. Other patients in post-acute care may become combative due to being confused as a result of dementia, other cognitive impairments and/or psychosocial factors. The American Hospital Association (AHA) Section for Long-Term Care and Rehabilitation invites you to join two of your colleagues on a webinar highlighting their successful approaches to addressing violence in post-acute care environments.

Schwab Rehabilitation Hospital is an inner...
By Ginger - Site Admin on Thursday, November 03, 2016 9:50 AM
The United States Attorney’s Office for the Western District of Kentucky, together with the Drug Enforcement Administration (DEA) and the University of Louisville School of Medicine invites you to attend its Heroin and Opioid Response Summit on Thursday, December 1 in Louisville. The Summit will bring together stakeholders and professionals working in treatment, recovery, health care, law enforcement, emergency response, prevention and education to discuss current efforts and strategies with a specific focus on Louisville, Kentucky. Attendees can explore ideas for more effective responses to this crisis.

Seating is limited so register today at https://usaokywtraining.org/HeroinOpioidSummit.

If you have any questions, please contact Wendy McCormick at the U.S. Attorney's Office (Wendy.McCormick@usdoj.gov).

...
By Ginger - Site Admin on Friday, October 28, 2016 7:59 AM
The Kentucky Department for Public Health recognized its eighteenth trauma center on October 26 when Kentucky Public Health Commissioner Hiram Polk, MD, designated Harlan ARH Hospital as a Level IV Trauma Center at a ceremony during the 2016 Kentucky Trauma and Emergency Medicine Symposium in Lexington.

"Our medical staff, employees and first responders in Harlan County all went above and beyond in their preparations for this achievement and we are very proud of the effort taken to improve the level of emergency service we are able to provide to our community,” stated Donnie Fields, Community CEO of Harlan ARH Hospital. "It has truly been a team effort and a great learning experience for everyone involved with the drills and preparation work required to achieve this status and allows us to provide a higher level of care for our patients."

Since the Kentucky Trauma Care System law was passed in 2008, the number of facilities has grown from about five American College of Surgeons Committee on...
By Ginger - Site Admin on Wednesday, October 26, 2016 8:40 AM

Kentucky's U.S. Congressmen Andy Barr, Thomas Massie and Hal Rogers signed the House of Representatives Dear Colleague letter and Senator Mitch McConnell wrote his own personal letter to the Centers for Medicare and Medicaid Services (CMS) urging the importance of flexibility during the proposal to implement part of the Bipartisan Budget Act (BiBA) of 2015 concerning the treatment of off-campus outpatient departments.

The letters expressed concern that implementation of the rule could seriously impact rural states, such as Kentucky, and would limit access to care in already underserved areas.

Please take the time to thank the Senator and your Congressman for their support of hospitals in Kentucky.

If you have any questions, contact Sarah S. Nicholson at KHA (snicholson@kyha.com).

By Ginger - Site Admin on Tuesday, October 25, 2016 7:59 AM
The K-HIIN Kick-Off Meeting will provide insight into how the Kentucky Hospital Improvement Innovation Network (K-HIIN) will use the successes of the Hospital Engagement Network (HEN) to launch the next phase of this national initiative for quality and outcomes improvement in hospitals. Attendees will learn about the goals and requirements of the HIIN and how the innovations, virtual learning opportunities and hospital-level techniques of the program will take your improvement work to the next level.

View the brochure for agenda details, and register online today to reserve your seat for this important meeting.

If you have any questions, please contact Sharon Perkins at KHA (sperkins@kyha.com).

By Ginger - Site Admin on Thursday, October 20, 2016 8:35 AM
On Wednesday, September 21, the Drug Enforcement Administration (DEA) announced Louisville as the fourth city in America to take part in a comprehensive law enforcement and prevention “360 Degree Strategy” to assist cities dealing with the heroin and prescription drug abuse epidemic. As part of this strategy and in conjunction the U.S. Attorney’s Office for the Western District of Kentucky, the Partnership for Drug-Free Kids and the Benevolent and Protective Order of Elks you are cordially invited to attend a DEA 360 Strategy Drug Prevention “Train-the-Trainer” briefing held at one of two locations on November 1 and 2.

The training, designed by the Partnership for Drug-Free Kids, is intended to:

Teach those in your organization and other stakeholders in the community how to conduct a drug prevention presentation Provide instruction on how to train others within your agency or organization to give a drug prevention presentation Provide a Powerpoint slide...
By Ginger - Site Admin on Wednesday, October 19, 2016 8:39 AM
On November 1, KHA will host a webinar to assist hospital staff learn more about the regulations and laws that surround The Joint Commission (TJC) Standard 01.07.01, and help make sure they are in compliance. TJC Leadership Standard 01.07.01 requires the board, senior managers and leaders of the medical staff to have knowledge of various health care laws and regulations.

Because of the health care reform federal law changes, this program will cover the important laws that every hospital should be aware of. It will provide information on how to locate a copy of the laws and the importance of updating policies and procedures to be compliant with these federal laws. This session will also discuss some of the many changes in federal regulations and interpretive guidelines by the Center for Medicare and Medicaid Services (CMS) regarding the hospital conditions of participation (CoPs) which must be followed by every hospital that accepts Medicare or Medicaid.

View the program brochure...
By Ginger - Site Admin on Friday, October 14, 2016 9:23 AM
The Kentucky Department for Medicaid Services, in conjunction with Hewlett Packard Enterprise will host a 2016 Fall Webinar for Medicaid Providers on the following dates:

Monday, November 14 Wednesday, November 16 Friday, November 18 Monday, November 28 Each workshop is exactly the same and is for all provider types. There will be two sessions on each date - 10:00 a.m. or 3:00 p.m. (ET).

Attendees are encouraged to print or download the webinar materials for reference during the webinar. The materials will be available prior to the workshop at www.kymmis.com under the Provider Relations/Provider Workshop heading.

You MUST REGISTER in order to attend the workshop. Find the date and time you would like to attend at http://www.kymmis.com/workshop/default.aspx and follow the link to register....
By Ginger - Site Admin on Thursday, October 13, 2016 8:50 AM
The final meetings of the KHA Summer Series of Congressional Meetings will be held October 17 and November 3 in the fourth and fifth congressional districts.

Each meeting in the Series is held in the congressmen’s districts to provide KHA members the opportunity to stay in contact locally with the Kentucky congressional delegation and discuss important legislative and regulatory issues currently before the U.S. Congress that are critical to Kentucky’s hospitals. With the nation’s health care system in transformation to delivery systems that are driven by new payment models, hospitals must stay in contact with their Congressman to let him know how these changes will impact your hospital, and this meeting provides you with the opportunity to discuss your issues and concerns.

Make plans now to attend the meeting in your congressional district.

...
By Ginger - Site Admin on Monday, October 10, 2016 8:18 AM
HCLC CoverThe 2017 KHA Legislative Platform will be presented to the Association membership for approval at the annual KHA Health Care Leadership Conference (HCLC) on November 11 at the Louisville Marriott East.

The November general elections will have a huge impact on health care, and this year's Conference is being held three days later, an ideal time for you and other Kentucky hospital leaders to learn how the new President and his/her administration will change health care. State and national political experts will discuss the balance of power of who controls Congress and the Kentucky legislature, and how that will impact the future of health care and impending federal and state health care legislative and regulatory issues.

Attendees...
By Ginger - Site Admin on Tuesday, October 04, 2016 7:48 AM

 

On Friday, November 11, from 2:00-5:00 p.m. (ET), the Kentucky Chapter of the American College of Healthcare Executives (ACHE) will host an opportunity for a 3.0 hour face-to-face ACHE educational program in Louisville. This program is only $75 for ACHE members and $25 for students.

The ACHE program immediately follows the Kentucky Hospital Association Health Care Leadership Conference* and luncheon. (*Open to KHA Members)

Registration will be open soon. For details, view the event brochure.

Please save November 11 and plan to attend.

By Ginger - Site Admin on Monday, October 03, 2016 9:33 AM
The Cabinet for Health and Family Services (CHFS) has issued an emergency regulation, 900 KAR 5:020E, to reverse changes made to Certificate of Need (CON) criteria for ambulatory surgery centers (ASCs) in the 2015 update to the State Health Plan. KHA counts this as a major victory and commends Governor Matt Bevin and CHFS Secretary Vickie Yates Brown Glisson for their leadership on this issue.

In 2015, significant and problematic changes were made to the State Health Plan under the Beshear administration, which created numerous exceptions to the ASC criteria. These exceptions allowed for the unnecessary proliferation of ASCs regardless of existing capacity available in ASCs and hospital outpatient surgery departments or need for new services identified in the population. KHA expressed grave concern about those changes in 2015 to the Beshear administration and before the Administrative...
By Ginger - Site Admin on Friday, September 23, 2016 8:01 AM
KHA has partnered with the Kentucky Association of Sexual Assault Programs and the Office of Inspector General to encourage hospitals to become more knowledgeable about caring for victims of sexual assault and to work toward becoming a designated SANE-Ready Hospital. State law requires all Kentucky hospitals to:

Treat victims of sexual assault who present to their emergency room regardless of the certifications and experience of staff in the emergency department; Perform a medical forensic exam on the individual if consent is given; and Contact the local Rape Crisis Center. The Kentucky General Assembly established the “SANE-Ready Hospital” program through legislation in the 2016 General Assembly. Hospitals demonstrating they have Sexual Assault Nurse Examiners available to treat patients presenting to the emergency room can apply for this designation. KHA encourages all Kentucky hospitals with emergency departments to work towards achieving this designation. For more information on becoming a SANE-Ready Hospital, review...
By Ginger - Site Admin on Thursday, September 22, 2016 9:12 AM
After a request from KHA and its members, three U.S. Congressmen from Kentucky (Andy Barr, Thomas Massie and Hal Rogers) have signed onto the Tiberi-Kind “Dear Colleague” letter pertaining to CMS policies on alternative payment models (APMs). KHA is grateful for their support.

The Chairman Pat Tiberi and Congressman Kind Dear Colleague letter urges the Centers for Medicare and Medicaid Services (CMS) to provide health care providers more regulatory relief and flexibility under APMs like bundling, the “CJR” program for joint replacement, accountable care organizations and other models intended to move health care delivery away from site-specific, fee-for-service reimbursement. CMS has the authority to waive numerous rules and statutory provisions in these alternative care delivery and reimbursement models, yet with few exceptions it has not done so.

More waivers around site-specific acute and post-acute regulations are needed that were originally implemented for a purely fee-for-service reimbursement...
By Ginger - Site Admin on Friday, September 16, 2016 10:12 AM
The Centers for Disease Control (CDC) recently held a press conference and early release of the latest MMWR report on Legionnaire’s disease. In this report, the CDC noted most outbreaks of Legionellosis occurred in hotels/motels, long-term care facilities and hospitals. More importantly, the CDC noted that most outbreaks of Legionellosis were preventable. Their investigations show almost all outbreaks were caused by problems that are preventable with effective water management.

In response to the CDC's report, the Kentucky Department for Public Health has distributed a public health notice containing CDC resources to assist building owners and managers in the implementation of a building water management program following the latest industry standards. Implementation of such a program can prevent Legionella growth in building water systems and thus prevent outbreaks of Legionellosis....
By Ginger - Site Admin on Thursday, September 15, 2016 8:24 AM
On September 14, KHA submitted comments to the Centers for Medicare and Medicaid Services (CMS) on the proposed Medicaid disproportionate share hospital (DSH) rule addressing the treatment of third-party payers in calculating uncompensated care costs.

KHA and Kentucky's hospitals disagree with the position of CMS to require counting payments from Medicare and other private insurers to calculate uncompensated care costs for retention of DSH payments. The proposed rule would redefine a hospital's cost of care and is not authorized by statute.

The law states clearly that the only costs counted are Medicaid payments and payments made by uninsured patients, not payments made by other programs or insurers.

This proposal would harm many safety net hospitals, and would have devastating consequences for Kentucky's rural hospitals.

For a full copy of the comments, visit the Policy page in the Advocacy section of www.kyha.com.

If you have any questions,...
By Ginger - Site Admin on Monday, September 12, 2016 10:04 AM
All KHA members are invited to attend the KHA Legislative Committee meeting on September 14, from 10:00 a.m. (ET) through a working lunch, at KHA Headquarters in Louisville.

The meeting will begin with guest speaker Medicaid Commissioner Steve Miller updating attendees on the 1115 Medicaid Waiver.  You will have an opportunity to ask him any questions that you may have about the waiver. 

Members will discuss state issues and take positions on legislation to recommend for inclusion on the KHA Legislative Platform. 

Representative Joni Jenkins (D-44), the House Appropriations and Revenue Human Resources Subcommittee chair, will be the luncheon speaker to discuss the state budget and Medicaid funding.  Since there may be legislation to change the Medicaid Disproportionate Share Hospital (DSH) program payment this session, this is a great opportunity to educate Representative Jenkins on the need for keeping the Medicaid DSH payments at the highest level allowed by federal law.

If you...
By Ginger - Site Admin on Thursday, September 08, 2016 9:46 AM
On October 20, KHA will host a seminar to get hospitals up to date on the latest changes in Joint Commission accreditation. The event will be held at the Hilton Garden Inn Louisville Northeast.

Many changes are occurring in the Joint Commission Accreditation process through January 2017, and the changes will have a great deal of impact on accredited organizations. With the implementation of the Project Refresh SAFER Matrix for scoring and the changes related to management of the Plan for Improvement associated with the Statement of Conditions, there will be some interesting challenges for all health care organizations. The Joint Commission Update 2017 seminar will provide information needed to understand and manage these accreditation process changes. Topics to be discussed include the Project Refresh and the SAFER Scoring Matrix, The Plan for Improvement portion of the Statement of Conditions post survey, frequently cited and challenging standards and High Reliability.

The event brochure...
By Ginger - Site Admin on Wednesday, September 07, 2016 9:14 AM
SANE Webinar Cover ImageOn September 15, KHA, along with the Kentucky Office of Inspector General and the Kentucky Association of Sexual Assault Programs, will host a webinar on the SANE-Ready Hospital: What it Means and How to Achieve It.

The Sexual Assault Forensic Evidence (SAFE) Act passed in the 2016 General Assembly. This is a comprehensive measure which seeks to address a number of barriers to providing both health care services and justice for victims of sexual assault. Key to hospitals, the SAFE Act seeks to improve the quality of care sexual assault victims receive by the establishment of the SANE-ready designation for acute care hospitals. SANE stands for Sexual Assault Nurse Examiner. In order to qualify for the designations, hospitals must certify they have a SANE nurse on call 24/7.

For program details, view the brochure....
By Ginger - Site Admin on Wednesday, September 07, 2016 8:38 AM

On September 6, KHA submitted comments to the Centers for Medicare and Medicaid Services on the calendar year (CY) 2017 hospital outpatient prospective payment system (OPPS) proposed rule that would implement site-neutral provisions of the Bipartisan Budget Act of 2015 (BiBA).

Kentucky's hospitals are opposed to CMS' site-neutral proposal because the rule would not only apply to new off-campus outpatient facilities but also to existing hospital outpatient departments (HOPDs) that expand services or relocate to benefit their communities by lowering payment.

For a full copy of KHA's comments, members may visit the Policy page of the Advocacy section of www.kyha.com.

If you have any questions, please contact Nancy Galvagni at KHA (ngalvagni@kyha.com).

By Ginger - Site Admin on Tuesday, September 06, 2016 9:21 AM
As an added benefit for KHA members, the annual publication Kentucky Hospital Statistics is now available online. The book can be downloaded in pdf format for your convenience at www.kyha.com/CM/Publications/KY_Hospital_Statistics.aspx.

You will find this resource and others under "Special Publications" in the Publications tab of the KHA website, www.kyha.com.

Kentucky Hospital Statistics is a comprehensive compilation of data on Kentucky hospitals:

Numbers, types and location of hospitals in Kentucky (sample page) Utilization of services (sample page) Hospital finances (sample page) Quality indicators (sample page)...
By Ginger - Site Admin on Tuesday, September 06, 2016 9:09 AM
KEPRO, Kentucky's quality improvement organization (QIO), announced on Friday that the Short Stay reviews will be resuming soon. The organization hopes to receive further details from the Centers for Medicare and Medicaid Services (CMS) this week, and will provide more information at that time about upcoming informational webinars that will be held during the third week of September.
By Ginger - Site Admin on Friday, September 02, 2016 8:50 AM
The Centers for Medicare & Medicaid Services has announced an error in calculating Clostridium difficile infection performance during the first two quarters of 2014. This error affects hospital performance in the fiscal year 2017 Hospital Acquired Condition Reduction Program, baseline performance in the FY 2018 hospital value-based purchasing program, and measure data reported on Hospital Compare in 2015. As a result, CMS is conducting a second review and corrections period for the FY 2017 HAC program from today through Sept. 30 to allow hospitals to review their updated C Difficile performance. CMS also has updated the baseline period performance standard for the FY 2018 VBP program, and intends to update the archived databases of Hospital Compare to reflect corrected performance data. For more information, see CMS’s QualityNet website.
By Ginger - Site Admin on Wednesday, August 31, 2016 9:54 AM

The Kentucky Hospital Association, in partnership with the American Heart Association, is providing a webinar series for small and rural hospitals with the goal to provide rural hospitals with a clinical update on improving recognition, treatment and sometimes transfer of stroke patients in a timely manner. Rural hospital emergency department staff and other nurses and physicians involved in the care of potential stroke patients are invited to attend.

View the brochure for program details and registration information.

By Ginger - Site Admin on Wednesday, August 31, 2016 9:03 AM
CMS issued an invitation the public to comment on the Calendar Year (CY) 2017 Changes to the Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) proposed rule . Comments are due by 5:00 p.m. (ET) next Tuesday, September 6.

The CY 2017 OPPS ASC proposed rule includes the following changes to the Medicare and Medicaid EHR Incentive Programs:

Eliminates the Clinical Decision Support (CDS) and Computerized Provider Order Entry (CPOE) objectives and measures beginning in 2017 and reduces the...
By Ginger - Site Admin on Tuesday, August 30, 2016 8:07 AM
The next meeting of the KHA Summer Series of Congressional Meetings will be held September 9 in the first congressional district.

Each meeting in the Series is held in the congressmen’s districts to provide KHA members the opportunity to stay in contact locally with the Kentucky congressional delegation and discuss important legislative and regulatory issues currently before the U.S. Congress that are critical to Kentucky’s hospitals. With the nation’s health care system in transformation to delivery systems that are driven by new payment models, hospitals must stay in contact with their Congressman to let him know how these changes will impact your hospital, and this meeting provides you with the opportunity to discuss your issues and concerns.

Make plans now to attend the meeting in your congressional district.



Candidate for Kentucky’s...
By Ginger - Site Admin on Wednesday, August 24, 2016 9:01 AM
Sue Dill Calloway PortraitOn September 15, KHA will host a webinar on Legal and Risk Management Issues in the Emergency Department (ED).

With the emergency department (ED) being a high-risk area of liability for the hospital, the presentation will focus on legal and risk management issues that health care providers face while caring for patients in this high-risk environment.

During this session, Sue Dill Calloway will explain how to comply with selected Centers for Medicare Medicaid Services (CMS) hospital CoPs and Joint Commission standards that are problematic for emergency department staff and include how the visitation law affects the ED and the CMS anesthesia standards on the use of deep or moderate sedation in the ED. Calloway will further discuss the impact of the new CMS worksheets along with...
By Ginger - Site Admin on Wednesday, August 24, 2016 8:45 AM
PBR Webinar Cover ImageOn September 13, KHA will host a a webinar on the Provider-Based Rules Update for 2016.

Hospitals are increasingly establishing provider-based clinics of all types. While hospitals can enjoy increased revenues from provider-based clinics, compliance with all the rules and regulations is challenging. The provider-based rule (PBR) is complex and there are definite ambiguities. Recent changes in the supervisory requirements for provider-based operations have created confusion and new compliance challenges.

During this workshop, Duane Abbey, PhD,CFP, will describe the overall purpose and function of the provider-based rule and address critical information concerning physician supervisory changes, as well as discuss the future of provider-based clinics.

Details can be found in the brochure, and registration is now open online.

...
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