AHA Award Nominations Open
|
|
- Chester Stephens
- 5 years ago
- Views:
Transcription
1 June 8, 2009 Volume 16, Number 21 AHA Award Nominations Open Nominations are open for the 2009 Arkansas Hospital Association (AHA) awards program. The A. Allen Weintraub Memorial Award and Distinguished Service Award will be presented during the AHA s 79 th Annual Meeting Awards Dinner Thursday, October 8, at the Peabody Hotel in Little Rock. Arkansas C. E. Melville Young Administrator of the Year will be recognized by the Arkansas Health Executives Forum (AHEF); and the Diamond Awards, cosponsored by the Arkansas Society for Healthcare Marketing and Public Relations, also will be presented at the awards dinner. In addition, the ACHE Regent s Awards will be presented at the ACHE breakfast meeting that same morning. Criteria for each award are: The A. Allen Weintraub Memorial Award, named for Allen Weintraub, long-time administrator of St. Vincent Infirmary Medical Center in Little Rock, is the highest honor bestowed upon an individual by the AHA. Those nominated for this honor should be hospital chief executive officers who are contributing to their hospitals and communities in much the same manner as did Allen. Those who remember him always mention his care and concern, not only for hospital patients, but also for his employees; his passion for quality healthcare for Arkansans; his recognition of duty to the community; and his visionary influence. The AHA's Distinguished Service Award is presented to individuals who, while not necessarily AHA members, have promoted a cause of the healthcare industry, thereby becoming entitled to special recognition. Examples of those eligible for this award are physicians, nurses, trustees, auxilians, community leaders and other deserving individuals. (The 2009 recipients of the Weintraub and Distinguished Service Awards will be chosen by the AHA Board of Directors from those nominated.) The C. E. Melville Young Administrator of the Year Award is named for the late C. E. Melville, administrator of Jefferson Regional Medical Center in Pine Bluff. The award recipient is selected by the AHEF s Awards Committee. The award recipient must be under age 40, a resident of Arkansas for at least two years, employed by an Arkansas healthcare institution and meet requirements for active membership in the Arkansas Health Executives Forum. The 2009 Diamond Awards honoring excellence in hospital marketing and public relations will be presented in several categories, such as advertising, annual report, Internet Web site, publications, special video production and writing. Diamond Awards (for hospitals with 0-99 beds, beds, and 250 or more beds) will be presented in each category. Entries were accepted in the spring and have been judged individually by a panel of judges not affiliated with any Arkansas hospital. The 2009 ACHE Regent s Awards will honor outstanding healthcare executive leadership in two areas early career and senior level. The two recipients, selected by the AHEF s Awards Committee, will be presented their awards at the ACHE Breakfast during the AHA Annual Meeting and recognized at the annual Awards Dinner that same evening. Paul Cunningham, Editor Phil E. Matthews, President/CEO; 419 Natural Resources Drive; Little Rock, Arkansas 72205; ; facsimile
2 AHA Notebook 2 June 8, 2009 AHA Submits Ideas For Bending The Cost Curve Congressional leaders and the White House have assigned a top priority to healthcare reform in an effort to push it through this year. To show support, five healthcare organizations representing six different sectors of the healthcare industry, including the American Hospital Association (AHA), committed last month to help achieve the Administration s goal of decreasing the annual healthcare spending growth rate by 1.5 percentage points saving $2 trillion or more. The groups then structured individual sets of specific steps that they can take to accomplish that goal. The groups submitted a letter to the President officially sharing their initial ideas on June 1 (see and look under What s New to find the letter). For its part, the AHA suggested hospital initiatives for bending the cost curve which address immediate and longer-term cost savings. The ideas for immediate savings developed after consulting broadly with the AHA membership and allied associations cover eight specific areas: Reduce surgical infections and complications Reduce central line-associated blood stream infections (CLABSI) Reduce Methicillin-resistant Staphylococcus aureus (MRSA) Reduce clostridium difficile infections (c diff) Reduce ventilator-associated pneumonia (VAP) Reduce catheter-associated urinary tract infections; Reduce adverse drug events from high-hazard medications (e.g., anticoagulants, narcotics, opiates, insulin, sedatives) Reduce pressure ulcers All focus on expanding efforts which already have been tested and adopted by hospitals and health systems. AHA will launch a national campaign to build upon those efforts and will ask each hospital to choose the order in which they tackle issues on the list. The overall goal is to accelerate the pace of improvement, while broadening and deepening the success across the field. Longer-term cost savings would come from future AHA-coordinated campaigns to help promote initiatives for improving care coordination, implementing Health Information Technology (HIT), promoting efficient resource utilization, preventing patient falls, improving perinatal care and reducing supply costs. Arkansas Hospitals Receive Quality Awards Nineteen Arkansas hospitals were among more than 50 healthcare facilities to receive Quality Awards from the Arkansas Foundation for Medical Care (AFMC) in recognition of their commitment to excellence in healthcare. The awards were presented during AFMC s 16 th Quality Conference, held May at the Hot Springs Convention Center. Winning healthcare providers earned the awards either through their performance on specific measures of healthcare or by creating innovative new programs. Four types of Quality Awards were presented to hospital organizations: Best Achievement, Most Improved, Validation and Innovator. Results for Best Achievement, Most Improved and Validation were based on quality of care data submitted to the Centers for Medicare & Medicaid Services. Innovator Awards were presented to hospitals that shared innovative and successful strategies with their peers and acted as mentors to other facilities. Several hospitals received awards in multiple categories. Awards were presented to: Arkansas Methodist Medical Center (Paragould) Innovator Baptist Health hospitals (Little Rock, North Little Rock, Heber Springs, Arkadelphia) Innovator
3 AHA Notebook 3 June 8, 2009 Baptist Health Medical Center (Arkadelphia) Best Achievement, Critical Access Hospital (CAH) (1 st place); Most Improved, CAH (1 st Place) Forrest City Medical Center Best Achievement, PPS (1 st place); Validation, PPS (2 nd place) Helena Regional Medical Center (Helena-West Helena) Validation Award, PPS (1 st place) Lawrence Memorial Hospital (Walnut Ridge) Most Improved, CAH (2 nd place); Validation, CAH (2 nd place); Innovator Medical Center of South Arkansas (El Dorado) Innovator Ozark Health Medical Center (Clinton) Validation Award, CAH (1 st place); Innovator Saline Memorial Hospital (Benton) Innovator Sparks Regional Medical Center (Fort Smith) Most Improved, PPS (2 nd place); Innovator St. Anthony s Medical Center (Morrilton) Best Achievement, CAH (2 nd place); Validation, CAH (2 nd place); Innovator St. Bernards Medical Center (Jonesboro) Innovator St. Joseph s Mercy Health Center (Hot Springs) Best Achievement, PPS (2 nd place); Most Improved, PPS (1 st place); Innovator Summit Medical Center (Van Buren) Innovator White County Medical Center (Searcy) Innovator White River Medical Center (Batesville) Innovator Home health agencies competed for three types of Quality Awards: Best Achievement, Most Improved and Innovator. In the Best Achievement and Most Improved categories, awards were presented for small, medium and large agencies and were based on quality of care data. Innovator Awards were presented to home health agencies that demonstrated a system change that resulted in improved processes and outcomes. Agencies also had to serve as a mentor to other agencies in implementing similar changes. Hospital-based Home Health Agencies that received awards are: Arkansas Methodist Medical Center Home Health Agency (Paragould) Innovator Baptist Health Home Health Network (Little Rock) Innovator Baptist Health Home Health Network (Arkadelphia) Innovator Crittenden Regional Hospital Home Health (Marked Tree) Best Achievement Award, Small Agency (2 nd place); Most Improved, Small Agency (2 nd place); Innovator Crittenden Regional Hospital Homecare (West Memphis) Best Achievement Award, Medium Agency (1st place); Most Improved Award, Medium Agency (1 st place); Innovator Bill Would Aide Rural Hospital Payments Sens. Kent Conrad (D-ND), Pat Roberts (R-KA), Tom Harkin (D-IA) and John Barasso (R-WY) have introduced legislation that would improve Medicare reimbursements to rural hospitals. The Craig Thomas Rural Hospital and Provider Equity Act (S.1157) provides for a temporary payment increase for hospitals with low-volume inpatient discharges. The bill also would continue allowing direct payments to independent laboratories for the technical component of pathology services and the 5% rural add-on payment for home health services. In addition, it would extend the outpatient hold-harmless provision for sole community hospitals and rural hospitals with fewer than 100 beds, remove the cap on disproportionate share adjustment percentages for all hospitals and improve payments for ambulance services in rural areas.
4 AHA Notebook 4 June 8, 2009 Pryor Bill Eases CAH Requirement Arkansas Senator Mark Pryor is hoping to re-open the opportunity for small rural hospitals to be designated with Critical Access Hospital (CAH) status in an effort to prevent them from closing or reducing patient services for people in their communities. Pryor joined with Sen. Sam Brownback (R-KS) to introduce the bipartisan Critical Access Flexibility Act of 2009, which would waive a provision in the Medicare law that requires a CAH to be 35 miles away from another healthcare facility. Specifically, the legislation restores a state s authority to waive the mileage requirements if all other requirements are met and the state designates the facility as a necessary provider. Two Arkansas hospitals have expressed interest in CAH designation, but do not qualify because of their proximity to another healthcare facility. Twenty-nine Arkansas hospitals are CAHs, which allows them to receive cost-based Medicare reimbursement. Some of those facilities gained CAH status under a previous program that allowed states to set them aside as medically necessary hospitals, despite the fact that they did not meet the Medicare distance requirement. States ability to make such designations expired a few years ago. Sen. Pryor s bill would resurrect it. Sparks Sale To GA Company Off Sparks Health System (SHS) of Fort Smith, which operates the 492-bed Sparks Regional Medical Center, has had a change of plans regarding its sale to Jackson Healthcare LLC, an Alpharetta, GA company. Sparks officials made a June 1 announcement that the proposed change of ownership will not occur. The SHS Board of Directors said last March that the hospital system would be purchased by Jackson Healthcare. No terms of the deal were disclosed, but both parties indicated at the time a desire to close the deal no later than June 30, SHS CEO Ted Woodrell noted that the System s situation has improved since earlier this year with increased patient volumes and gains in both nurse and physician recruiting. While citing no specific reasons for the change in direction, Woodrell said that it was a business decision based solely on what was the right thing for Sparks and the community. Sparks Health System is a private, non-profit organization that is managed by QHR. Legal Note: Fraud Enforcement & Recovery Act of 2009 On May 20, 2009, President Obama signed the Fraud Enforcement and Recovery Act (FERA). Although it was primarily directed toward mortgage fraud, the FERA also amends the civil False Claims Act (FCA) to significantly expand potential FCA liability and gives the government enhanced investigative powers. It therefore has particular significance to healthcare entities. One of the most important FCA amendments in the FERA is the creation of liability for knowingly and improperly avoiding or decreasing an obligation to pay money to the federal government, which includes the retention of any overpayment. While statements on the House and Senate floors indicated that the retention of an overpayment in routine reconciliation processes will not rise to the level of improper conduct, this distinction is not expressly stated in the statute itself. This new law reinforces the importance of establishing and closely following a program to detect, track and return overpayments, as failure to return overpayments promptly may result in a false claim violation.
5 AHA Notebook 5 June 8, 2009 The FCA also was expanded to include any false or fraudulent claim for government money or property regardless of whether the claim was submitted directly to the government. FCA liability will attach to government funds received through one or several intermediaries if the funds are spent on the government s behalf or to advance a government program or interest. The American Hospital Association has cautioned that hospitals should anticipate greater scrutiny of their vendor relationships whether as the provider or recipient of services under this FERA provision. The FERA also expands the U.S. Attorney General s authority to issue civil investigative demands and broadens the government s authority to share documents obtained through subpoena with qui tam relators and others. These and other FERA provisions are discussed in an excellent Legal Advisory published by the American Hospital Association, which is available to its members via Hospital Connect located at Hospitals are strongly encouraged to review this advisory as well as other information available on the FERA in order to better prepare for the government s increasing focus on healthcare fraud and compliance issues. Suggested topics for the Legal Note may be submitted to elisawhite@arkhospitals.org. The Legal Note is provided solely for informational purpose and does not constitute legal advice. Readers are encouraged to consult with their own attorneys about any legal issues, including those discussed in this article. RAC Seeking Hospital Contact Info Connolly Consulting Associates (CCA), Inc., the Medicare Recovery Audit Contractor (RAC) for the southeastern U.S region, wants to hear from all hospitals and other affected providers in its region in order to identify a point of contact for future RAC-related correspondence such as demand letters and medical records correspondence. Please visit the CCA Web page at to find and download the company s Provider Contact Form and Multi-Provider Contact Spreadsheet for Facilities and Offices with Multiple Providers/NPIs. These forms should be completed and faxed back to CCA as soon as possible. Connolly has indicated that supplying this information in advance is extremely important in preparing for any potential RAC activities involving hospitals. Connolly is to begin its Arkansas operations in August, but may not begin requesting records until after provider outreach sessions are held. LTCH Rule Cuts FY 2009 Rates On May 29, CMS issued an interim final rule cutting current FY 2009 rates for Medicare s longterm care hospital (LTCH) prospective payment system, effective Wednesday, June 3. According to CMS, its own analysis of the LTCH final rule for FY 2009 contained an error in the reweighting of the LTCH MS-DRGs. CMS believes this error has already resulted in overpayment of $130 million. While CMS will not take steps to recapture this amount, they re implementing a payment reduction for the remainder of FY 2009 to reduce LTCH payments by $43 million, or 0.9%. The agency is accepting comments on the interim final rule through July 29. The new rule is likely to be addressed during the upcoming LTCH Advocacy Day planned for June 23 in Washington. The meeting will be held at the Washington Court Hotel, although time is set aside for Hill visits with members of states Congressional delegations, too. All LTACs in the state should have received an invitation to this meeting from the American Hospital Association. The day is geared to seeking co-sponsors for H.R and S. 935, companion bills that would extend from three years to five years the delay in application of the 25% patient threshold payment adjustment and other LTCH policies. Find out more about the bills at
6 AHA Notebook 6 June 8, 2009 NewsNotes About Arkansas Folks Joseph T. Hammond, FACHE has been named CEO of Fulton County Hospital in Salem. He succeeds Angela Richmond, CEO of Community Medical Center of Izard County in Calico Rock, who was also serving as CEO of the Salem facility. Hammond is a former administrator of Eureka Springs Hospital. He also has held various positions with several Mississippi hospitals and was a consultant with Community Healthcare Systems, Inc. Jim Maddox has retired as regional administrator for St. Edward Mercy Health System after a 34-year career with the system. Since 1999, he has had responsibility for the operations and directions of three critical access hospitals and three clinics. He began his career as a medical technologist and later became the managerial director of nursing service for St. Edward Mercy Medical Center in Fort Smith. Maddox has been active in Arkansas Hospital Association activities including the Arkansas Valley District and the critical access hospital program. Ron Summerhill has been named to succeed Jim Maddox as regional administrator for St. Edward Mercy Health rural network. He has assumed duties as administrator over North Logan Mercy Hospital in Paris, Mercy Hospital of Scott County in Waldron and Mercy Hospital Turner Memorial in Ozark, and affiliated rural health clinics in Waldron and Mansfield, Arkansas. Summerhill was most recently vice president of human resources for St. Edward Mercy Health System in Fort Smith where he has been employed for 35 years. Steven B. Webb has been named administrator of Baptist Health Medical Center Stuttgart. He succeeds Troy Wells, vice president for clinical services for Baptist Health, who had overseen hospital operations at Stuttgart since Baptist Health leased the facility in January and will now be responsible for Practice Plus and Arkansas Health Group. Prior to joining Baptist Health, Webb was CEO of Good Shepherd Medical Center in Linden, Texas. He is a graduate of the UALR health administration program and served as an administrative fellow at White County Medical Center in Searcy. Governor Mike Beebe recently appointed Elisa White, AHA vice president and general counsel, as a Commissioner on Uniform State Laws. As a commissioner, White will serve as one of Arkansas representatives to the National Conference of Commissioners on Uniform State Laws (NCCUSL), a non-profit association comprised of state commissions on uniform laws from each state, the District of Columbia, the Commonwealth of Puerto Rico, and the U.S. Virgin Islands. Since it was formed in 1892, the NCCUSL has drafted more than 200 uniform laws on numerous subjects, including the Uniform Probate Code, the Uniform Child Custody Jurisdiction Act, the Uniform Partnership Act, the Uniform Anatomical Gift Act, and the Uniform Interstate Family Support Act. The AHA Calendar June Advancing the Community Benefit Mission: The Current Challenges and Implications of New Reporting Requirements Webinar 16 Inpatient Rehab Coding Update: 2009 Webinar #T Mid-Management Leadership Series for Managers & Supervisors: Dealing with Conflict, AHA Classroom, Little Rock Mid-Management Leadership Series for Managers & Supervisors: Building Influence and Credibility, AHA Classroom, Little Rock Hospital Executive/Trustee Leadership Conference, Perdido Beach Resort, Orange Beach, Alabama
H1N1 Cases Confirmed in Arkansas
May 11, 2009 Volume 16, Number 17 H1N1 Cases Confirmed in Arkansas State Health Officer and Director of the Arkansas Department of Health (ADH) Dr. Paul Halverson issued a statement last Friday verifying
More informationBooneville Hospital Evacuates Patients Twice
March 31, 2008 Volume 15, Number 13 Booneville Hospital Evacuates Patients Twice Booneville Community Hospital (BCH) became the second Arkansas Critical Access Hospital (CAH) in as many months to evacuate
More informationRural Health Disparities 5/22/2012. Rural is often defined by what it is not urban. May 3, The Rural Health Landscape
5/22/2012 May 3, 2012 The Rural Health Landscape Alan Morgan Chief Executive Officer National Rural Health Association National Rural Health Association Membership 2012 NRHA Mission The National Rural
More informationBetter to Best Quality Excellence Achievement Awards. Recognizing Illinois Hospitals Leading in Quality and Innovation COMPENDIUM
Better to Best 2011 Quality Excellence Achievement Awards COMPENDIUM Recognizing Illinois Hospitals Leading in Quality and Innovation 2011 Quality Excellence Achievement Awards Overview IHA s Quality Care
More informationLeslie Demaree Goldsmith
LESLIE DEMAREE GOLDSMITH Shareholder is a shareholder in Baker Donelson's Baltimore office. Overview Ms. Goldsmith brings more than 25 years of experience to her practice, representing health care providers
More informationMedicare Recovery Audit Contractors. Chicago, IL August 1, 2008
Medicare Recovery Audit Contractors Chicago, IL August 1, 2008 1 Recovery Audit Contractors Demo Summary National Rollout AHA Strategy AHA RACTrac Overview 2 Recovery Audit Contractors Medicare Modernization
More informationReady Mix Concrete Plants
Page 1 of 7 These have supplied concrete to Arkansas State Highway and Transportation Department projects. Concrete from any of these sources shall be tested and accepted in accordance with the Arkansas
More informationAlignment. Alignment Healthcare
Alignment CODE OF CONDUCT Alignment Healthcare Our commitment to ethical conduct and compliance depends on all Alignment Healthcare personnel. If you find yourself in an ethical dilemma or suspect inappropriate
More informationProgram Summary. Understanding the Fiscal Year 2019 Hospital Value-Based Purchasing Program. Page 1 of 8 July Overview
Overview This program summary highlights the major elements of the fiscal year (FY) 2019 Hospital Value-Based Purchasing (VBP) Program administered by the Centers for Medicare & Medicaid Services (CMS).
More information(202) or CMS Proposals to Improve Quality of Care during Hospital Inpatient Stays
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE April 30, 2014 Contact: CMS Media
More informationResponding to Today s Health Care Regulatory Environment
Responding to Today s Health Care Regulatory Environment St. Joseph s Health Michael R. Holper SVP, Compliance and Audit Services October 26, 2016 2014 Trinity Health. All Rights Reserved. 1 We operate
More informationMedicare: "Complex regulatory structure."
IHA Legal Forum for Hospital Executives and Counsel Medicare Reimbursement Update September 16, 2016 Regan E. Tankersley Medicare: "Complex regulatory structure." 2 1 Objectives Medicare Provider Based
More informationScoring Methodology FALL 2016
Scoring Methodology FALL 2016 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 7 Process/Structural Measures... 7 Computerized Physician Order
More informationARKANSAS HOSPITAL STATISTICS, FACTS AND FIGURES
SUMMER 2010 www.arkhospitals.org ARKANSAS HOSPITAL STATISTICS, FACTS AND FIGURES What These Statistics Mean for Your Hospital A Magazine for Arkansas healthcare Summer 2010 Professionals I Arkansas Hospitals
More informationSummary of U.S. Senate Finance Committee Health Reform Bill
Summary of U.S. Senate Finance Committee Health Reform Bill September 2009 The following is a summary of the major hospital and health system provisions included in the Finance Committee bill, the America
More informationDiane Meyer, CHC (650) Agenda
The Road Ahead and How to Navigate It Kevin D. Lyles, Esq. kdlyles@jonesday.com (614) 281-3821 Diane Meyer, CHC DMeyer@stanfordmed.org (650) 724-2572 Frank E. Sheeder, Esq. fesheeder@jonesday.com (214)
More informationBEFORE THE ARKANSAS HEALTH SERVICES PERMIT AGENCY FINDINGS OF FACT, CONCLUSIONS OF LAW, AND ORDER
BEFORE THE ARKANSAS HEALTH SERVICES PERMIT AGENCY In the Matter of: Concerned Care for Seniors d/b/a Home Instead Senior Care File # HSPA (1177)-08 FINDINGS OF FACT, CONCLUSIONS OF LAW, AND ORDER Findings
More informationInstitute on Medicare and Medicaid Payment Issues. Baltimore Marriott Waterfront Hotel
Institute on Medicare and Medicaid Payment Issues Baltimore Marriott Waterfront Hotel March 28-30, 2012 1 Diagnostic Imaging Accreditation and Regulatory Requirements Today s Talk Attack on Payment MPPR
More information3/19/2013. Medicare Spending Per Beneficiary: The New Link Between Acute and Post Acute Providers
The New Link Between Acute and Post Acute Providers Carol Quiring, RN President and CEO, Home Care and Hospice Saint Luke s Health System Shauna Thompson, RHIT Senior Director, Quality & Patient Safety
More informationCAHABA GOVERNMENT BENEFIT ADMINISTRATORS (GBA) PROVIDER-BASED ATTESTATION STATEMENT. Main Provider Medicare Provider Number:
Main Provider Information: Main Provider Medicare Provider Number: Main Provider Legal Business Name: Main Provider Doing Business As Name: Main Provider s Address: Attestation Contact Name (please print):
More informationPart I of the HITECH Webinar Series
Part I of the HITECH Webinar Series August 18, 2010 The HITECH EHR Incentives and Certification Requirements Presented by Kathie McDonald-McClure, Esq. Moderators Carole Christian, Esq. Erin McMahon, Esq.
More informationMandatory Public Reporting of Hospital Acquired Infections
Mandatory Public Reporting of Hospital Acquired Infections The non-profit Consumers Union (CU) has recently sent a letter to every member of the Texas Legislature urging them to pass legislation mandating
More informationHealthcare-Associated Infections: State Plans
Healthcare-Associated Infections: State Plans Department of Health & Human Services Office of the Secretary Office of Public Health & Science Web Conference Wednesday, August 19, 2009 Goals Provide background
More informationOverview of Select Health Provisions FY 2015 Administration Budget Proposal
Overview of Select Health Provisions FY 2015 Administration Budget Proposal On March 4, 2014, President Obama released his Administration s FY 2015 budget proposal to Congress. The budget contains a number
More information1. The new state-based insurance exchange for small businesses (SHOP) stands for:
Chapter 5 Review Questions 1. The new state-based insurance exchange for small businesses (SHOP) stands for: a. Small Business Health Options Program b. Small Business Health Option Plans c. State Health
More informationUnderstanding Patient Choice Insights Patient Choice Insights Network
Quality health plans & benefits Healthier living Financial well-being Intelligent solutions Understanding Patient Choice Insights Patient Choice Insights Network SM www.aetna.com Helping consumers gain
More informationTopics. Overview of the Medicare Recovery Audit Contractor (RAC) Understanding Medicaid Integrity Contractor
RACS, ZPICS & MICS John Falcetano, CHC-F, CCEP-F, CHPC, CHRC, CIA Chief Audit and Compliance Officer University Health Systems of Eastern Carolina jfalceta@uhseast.com Topics Overview of the Medicare Recovery
More informationCOMPLIANCE GOTCHAS AND EMERGING RISKS
COMPLIANCE GOTCHAS AND EMERGING RISKS BROOKE BENNETT AZIERE & JUSTAN SHINKLE DIRECT SUPERVISION OF HOSPITAL OUTPATIENT THERAPEUTIC SERVICES Hospital outpatient therapeutic services generally require direct
More informationLTCH Payment Reform & Patient Criteria
LTCH Payment Reform & Patient Criteria Mary Dalrymple Managing Director, LTRAX Kristen Smith, MHA, PT Senior Consultant, Fleming-AOD Overview Objectives What happened? Describe new LTACH payment system
More informationTroubleshooting Audio
Welcome! Audio for this event is available via ReadyTalk Internet Streaming. No telephone line is required. Computer speakers or headphones are necessary to listen to streaming audio. Limited dial-in lines
More informationHighlights of Program Integrity Provisions Managed Care Delivery System Subcommittee June 9, 2011
Patient Protection and Affordable Care Act: Highlights of Program Integrity Provisions Managed Care Delivery System Subcommittee June 9, 2011 1 Provider Screening and Other Enrollment Requirements Provider
More informationTITLE 37. HEALTH -- SAFETY -- MORALS CHAPTER HOSPITALS HOSPITAL MEASURES ADVISORY COUNCIL. Go to the Ohio Code Archive Directory
Page 1 ß 3727.31. Hospital measures advisory council created HOSPITAL MEASURES ADVISORY COUNCIL ORC Ann. 3727.31 (2012) There is hereby created the hospital measures advisory council. The council shall
More informationCritical Access Hospitals & Compliance Programs. Gregory N. Etzel, Esq. B. Scott McBride, Esq. Health Industry Group Vinson & Elkins LLP
Critical Access Hospitals & Compliance Programs Gregory N. Etzel, Esq. B. Scott McBride, Esq. Health Industry Group Vinson & Elkins LLP History and Background Critical Access Hospitals ( CAH )were established
More informationHealthcare- Associated Infections in North Carolina
2018 Healthcare- Associated Infections in North Carolina Reference Document Revised June 2018 NC Surveillance for Healthcare-Associated and Resistant Pathogens Patient Safety Program NC Department of Health
More informationMedicare Provider-Based Designation Attestation
Medicare Provider-Based Designation Attestation TO: All Main Providers In order for a facility to be designated as provider-based for billing and payment purposes, it must meet the applicable requirements
More informationMISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2007
MISSISSIPPI STATE DEPARTMENT OF HEALTH DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT AUGUST 2007 CON REVIEW: LTACH-NIS-0607-012 GULF STATES LTAC OF JACKSON COUNTY, LLC, OCEAN SPRINGS ESTABLISHMENT
More informationRecovery Audit Contractors: AHA Perspective. Elizabeth Baskett, Policy, AHA February 23, 2012
Recovery Audit Contractors: AHA Perspective Elizabeth Baskett, Policy, AHA February 23, 2012 Agenda Lay of the Land = Audit Overload RACs (Medicare & Medicaid) MACs ZPICs and OIG and DOJ, oh my! AHA and
More informationArkansas State Highway and Transportation Department JOB CA0101 CO. RD. 375-HWY. 147 (WIDENING) (S) FEDERAL AID PROJECT 9991
ROUTE: 64 JOB CA0101 CO. RD. 375-HWY. 147 (WIDENING) (S) FEDERAL AID PROJECT 9991 CRITTENDEN CRISP CONTRACTORS, INC. WEST MEMPHIS, AR APAC-TENNESSEE, INC. MEMPHIS, TN KIEWIT INFRASTRUCTURE SOUTH CO. FORT
More informationPharmacy Round Table Tuesday, August 20, 2013
Florida Hospital Association Hospital Engagement Network (HEN) Pharmacy Round Table Tuesday, August 20, 2013 Audio for today s presentation is broadcast via phone access only: Please Dial-in - 866.740.1260
More informationMedicare Regulations and Rules Update What Should You Know?
Medicare Regulations and Rules Update What Should You Know? Presenters: Gary Massey, CPA & Emily Wetsel, CPA Investment advisory services are offered through CliftonLarsonAllen Wealth Advisors, LLC, an
More informationFY 2014 Inpatient Prospective Payment System Proposed Rule
FY 2014 Inpatient Prospective Payment System Proposed Rule Summary of Provisions Potentially Impacting EPs On April 26, 2013, the Centers for Medicare and Medicaid Services (CMS) released its Fiscal Year
More informationScoring Methodology FALL 2017
Scoring Methodology FALL 2017 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 5 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician Order
More informationArkansas PAC Contributions Recognized
January 10, 2006 Volume 13, Number 1 Arkansas PAC Contributions Recognized During 2005, the Arkansas Hospital Association Political Action Committee (AHAPAC) received $27,895.35 in contributions, primarily
More informationProvider-Based Hospital Departments Are We Compliant?
Critical Access Hospital and Provider-Based Hospital Departments Are We Compliant? September 14, 2017 1 Reasons for Hospital/Clinic Integration History of Provider-Based Regulations Provider-Based Requirements
More informationLocal Health Department Access to the National Healthcare Safety Network. January 23, 2018
Local Health Department Access to the National Healthcare Safety Network January 23, 2018 Learning Objectives Describe the National Healthcare Safety Network (NHSN), its functions, and uses Identify upcoming
More informationAbout Baptist Medical Center
About Baptist Medical Center Locally owned and operated in Jacksonville, Florida BMC includes 2 Adult and 1 Children s Hospital 960 licensed beds Disproportionate Share Hospital Recently opened Baptist
More informationHOSPITAL QUALITY MEASURES. Overview of QM s
HOSPITAL QUALITY MEASURES Overview of QM s QUALITY MEASURES FOR HOSPITALS The overall rating defined by Hospital Compare summarizes up to 57 quality measures reflecting common conditions that hospitals
More informationReimbursement Models of the Future A Look at Proposed Models
Experience the Eide Bailly Difference Reimbursement Models of the Future A Look at Proposed Models Ralph J. Llewellyn, CPA, CHFP Partner rllewellyn@eidebailly.com 701.239.8594 Introduction CAH reimbursement
More informationWelcome and Instructions
Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.
More informationThe HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals
The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals The HITECH EHR "Meaningful Use" Requirements for Hospitals and Eligible Professionals September 1, 2010 Presented and
More informationMedicare s Electronic Health Records Incentive Program- Overview
HCCA Upper Northeast Regional Conference Meaningful Use Best Compliance Practices May 17, 2013 Lourdes Martinez, Esq. lmartinez@garfunkelwild.com 111 Great Neck Road Great Neck, NY 11021 (516) 393-2200
More information2018 AWARDS OF EXCELLENCE
2018 AWARDS OF EXCELLENCE The Tennessee Hospital Association (THA) has issued a call for nominations for its 2018 Awards of Excellence. Each year, the association conducts an awards program to honor individuals
More informationSTATE OF NORTH CAROLINA
STATE OF NORTH CAROLINA INVESTIGATIVE REPORT NORTH CAROLINA DEPARTMENT OF PUBLIC INSTRUCTION FEDERAL PROGRAM MONITORING AND SUPPORT SERVICES DIVISION RALEIGH, NORTH CAROLINA AUGUST 2013 OFFICE OF THE STATE
More informationHospice House Network Inpatient Conference
Hospice House Network Inpatient t Conference Trends & Recent Developments in Hospice General Inpatient Care Policy and Enforcement June 7, 2013 1 www.morganlewis.com Presented by Howard J. Young, Esq.
More informationMedicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years
julian.coomes@flhosp.orgjulian.coomes@flhosp.org Medicare Quality Based Payment Reform (QBPR) Program Reference Guide Fiscal Years 2018-2020 October 2017 Table of Contents Value Based Purchasing (VBP)
More informationNational Healthcare Safety Network (NHSN) Reporting for Inpatient Acute Care Hospitals
National Healthcare Safety Network (NHSN) Reporting for Inpatient Acute Care Hospitals In a time when clinical data are being used for research, development of care guidelines, identification of trends,
More informationMBQIP ABBREVIATIONS. Angiotensin Converting Enzyme Inhibitor. American Congress of Obstetricians and Gynecologists
MBQIP ABBREVIATIONS A ACE-1 ACOG ARB ACA ADE AHA AHRQ AMI APIC Angiotensin Converting Enzyme Inhibitor American Congress of Obstetricians and Gynecologists Angiotensin Receptor Blocker Affordable Care
More informationScoring Methodology SPRING 2018
Scoring Methodology SPRING 2018 CONTENTS What is the Hospital Safety Grade?... 4 Eligible Hospitals... 4 Measures... 6 Measure Descriptions... 9 Process/Structural Measures... 9 Computerized Physician
More informationWelcome to the HSAG HIIN Initiative
Welcome to the HSAG HIIN Initiative Let s get started! We are excited that you have agreed to participate in the HSAG HIIN initiative. Together, we will continue to expand national progress toward better
More informationTuesday, April 24, 2018
Tuesday, April 24, 2018 New Chief of Highway Police Drug Arrest PFC Emrick at the Alma weigh station Traffic Stop results in confiscating 232 pounds of marijuana. University of Arkansas College of Engineering
More informationPROPOSED POLICY AND PAYMENT CHANGES FOR INPATIENT STAYS IN ACUTE-CARE HOSPITALS AND LONG-TERM CARE HOSPITALS IN FY 2014
DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services Room 352-G 200 Independence Avenue, SW Washington, DC 20201 FACT SHEET FOR IMMEDIATE RELEASE Contact: CMS Media Relations
More informationAgenda. Agenda 03/22/ th Annual Spring Payer Panel March 29, Program News and Announcements. Clinical News and Reviews
6 th Annual Spring Payer Panel March 29, 2018 wpsgha.litmos.com Agenda Program News and Announcements New Medicare Cards WPS GHA Portal Enhancements Medicare Day of Learning CMS Electronic Cost Report
More informationValue-Based Purchasing: A Rural Hospital Perspective
Value-Based Purchasing: A Rural Hospital Perspective Stratis Health & MHA Quality & Patient Safety PPS Hospital Learning Action Network Day Glen Kegley, Hutchinson Health Tuesday, May 3, 2016 Mall of America-
More informationReport to the General Assembly: Nursing Home Inspection and Enforcement Activities. A Report to the 105 th Tennessee General Assembly
Report to the General Assembly: Nursing Home Inspection and Enforcement Activities A Report to the 105 th Tennessee General Assembly Tennessee Department of Health March 2008 March 14, 2008 The Honorable
More informationDIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT SEPTEMBER 2005
DIVISION OF HEALTH PLANNING AND RESOURCE DEVELOPMENT SEPTEMBER 2005 CON REVIEW: LTACH-NIS-0605-018 MMBNDR581, L.L.C., D/B/A LEE COUNTY SPECIALTY SERVICES HOSPITAL ESTABLISHMENT OF A 27-BED LONG-TERM ACUTE
More informationHospice Program Integrity Recommendations
Hospice Program Integrity Recommendations Projected increases in the elderly population and the number of Medicare beneficiaries will likely result in continued growth in utilization of hospice services.
More informationThings You Need to Know about the Meaningful Use
Things You Need to Know about the Meaningful Use This guide is intended to assist you through the questions related to Meaningful Use and its implications in your practice. Note that this is completely
More informationStark, False Claims and Anti- Kickback Laws: Easy Ways to Stay Compliant with the Big Three in Healthcare
Stark, False Claims and Anti- Kickback Laws: Easy Ways to Stay Compliant with the Big Three in Healthcare In health care, we are blessed with an abundance of rules, policies, standards and laws. In Health
More informationASSEMBLY BILL No. 214
AMENDED IN SENATE AUGUST, 00 AMENDED IN SENATE AUGUST, 00 AMENDED IN SENATE AUGUST, 00 AMENDED IN SENATE JULY, 00 AMENDED IN SENATE JUNE, 00 AMENDED IN SENATE JUNE, 00 AMENDED IN SENATE AUGUST 0, 00 california
More informationPreparing for DSRIP: Legal and Strategic Issues for Long-Term Care Providers. LeadingAge New York Webinar
Preparing for DSRIP: Legal and Strategic Issues for Long-Term Care Providers LeadingAge New York Webinar November 10, 2014 Tracy E. Miller, Esq. Health Care Group Bond, Schoeneck & King, PLLC Delivery
More informationJanuary 10, Glenn M. Hackbarth, J.D Hunnell Road Bend, OR Dear Mr. Hackbarth:
Glenn M. Hackbarth, J.D. 64275 Hunnell Road Bend, OR 97701 Dear Mr. Hackbarth: The Medicare Payment Advisory Commission (MedPAC or the Commission) will vote next week on payment recommendations for fiscal
More informationOIG Hospice Risk Areas With Footnotes
Moreover, the compliance programs should address the ramifications of failing to cease and correct any conduct criticized in a Special Fraud Alert, if applicable to hospices, or to take reasonable action
More informationInpatient Quality Reporting Program for Hospitals
Inpatient Quality Reporting Program for Hospitals Candace Jackson, RN Project Lead, Hospital Inpatient Quality Reporting (IQR) Program Hospital Inpatient Value, Incentives, and Quality Reporting (VIQR)
More informationMEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP)
MEDICARE BENEFICIARY QUALITY IMPROVEMENT PROJECT (MBQIP) Began in September 2011 Key quality improvement activity within the Medicare Rural Hospital Flexibility grant program Goal of MBQIP: to improve
More information10 Government Contracting Trends To Watch This Year
Portfolio Media. Inc. 111 West 19 th Street, 5th Floor New York, NY 10011 www.law360.com Phone: +1 646 783 7100 Fax: +1 646 783 7161 customerservice@law360.com 10 Government Contracting Trends To Watch
More informationPartnership for Patients The Innovation Center Perspective
Partnership for Patients The Innovation Center Perspective Dodjie B. Guioa, MBA Hospital/ASC Program Lead Division of Survey & Certification CMS Region VI Thank You We re ready as never before to create
More informationFY 2016 Assistance to Firefighter Grants (Pre-Solicitation)
FY 2016 Assistance to Firefighter Grants (Pre-Solicitation) Organization: Federal Emergency Management Agency Solicitation Notice: 09/01/2016 Solicitation Period: 10/11/2016 11/18/2016 (Note: application
More informationCMS Seeks Arkansas UPL Changes
. October 19, 2004 Volume 11, Number 39 CMS Seeks Arkansas UPL Changes The Centers for Medicare & Medicaid Services (CMS) has been closely studying Medicaid upper payment limit (UPL) programs in states
More informationHOT FUND GRANT FUNDING CONTRACT FOR SERVICES By and between the Experience Bryan College Station and
HOT FUND GRANT FUNDING CONTRACT FOR SERVICES By and between the Experience Bryan College Station and State of Texas County of Brazos Amount(s) Granted $ from College Station $ from Bryan AGREEMENT This
More informationJoint Statement on Ambulance Reform
Joint Statement on Ambulance Reform Policymakers Should Examine Short- and Intermediate-Term Policies to Promote Innovation in the Delivery of Emergency and Non- Emergency Care Provided by Ambulance Services
More informationMedicaid Updates Ready To Go
Medicaid Updates Ready To Go May 15, 2007 Volume 14, Number 19 All systems are go to begin paying hospitals under the Arkansas Medicaid program s new inpatient hospital $850 per diem cap. That s what state
More informationThe Health Care Compliance Association s 16th Annual Compliance Institute. April, 29 May 2, 2012
A Practical Approach to Conducting Stark Audits of Hospital-Physician Arrangements The Health Care Compliance Association s 16th Annual Compliance Institute April, 29 May 2, 2012 Gary W. Herschman, Esq.
More informationMassHealth Provider Billing and Services Updates & Upcoming Initiatives. Massachusetts Health Care Training Forum July 2011
MassHealth Provider Billing and Services Updates & Upcoming Initiatives Massachusetts Health Care Training Forum July 2011 Agenda I. MassHealth Updates/Resources & Upcoming MassHealth Initiatives II. Paper
More informationHB 254 AN ACT. The General Assembly of the Commonwealth of Pennsylvania hereby enacts as follows:
PUBLIC WELFARE CODE - DEPARTMENT OF PUBLIC WELFARE POWERS, DETERMINING WHETHER APPLICANTS ARE VETERANS, MEDICAL ASSISTANCE PAYMENTS FOR INSTITUTIONAL CARE AND STATEWIDE QUALITY CARE ASSESSMENT Act of Jul.
More informationRECOVERY AUDIT CONTRACTORS
RECOVERY AUDIT CONTRACTORS RAC SUBSCRIPTION SERVICE What are We Learning? May 24, 2011 2011 Aegis Compliance & Ethics Center, LLP 1 Faculty Brian Annulis, JD Partner, Meade & Roach, LLP 773.907.8343 bannulis@meaderoach.com
More informationQUALIS HEALTH HONORS WASHINGTON HEALTHCARE PROVIDERS
LEADERSHIP IN IMPROVING HEALTHCARE Harborview Medical Center Code Sepsis: Improving Survival in Sepsis with Early Identification and Activation of a Critical Care Team Sepsis, one of the highest causes
More informationHITECH Act, EHR Adoption, Meaningful Use Criteria, ARRA Grants, and Adoption Alternatives. The MARYLAND HEALTH CARE COMMISSION
HITECH Act, EHR Adoption, Meaningful Use Criteria, ARRA Grants, and Adoption Alternatives The MARYLAND HEALTH CARE COMMISSION On February 17, 2009, President Barack Obama signed the American Recovery
More informationAVOIDING HEALTHCARE FRAUD AND ABUSE; Responsibility, Protection, Prevention
AVOIDING HEALTHCARE FRAUD AND ABUSE; Responsibility, Protection, Prevention Presented by: www.thehealthlawfirm.com Copyright 2017. George F. Indest III. All rights reserved. George F. Indest III, J.D.,
More informationPROGRESS MADE CONTRACT AND PROJECTS. Medicare Quality Innovation Network- Quality Improvement Organization (QIN-QIO) Overview.
Quality Payment Program Medicare Quality Innovation Network- Quality Improvement Organization (QIN-QIO) Overview Mountain-Pacific Quality Health October 26 2017 Medicare QIN-QIO PROGRESS MADE CONTRACT
More informationATTACHMENT I. Outpatient Status: Solicitation of Public Comments
ATTACHMENT I The following text is a copy of the Federation of American Hospitals ( FAH ) comments in response to the solicitation of public comments on outpatient status that was contained in CMS-1589-P;
More informationRural Provider Types and Payment Models
Rural Provider Types and Payment Models Emily Jane Cook, JD, MSPH McDermott Will & Emery LLP American Health Lawyers Association Institute on Medicare and Medicaid Payment Issues Baltimore, MD March 28,
More informationMedi-Pak Advantage: Reimbursement Methodology
Medi-Pak Advantage: Reimbursement Methodology The information located on the following pages is intended to summarize the reimbursement methodologies for Medi-Pak Advantage: Medi-Pak Advantage reimburses
More informationOFFICIAL RULES 2019 HEARST HEALTH PRIZE
OFFICIAL RULES 2019 HEARST HEALTH PRIZE HOW TO ENTER: Hearst Health Prize (the Competition ): Beginning May 2, 2018 at 12:00 PM (EDT)/9:00 AM (PDT) through August 9, 2018 at 3:00 PM (EDT)/12:00 PM (PDT)
More informationMeasure Applications Partnership (MAP)
Measure Applications Partnership (MAP) Uniform Data System for Medical Rehabilitation Annual Conference Aisha Pittman, MPH Senior Program Director National Quality Forum August 9, 2012 Overview MAP Background
More information2013 OIG Work Plan. Scott McBride Baker & Hostetler LLP 1000 Louisiana, Suite 2000 Houston, Texas
2013 OIG Work Plan Scott McBride Baker & Hostetler LLP 1000 Louisiana, Suite 2000 Houston, Texas 77002 713.646.1390 smcbride@bakerlaw.com Webinar Essentials * Session is currently being recorded, and will
More informationHIMSS DFW ADVOCACY. Overview THIS ISSUE CONTRIBUTE. Why is Advocacy important?
NEWSLETTER Q2 2015 PREMIER ISSUE Overview Why is Advocacy important? HIMSS DFW Government regulations have a significant impact on healthcare and the work we do. Your involvement in advocacy is critical
More informationGENERAL ASSEMBLY OF NORTH CAROLINA SESSION SENATE DRS15110-MGx-29G (01/14) Short Title: HealthCare Cost Reduction & Transparency.
S GENERAL ASSEMBLY OF NORTH CAROLINA SESSION 01 SENATE DRS-MGx-G (01/1) FILED SENATE Mar, 01 S.B. PRINCIPAL CLERK D Short Title: HealthCare Cost Reduction & Transparency. (Public) Sponsors: Referred to:
More informationTERESA L. EDWARDS, MHA, FACHE
TERESA L. EDWARDS, MHA, FACHE PROFESSIONAL EXPERIENCE PRESIDENT Sentara Leigh Hospital - Norfolk, VA (September 2008-Present) - 250-inpatient beds, 16 surgical suites, with 3 rd largest orthopedic program
More informationCh INPATIENT PSYCHIATRIC SERVICES 55 CHAPTER INPATIENT PSYCHIATRIC SERVICES GENERAL PROVISIONS SCOPE OF BENEFITS
Ch. 1151 INPATIENT PSYCHIATRIC SERVICES 55 CHAPTER 1151. INPATIENT PSYCHIATRIC SERVICES Sec. 1151.1. Policy. 1151.2. Definitions. GENERAL PROVISIONS SCOPE OF BENEFITS 1151.21. Scope of benefits for the
More informationPOLICY BRIEF. Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study. May rhrc.umn.edu. Background.
POLICY BRIEF Identifying Adverse Drug Events in Rural Hospitals: An Eight-State Study Michelle Casey, MS Peiyin Hung, MSPH Emma Distel, MPH Shailendra Prasad, MBBS, MPH Key Findings In 2013, Critical Access
More information