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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 Tuesday, April 22, 2014 10:10 AM
All American College of Healthcare Executives (ACHE) members are invited to the Annual Kentucky ACHE Luncheon on Thursday, May 8, in conjunction with the KHA 85th Annual Convention. A separate registration fee is required for this special event, so be sure to mark your desire to attend when registering for Convention.

Following the luncheon, there will be an ACHE educational session,  which is approved for 3 hours of ACHE Qualified Face-to-Face Education Credit. This session is included in the General Registration Fee for Convention attendees (open to employees of Kentucky hospitals or KHA sponsors). However, if you are attending this session only and not the rest of the convention, the fee is $100.

The program, “Journey to Excellence: How High-Performing Health Care Leaders Achieve Organizational Success,” will address how to anticipate and respond to today’s changing environment with agility, innovation and results.

Rapid and dramatic changes in health care — growing payor and consumer...
By Ginger - Site Admin on Thursday, April 17, 2014 7:51 AM

The cutoff date for the Convention rate on hotel rooms for KHA's 85th Annual Convention, May 8-9, has been extended until Friday, April 25. A block of rooms has been reserved at the Hyatt Regency Lexington. Reservations requests after the cutoff date will be confirmed on an availability basis. Attendees are responsible for making their own reservations.

When making your reservations, remember to mention the Kentucky Hospital Association Convention using the KHA Group Code, G-KHOS. The Convention rate is $149.

You may make reservations online at http://lexington.hyatt.com/content/propertywebsites/hotels/regency/lexrl/en/group-booking/lexrlkhos2014.html or call the hotel's reservation line at (800) 233-1234.

By Ginger - Site Admin on Wednesday, April 16, 2014 8:07 AM

Scott Burton, an award-winning comic and world champion juggler, will present “Being Afraid of Life Is the Real Disease…and that One Is Curable” at the Annual KHA Awards Luncheon on May 9. Burton was diagnosed with a high-grade osteo sarcoma in 1992 and has blended his worlds of comedy, juggling and an uplifting cancer story to provide a potent message combined with nationally recognized entertainment.

The Awards Luncheon will be held during the KHA 85th Annual Convention, May 8-9 in Lexington. More information on the event and registration details are available at http://convention.kyha.com.

Register today at https://secure.kyha.com/meetingregistration.asp — early bird registration rates are in effect until April 25.

By Ginger - Site Admin on Tuesday, April 15, 2014 8:09 AM
On Monday, April 7, Myers and Stauffer, the contractor conducting the Medicaid Disproportionate Share Hospital (DSH) Audits for Kentucky Medicaid, distributed to hospitals by mail the fee for service (FFS) crossover and managed care organization (MCO) paid claims listing needed to complete the data submission required for the Medicaid DSH Surveys. The revised due date for the DSH survey is now April 25.

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 in excess of their Medicaid DSH payments received. In prior years since the findings were informational and hospitals were not subject to recoupments, many hospitals may not have filed all uncompensated care cost. Instead, they just filed enough cost to “cover” the amount of Medicaid DSH received.

...
By Ginger - Site Admin on Tuesday, April 15, 2014 7:35 AM
KHA Solutions Group, the Safety Net Hospitals for Pharmaceutical Access (SNHPA) and the Kentucky Chapter of the Healthcare Financial Management Association (HFMA) invite you to a complimentary forum covering critical issues relating to the federal 340B drug discount program. The program will be held on Friday, May 16, from 8:30 a.m. until 3:00 p.m. (ET) at the University of Kentucky College of Medicine in Lexington.

This event, which is exclusively for Kentucky 340B hospitals and health systems, will provide a closer look at the ongoing debate in Congress about hospitals’ use of the 340B program. As you know, the program faces growing criticism from powerful interest groups and influential lawmakers.

The forum will address these issues as well as cover operational and compliance aspects of 340B. In addition to an in-depth 340B briefing, attendees will hear about the latest developments in Washington that affect the Kentucky hospital community.

SPECIAL GUEST: Kentucky's Sixth District...
By Ginger - Site Admin on Monday, April 14, 2014 10:47 AM

National Hospital Week (NHW) is May 11-17, and many hospitals will be celebrating their employees, volunteers and other supporters. For those planning events or other activities, NHW-branded products, giveaways and awards are still available for order online and can be personalized with your hospital's name.

NHW is also a great opportunity to promote the good works of hospitals nationwide. Promotional tools, including NHW graphics, social media posts and draft web copy are available to help hospitals spread the word in their communities. Find out more at www.aha.org/hospitalweek.

By Ginger - Site Admin on Friday, April 11, 2014 1:10 PM
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).

KHA encourages all Kentucky birthing hospitals to participate in this worthwhile project. Please see the commitment form, due April 15, for more details.If you need more time, please contact one of the staff members below as soon as possible.

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...
By Ginger - Site Admin on Wednesday, April 09, 2014 7:45 AM
This year, KHA is excited to announce a Physician Track at the 85th Annual Convention, May 8-9 in Lexington. As more and more physicians practices integrate with hospitals across the state and processes related to quality, safety and patient-centered care move to the forefront, the KHA Board of Trustees recognized the need to provide topics of interest to physician partners.

This year’s new Physician track will cover Crisis Standards of Care: What Happens When Disaster Strikes, an offering inspired by Katrina health care tragedies and their analysis. It also will offer a session on Managing Risk through Collaboration: The Value of Integrating Service Lines discussing Emergency Physician and Anesthesia shared processes. Ron Teague will lead a presentation on Building the Integrated Delivery Platform: Hospitals and Physicians Working Together for Community Health. In addition, the educational activity is designated for a maximum of 3.50 AMA PRA Category 1 Credits.

More information on the event...
By Ginger - Site Admin on Tuesday, April 08, 2014 8:01 AM

The Kentucky Society for Healthcare Public Relations and Marketing (KSHPRM) will hold its Spring Conference on April 30 at My Old Kentucky Home in Bardstown.

The agenda includes sessions on marketing research, improving physician/marketing relationships, social media and employee communications.

To register, submit the registration form, or register online at http://www.kyha.com/kentucky-society-for-healthcare-public-relations-and-marketing/.

By Ginger - Site Admin on Monday, April 07, 2014 8:47 AM
For the Medicare Fee-for-Service (FFS) program, claims with dates-of-service or dates-of-discharge on or after April 1, 2013, will continue to incur a 2 percent reduction in Medicare payment through March 31, 2015, due to "Sequestration." Claims for durable medical equipment (DME), prosthetics, orthotics and supplies, including claims under the DME Competitive Bidding Program, will continue to be reduced by 2 percent based upon whether the date-of-service, or the start date for rental equipment or multi-day supplies, is on or after April 1, 2013.

The claims payment adjustment will continue to be applied to all claims after determining coinsurance, any applicable deductible and any applicable Medicare Secondary Payment adjustments. Though beneficiary payments for deductibles and coinsurance are not subject to the 2 percent payment reduction, Medicare’s payment to beneficiaries for unassigned claims is subject to the 2 percent reduction. The Centers for Medicare and Medicaid Services (CMS) is encouraging...
By Ginger - Site Admin on Thursday, April 03, 2014 7:49 AM
Ron Galloway, a highly regarded speaker nationally, will open the KHA 85th Annual Convention on May 9.  In his presentation, “Ambient Intelligence:  What Is It and How Will It Change Hospitals?”, Galloway will discuss trends in data technology specific to hospitals and how they will integrate and ultimately enhance each other to the benefit of the patient.  Technology advancements are already making it possible to monitor patients remotely and, together with information from the patient’s electronic medical record, it will be possible to determine protocols to be followed when data indicates a change in the patient’s condition. 

Register NOW for KHA’s 85th Annual Convention, May 8-9 in Lexington.  Online registration is available at https://secure.kyha.com/imispublic/. Additional information is available at http://convention.kyha.com.

By Ginger - Site Admin on Wednesday, April 02, 2014 8:45 AM
The 2014 KHA Health Care Salary eSurvey results are now available! KHA is pleased to provide this service for free to its members and asks that every hospital review the following Notice to Members prior to accessing the survey results. The notice is available online at http://www.kyha.com/wp-content/uploads/2009/04/notice-to-members-on-antitrust-compliance.pdf.

2014 Participant List Included Job Titles (Alphabetically) Included Job Titles (By Job Family) Job Titles Not Appearing in 2014 The online results allow you to create custom reports and perform database queries. You also have the ability to run custom peer group reports by selecting specific hospitals...
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...
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