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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, February 26, 2016 8:09 AM
The Centers for Medicare and Medicaid Services (CMS) has submitted a 653-page finalized rule governing Medicaid managed care to the Office of Management and Budget (OMB) for review, according to Modern Healthcare. Reports indicate that the rule will take a step to reduce the institution for mental diseases (IMD) prohibition on treating adult Medicaid patients in freestanding psychiatric hospitals by permitting states to pay managed care organizations (MCOs) for behavioral care to beneficiaries who stay 15 days or less in an IMD. Additionally, the rule is reported to contain a medical loss ratio of at least 85%, which would allow 15% to be paid to MCOs for administration, marketing and profit. The rule also contains requirements for improving network adequacy through time and distance standards for certain types of providers, including hospitals and physicians.

OMB can take up to 90 days to review the rule, therefore, it could be published sometime in May. KHA’s comments were among the 900 comment letters CMS received on proposed rule....
By Ginger - Site Admin on Friday, February 19, 2016 9:49 AM
On February 12, KHA submitted comments to the U.S. House Energy and Commerce Committee regarding site-neutral payment policies in response to a request from the Committee to the health care community for input.

The Association expressed concern over payment proposals that would reimburse hospitals at the same payment rates of facilities with lesser clinical capabilities. Since the costs of operating hospitals, which are the safety nets for so many communities, are much higher than other medical facilities, and Medicare and Medicaid reimburse providers at a much lower rate than the cost to care for patients, KHA urged the Committee to reject any further site-neutral payment policies.

KHA expressed disappointment in Section 603 of the Bipartisan Budget Act of 2015. The law would result in substantial reductions in payments for services furnished in provider-based hospital outpatient departments (HOPDs) and prevent beneficial outpatient services from being developed.

The full comment letter is...
By Ginger - Site Admin on Thursday, February 18, 2016 10:44 AM

KHREF will host a webinar on Telemedicine Coding, Billing and Compliance on March 8 at 1:30 p.m. (ET). Telemedicine services continue to grow both in volume and breadth of coverage, and much of the guidance for telemedicine or telehealth services comes from the Medicare program. However, program changes occur almost every year, so it can be a challenge to make sure your staff is faithfully following the latest Medicare guidelines and regulations. This webinar will help your team decipher the rules and regulations to ensure your hospital stays in compliance.

View the brochure for program details and registration information.

By Ginger - Site Admin on Thursday, February 18, 2016 10:24 AM
Note: In the original publication of this article, Rockcastle Regional Hospital was not listed among honorees; a corrected list is below.

Eight Kentucky hospitals were recently honored with 2016 Women's Choice Awards for creating an extraordinary patient experience for women and their families. The honors are awarded annually to help women make smart health care choices. The methodology is based on surveys of tens of thousands of women, as well as research conducted in partnership with the Wharton School of Business on what drives the consumer experience for women vs. men.

The following Kentucky hospitals were honored for performance in different categories:

Baptist Health Lexington

100 Best Hospitals for Patient Experience (251-400 beds) Bariatric Surgery Breast Center Cancer Care Patient Safety Stroke Baptist Health Louisville

100 Best Hospitals for Patient Experience (over 400 beds) Heart Care Cancer Care Baptist Health...
By Ginger - Site Admin on Monday, February 15, 2016 11:17 AM

KHA will host two Swing Bed Seminars for Prospective Payment System (PPS) hospitals and critical access hospitals (CAHs) at KHA Headquarters in Louisville as follows:

PPS Hospitals

- April 11-12

CAHs

- April 13-14

Follow the corresponding links above for program details and registration information.

Mary Guyot with Stroudwater Associates will instruct both courses. The seminar is supported by the Rural Hospital Flexibility Program in an effort to keep costs as low as possible for rural hospitals.

If you have any questions, please contact Elizabeth Cobb at KHA (502-426-6220 or 800-945-4542 or via email at ecobb@kyha.com).
By Ginger - Site Admin on Monday, February 15, 2016 11:00 AM
The KHA Hospital Day at the Legislature will be held on Thursday, February 25 at the Frankfort Country Club, 101 Duntreath Street, in Frankfort. Registration will begin at 7:30 AM ET, with breakfast starting at 8:00 AM, ET. Confirmed speakers include Cabinet for Health and Family Services Secretary Vickie Yates Brown Glisson and Senator Dr. Ralph Alvarado, the sponsor of SB 20, the MCO appeals process legislation. The program will begin at 8:15 AM, ET and will adjourn by 10:15 AM, ET so members can go to the Capitol to meet with their legislators. All members are asked to schedule their own appointments with their legislators.

There will be a luncheon for KHA members and legislators at the Capitol Annex, in Room 149, from 12:00 PM to 1:45 PM, ET. KHA members are encouraged to contact their legislators and personally invite them to the luncheon. The Legislature will go into session at 2:00 PM, ET. A registration form is available at

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By Ginger - Site Admin on Friday, February 12, 2016 10:00 AM

KHA will host a seminar on the Joint Commission Environment of Care (EOC) Standards on March 29 at the Hilton Garden Inn Northeast in Louisville.

This one-day program will offer valuable information on how to use the Environment of Care Committee to improve facility environment of care safety and compliance with the Joint Commission. A well-developed Environment of Care Committee can make a measurable improvement to the safety of hospitals and in outcomes from surveys.

For details, view the brochure. Registration for all KHA events is available by clicking "Events" on the KHA home page, www.kyha.com.

If you need additional information, contact Carol Walters at KHA (cwalters@kyha.com).

By Ginger - Site Admin on Friday, February 12, 2016 9:54 AM
The Centers for Medicare and Medicaid Services (CMS) extended the attestation deadline for the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs to Friday, March 11 at 11:59 p.m. ET, from the original deadline of Monday, February 29.

Eligible professionals, eligible hospitals and critical access hospitals (CAHs) participating in the Medicare EHR Incentive Program can attest through the CMS Registration and Attestation System. Providers participating in the Medicaid EHR Incentive Program should refer to their respective ...
By Ginger - Site Admin on Thursday, February 11, 2016 9:33 AM

The 2016 Federal Poverty Guidelines were released in the January 25 edition of the Federal Register. As the guidelines affect who can qualify for Medicaid, the new numbers are important for hospitals to keep in mind when assessing presumptive eligibility.

2016 Guidelines for the 48 Contiguous States and Washington, DC

 Persons in family/household
Poverty Guideline
1 $11,880
2 16,020
3 20,160
4 24,300
5 28,440
6 32,580
7 36,730
8 40,890
For families/households with more than 8 persons,
add $4,160 for each additional person.

Further details can be found by viewing the Federal Register entry in its entirety.

By Ginger - Site Admin on Thursday, February 11, 2016 9:18 AM
Kentucky Hospital Association is pleased to partner with other infection prevention stakeholders in offering the fourth Statewide Infection Prevention Boot Camp on March 8 and 9 in Lexington. The sessions are designed for both experienced IPs and those new to the field. All hospital IP professionals should plan to attend as topics will include emerging pathogens, outbreaks and compliance with newly implemented regulations.

On March 9 and 10, KHA is hosting its Annual Quality and Hospital Engagement Network Conference. All hospital chief nursing officers and quality leaders are encouraged to attend. Education will center on patient safety culture, physician accountability, information technology and building successful improvement systems. There is no cost for the Quality Conference as HEN funds are supporting the event.

...
By Ginger - Site Admin on Wednesday, February 10, 2016 9:28 AM
Broadband access is required to meet certain objectives outlined in the Medicare and Medicaid Electronic Health Record (EHR) Incentive Programs final rule. Therefore, The Centers for Medicare and Medicaid Services (CMS) has maintained exclusions for providers in areas with limited broadband availability as identified by the Federal Communications Commission (FCC):

Objective 8, Patient Electronic Access - Eligible providers (EPs) and eligible hospitals/CAHs Measure 2 Only:...
By Ginger - Site Admin on Wednesday, February 10, 2016 9:20 AM

The American Hospital Association will hold its annual meeting in Washington, DC, May 1-4. Please, register online at www.aha.org to attend the conference.

KHA has booked a block of rooms at The Hotel Palomar for KHA members planning to attend. If you wish to stay at the Hotel Palomar, please complete the AHA Hotel Reservation Form and return to Carol Walters at KHA (cwalters@kyha.com) by March 7.

By Ginger - Site Admin on Monday, February 08, 2016 11:33 AM

The 2016 Infection Prevention Boot Camp, developed through a statewide collaborative aimed at supporting Kentucky infection prevention professionals in their daily work to reduce health care associated infections and provide quality patient care, will be held March 8-9 in Lexington. The two-day conference builds on foundational skills provided in previous educational offerings and explores topics with emerging importance.

A brochure is available at http://www.kyha.com/docs/EventBrochures/IPBootCamp2016.pdf.

To register for this or any other upcoming KHA events, click on "Events" at www.kyha.com and choose the event you plan to attend.

By Ginger - Site Admin on Tuesday, February 02, 2016 9:53 AM
The Centers for Medicare and Medicaid Services (CMS) has launched important changes to the Medicare Electronic Health Record (EHR) Incentive Program hardship exception process that will reduce burdens on clinicians, hospitals and critical access hospitals (CAHs). These changes are a result of recent Medicare legislation – the Patient Access and Medicare Protection Act (PAMPA), Pub. L. No. 114-115 – and the agency’s ongoing efforts to improve the program.

CMS has released an FAQ outlining the documentation requirements for submitting the new hardship application to avoid the 2017 payment adjustment.

FAQ #14113 - On the new hardship application form for the 2017 payment adjustment there is nothing which says documentation is required to be submitted with the application form. Does this mean that CMS will only require the selection of a hardship category and the completion of the provider’s identifying information in order to approve a hardship exception? Or will CMS be reviewing the application...
By Ginger - Site Admin on Monday, February 01, 2016 10:59 AM

The AHA Annual Meeting is scheduled for May 1-4 in Washington, DC. You can register online for the meeting now. KHA will have information available soon on the KHA host hotel and planned meetings specifically for the KHA members who attend the national meeting. Make your plans now to attend!

Details on the AHA conference are available at http://www.aha.org/advocacy-issues/annual-meeting/index.shtml

By Ginger - Site Admin on Thursday, January 28, 2016 9:35 AM
Answers to many of the questions submitted by participants during the Long-Term Care Hospital (LTCH) Quality Reporting Program (QRP) Provider Training offered in Baltimore, Maryland, in November have been posted and are available on the Centers for Medicare and Medicaid Services (CMS) website at https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/LTCH-Quality-Reporting/LTCH-Quality-Reporting-Training.html, under ‘Downloads’.

Additionally, CMS will host a follow-up webinar on February 3. The primary focus will be on Sections GG (Functional Abilities and Goals) and M (Skin Conditions) of the LTCH Continuity Assessment Record and Evaluation (CARE) Data Set V 3.0. Information about Section O (Special Treatments, Procedures and Programs) and where to find additional assistance...
By Ginger - Site Admin on Tuesday, January 26, 2016 8:42 AM
On January 22, the Centers for Medicare and Medicaid Services (CMS) launched important changes to the Medicare Electronic Health Record (EHR) Incentive Program hardship exception process that will reduce burden on clinicians, hospitals and critical access hospitals (CAHs). These changes are a result of recent Medicare legislation – the Patient Access and Medicare Protection Act (PAMPA), Pub. L. No. 114-115 – and ongoing efforts to improve the program.

CMS has posted new, streamlined hardship applications, reducing the amount of information that eligible professionals (EPs), eligible hospitals and CAHs must submit to apply for an exception. The new applications and instructions for a hardship exception from the Medicare Electronic Health Records Incentive Program 2017 payment adjustment are available here....
By Ginger - Site Admin on Monday, January 25, 2016 10:22 AM
The Kentucky Chamber of Commerce and the Kentucky Society for Human Resource Management have announced the companies on the 12th Annual Best Places to Work in Kentucky List. The winner rankings will be announced at an awards dinner on April 20 in Lexington.

Winners have been selected in three categories, based on company size.

Seven Kentucky hospitals and one system were honored on this year's list:

Small Companies

Saint Joseph Martin Medium Companies

Clark Regional Medical Center, Winchester Harrison Memorial Hospital, Cynthiana Large Companies

Baptist Health Kentucky, Multiple Locations Frankfort Regional Medical Center Our Lady of Bellefonte Hospital, Ashland Our Lady of Peace, Louisville Rockcastle Regional Hospital and Respiratory Care Center, Mount Vernon For more information, visit www.bestplacestoworkky.com.

By Ginger - Site Admin on Thursday, January 21, 2016 9:37 AM

The Cabinet for Health and Family Services (CHFS) is collecting health services utilization data through the annual survey process. This data is published in a report each year and is critical information used for health care access, planning and the Certificate of Need (CON) Program. CEOs should have received an email from Beth Morris (betha.morris@ky.gov) as well as a letter by mail with instructions for completing the hospital, surgery and megavolt/Pet/MRI surveys.

Please make sure the appropriate person in your organization completes these surveys and returns them as soon as possible to Morris. If you have questions or you do not receive the survey requests, contact Morris in the Office of Health Policy at the Cabinet for Health and Family Services.

By Ginger - Site Admin on Wednesday, January 20, 2016 10:01 AM

The KIPSQ Safe Table Meeting scheduled for tomorrow, January 21, in Madisonville has been cancelled. There is no rescheduled date at this time. If you have questions, contact Sharon Perkins (sperkins@kyha.com) at KHA. For more information on upcoming Safe Table Meetings, view the brochure and registration information on the KIPSQ website at http://www.kipsq.org/Portals/26/EventBrochures/SafeTableMeetings.pdf.

By Ginger - Site Admin on Tuesday, January 19, 2016 9:30 AM

The program and registration information for the KHA District Meetings in March are available at http://www.new-kyha.com/Portals/5/EventBrochures/DistrictMeetingsMarch2016.pdf.

KHA members should mark their calendars and plan to attend. All meetings will begin at 9:45 a.m. local time and conclude following lunch at 12:30 p.m.

March 2
9:45 a.m. (CT)
Twin Lakes District
The Medical Center - WKU Health Sciences Complex
700 1st Avenue
Bowling Green
 
  March 9
9:45 a.m. (ET)
Ohio Valley District
KHA Headquarters
2501 Nelson Miller Parkway
Louisville
March 11
9:45 a.m. (ET)
Cumberland District
Baptist Health Richmond
801 Eastern Bypass
Richmond
  March 24
9:45 a.m. (ET)
Blue Grass District
UK HealthCare
Charles T. Wethington Jr. Bldg., Rm. 127
900 South Limestone
Lexington
  

If you have any questions, please contact Pam Kirchem at KHA (pkirchem@kyha.com).

By Ginger - Site Admin on Monday, January 18, 2016 12:16 PM
Last week, the Medicare Payment Advisory Commission (MedPAC) approved a multi-layered recommendation that would grant hospitals a full payment update for 2017, as well as cutting payments for 340B drugs and redirecting some of the savings into uncompensted care funds that the Commission stated would benefit more hospitals under a new Medicare-based calculation than the current one based on Medicaid days. Three Commissioners opposed the recommendation.

Commission Chairman Francis Crosson noted hospitals would gain $3 billion in payments, while Medicare beneficiaries would gain some out-of-pocket savings on drug costs directly and others could benefit later if Medigap insurers pass savings along by lowering premiums. Opponents stated the policy recommendation could hurt some providers and strayed beyond MedPAC's competency in addressing the 340B program.

What You Need to Know

MedPAC voted to give hospitals a full 2017 Medicare payment update currently projected at 1.75 percentage points....
By Ginger - Site Admin on Monday, January 18, 2016 12:08 PM
The Medicare Payment Advisory Commission (MedPAC) unanimously approved seven recommendations on payment systems last week. The recommendations approved were:

Recommendation 1: Physicians and other health professionals The Congress should increase payment rates for physician and other health professional services by the amount specified in current law for calendar year 2017.

Recommendation 2: Ambulatory Surgical Centers The Congress should eliminate the update to the payment rates for ambulatory surgical centers for 2017. The Congress should also require ambulatory surgical centers to submit cost data.

Recommendation 3: Dialysis Facilities The Congress should increase the outpatient dialysis payment rate by the update specified in current law for calendar year 2017.

Recommendation 4: Skilled Nursing Facilities The Congress should eliminate the market basket for 2017 and 2018 and direct the Secretary to revise the prospective payment system (PPS) for skilled...
By Ginger - Site Admin on Thursday, January 14, 2016 10:09 AM

KHA's priority legislation, SB 20, addresses the need for a Medicaid managed care organization (MCO) appeals process. Nina Eisner, CEO of Ridge Behavioral Health System in Lexington, testified before the Senate Health and Welfare Committee on January 13 and gave examples of why this legislation is desperately needed.

By Ginger - Site Admin on Thursday, January 14, 2016 8:51 AM
Louisville's Norton Women's & Kosair Children's Hospital joins St. Elizabeth Medical Center (Edgewood) and UK Chandler Medical Center (Lexington) in receiving a baby-friendly designation from the Baby-Friendly Hospital Initiative.

Currently, 326 U.S. hospitals and birthing centers in 48 states and the District of Columbia hold the Baby-Friendly designation. Every hospital that attains the Baby-Friendly designation must demonstrate successful implementation of the Ten Steps to Successful Breastfeeding and the International Code of Marketing of Breast-milk Substitutes.

For more information about the initiative, visit http://www.babyfriendlyusa.org/.

...
By Ginger - Site Admin on Wednesday, January 13, 2016 9:53 AM

KHA is now accepting applications for the Annual KHA Quality Awards. Please see the application for the full details. Applications, including full payment are due on April 1. Awards will be presented at the KHA Annual Convention Awards Luncheon on May 13 in Lexington.

If you have any questions, please contact Elizabeth Cobb at KHA (502-426-6220 or 800-945-4542 or via email at ecobb@kyha.com).

By Ginger - Site Admin on Friday, January 08, 2016 9:38 AM
The Center for Medicare and Medicaid Services’ (CMS) Innovation Center has announced a new $157 million funding opportunity, the Accountable Health Community Model, that acknowledges the social determinants framework for health and the need for partnerships to link what happens in the clinical setting with what happens in the community. The five-year program is the first CMS Innovation Center model to focus on the health-related social needs of Medicare and Medicaid beneficiaries, including building alignment between clinical and community-based services at the local level.

CMS will award a total of 44 cooperative agreements, ranging from $1 million to $4.5 million, to successful applicants to implement the Accountable Health Communities model. Award recipients under this model, referred to as “bridge organizations,” will oversee the screening of Medicare and Medicaid beneficiaries for social and behavioral issues, such as housing instability, food insecurity, utility needs, interpersonal violence and...
By Ginger - Site Admin on Friday, January 08, 2016 9:35 AM
KIPSQ will conduct a Safe Table topic every month in three different locations thoughout the state for members of the PSO. Participants will:

Generate candid discussion and share organizational experiences on patient safety and quality issues Exchange information about bet practices relative to patient safety Encourage coordinated/collaborative efforts and new partnerships Network and communicate A brochure and registration information are available on the KIPSQ website at http://www.kipsq.org/Portals/26/EventBrochures/SafeTableMeetings.pdf.

For more information on the benefits of your facility joining KIPSQ, visit www.kipsq.org or contact Nancy Galvagni (ngalvagni@kyha.com)  or Sharon Perkins (sperkins@kyha.com)...
By Ginger - Site Admin on Thursday, December 31, 2015 9:09 AM

KHA is pleased to release the Utilization Trend Report, updated with data from January 1, 2010 through September 30, 2015.   

A copy of the report is available at http://www.kyha.com/WCM/Services/Data_Information/Data_Reports.aspx.  If you have any questions, please contact Chuck Warnick at KHA (502-426-6220 or 800-945-4542 or via cwarnick@kyha.com).

By Ginger - Site Admin on Thursday, December 31, 2015 9:07 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 summer edition of the Kentucky Trustee is available at http://www.kyha.com/docs/Publications/Trustee/KTWinter2016.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 Kirchem at KHA (502-426-6220 or 800-945-4542 or via e-mail at pkirchem@kyha.com).

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