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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, March 29, 2016 9:51 AM
SB 20, KHA’s priority legislation, passed the House yesterday by a unanimous vote. The legislation gives Kentucky’s medical providers a pathway to external, independent appeals of denied Medicaid managed-care claims. The bill is now on its way to Governor Matt Bevin for his signature. Please, take a moment to contact your legislator personally and thank him or her for their support. 

SB 20, sponsored by Senator Ralph Alvarado (R-Winchester) would allow medical providers to receive an independent third-party review of claims denied by Medicaid managed care organizations (MCOs). The decision of the third-party reviewer could then be appealed to the Cabinet for Health and Family Services, where the decision of an administrative hearing tribunal would be the last step before judicial review. This includes situations when a provider has continued to render care after a denial because, in their medical judgment, continued care was in the patient’s best interest. The process is needed to assure patients get...
By Ginger - Site Admin on Tuesday, March 29, 2016 9:00 AM

Programs for KHA's 87th Annual Convention, May 12-13 in Lexington, were mailed to members this week. The convention website, http://convention.kyha.com, provides online registration, program details, a hotel reservation link and a link to the printable program.

Online registration is also available directly at http://www.kyha.com/Shared_Content/Events/Event_Dashboard.aspx?EventKey=16ANNCONV&WebsiteKey=1ca3c419-a7df-41b7-937a-f6c6437b12fe&Event_Dashboard=1#Event_Dashboard.

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 Thursday, March 24, 2016 9:37 AM
KHA Silver Sponsor PHI Air Medical, Inc. has many services available for Kentucky hospitals:

PHI Patient Navigation is a natural extension of PHI Air Medical’s core values to always provide the right care at the right time to their patients. While transfer center services everywhere are providing one-step, quick solutions to hospitals’ transfer needs, Patient Navigation provides so much more beyond just one phone call.

PHI has developed high-level solutions to ensure optimal patient care, clinical outcomes and patient satisfaction. PHI Patient Navigation offers four unique services for their customers’ patient navigation needs:

SwiftAdmit, - A solution that streamlines admissions and facilitates transfers, cutting the typical admit-and-transfer time in half. PHI’s experienced clinicians answer the phone as representatives of the customers’ hospital — 24 hours a day, 7 days a week. DischargeDirect - With DischargeDirect, PHI Patient Navigation facilitates...
By Ginger - Site Admin on Tuesday, March 15, 2016 12:50 PM

The Cabinet for Health and Family Services (CHFS) has agreed to withdraw the Kentucky National Fingerprint Background Check Program. Former Governor Steve Beshear signed the emergency regulation in November 2015 to require fingerprint background checks on all new employees of long-term care facilities.

This regulation affected hospitals with home health agencies and hospice not located on the hospital's campus.

By Ginger - Site Admin on Tuesday, March 15, 2016 12:29 PM

KHA will again promote and provide front-line support for Kentucky hospitals to complete the AHA Annual Survey for your fiscal year 2015. It is vitally important to collect accurate and updated information about your institution each year. Health care leaders, policy makers and researchers use the AHA Annual Survey to better describe and understand the operations of U.S. hospitals. The 2015 survey is being offered ONLINE at www.ahasurvey.org.

If you have any questions, please contact Melanie Moch at KHA (mmoch@kyha.com).

By Ginger - Site Admin on Friday, March 11, 2016 9:28 AM
Reading copies of new regulations about tuberculosis (TB) testing in long-term care settings and for health care workers, in both Word and PDF formats, are now available. These two regulations became effective on Friday, March 4. Facilities have 180 days (i.e., by August 31, 2016) to become compliant with these new regulations. CDC guidelines are the foundation of these new regulations.

TB Testing for Residents in Long-Term Care Settings - Word - PDF   TB Testing for Health Care Workers - Word - PDF The final formatting of these regulations is in transition and will be posted online in about a month. These reading copies have a larger font and have line numbers but have the same text as the marked up versions that are online: http://www.lrc.ky.gov/kar/frntpage.htm.

If you have additional questions or comments about either of these regulations, please contact Dr. Robert Brawley, chief of the Infectious Disease Branch of the Kentucky Department for Public Health (Robert.Brawley@ky.gov) and cite the page number and line number of the relevant attached files. Your questions and comments will be used to develop responses to Frequently Asked Questions (FAQs). FAQs will be distributed as part on DPH educational programs about these two regulations....
By Ginger - Site Admin on Friday, March 11, 2016 8:53 AM
The Kentucky Department for Energy Development and Independence (DEDI) and the Kentucky Pollution Prevention Center (KPPC) are co-sponsoring a workshop for facility managers, engineers and anyone who is concerned with the efficient use of energy at their location. The Kentucky Energy Workshops are part of a series of events that will provide strategies and resources for sound energy management that can help Kentucky companies realize significant cost savings while improving their environmental performance.

This workshop will be presented at two different locations in Kentucky:

March 31 Toyota Motor Manufacturing Visitors Center-Camry Hall Georgetown

April 6 Western Kentucky University Downing Student Union-President's Hall Bowling Green

Session topics include:

Fundamental concepts of energy efficiency along with tools and techniques Current lighting technologies Monitoring energy consumption, controls, building automation systems Tour at host facility...
By Ginger - Site Admin on Wednesday, March 09, 2016 9:33 AM
From the Agency for Healthcare Research and Quality (AHRQ) - Key skills may be lacking among many nurses who treat patients with urinary catheters, according to a recent AHRQ-funded study. The researchers found that recommended procedures to test for catheter-associated urinary tract infection (CAUTI), a common hospital-associated infection, are not followed in many cases. Collecting specimens for urine culture is a key part of testing for CAUTI, requiring proper procedures for arriving at accurate results and keeping patients safe. Of 394 nurses studied, 76 percent reported receiving education on CAUTI risk reduction within the last 12 months. Almost half of the nurses did not believe that their peers comply with urine sample collection standards. This research indicates the importance of addressing both nursing competencies for obtaining urine cultures and nurses’ knowledge as to when the culture is indicated. The researchers concluded that nurses are not commonly evaluated on the skills of placing and maintaining...
By Ginger - Site Admin on Tuesday, March 08, 2016 9:23 AM
Eligible professionals, eligible hospitals and critical access hospitals (CAHs) participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest using the Medicare and Medicaid EHR Incentive Program Registration and Attestation System no later than Friday, March 11 at 11:59 p.m. (ET).

Medicaid EHR Incentive Program participants should refer to their respective ...
By Ginger - Site Admin on Friday, March 04, 2016 9:12 AM
Eligible professionals, eligible hospitals and critical access hospitals (CAHs) participating in the Medicare Electronic Health Record (EHR) Incentive Program must attest using the Medicare and Medicaid EHR Incentive Program Registration and Attestation System by Friday, March 11 at 11:59 p.m. ET.

Medicaid EHR Incentive Program participants should refer to their respective ...
By Ginger - Site Admin on Friday, March 04, 2016 9:07 AM
On Thursday, the Internal Revenue Service (IRS) issued an alert to payroll and human resources professionals to beware of an emerging phishing email scheme that purports to be from company executives and requests personal information on employees.

The IRS has learned this scheme – part of the surge in phishing emails seen this year – already has claimed several victims as payroll and human resources offices mistakenly email payroll data including W-2 forms that contain Social Security numbers and other personally identifiable information to cybercriminals posing as company executives.

This phishing variation is known as a “spoofing” email. It will contain, for example, the actual name of the company chief executive officer. In this variation, the “CEO” sends an email to a company payroll office employee and requests a list of employees and information including SSNs. The following are some of the details contained in the e-mails:

Kindly send me the individual 2015...
By Ginger - Site Admin on Thursday, March 03, 2016 9:51 AM

The American Hospital Association will hold its annual meeting in Washington, DC, May 1-4. 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 Friday, March 4. The reservations will be submitted to the hotel on Monday, March 7.

Please, register online at www.aha.org to attend the conference. 

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

...
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.

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