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News from the Kentucky Hospital Association
By Ginger - Site Admin on Wednesday, February 26, 2014 11:35 AM
Kentucky Hospital Association is partnering with the Kentucky Office of Rural Health, Community and Economic Development Initiative of Kentucky (CEDIK) to provide a Grant Writing Workshop Series.

There are many opportunities to tap grant funding to help support or fund projects in hospitals. Grant applications can be extremely competitive and there is certainly an art to writing successful grants. The Kentucky Hospital Association Grant Writing Workshop Series will help novices research, plan and write successful grants.

For details on this educational event, please view the brochure.

April 8 - Grant Writing 101: Designed for the Beginner or Intermediate Grant Writer April 29 - Grant Writing 201: Putting Your Knowledge to Work! For further information, contact Carol Walters at KHA (502-426-6220 or 800-945-4542 or via...
By Ginger - Site Admin on Wednesday, February 19, 2014 9:18 AM

Dean Dorton is currently conducting its second annual Physician Group Integration survey. KHA encourages all hospitals to complete the online survey. The link was e-mailed to each hospital originally on January 13 and again on February 4.

The report on last year's findings was shared with KHA members, along with Dean Dorton presentations, at the October 2013 KHA District Meetings and during the recent Physician Leadership Forum meeting.  There were excellent discussions at these meetings, which provided feedback that Dean Dorton included for questions in this follow-up survey.

The higher the response rate for this survey, the better will be the compiled results and findings that will be shared with hospitals.

For your online survey link, please e-mail

By Ginger - Site Admin on Monday, February 17, 2014 8:28 AM

Applications are now being accepted for the 2014 Annual KHA Quality Award. Please submit your application before April 1. The applications will be judged by non-KHA affiliates.The awards will be presented during the Awards Luncheon at the KHA Annual Conference on May 9.

Download the Application and learn more about the award on the Quality Award page.
By Ginger - Site Admin on Friday, February 14, 2014 9:03 AM

On April 15, KHREF will host Implementing the Best Practices and Programs: Getting "Survey Ready" at the Hilton Garden Inn Louisville.

This one-day program will provide valuable information for those individuals who are responsible for creating the best possible Environment of Care, Emergency Management and Life Safety programs and must understand the 2014 Joint Commission survey methodology and changes to the standards. Information will be provided so attendees will be able to implement a practical, continuously compliant program for health care facilities to achieve maximum performance while effectively preparing for unscheduled Joint Commission and CMS surveys.

View the program brochure for program details. Online registration is available at

For further information, please contact Carol Walters at KHA (502-426-6220 or 800-945-4542 or via e-mail at

By Ginger - Site Admin on Thursday, February 13, 2014 3:02 PM
All Kentucky hospitals will be receiving a packet next week containing the AHA Annual Survey and login information to complete the survey online. It is vital to collect accurate and updated information for your institution each year. Health care leaders, policy makers, researchers and consumers use the AHA Annual Survey Database to get a snapshot of the provider market. The AHA Annual Survey is an important source of provider data and is the origin of AHA Guide®, Hospital Statistics™ and now U.S. News & World Report’s Directory of America’s Hospitals ( Your response to the survey assures that your hospital’s information will be represented in these resources and available to individuals nationwide.

There will NOT be a Kentucky Supplement this year.

The survey is available at If you have not...
By Ginger - Site Admin on Thursday, February 13, 2014 2:54 PM
The HMO Indicators Report by KHA is now the Kentucky MCO and HMO Financial Results Report. The report has been restructured to include more concise information on all health care management organizations (HMOs) and Medicaid managed care organizations (MCOs) doing business in the state.

The Medicaid MCOs will be presented side-by-side for a quick comparison with the remaining HMOs doing business in Kentucky presented similarly. The indicators will be updated on a quarterly basis as the data becomes available from the Kentucky Department of Insurance.

A full report for 2012 as well as report with the first two quarters for 2013 is now available. The documents can be found in the Members Only section of under Special Publications and Presentations.

If you have any questions regarding the Kentucky MCO & HMO Financial Results Report, please contact Steve Miller at KHA (502-426-6220 or 800-945-4542 or via e-mail at

By Ginger - Site Admin on Thursday, February 13, 2014 9:04 AM
The annual KHA Quality Conference and K-HEN Showcase will be held March 18-19 at the Crowne Plaza in Louisville.

Day one will be the Quality Conference and will feature husband and wife patient advocate team from the Chicago area, Mr. and Mrs. Bob Malizzo, who lost their adult daughter to a medical error and now serve on that hospital's quality review committee.  In addition there will be presentations on High Reliability, Value-Based Purchasing, Analyzing your Data, Reporting Quality to your Board, IP Basics, Improving HCAHPS scores, Root Cause Analysis and more.

Day two will be a K-HEN Showcase, which will include presentations by the K-HEN Seed Grant Awardees and hospitals involved in the Lean and Readmissions Discharge Phone Call projects;  Reporting Harm Across the Board; presentations from K-HEN hospitals on Patient and Family Engagement and more.

By Ginger - Site Admin on Friday, February 07, 2014 9:14 AM

On Wednesday at 10:00 a.m. (ET) the Senate Health and Welfare Committee will conduct a hearing for Senate Bill 119 — legislation to implement a medical review panel process for cases brought against health care providers. The goal of SB 119 is to put an end to the growing number of meritless lawsuits that increase Kentucky’s health care costs and plague Kentucky’s legal system.

Medical malpractice liability has taken a significant financial toll on Kentucky’s health care providers, increasing costs for consumers and diverting critical funds away from patient care.

See the fact sheet on Senate Bill for a quick overview of the legislation.

For additional details, visit

By Ginger - Site Admin on Tuesday, February 04, 2014 3:19 PM

Cover of Legislative Member Handbook UpdatesKHA publishes a Member Handbook biennially for the Kentucky General Assembly and the Kentucky congressional delegation. Updates are now available for the current handbook.

These updates include newly elected legislators and the latest key committees in the State Senate and House.

If you have any questions about the current legislative session, please contact Sarah S. Nicholson at KHA (502-426-6220 or 800-945-4542 or via e-mail at

By Ginger - Site Admin on Tuesday, February 04, 2014 3:13 PM
Late Friday, January 31, CMS announced it is extending the so-called two-midnight rule’s “probe and educate” transition period to the end of the federal fiscal year on September 30. Full enforcement of the policy had been slated to begin in April. Friday’s announcement from CMS is the third time since October that full implementation of the two-midnight rule has been delayed.

CMS officials have stated the rule is needed to clarify admission guidelines and address a recent spike in Medicare patients being admitted to hospitals for brief observation stays. Objections from hospitals and doctors have included unease over the financial impact of the rule on patients, who face higher co-pays, and concern that the rule will penalize efficient treatment of patients in less than two nights.

For an analysis of this latest development, please review the Washington Perspectives...
By Ginger - Site Admin on Tuesday, February 04, 2014 2:56 PM
The IRS has issued new guidance to assist Section 501(c)(3) nonprofit hospital organizations in complying with the requirements of Section 501(r), enacted by the Affordable Care Act. In Notice 2014-3, the IRS has set out a proposed procedure for hospitals to disclose and correct any violations of Section 501(r) that are not “willful” or “egregious.” A second notice, Notice 2014-2, provides that hospital organizations may rely on proposed IRS regulations under Section 501(r).

Section 501(r) requires a Section 501(c)(3) hospital organization to conduct and implement a community health needs assessment (CHNA) and establish financial assistance and emergency care policies. It also places limits on a hospital organization’s patient charges and billing and collection practices for patients who are eligible for financial assistance. The requirements apply to organizations that operate one or more facilities that are licensed or registered as a hospital under state law.

The IRS issued two sets of...
By Ginger - Site Admin on Monday, February 03, 2014 10:35 AM
According to a News Flash from the American Hospital Association, the Centers for Medicare and Medicaid Services (CMS) has delayed the deadlines for reporting certain quality data as part of the inpatient and outpatient quality reporting programs from February 1 to Saturday, February 8, due to the severe weather impacting the southeastern United States. However, this delay applies to all hospitals.

For the inpatient quality reporting (IQR) program, the population and sampling data for chart-abstracted quality measures for the third quarter of 2013 (discharges from July 1 through September 30, 2013) will be due on February 8. For the outpatient quality reporting (OQR) program, the data for chart-abstracted measures, as well as population and sampling data for the third quarter of 2013 (encounters between July 1 and September 30, 2013) will be due on February 8. The deadlines for other IQR and OQR measure data remain unchanged.

For questions regarding these deadline changes, hospitals in Kentucky...
By Ginger - Site Admin on Friday, January 31, 2014 10:45 AM
In the fall of 2013, the Cabinet for Health and Family Services (CHFS) requested comments on the State Health Plan criteria and, more specifically, for recommendations on how the State Health Plan should be updated to meet the changing health care needs as a result of implementation of the Affordable Care Act (ACA). The KHA Certificate of Need (CON) Committee, under the direction of Committee Chair Vicki Darnell, thoroughly reviewed the Plan from October through December. The CON Committee, after thoughtful discussion on each component of the Plan as well as consultation with workgroups on specific areas of the plan, finalized recommendations. The Committee recommended that acute care services would not increase in need drastically and therefore would not require any change to the criteria. The Committee did recommend that criteria be added to the plan to address approval of Alternative Birth Centers. The Committee also noted growing challenges with access to care for subsets of the long-term care community...
By Ginger - Site Admin on Friday, January 31, 2014 8:35 AM
This week, reports showing readmissions trends were sent to to acute care hospital chief executive officers, chief financial officers, chief nursing officers and quality directors.

This analysis is designed to provide hospitals with a comparative review, over time, of the readmissions measures that the Centers for Medicare and Medicaid Services (CMS) is currently/will be evaluating under the Hospital Readmissions Reduction Program. The analysis also provides an in-depth review of actual and projected performance under the Readmissions Reduction Program.

Similar to the Value-Based Purchasing (VBP) Program analysis, this update includes a new report called Performance Scorecard. This report provides a detailed review of hospital performance and the factors that drive performance under the Readmissions Reduction Program for federal fiscal years (FFYs) 2013, 2014 and 2015 using actual and estimated data. Using performance and revenue data critical to the Program, the report uses a series of tables and graphs to highlight exposure areas and the conditions that drive the payment penalties by program year. Each section of the report includes text to describe what is displayed, whether it is actual or estimated, how the data relates to the program and why it is important....
By Ginger - Site Admin on Wednesday, January 29, 2014 8:51 AM
Join your colleagues for the 2014 AHA Annual Membership Meeting May 4-7 in Washington, D.C!

Online registration is now open at the early bird rate of $725 for the regular meeting package or $875 including the American College of Healthcare Executives educational session.

Visit to view the full schedule of events and rates. While you’re there, register yourself – or your whole team – in just a few simple steps. Early bird rates expire March 21, so register today to take advantage.

KHA members will take this opportunity to meet with the Kentucky congressional delegation on May 6-7, and the KHA Legislative Committee will meet in Washington on May 6.

If you plan to attend and would like to stay at the Hotel Palomar with other KHA members, please contact Carol Walters at KHA (502-426-6220 or 800-945-4542 or via e-mail at

By Ginger - Site Admin on Tuesday, January 28, 2014 8:50 AM

Each year, KHA recognizes an outstanding hospital trustee with its Health Care Governance Leadership Award during the KHA Annual Convention Awards Luncheon. This year’s Awards Luncheon will be held on May 9 at the Lexington Convention Center in Lexington.

Nomination criteria and a nominating form are available at Please return the form by February 21. Should you have any questions regarding the awards process, please contact Carol Walters at KHA (502-426-6220 or 800-945-4542 or via e-mail at

By Ginger - Site Admin on Friday, January 24, 2014 4:55 PM

AHA's Hospitals & Health Networks (H&HN) magazine recently launched its 2014 Most Wired Survey, which hospitals can complete through March 15.

The annual survey measures information technology adoption, implementation and use in four areas: infrastructure; business and administrative management; clinical quality and safety; and clinical integration.

For details on this year’s survey, see the recent H&HN video or visit

By Ginger - Site Admin on Friday, January 24, 2014 4:41 PM
The Kentucky Hospital Research and Education Foundation (KHREF) presents the 2014 ICD-10 Webinar Training Series. This webinar training series will offer three webinars designed to get coders prepared for the mandatory ICD-10 conversion on October 1.

Overall Objectives of the Webinar Series:

Understand how ICD-9-CM compares to ICD-10-CM Understand the structure and format of ICD-10-CM Review and Coding of Diagnosis Codes in Chapter 1 – 21 of the coding book  Online registration for the following sessions is available at:

Part 1 Thursday, April 10 2:00 p.m. - 4:00p.m. (ET)   Part 2 Thursday, April 24 2:00 p.m. - 4:00p.m. (ET)   Part 3 Thursday, May 1 2:00 p.m. - 4:00p.m. (ET) Please view the brochure...
By Ginger - Site Admin on Friday, January 24, 2014 4:35 PM

According to an AHA "Newsflash," on January 24, the Centers for Medicare and Medicaid Services (CMS) clarified that hospitals can continue to use service vendors to assist them in making Medicaid presumptive eligibility determinations under the Patient Protection and Affordable Care Act.

Many hospitals use outside vendors to help with eligibility assessments and enrollment. CMS's announcement, which was welcomed by AHA, would still hold hospitals accountable for accurate presumptive eligibility determinations.

CMS issued the clarification in a series of FAQs on hospital presumptive eligibility. The FAQ on this issue can be found on page six.

By Ginger - Site Admin on Friday, January 24, 2014 11:07 AM

REMINDER: CEO-signed Commitment Letters are due to the K-HEN team no later than January 31. Since K-HEN will need to provide a list of hospitals who have returned Commitment Letters on that day, please return your letter as soon as possible. Commitment letter packets were mailed to all participating hospitals’ CEOs, along with CEOs of hospitals who did not participate previously but are invited to join this year.

If any of you have any questions about participation, would like to have a phone meeting, or would like to meet in person to discuss, please contact Donna Meador at KHA (502-426-6220 or 800-945-4542 or via e-mail at

By Ginger - Site Admin on Thursday, January 23, 2014 10:59 AM
National notifications regarding breaches in HIPAA (Health Insurance Portability and Accountability Act) seem to be occurring at an alarming rate despite the revamped federal HIPAA Omnibus Rule that holds covered entities and business associates more accountable for protecting patient data.

On January 30,  Health Enterprises Network will host a panel of experts who will discuss the impact of the regulatory changes that began in September 2013, what to expect from an audit, how to improve privacy and security at your organization, privacy and security issues related to mobile medical technologies and other real life risks that many organizations are struggling to address.

Date and Time Thursday, January 30 7:30 a.m. - 8:15 a.m. (ET) — Registration, Networking & Light Breakfast 8:15 a.m. - 10:30 a.m. — Program

Location The Nucleus, part of the Nucleus Innovation Park First Floor Conference Room 300 East Market Street Louisville

Registration $50

$10 for full-time students...
By Ginger - Site Admin on Thursday, January 23, 2014 10:34 AM
The Kentucky Department for Medicaid Services (DMS) has announced expanded services that are covered under Presumptive Eligibility (PE) as part of the Affordable Care Act (ACA). Qualified hospitals will be allowed to determine eligibility for temporary coverage for those who do not have insurance coverage.

HP Enterprises will conduct webinars, in conjunction with DMS, for hospitals to become qualified in determining temporary eligibility under the PE program. The webinar is designed to offer instruction and assistance to providers in determining who is eligible for temporary coverage and how to submit a PE request. Your registration and completion of this training constitutes your election to make PE determinations.

Hospital chief executive officers are encouraged to forward this information to the appropriate staff members in their facility who will be screening for Medicaid eligibility. Please read the final regulation for additional details on PE.

Choose one of the three sessions below...
By Ginger - Site Admin on Monday, January 20, 2014 10:15 AM
The Affordable Care Act (ACA) was signed into law March 2010. While most aspects of the law were not scheduled to begin until 2012, hospitals began feeling the effects early on due to the mandated reduction in Medicare payments. Hospitals are estimated to incur $155 billion in cuts over 10 years with Kentucky hospitals’ portion estimated at $2.1 billion. The year 2014 marks the full implementation of the ACA with the mandate that individuals be insured by January 1, 2014, or incur a penalty. There are many questions as to how the ACA will play out in the coming years and what impact it will have on Kentucky hospitals.

It is estimated there are 650,000 Kentuckians without insurance, with over 300,000 of the uninsured eligible for expanded Medicaid in the state. Kentucky chose to operate a state-run insurance market to assist uninsured individuals enrolling in Medicaid if eligible and for others to purchase insurance coverage. The Kentucky exchange (kynect) began operations on October 1, 2013, and...
By Ginger - Site Admin on Monday, January 20, 2014 10:09 AM

KHA Members Only Event

The KHA Hospital Day at the Legislature will be held on Thursday, February 27 at the Frankfort Country Club:  

7:30 a.m.
Registration and Breakfast
8:00 a.m. Meeting
10:15 a.m. Meet with Legislators at Capitol (make your appointments with your legislators now)
12:00 p.m. Luncheon with Legislators
By Ginger - Site Admin on Friday, January 17, 2014 12:22 PM
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule in the Federal Register that establishes national emergency preparedness requirements for Medicare and Medicaid providers and suppliers to ensure that they adequately plan for both natural and man-made disasters.

The proposed rule addresses emergency preparedness requirements that 17 provider and supplier types must meet in order to participate in the Medicare and Medicaid programs.

This proposed rule could have a significant impact on hospitals. For example, the rule includes language that relates to the behavior of the new electronic health record (EHR) systems during a disaster or emergency, and a requirement that EHR systems be redundantly backed up both in region and out of region.

KHA Emergency Preparedness Director Richard Bartlett has prepared resources for hospitals to educate themselves regarding the proposed changes and to prepare in case the rule is approved. Visit
By Ginger - Site Admin on Friday, January 17, 2014 10:22 AM
2014 Brain Injury Summit Logo

The Brain Injury Alliance of Kentucky (BIAK) will host the 25th Annual Brain Injury Summit on Friday, March 7 at Cardinal Hill Rehabilitation Hospital in Lexington.

The Summit is designed to provide attendees with an understanding of the interdisciplinary advancements and strategies in the treatment of severe traumatic brain injury from the initial response, transportation to the trauma center, acute hospitalization, rehabilitation and return to the community. A well-qualified faculty of specialists will address ways the research evidence is integrated with their expertise and its practical value in clinical decision making.

For details and to register, view BIAK's brochure.

By Ginger - Site Admin on Tuesday, January 14, 2014 8:31 AM

The Kentucky Hospital Research and Education Foundation (KHREF) will host two webinars in February for KHA members.

Inpatient versus Outpatient and Part B Inpatient Billing will be held February 11 from 9:30 a.m. to 11:00 a.m. (ET). This program will help participants sort out the confusion surrounding when a patient is an inpatient vs. being an outpatient specific to billing and coding.

Physician Compensation in a Value-Based World will be held February 27 from 1:00 p.m. to 2:00 p.m. (ET). As health care reimbursement transitions from volume to value based, it becomes essential for physician compensation plans to evolve in order to ensure success under changing financial incentives. The objectives of this program are to:

By Ginger - Site Admin on Monday, January 13, 2014 10:59 AM
On Friday, January 10, the Kentucky Hospital Engagement Network (K-HEN) held a webinar to discuss hospital commitments for the 2014 extension of the HEN project. A recording of the webinar, along with a copy of the PowerPoint presentation and participation requirements document (regarding data) are available on the K-HEN website,

Please note, the commitment form must be signed by each participating hospital's chief executive officer by January 31. K-HEN will send commitment packets (including the commitment form) to hospital CEOs early this week.  The packet will also include an outline of the data submission requirements, recommended measures and an outline of the data submission and performance incentive program. K-HEN will copy this information in an e-mail to hospital quality leaders.  System-level commitment forms will not be accepted by the Hospital Research and Education Trust (HRET) and the Centers for Medicare and Medicaid Services (CMS), so the forms must be signed by individual hospital CEOs....
By Ginger - Site Admin on Monday, January 13, 2014 10:40 AM

KHA will host District Meetings in February and March as listed below. An agenda and registration form are available at Make your plans to attend and register today.

February 19 9:45 a.m. (CT) Twin Lakes District Baptist Health Madisonville Lowman Trover Conference Center – 8th Floor 200 Clinic Drive Madisonville    February 21 9:45 a.m. (ET) Cumberland District Baptist Health Corbin One Trillium Way Corbin March 4 9:45 AM (ET)...
By Ginger - Site Admin on Friday, January 10, 2014 10:49 AM
AHA will host an ACA Enrollment Virtual Town Hall Meeting for Health Care Providers on Thursday, January 16.

There are four different calls to provide opportunities for more people to participate. Click on the time that best suits your schedule to register:

9:00-10:00 a.m. EST 12:00-1:00 p.m. EST  4:00-5:00 p.m. EST  9:00-10:00 p.m. EST  Hear about how individual providers, clinics and hospitals can play a central role in getting America covered. 

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