Minnesota Hospital Association


April 27, 2015

MHA Newsline: April 27, 2015

In this issue 

Minnesota hospital programs, leaders honored

MHA honored innovative programs and outstanding leaders in health care at its 31st annual awards ceremony on Friday, April 24. The following awards were given for extraordinary achievement in categories ranging from advocacy on behalf of hospitals and volunteerism to innovation and improvement in patient care and patient safety. In the coming weeks, we will feature each of the winners so you can learn more about their exceptional work. Thank you to every MHA member who submitted nominations! 

  • Best Minnesota Hospital Workplace: Owatonna Hospital, part of Allina Health    
  • Bruce and Denise Rueben Courage Award: George Gerlach, CEO and administrator, Granite Falls Municipal Hospital and Manor    
  • Caregiver of the Year: Ed Wurtzberger, RN, New Ulm Medical Center, part of Allina Health 
  • Community Benefit: Winona Health; Lakewood Health System, Staples   
  • Good Catch for Patient Safety: Sara Lorenz, RN, BSN, Mayo Clinic Rochester Hospital, St. Marys Campus   
  • Health Care Workforce Champion (individual): Laura Beeth, system director, talent management, Fairview Health Services, Minneapolis 
  • Health Care Workforce Champion (hospital): Fairview Health Services, Minneapolis 
  • Innovation of the Year in Patient Care: PrairieCare, Maple Grove; Park Nicollet Methodist Hospital, St. Louis Park   
  • Patient Safety Improvement: University of Minnesota Masonic Children’s Hospital, Minneapolis; Catholic Health Initiatives – St. Joseph’s Health, Park Rapids   
  • Public Achievement: Sen. Tony Lourey (DFL-Kerrick)   
  • Spirit of Advocacy: Mary Maertens, regional president, Avera Marshall Regional Medical Center 
  • Stephen Rogness Distinguished Service Award: Larry Schulz, CEO, Lake Region Healthcare, Fergus Falls   
  • Trustee of the Year: Mary Theurer, Lakewood Health System, Staples   
  • Volunteers of the Year Award: Carole and Jim Lang, Mayo Clinic Health System in New Prague   

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MHA honored for raising awareness of sexual assault

MHA recently received the Minnesota Coalition Against Sexual Assault (MNCASA) AWARE Award for their work to improve the response to sexual assault patients in hospitals across the state. The award is given to individuals and groups for extraordinary awareness-raising work around sexual violence. MHA staff Joe Schindler, vice president of finance, and Jen McNertney, policy analyst, accepted the award on behalf of MHA.   

“Minnesota’s hospitals are often the first stop on a long road to healing for victims of sexual violence,” said Lawrence Massa, MHA president and CEO. “MHA is committed to helping our members care for vulnerable patients with respect and sensitivity. We are truly honored to receive this award in recognition of that work.”   

Schindler and McNertney have helped educate members about billing procedures for sexual assault exams, assisted MNCASA in drafting and distributing a survey to hospitals regarding responses to sexual assault patients in order to gain a better understanding of where improvements can be made, and participate in the advisory group of the Minnesota Forensic Exam Access Project as part of the Sexual Violence Justice Project. return to top   

HHS Omnibus Budget bill moves to conference committee this week

The Minnesota Senate HHS Omnibus Budget bill, SF1458, passed the Senate floor last week. The bill includes MHA’s Minnesota Telemedicine Act, as well as important funding patches for critical access hospitals and mental health services to avoid projected shortfalls that would result from the required budget-neutral rebasing of Medical Assistance rates.  The Senate bill also includes new investments in mental health services including: behavioral health homes, crisis services, intensive residential treatment services, and nonemergency medical transportation among other items.   

The Minnesota House of Representatives moved its HHS Omnibus Budget Bill, HF1638 which will be referred to as SF1458 going forward, through its committees last week. The House is scheduled to debate and pass its version of the HHS Omnibus Budget bill on Tuesday, April 28.   

A conference committee of Senate and House members will be appointed to iron out the differences between the two bills, and could begin its work as early as the end of this week.    

For a complete list of 2015 legislative bills MHA is tracking, visit the Member Center. For assistance accessing the Member Center, contact Ashley Gauster, MHA member services and communications specialist, 651-603-3545. return to top        

Minnesota Reps. Ellison, Paulsen and Peterson sign onto MHA priority federal legislation

Last week Minnesota Representative Erik Paulsen added his support to legislation that removes the 96-hour physician certification requirement as a condition of payment for critical access hospitals (CAHs). Minnesota Reps. Collin Peterson and Keith Ellison added their support to legislation that will improve the fairness of the Centers for Medicare and Medicaid Services (CMS) readmissions program. 

H.R. 169, the CAH Relief Act
As a condition of getting paid by Medicare, physicians at CAHs must certify, at the time of admission, that a Medicare beneficiary is expected to be discharged or transferred to another hospital within 96 hours. If something unforeseen occurs and the beneficiary needs to stay longer than 96 hours, the physician must certify and document the changed circumstances in order to still meet this statutory condition.   

CMS has historically not enforced the condition of payment, but recently published guidance implying that the agency will begin enforcement. This means in many cases that CAHs will no longer receive payment from Medicare for medical services requiring a beneficiary stay of longer than 96 hours.   

H.R. 169, the CAH Relief Act, will remove the condition of payment for CAHs that requires a physician to certify that each patient will be discharged/transferred in less than 96 hours. The condition of participation requiring CAHs to maintain a 96-hour annual average per patient would remain unchanged.   

Minnesota Reps. Walz, Peterson and Nolan are previous co-sponsors of this bill and Minnesota Senators Amy Klobuchar and Al Franken have signed onto the Senate version of the bill.   

H.R. 1343, legislation to adjust the readmissions program
The Affordable Care Act requires CMS to penalize hospitals for excess readmissions when compared to expected levels of readmissions beginning Oct. 1, 2012, however, the formula fails to account for sociodemographic factors, depriving hospitals in economically disadvantaged communities of the recourses they need the most. Kaiser Health News analysis of FY2013 readmissions penalties showed that hospitals serving the poorest patients were more likely to incur a penalty. H.R. 1343 will adjust a hospital’s performance in the Medicare Hospital Readmission Reduction Program based on the sociodemographic status of its patients.   

For more information, please contact Ann Gibson, MHA vice president, federal relations and workforce at 651-603-3527. return to top   

Make It OK helps reduce stigma around mental illness

May is Mental Health Month and MHA has been working with HealthPartners, the creator of Make It OK, to amplify and spread the MakeIt OK campaign throughout the state. The campaign aims to reduce the stigma of mental illness by encouraging open conversations and education on the topic.   

Hospital CEOs, communicators, community benefit contacts and hospital foundation directors are invited to join us for a webinar on Thursday, April 30 from 2-3 p.m. to learn more about Make It OK and what your hospital can do to help reduce stigma around mental illness. HealthPartners has created Make it OK as an “open source” campaign to be shared and is not branded to one particular health care organization.   

Contact Ashley Gauster, MHA member services and communications specialist for login information. return to top 

Program for administrative professionals provides training in working with physicians, digital filing and email management

MHA’s eighth annual program for health care administrative professionals will offer training in strategies for working with physicians, digital filing and email management. 

Rahul Koranne, M.D., MHA vice president of clinical affairs and chief medical officer, will describe strategies for working successfully with physicians, discuss the key drivers that motivate physicians and explore how physician engagement and partnerships can be enhanced. 

Chicago-based Microsoft Certified Trainer Melissa Esquibel will instruct participants in email management. She’ll discuss strategies for the big clean-up, tools to make mail organize itself, transforming your inbox from a junk drawer to a work management tool and integrating email with other applications. She’ll also share strategies for digital filing including naming, organizing and searching for files.    

 The program is July 23 at the Crowne Plaza Minneapolis West in Plymouth. For more information, view the brochure or visit MHA’s website, login, click “Calendar of Events” and select the program title to register. return to top   

Nominate an individual or team for outstanding contributions to rural health care in Minnesota

Nominations are now being accepted for the annual Minnesota Rural Health Hero and Minnesota Rural Health Team awards.   

Nominees may have contributed to rural health care in any capacity, such as through a volunteer or paid position and in policy or practice. Examples of areas of impact include: health care programs; rural health policy; advancement of the field; improved patterns of delivery; cooperative efforts to avoid duplication of services and achieve common goals; education; and the lasting impact of a program on the community.   

Nominations are due by Friday, May 15. For questions about the nominations, contact Maria Rogness, Minnesota Department of Health, 651-201-3863   

The awards will be presented during a special luncheon at the Minnesota Rural Health Conference June 29-30, 2015 in Duluth. Registration for the conference is open with early bird discounts until Monday, June 8. For questions about the conference, email [email protected]. return to top   

Seminar provides insight to understanding and implementing TCOC

The Institute for Clinical Systems Improvement, MN Community Measurement and the Network for Regional Healthcare Improvement are offering a daylong seminar ideal for physician leaders charged with understanding and implementing Total Cost of Care (TCOC) efforts in their organization.

The curriculum and speakers will provide compelling reasons why your organization needs to reduce costs; the “change” leadership approaches and skill development your team will need; deeper understanding of TCOC and resource use analyses; and the current status of TCOC measurement in Minnesota and its impact on medical groups. Speakers include: Arnold Milstein, MD, Professor of Medicine and Clinical Excellence Research Center Director, Stanford University; Michael Van Duren, MD, Sutter Health; Jay Want, MD; and Tina Frontera, COO, and Gunnar Nelson, Health Economist, MNCM.   

The seminar will be offered on June 1 and 2, 2015; register for only one session. CME credits available. Space is limited; to learn more and register, visit http://bit.ly/1aPA1Vg. return to top     

Hospital decontamination training available

The University of Minnesota School of Public Health will offer a one-day hospital decontamination course geared toward hospital first receivers, nurses, ER personnel, facilities, environmental services/housekeeping and safety/security personnel. 

The course includes an extensive review of the Incident Command System, personal protective equipment (PPE), donning/doffing, how to select the right PPE for decontamination, and emergency response to unknown hazards. A review of decontamination shelters and procedures and hands-on decontamination simulation is included. All materials, equipment and a variety of CEUs are provided.  

Training sessions will be held at Fairview Southdale Hospital on May 26, 27 and 28 and at Mayo Clinic Health System in Red Wing on June 17. For more information on registering or to host a training at your facility, contact the University's Hazardous Materials training program at 612-624-6023 or 612-626-0900 or online at www.hazmat.umn.edu. return to top   

De-escalating potentially violent situations™ training opportunity

Hosted by the Crisis & Trauma Resource Institute, this workshop is designed to teach people to de-escalate potentially violent situations through assertiveness and interpersonal communication. Participants will develop a clear understanding of how to assess the potential for violence and respond with a diverse set of interpersonal tools and strategies designed to defuse potentially violent situations.   

The workshop will be held June 2, 2015 at the Sheraton MidTown, Minneapolis. For more information and to register, click here. return to top