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Author: Created: Thursday, December 05, 2013 11:23 AM RssIcon
News from the Kentucky Hospital Association
By Ginger - Site Admin on Friday, March 28, 2014 2:38 PM
On March 27, KHA submitted comments to the Centers for Medicare and Medicaid Services (CMS) regarding the proposed Conditions of Participation (CoP) rule regarding emergency preparedness requirements for Medicare and Medicaid participating providers and suppliers.

A copy of KHA's comment letter is available at http://www.kyha.com/wp-content/uploads/2014/03/KHAResponsetoCMSCOPEPRules.pdf.

The AHA released a Regulatory Advisory on this topic. It is available at http://www.kyha.com/wp-content/uploads/2014/03/EmergencyPreparednessCOP_ProposedRule_RegulatoryAdv.pdf.

For further information, please contact Richard Bartlett at KHA (502-426-6220 or 800-945-4542 or via e-mail at rbartlett@kyha.com)....
By Ginger - Site Admin on Friday, March 28, 2014 2:26 PM

Kentucky hospitals are being asked to participate in a brief survey to help update the Centers for Disease Control and Prevention (CDC) profile on Kentucky tobacco prevention efforts. The survey is in electronic format and should take only 5-10 minutes to complete. Please forward this survey to your hospital staff that oversees your tobacco prevention and cessation efforts for completion.

If you have any questions about the survey, please contact Andrew Waters (Andrew.waters@ky.gov).

Survey access: https://www.surveymonkey.com/s/VLXRKWB

By Ginger - Site Admin on Friday, March 28, 2014 8:07 AM
KHA recently mailed all hospital chief executive officers, chief operating officers, chief financial officers, board chairs and public relations directors the 2012 Kentucky Hospitals Community Benefits Report (available at http://www.kyha.com/wp-content/uploads/2014/03/KHACommunityBenefits2012.pdf). Copies were also shared with the media and Kentucky’s elected officials.

The value of community benefit programs and services provided by Kentucky hospitals totaled nearly $2.18 billion in 2012, according to the new report. That is up from nearly $1.96 billion just one year prior. The total includes $451 million in financial assistance/charity care, which has more than doubled in three years, and other costs such as community health improvement services, health professions education, research, bad debt and the unpaid costs of Medicaid and Medicare....
By Ginger - Site Admin on Thursday, March 27, 2014 9:39 AM
On March 26, U.S. House leaders filed a revised bill that would stave off scheduled cuts to Medicare physician payments through April 1, 2015. The House could vote on the bill as soon as Thursday, March 27, and Senate action is expected to follow. Medicare physician payments are scheduled to be cut by 24 percent on April 1 without congressional action.

In a Special Bulletin, AHA outlined the hospital-related highlights:

 Medicare extenders – The bill would extend the Medicare-Dependent Hospital (MDH) Program, low-volume adjustment and ambulance add-on payments through April 1, 2015. Two-midnight rule – The bill would extend the delay in enforcement of the Centers for Medicare & Medicaid Services’ (CMS) two-midnight policy for an additional six months, through March 31, 2015. This provision would prohibit recovery audit contractors (RACs) from auditing inpatient claims spanning less than two midnights for the six-month period and extend the “probe and educate” program for auditing...
By Ginger - Site Admin on Thursday, March 27, 2014 9:24 AM
Under the Affordable Care Act (ACA) and regulations revised by the Cabinet for Health and Family Services (CHFS) in January, hospitals can grant presumptive Medicaid eligibility to individuals who qualify under the new Medicaid income eligibility criteria or to pregnant women. In February, the Cabinet’s contractor, HP, conducted webinar training programs for hospital staff. Since that time, KHA has worked with the Department for Medicaid Services (DMS) to obtain answers to additional questions involving presumptive eligibility. The questions and answers are provided below. Please distribute this information to your staff.

Question: If a hospital grants presumptive eligibility (PE) to an individual, is the individual limited to receiving hospital services only from the hospital which granted the PE or may they receive covered services at any hospital? (KHA was advised this was stated in the HP training program.)

DMS Answer: (Lee Guice, DMS) PE coverage is not limited to the hospital which assisted the PE member.

...
By Ginger - Site Admin on Thursday, March 27, 2014 9:18 AM

Programs for KHA's 85th Annual Convention, May 8-9 in Lexington, were mailed to members this week. The convention website, http://convention.kyha.com, provides online registration, program details, a hotel reservation link,  a personalized scheduler and a link to the printable program.

Online registration is also available directly at https://secure.kyha.com/meetingregistration.asp.

For further information, contact Carol Walters at KHA (502-426-6220 or 800-945-4542 or via e-mail at cwalters@kyha.com).

By Ginger - Site Admin on Monday, March 24, 2014 10:30 AM

According to Governor Steve Beshear's website, 321,932 Kentuckians have enrolled via the state health insurance exchange, kynect, as of March 21. Eighty percent of those enrollees (257,477) however will be added to the Medicaid program and not purchasing private insurance.

Only 64,455 people have signed up for private health insurance so far. Of those, the most popular plan level is Silver (41 percent) – the level of coverage tied to federal subsidies. The second most popular level is Platinum (28 percent), which provides the most coverage. Seventeen percent of enrollees chose the Gold level and 11 percent chose Bronze.

View the kynect Enrollment Data for details of individuals enrolled by county.

By Ginger - Site Admin on Monday, March 24, 2014 10:11 AM
KHA has received a grant from the Anthem Foundation to support the “Improving Patient Safety for Mom and Baby” initiative. The project kicks off March 28 with a webinar at 10:00 a.m. (ET).

Kentucky hospitals that offer birthing services already strive to provide the best and safest care for moms and babies, and want Kentucky to show the best possible outcomes, both short term and long term. Unfortunately the commonwealth still has lower rankings in several areas:

Kentucky's most recent six-month rate of Early Elective Deliveries is 10.9 percent, which is still significantly higher than the Centers fore Medicare and Medicaid Services (CMS) goal of 3 percent or less; Kentucky's “ever breastfed” rate is 52.6 percent compared to the national rate of 76.5 percent; Kentucky’s overall C-section rate is 34.6 percent compared to the national Cesarean rate of 31.8 percent; and Obstetrical hemorrhage is an increasing problem across the nation. To help Kentucky hospitals...
By Ginger - Site Admin on Thursday, March 20, 2014 3:47 PM
From the Centers for Medicare and Medicaid Services (CMS):

Payment adjustments for eligible hospitals that have not successfully participated in the Medicare Electronic Health Record (EHR) Incentive Program will begin on October 1. Hospitals can avoid the payment adjustment by taking action by April 1.

Hospitals that have never participated in the Medicare EHR Incentive Program can:

Submit a hardship exception application for experiencing circumstances that posted a significant barrier to achieving meaningful use Begin 90 days of meaningful use for the 2014 reporting year...
By Ginger - Site Admin on Thursday, March 20, 2014 3:42 PM

The 85th Annual KHA Convention will be held May 8-9 in Lexington. Program brochures will be mailed to members next week. Save the date!

By Ginger - Site Admin on Thursday, March 20, 2014 7:43 AM

The AHA encourages all hospitals to complete the 2014 National Governance Survey, a research project initiated every three years by the AHA and its Center for Healthcare Governance to profile the changing landscape of governance in America’s hospitals and health systems. The survey will benchmark current board structures, practices and culture and compare them with previous AHA governance surveys, as well as highlight best practices and trends in the evolving environment.

Both hospital chief executive officers and board chairmen are encouraged to complete the multiple-choice survey, which will close April 30. A letter containing instructions for accessing the electronic survey was recently e-mailed to hospital administrators.

For more information, call 800-530-9092 or e-mail surveysupport@healthforum.com.

By Ginger - Site Admin on Wednesday, March 19, 2014 2:29 PM

The University of Kentucky College of Public Health will host a reception for Master of Health Administration (MHA) Alumni and Friends in conjunction with the ACHE Congress on March 25 in Chicago, Illinois.

Please see the flier for more details on the reception.

The 2014 ACHE Congress on Healthcare Leadership will be held March 24-27: https://www.ache.org/congress/.

By Ginger - Site Admin on Wednesday, March 19, 2014 10:28 AM
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 the first three quarters for 2013 is now available. The document can be found in the Members Only section of www.kyha.com 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 smiller@kyha.com).

By Ginger - Site Admin on Wednesday, March 19, 2014 10:17 AM

With Congress on recess this week, the deadline is fast approaching to "fix" the physician sustainable growth rate formula (SGR). The House has approved a measure (see March 19 edition of KHA Health e-News for reference to a Modern Healthcare article on this measure). The Senate has introduced its version. With respect to the SGR portion, both appear to be the same. It's in the pay-for and additional items that the bills are different.

For an analysis and commentary on the physician SGR "fix," view the Washington Perspectives article from KHA Washington liaison Larry Goldberg.

By Ginger - Site Admin on Wednesday, March 19, 2014 10:04 AM

On March 18, the U.S. House Ways & Means and Senate Finance Committees released a draft legislative proposal aimed at changing post-acute care (PAC) reporting requirements. The changes would be used to find common parameters to: 1) Compare quality across PAC settings;  2) Improve hospital and PAC discharge planning; and 3) Use this information to reform PAC payments (via site neutral or bundled payments or some other reform) while ensuring continued beneficiary access to the most appropriate setting of care.

An analysis and commentary on this possible step toward bundling/site neutral payments was provided by KHA Washington liaison Larry Goldberg.

 

By Ginger - Site Admin on Wednesday, March 19, 2014 9:34 AM
On Friday, March 14, the Centers for Medicare and Medicaid Services (CMS) issued an interim final rule implementing a six-month extension of both the low-volume (LoVol) payment adjustment and the Medicare-dependent Hospital (MDH) program, as required by legislation passed in December (the Pathway for SGR Reform Act of 2013). The interim final rule is applicable for discharges under the inpatient prospective payment system (PPS) on or after October 1, 2013, and on or before March 31, 2014. CMS will accept comments on the interim final rule for a period of 60 days.

To qualify for the extension of the LoVol adjustment, hospitals must notify/make requests to their Medicare Administrative Contractor (MAC) no later than March 31.

On March 18, AHA released a Special Bulletin which provided details of the rule. A copy of the interim final rule is available on the CMS website at http://www.ofr.gov/OFRUpload/OFRData/2014-05922_PI.pdf.

By Ginger - Site Admin on Tuesday, March 18, 2014 8:50 AM
It's not too late to register for the AHA Annual Meeting, May 4-7 in Washington, DC. Registration is available at www.aha.org.

Representatives Kevin Brady (R-Texas), John Lewis (D-Georgia) and Greg Walden (R-Oregon) have joined the AHA Annual Meeting speaker lineup for Tuesday, May 6.

Representative Brady is chairman of the Ways and Means Health Subcommittee, while Representative Lewis is senior chief deputy whip for the Democrats and a senior member of the Ways and Means Committee. Lewis is also the primary sponsor of the AHA-supported Disproportionate Share Hospital (DSH) Reduction Relief Act (H.R. 1920), a key piece of the AHA’s advocacy agenda. Representative Walden is chairman of the National Republican Congressional Committee and chairman of the Energy and Commerce Committee’s Subcommittee on Communications and Technology.

For further information about attending the meeting with other KHA members, contact Sarah S. Nicholson at KHA (502-426-6220 or 800-945-4542 or via e-mail at snicholson@kyha.com).
By Ginger - Site Admin on Friday, March 14, 2014 9:38 AM
On March 12, the Centers for Medicare and Medicaid Services (CMS) updated its instructions to Medicare Administrative Contractors (MACs) on the two-midnight benchmark policy and cancelled surgical procedures. A copy of the revised instructions and a question and answer sheet, with revisions noted in red, are available here.

Also, on its website (http://cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/InpatientHospitalReviews.html), CMS indicates it will waive the 120-day time frame for filing redetermination requests received before September 30, 2014 for claim denials under the Probe and Educate...
By Ginger - Site Admin on Friday, March 14, 2014 8:49 AM
Myers and Stauffer, under contract with Kentucky Medicaid, has begun the federal fiscal year (FFY) 2011 Medicaid Disproportionate Share Hospital (DSH) audits. Information was distributed to hospitals in early February with a due date of March 21. Hospitals have already received the Medicaid fee-for-services paid claims listing, with Medicare/Medicaid cross-overs and managed care claims to be distributed soon. An extension of the March 21 due date will probably be granted due to the late distribution of the additional paid claims listing.

Hospitals are encouraged to submit the most complete and accurate data possible, keeping in mind the definition of uncompensated care. The 2011 audit year is the first year that hospitals may be subject to return a portion of their DSH payments if they are unable to document uncompensated care cost reported on the survey. In prior years, since the findings were informational and hospitals not subject to recoupments, many hospitals may not have filed all uncompensated...
By Ginger - Site Admin on Monday, March 10, 2014 8:24 AM
KHA will host three educational webinars in early April:

Pharmacy Drug Coding: Getting it Right - April 3, 1:00 p.m. - 2:00 p.m. (ET)

Meeting the Physician Supervision Challenge for Provider-Based Clinics - April 8, 9:30 a.m. - 11:00 a.m. (ET)

Value-Based Reimbursement: The Movement from Volume to Value - How Do We Get There? - April 8, 1:00 p.m. - 2:00 p.m. (ET)

 Online registration for these webinars is available at https://secure.kyha.com/meetingregistration.asp....
By Ginger - Site Admin on Monday, March 10, 2014 8:21 AM

The Kentucky Trustee is a quarterly newsletter that KHA produces for the benefit of hospital boards. The goal is to provide your trustees with information they need to lead your hospital forward in today’s rapidly changing environment. The winter edition of the Kentucky Trustee is available at http://www.new-kyha.com/Portals/5/NewsDocs/KTWinter2014.pdf.

KHA mails the Kentucky Trustee newsletter to all trustees for which the Association has contact information. This is a good time to ensure KHA has your current board members’ addresses.

If you have suggestions for future issues of the Kentucky Trustee, please contact Pam Mullaney at KHA (502-426-6220 or 800-945-4542 or via e-mail at pmullaney@kyha.com).

By Ginger - Site Admin on Tuesday, March 04, 2014 10:11 AM
The University of Kentucky College of Public Health Hall of Fame was established in 2004 to honor persons who, over their lifetime, have made exceptional contributions to the health and welfare of citizens in the commonwealth, the nation and/or the world.

Since 2004, a total of 47 outstanding persons have been inducted into the College’s Hall of Fame. The Hall of Fame Selection Committee at this time cordially invites nominations for consideration in the 2014 review process.

The Nomination Form specifies the selection criteria and eligibility for this lifetime achievement award. Using this format, nominations for 2014 awards should be submitted by mail, e-mail or fax on or before May 2.

If you have questions or would like additional information, please contact either Brooke Melanson (brooke.noble@uky.edu)...
By Ginger - Site Admin on Friday, February 28, 2014 3:06 PM
On February 28, KHA, on behalf of its members, submitted comments to the Kentucky Department for Medicaid Services (DMS). The comments addressed the DMS’ proposed amendments to the regulation which outlines cost sharing requirements for Medicaid recipients. KHA has specific concerns related to the changes proposed on copayments for nonemergency visits to the hospital emergency room.

The amendments specifically make two significant changes with respect to services provided in hospital emergency rooms. First, the copayment amount will increase from a maximum of $6.00 to $8.00 for a nonemergency visit in an emergency room. Second, the regulation will require that this copayment be deducted from the Medicaid payment the hospital receives when, previously, the copay was collected without deducting it from the hospital’s total Medicaid reimbursement for the service. These changes are very problematic and will only add to reduced hospital payment for the services they provide to low income patients at a time...
By Ginger - Site Admin on Friday, February 28, 2014 2:58 PM

On February 28, KHA, on behalf of its members, submitted comments to the Kentucky Department for Medicaid Services (DMS). The comments addressed the DMS’ proposed amendments to the outpatient hospital coverage regulation. The Association is concerned with some of the proposals and objects to the exclusion of coverage for occupational therapy provided in a hospital outpatient setting and requested that this be reversed.

For details, view the copy of KHA’s full comments. The document includes a notated copy of the Schedule of Benefits.

If you have questions, please contact Nancy Galvagni at KHA (502-426-6220 or 800-945-4542 or via e-mail at ngalvagni@kyha.com).

By Ginger - Site Admin on Friday, February 28, 2014 2:33 PM

The Kentucky Chapter of the American College of Healthcare Executives (ACHE) will host an educational event on Wednesday, April 2 at the Marriott Louisville East. The program will focus on Reducing the Financial Impact of Hospital Readmissions and will offer 3.0 ACHE face-to face credits.

Registration information and additional details are available on EventBrite.

By Ginger - Site Admin on Friday, February 28, 2014 1:47 PM
Legislative Luncheon Photo - Bud Warman, Representative Stumbo and Milton BrooksKHA hosted its annual Hospital Day at the Legislature on Thursday, February 27 in Frankfort. The event provided members an opportunity to hear from legislators and Cabinet for Health and Family Services (CHFS) leaders on issues affecting Kentucky hospitals.
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 integration@ddafhealthcare.com.

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 https://secure.kyha.com/meetingregistration.asp.

For further information, please contact Carol Walters at KHA (502-426-6220 or 800-945-4542 or via e-mail at cwalters@kyha.com).

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