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News from the Kentucky Hospital Association
By Ginger - Site Admin on Friday, November 20, 2015 9:06 AM
Twenty-eight Kentucky hospitals have been recognized for its accomplishments in rural healthcare in four different categories: Quality, Outcomes, Patient Satisfaction and Financial Health.

The National Organization of State Offices of Rural Health (NOSORH) and iVantage Health Analytics, a private research firm that compiles a hospital strength index to recognize excellence, has named the following Kentucky hospitals among facilities throughout the country recognized for excellence:


Baptist Health Richmond Bluegrass Community Hospital, Versailles Bourbon Community Hospital, Paris Clark Regional Medical Center, Winchester Harrison Memorial Hospital, Cynthiana Logan Memorial Hospital, Russellville Marcum and Wallace Memorial Hospital, Irvine Mary Breckinridge ARH Hospital, Hyden McDowell ARH Hospital Morgan County ARH Hospital, West Liberty Paul B Hall Regional Medical Center, Paintsville Rockcastle Regional Hospital, Mount...
By Ginger - Site Admin on Thursday, November 19, 2015 9:10 AM

KHA has appointed Susan Starling, chief executive officer of Marcum and Wallace Memorial Hospital in Irvine, as the KHA Board Chair Elect for 2015-2016. She replaces Vicki Darnell, who recently retired, on the KHA Board of Trustees.

Starling will serve as Chair Elect for the remainder of the Association year.

By Ginger - Site Admin on Thursday, November 19, 2015 9:01 AM
More than 958 hospitals and health systems have signed the #123forEquity pledge to eliminate health disparities. AHA is working to meet its goal of 1,000 pledges by the end of the year. At the November 12 KHA Board meeting, the Board voted to encourage Kentucky hospitals to participate in the Pledge.

In 2011, the American College of Healthcare Executives, American Hospital Association, Association of American Medical Colleges, Catholic Health Association of the United States and America’s Essential Hospitals stood together in a call to action to eliminate health care disparities.

The focus is on:

increasing the collection and use of race, ethnicity and language preference data; increasing cultural competency training; and increasing diversity in governance and leadership. Visit to learn more about the pledge and add your facility at

By Ginger - Site Admin on Wednesday, November 18, 2015 9:05 AM

The Joint Commission has released its annual Top Performers on Key Quality Measures List, and 24 Kentucky hospitals were recognized for 10 different categories in the report.

Heart Attack

  • Baptist Health Madisonville
  • Frankfort Regional Medical Center
  • Meadowview Regional Medical Center
  • Owensboro Health Regional Hospital
  • St Elizabeth Edgewoord
  • St Elizabeth Florence
  • St Elizabeth Fort Thomas
  • UK Chandler Medical Center
By Ginger - Site Admin on Wednesday, November 18, 2015 8:56 AM
On October 6, the Centers for Medicare and Medicaid Services (CMS) released the final rule for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. To support provider participation in 2015, CMS has released two additional FAQs in response to inquiries about the public health reporting objective in 2015.

FAQ 13409 Question: For 2015, how should a provider report on the public health reporting objective if they had planned to be in Stage 1 meaningful use which required sending a test message and continued submission if successful, but did not require registration of intent?

Answer: We did not intend to require providers to engage in new activities during 2015, which may not be feasible after the publication of the final rule in order to successfully demonstrate meaningful use in 2015. Since providers in Stage 1 in 2015 were not previously required to submit a registration of intent to submit data to meet Objective 10 measures, providers may meet the measures by having...
By Ginger - Site Admin on Monday, November 16, 2015 10:01 AM
Joe Koch Introduces Charlie Cook at KHA 2015 HCLCOn November 13, the KHA Health Care Leadership Conference brought Kentucky’s political leaders together with hospital leaders from throughout the state to learn about the issues that will affect hospitals in 2016. Members heard from the Republican and Democratic state party leaders about upcoming legislation and plans for the new administration. The media panel provided an interesting and informative analysis of the recent elections, which provided great insight into the political climate of the commonwealth.

KHA members also approved the Association’s legislative priorities for the upcoming session of the Kentucky General Assembly.

Thank you to all the members who participated in the Conference. KHA looks forward to advocating...
By Ginger - Site Admin on Thursday, November 12, 2015 9:23 AM
Tonja Williams, MSN, RN, president and chief executive officer of Continuing Care Hospital, a part of KentuckyOne Health, in Lexington has been selected to serve on the governing council of the American Hospital Association (AHA) Long-Term Care and Rehabilitation Section for Kentucky's region. Her three-year term will begin on January 1, 2016, and extend through December 31, 2018.

This Section focuses on the interests and concerns of post-acute care providers — long-term acute care hospitals (LTACHs,) inpatient rehabilitation facilities (IRFs), skilled nursing facilities (SNFs) and home health agencies (HHAs). The primary goals for Williams's term will be to advise AHA on public policy issues, advocacy positions, emerging issues and member service strategies as well as to serve as a channel back to her peers.

AHA's Section for Long-Term Care and Rehabilitation seeks to promote and enhance the understanding of the health and related continuing care needs of persons of all ages, and of the issues...
By Ginger - Site Admin on Wednesday, November 11, 2015 8:37 AM
On October 6, the Centers for Medicare and Medicaid Services (CMS) released the final rule with comment for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs. To keep providers informed of changes to the programs and how to participate in 2015, CMS has also released three new FAQs providing clarification on how to attest to certain measures for health information exchange, patient electronic access and other objectives that require patient action.

FAQ 12817 Question: For the Health Information Exchange objective for meaningful use in 2015 through 2017, may an eligible professional (EP), eligible hospital or critical access hospital (CAH) count a transition of care or referral in its numerator for the measure if they electronically create and send a summary of care document using their Certified Electronic Health Record Technology (CEHRT) to a third party organization that plays a role in determining the next provider of care and ultimately delivers the summary of care document?...
By Ginger - Site Admin on Tuesday, November 10, 2015 9:08 AM
KHA is pleased to share that the problematic proposed Certificate of Need (CON) Formal Review regulation, 900 KAR 6:070, has been withdrawn! Thank you to all hospital leaders that responded to the Action Alert last week and made calls to your legislators! You were very effective.

The proposed regulation would have weakened Kentucky’s CON process substantially. In summary, the proposed changes would have defied statutory law requiring the State Health Plan criteria and population/geographic need to be considered as separate criteria in an application. Under the proposed regulation, if an applicant had met the State Health Plan Criteria (even under an exception to need criteria) they would have been consistent with overall need. This change would have shifted the burden of proving need from the applicant to disproving need by a challenger.

The formal review regulation will revert back to the language in place prior to the proposal, which KHA supports.

If you have any questions, please...
By Ginger - Site Admin on Tuesday, November 10, 2015 8:59 AM

The KHA Small Rural and Critical Access Hospital Forum will meet via webinar tomorrow, November 11, at 2:00 p.m. (ET).  Administrators who have not received the call in information should contact Elizabeth Cobb at KHA (

Agenda topics will include a Certificate of Need (CON)/State Health Plan update, hospital requirements for sexual assault response, preserving emergency care in rural areas and more.

By Ginger - Site Admin on Monday, November 09, 2015 10:07 AM
Kentucky Public Health Commissioner Stephanie Mayfield formally designated five new trauma centers last Thursday afternoon in a presentation that was part of the 2015 Kentucky Trauma and Emergency Medicine Symposium.

Owensboro Health Regional Hospital was verified by the American College of Surgeons Committee on Trauma (ACS COT) as a Level-III this summer, but recently received their official confirmation letter and applied for formal designation in the Kentucky Trauma Care System.

Harrison Memorial Hospital (Cynthiana), Methodist Hospital Union County (Morganfield), Morgan County ARH Hospital (West Liberty) and Rockcastle Regional Hospital (Mt. Vernon) were all recently verified as meeting the state's Level-IV criteria by Site Survey Teams from the Kentucky Trauma Advisory Committee's Verification Committee. They were formally designated by Dr. Mayfield as new Level-IV Trauma Centers in the Kentucky System.

The Verification Committee is chaired by Ben Hughes, RN, from the Trauma Institute...
By Ginger - Site Admin on Thursday, November 05, 2015 9:33 AM
The results of the Kentucky General Election are in and, with Governor-Elect Matt Bevin carrying 106 counties, there will be change and a new agenda in Frankfort. It is even more important than ever that you participate in the 2015 KHA Health Care Leadership Conference on November 13, 2015, from 8:15 a.m. to 1:30 p.m. (ET), at the Louisville Marriott East. Details and registration information are available at

There is a distinguished lineup of speakers for the conference and after the Republican sweep statewide, there is much to learn. Attendees will hear from the Republican and Democrat state party leaders the plans for the new Administration. House and Senate Leadership and members along with a panel comprised of well-known members of the media will discuss what to expect from the new Bevin Administration and priorities for the 2016...
By Ginger - Site Admin on Thursday, November 05, 2015 9:25 AM
On October 16, the Centers for Medicare and Medicaid Services (CMS) published a final rule with comment for the Electronic Health Record (EHR) Incentive Program that makes modifications to meaningful use requirements in 2015 through 2017 and sets the required start date for Stage 3 of the program as January 1, 2018. Although this is a final rule, CMS seeks comment on the final policies for the Stage 3 objectives and measures and the EHR reporting period for Stage 3 in 2017 and subsequent years. Public comments received may be considered as CMS plans for the incorporation of meaningful use into implementation of the new physician payment models introduced by the Medicare Access and CHIP Reauthorization Act of 2015 and in future hospital payment rulemaking. The deadline for comments...
By Ginger - Site Admin on Monday, November 02, 2015 10:25 AM
KHA staff hopes you can participate in the 2015 KHA Health Care Leadership Conference on November 13 from 8:15 a.m. to 1:30 p.m. (ET) at the Louisville Marriott East. Details and registration information are available at

There is a distinguished lineup of speakers for the conference and with this being held the week after the election, there will be much to discuss. Attendees will learn from the state party leaders, House and Senate members and leadership and from  well-known members of the media who will educate members on what to expect from the next Administration and the 2016 Kentucky General Assembly. Political Reporter and Columnist Charlie Cook, one of Washington’s most trusted and accurate political prognosticators in Washington, will present his sharpest political handicapping for the upcoming 2016 presidential and congressional...
By Ginger - Site Admin on Monday, October 26, 2015 10:00 AM
The new KHA website is now live. The address is still, but you will notice many changes on your next visit. The site has been completely reorganized for a more user friendly experience. For an overview of where to find your favorite content, please check out the informational page at

A new feature is there is one single login for each individual user! You no longer need a login for event registration and a separate login for members only content. If you have had an event registration login in the past, your login will remain the same. If you have not, but are already in our database, your user name will be your email address. When you sign in for the first time,  indicate that you have forgotten your password to receive one.

As is common with...
By Ginger - Site Admin on Thursday, October 15, 2015 11:05 AM
To maximize your time in traveling to the KHA Health Care Leadership Conference on November 13 in Louisville, the Kentucky Chapter of the American College of Health Care Executives (KY ACHE) will be offering a three hour, face to face (formerly known as Category 1) educational program directly following the KHA Health Care Leadership Conference Luncheon.

The KY ACHE educational program, "Strategic Planning From Formulation to Action," starts at 2:00 p.m. (ET) and adjourns at 5:00 p.m. (ET).  Alan Zuckerman, leading health care strategist, will teach new approaches for developing an effective strategic plan.  This seminar will teach attendees how to apply tools to assess competitiveness and critical issues organizations face.  

Please click on the above link to view a copy of the KY ACHE promotional postcard and learn more about the program's key objectives.

By Ginger - Site Admin on Thursday, October 08, 2015 8:35 AM
The Kentucky Governor and constitutional officers’ election is less than a month away and the new administration will be taking up the reins soon thereafter. The November elections will have a large impact on the future direction of health care in the commonwealth. It is timely that this year’s KHA Health Care Leadership Conference is being held one week after the election on Friday, November 13, at the Louisville Marriott East from 8:15 a.m. - 1:30 p.m. (ET) with registration beginning at 7:30 AM. This will be an ideal time for Kentucky health care leaders to learn how the new state administration and other elected officials will affect the state’s health care legislative and regulatory issues. Members can join their peers and learn from Kentucky’s Senate and House leaders as well as state and national political experts. The Conference also gives attendees the opportunity to keep Kentucky’s elected officials informed about the impact of these changes on the state’s hospitals and health care safety net. The...
By Ginger - Site Admin on Tuesday, October 06, 2015 10:23 AM

KHREF is offering a webinar-based training series to support hospital improvement in the patient satisfaction survey, HCAHPS. The sebinar series includes 12 training sessions which focus on each of the domains of care covered in the HCAHPS survey. The fee for participation in the webinar series along with access to webinar replays and other tools is only $200 for KHA members. KHA member critical access hospitals (CAHs) are eligible for a registration scholarship through the Flex Grant.

Please see the brochure for additional details.

If you have any questions, please contact Carol Walters at KHA (

By Ginger - Site Admin on Friday, October 02, 2015 11:07 AM

On Monday, October 26, the Kentucky Chapter of the American College of Healthcare Executives (ACHE) and the Kentucky Chapter of the Healthcare Financial Management Association (HFMA) will host Living on Medicare Rates: a Senior Leader Margin Improvement Planning Program at the University of Louisville Shelby Campus.

Chip Caldwell, Jr., chairman of Caldwell Butler and Associations LLC, will discuss how to implement plans to successfully manage reimbursement declines. Attendees will earn six ACHE face-to-fact credits.

View the flyer for additional information. To register, visit

By Ginger - Site Admin on Friday, October 02, 2015 10:57 AM

Hospital chief executive officers should receive their 2015-2016 KHA Membership Directory in the mail shortly.  

For any changes needed to your hospital’s listing throughout the year, please contact Donna Skinner at KHA (  KHA distributes updates at least semi-annually.

By Ginger - Site Admin on Friday, October 02, 2015 10:47 AM
KHREF will host a workshop to ensure hospitals meet all the requirements for the IRS 501(r) regulations. The event will be held twice on November 11 — in the morning at the Foundation for a Healthy Kentucky in Louisville and in the afternoon at the Marriott Griffin Gate Resort in Lexington.

All hospitals have charity care policies. What some may have missed is that these are now called “financial assistance policies.” What some may also have missed is that these policies are now regulated by mandatory and highly prescriptive IRS rules that go to the very heart of a charitable hospital’s exempt status. Having a compliant financial assistance policy is only a part of the challenge. Adhering to the new Section 501(r) rules requires a true team effort involving key hospital personnel, including finance, compliance,registration, billing, marketing, collection and other departments, as well as the hospital’s board of directors. Under the new law (which already is in effect), a hospital’s website must...
By Ginger - Site Admin on Friday, October 02, 2015 10:32 AM
Gene Dodaro, Comptroller General of the United States at the Government Accountability Office (GAO), testified before the Senate Finance Committee on Thursday during a hearing on improper payments in federal programs. He stated that the improper payment estimate, attributable to 124 programs across 22 agencies in fiscal year 2014 was $124.7 billion, up from $105.8 billion in fiscal year 2013. Dodaro continued that the almost $19 billion increase was primarily due to the Medicare, Medicaid and Earned Income Tax Credit (EITC) programs, which account for over 75 percent of the government-wide improper payment estimate. (Medicare accounted for $60 billion, and Medicaid for $17.5 billion in 2014.) The Department of Defense does not report improper payments however, as Senator Tom Carper (D-Delaware) pointed out, so these statistics are actually higher.

Improper payments are defined in statute by Congress. They include any payment that should not have been made or that was made in an incorrect amount (including...
By Ginger - Site Admin on Tuesday, September 29, 2015 8:13 AM
The American Hospital Association (AHA) published a Member Advisory on September 28 providing guidance to hospitals on Thursday's transition to ICD-10:

Beginning October 1, health care claims must include ICD-10 codes for medical diagnoses and inpatient hospital procedures, marking a major change to billing transactions. The Centers for Medicare and Medicaid Services (CMS) will continue to pay claims and implement ICD-10 even if there is a government shutdown and Congress fails to act by October 1 on legislation to fund the government into fiscal year 2016.

Given the major changes that will occur with the move to ICD-10, hospital leaders are urged to pay close attention to their billing processes to ensure they identify issues quickly. AHA has distributed a chart, which outlines steps to monitor the transition and actions to address problems that could arise.

CMS has indicated...
By Ginger - Site Admin on Monday, September 28, 2015 9:26 AM
KHA will host a Joint Commission Update seminar on October 19 at the Hilton Garden Inn Louisville Northeast. The Joint Commission and the Centers for Medicare and Medicaid Services (CMS) focus on some specific standards that continue to be problematic. These standards make it necessary and timely to present a program of this nature.This program will provide a comprehensive review of key standards focusing on such problematic topics as National Patient Safety Goals, elements of a Highly Reliable Organization, Condition Level Deficiencies, Immediate Threat to Life and others. Attendees will leave with a better understanding of how the Joint Commission and CMS are interrelated, where the problematic areas are and how to have a flawless survey through proper front-end preparation.

For more details, review the program brochure. Please note, that as the KHA website transitions...
By Ginger - Site Admin on Monday, September 28, 2015 9:12 AM
The Kentucky Center for Nursing (KCN) began as the Kentucky Nurses Capacity Consortium (KNCC) in 2008 with a group of volunteers interested in advancing nursing. Representation has included members from each of the various colleges and universities, major health care systems, Kentucky Board of Nursing, Kentucky Hospital Association, Kentucky Organization of Nurse Leaders, Kentucky Nurses’ Association, governmental workforce agencies and more. The KCN is especially focused on increasing the education level of nurses, providing residency training for new nurses and fellowship programs for advanced practice nurses, removing barriers to practice and care, developing leaders and leadership opportunities for nurses, increasing the racial, ethnic and gender diversity of the nursing workforce, and designing new models of community-based care.

The KCN brings together many of the state’s strongest leaders in improving health care quality, access, and affordability. To learn more about the KCN’s organizational...
By Ginger - Site Admin on Monday, September 28, 2015 8:51 AM
If nurses continue to enter the workforce at the current rate, the U.S. would have about 4% fewer registered nurses than needed by 2025, according to a study in the October issue of Medical Care. That’s a “remarkable turnaround” compared with the nearly 30% shortage predicted a decade ago, the authors said. “We still project the nation will have a shortage of around 130,000 nurses by 2025, which is by no means a small number, but not the overwhelming shortage that we had once anticipated,” said co-author Peter Buerhaus, director of the Center for Interdisciplinary Health Workforce Studies at...
By Ginger - Site Admin on Monday, September 28, 2015 8:48 AM
On September 25, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule that would revise the Medicare payment system for clinical diagnostic laboratory tests and implement other changes required by section 216 of the Protecting Access to Medicare Act of 2014. Under the proposed rule, certain “applicable” laboratories would be required to report private payer rate and volume data if they receive at least $50,000 in Medicare revenues from laboratory services and more than 50% of their Medicare revenues from laboratory and physician services. Laboratories would collect private payer data from July 1, 2015 through Dec. 31, 2015 and report it to CMS by March 31, 2016. CMS would post the new Medicare rates by Nov. 1, 2016 for lab tests beginning Jan. 1, 2017. In a factsheet...
By Ginger - Site Admin on Monday, September 28, 2015 8:37 AM

This week, KHA is updating its main website, This will include a complete upgrade with a number of new features for members. During the transition, the website will be down and inaccessible. KHA staff will work to make sure this causes as little inconvenience as possible; however, the outage could last 24-48 hours.

As soon as the change is complete, there will be information in KHA Health e-News about the new features and how to access your individual site account.

If you have any questions about the site, please contact Ginger Dreyer at KHA (

By Ginger - Site Admin on Monday, September 28, 2015 8:23 AM
On September 24, HRET (the American Hospital Association’s Health Research and Education Trust) executed a contract with the Centers for Medicare and Medicaid Services (CMS) for the Hospital Engagement Network (HEN) 2.0 Project.

Two kickoff webinars will be held this week to get the project started. Both events will cover the same topic (details on how to join the AHA/HRET HEN 2.0 initiative):

AHA/HRET HEN 2.0 Hospital Kick Off Webinar September 29 1:00 p.m. - 3:00 p.m. (CT) Register at

October 1 (Repeat Webinar) 1:00 p.m. - 3:00 p.m. (CT) Register at

The Kentucky face-to-face...
By Ginger - Site Admin on Friday, September 25, 2015 8:22 AM
Important changes will go into effect on October 1, 2015, regarding the Two-Midnight Rule. The Centers for Medicare and Medicaid Services (CMS) is changing its approach with regard to educating providers and enforcing Two-Midnight Short-Stay reviews. Specifically, CMS has decided to use Beneficiary and Family-Centered Care Quality Improvement Organizations (BFCC-QIOs), rather than Medicare Administrative Contractors (MACs) or Recovery Auditors, to conduct the first line medical reviews of providers who submit claims for inpatient admissions.

Kentucky’s BFCC-QIO is KEPRO, which has more information on the changes and action hospitals should take on its website. KEPRO is hosting an informational webinar for hospitals on Wednesday, September 30 at 3:00 p.m. (ET). Each hospital should identify at least one person to participate. There are a limited number of lines available so please register TODAY!...
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