THE VALUED VOICE

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IN THIS ISSUE

Time to Submit Stories Highlighting Your Hospital/Health System Community Involvement .................. 1

Wisconsin Hospitals State PAC & Conduit Reaches $223,000 ............... 1

New CMS Payment Model Aims to Improve Rural Health Care ............... 2

WHA’s 100th Anniversary Values Award ............................................... 2

Don’t Miss this Webinar Opportunity: COVID-19 and Workers’ Compensation .................................. 3

Rogers Behavioral Health Case Study Webinar: Addiction Recovery via Telehealth During COVID-19 ............. 3

Member Quality Spotlight: Froedtert & The Medical College of Wisconsin .... 3

CELEBRATING 100 YEARS: Reflections From Terri Potter, former CEO, Meriter Hospital; 1994 WHA Chair ................ 4

Wisconsin Hospitals State PAC & Conduit Reaches $223,000See full contributor listThe Wisconsin Hospitals State PAC & Conduit continues its strong fundraising campaign with a total of $223,000 contributed to date by 173 individuals. The average gift remains consistent at an impressive $1,289 per individual!

Look at the full 2020 contributor list on page 5 to see who made the list.

The Wisconsin Hospitals State PAC & Conduit works to support candidates for state office who value hospitals and health systems. Contributors to the Wisconsin Hospitals PAC & Conduit is comprised of people across Wisconsin who care about the hospitals in their own communities. Hospital employees, community leaders, members of hospital boards, and all members of the health care profession are encouraged to participate in Wisconsin Hospitals PAC & Conduit.

To ensure your name is on the next list, individuals can make a personal contribution online at www.whconduit.com or by contacting WHA’s Kari Hofer at 608-268-1816 or Nora Statsick at 608-239-4535.

Time to Submit Stories Highlighting Your Hospital/Health System Community Involvement

Hospitals and health systems are integral parts of communities all across Wisconsin. One of WHA’s most effective ways of sharing that dedication is through the annual Community Benefits report, which provides personalized stories about hospital/health system programs including charity care, financial assistance and other hospital-supported initiatives making a positive difference for communities, families and patients.

WHA plans to publish this popular report in the fall, while also highlighting certain stories on WHA’s social media channels during the winter. So as you compile and submit your stories, please consider the following areas:

COVID-19 Efforts: Highlight how your hospital/system worked for your community despite unprecedented pandemic conditions. It will be very important to describe what hospitals faced as the pandemic hit our state and how you overcame those challenges, continuing to provide safe and high-quality care to your communities.

Charity care: Stories about how you provide free care for those who cannot afford it are especially powerful.

08/20/2020

EDUCATIONAL EVENTS

August 20, 2020

August 27, 2020The Impact of COVID-19 on Workers’ CompensationWebinar

September 15, 2020Pandemic Considerations for Health Facility DesignWebinar

September 24, 2020Opioid Epidemic Case Study – Meeting the Increasing Challenges of the Opioid Epidemic in AmericaWebinar

(continued on page 5)

WHA’s 2019 Community Benefits Report

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New CMS Payment Model Aims to Improve Rural Health CareIn conjunction with an August 3 Executive Order issued by President Donald Trump, the Centers for Medicare & Medicaid Services (CMS) announced a new payment model on August 11 with the goal of increasing access to and improving the quality and financial economics of rural health care. This new demonstration model, the Community Health Access and Rural Transformation (CHART) Model, aims to increase rural providers’ financial stability by providing up-front funding and predictable payments that are less dependent on service volume. The CHART model will also relax certain requirements via waiver to reduce regulatory burden and increase flexibilities for model participants. CHART has two tracks: The Community Transformation Track, and the Accountable Care Organization (ACO) Transformation Track.

Under the guidance of a lead agency which will manage funding, recruit hospitals, engage with the state Medicaid agency and ensure compliance with CHART model requirements, participating rural hospitals in the Community Transformation Track will be involved in implementing a health care delivery redesign strategy. Model participants will benefit from regulatory flexibilities to support the redesign process, including cost sharing waivers for Part B services, transportation assistance for beneficiaries with transportation, waiver of the three-day inpatient stay requirement prior to admission to a Skilled Nursing Facility and the Critical Access Hospital 96-hour rule, telehealth expansion, post-discharge and care management home visits, and the waiver of certain Medicare hospital conditions of participation.

Applications for the Community Transformation Track will be available in September, with implementation expected in the Summer of 2021. Up to 15 lead agencies will receive as much as $5 million to implement the redesign, and participating hospitals will receive a prospectively set capitated payment amount each year.

The ACO Transformation Track will provide up-front funding for up to 20 rural-focused ACOs. Participating ACOs will be required to enroll in a two-sided level of the Medicare Shared Savings Program (MSSP) and will have access to all waivers and beneficiary incentive programs available in the MSSP program. ACOs will receive a one-time up-front payment of at least $200,000 plus $36 per beneficiary, and a prospective per-beneficiary, per-month (PBPM) payment of at least $8 for up to 24 months. The actual amount will be based on the level of risk assumed by the ACO. A request for application for the ACO Transformation Track will be available in spring 2021, with implementation expected in January 2022.

Contact WHA Vice President of Policy Development Laura Rose for more information on these programs.

WHA’s 100th Anniversary Values AwardWHA is proud to celebrate 100 years of advocating, advancing and leading on behalf of hospitals and health systems so they can provide high-quality, affordable and accessible health care for Wisconsin families and communities.

In honor of its 100 years, WHA is offering the opportunity, to a member hospital, to apply for the “WHA 100th Anniversary Values” award. This award is based on the values of WHA – Advocacy, Integrity, Foresight, Relationships and Leadership.

WHA is committed to the following values:

• ADVOCACY – achieving excellence by being responsive, knowledgeable, influential, impactful and relevant. • INTEGRITY – honoring the trust of our members and partners by practicing wise stewardship of resources and influence. • FORESIGHT – anticipating, understanding and responding to the rapid pace of health care change and industry

transformation. • RELATIONSHIPS – appreciating the value of strategic partnerships to advance our agenda and those priorities shared

with key partners. • LEADERSHIP – striving to be the most proactive, respected and difference-making voice in health care policy and

advocacy.

Application InformationAny Wisconsin Hospital Association hospital member can apply for the award. A total of three awards will be granted. Award applications must be received by WHA by August 21, 2020.

Award Selection Process Applications will be reviewed by WHA. Winners will be notified the week of September 14. Award winners will receive an engraved crystal award presented in person by WHA President and CEO Eric Borgerding, and recognition in WHA’s The Valued Voice newsletter and on the WHA website.

Click here for more information and to access the award nomination form. 08/20/2020

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Don’t Miss this Webinar Opportunity: COVID-19 and Workers’ CompensationThe Impact of COVID-19 on Workers’ Compensation August 27, 10-11 a.m.For more information and to register, visit https://www.whareg4.org/COVIDWorkersComp2020/

This worldwide pandemic has affected each of us in many ways. Your employees may have concerns about exposure-related illness and absence from work. We will talk about the impact of COVID-19 on workers’ compensation, including what hospitals can do to support employees during this uncertain time. Presentation brought to you by WHA premier partner Assured Partners (Formerly LMC Insurance & Risk Management) and RAS (Risk Administration Services).

Rogers Behavioral Health Case Study Webinar: Addiction Recovery via Telehealth During COVID-19Rogers Behavioral Health Chief Medical Officer Jerry Halverson, M.D. and Executive Director of Addiction Services Michelle Maloney, Ph.D., will be presenting a case study on their insights from using telehealth for addiction recovery during a September 2 webinar from 2:30-3:30 p.m. The webinar is presented by the American Hospital Association (AHA).

The educational webinar will share their team’s experience in offering virtual outpatient treatment to patients in Wisconsin and across the nation during COVID-19, including insights into clinical outcomes, unique barriers and solutions, and the future outlook for tele-behavioral health.

There is no fee for the webinar, however, participants need to register here with AHA.

Member Quality Spotlight: Froedtert & The Medical College of WisconsinSaving more brain cells by reducing time to alteplase (tPA) on eligible stroke patients With current guidelines emphasizing delivery of intravenous treatment for stroke patients within 60 minutes of hospital arrival, Froedtert sought to reduce this arrival-to-treatment time to 30 minutes. A multidisciplinary team was established to analyze the process and steps needed from emergency department physician assessment, to activating the stroke team, to placing orders, obtaining CT scans and labs, to treatment. Froedtert used a tracking feedback tool for consistent timekeeping and to diagram a workable and efficient, streamlined process. As a result, Froedtert decreased the average door-to-needle time to less than 30 minutes, which may improve outcomes for stroke patients.

This project is important for patient safety because early delivery of intravenous alteplase saves brain cells. Up to 1.9 million brain cells are lost for each minute the brain is not perfused. By saving more neurons, function and recovery may also be facilitated.

In this initiative, we shared the unified vision of keeping the patient as the focus, so silos of care were effectively eliminated, and true teamwork was experienced.

08/20/2020

Click on image to enlarge this poster presentation.

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Reflections from Terri Potter, Former CEO, Meriter Hospital; 1994 WHA Chair1994 - A year of transition and experimentation

As I prepared my reflections, two issues stood out to me – 1) It was still possible for members of the two-party system to find common ground, common solutions to common problems with civility (but there was evidence that the door was beginning to close), and 2) Health care reform was the dominant theme of the day.

Health Care Reform was on everyone’s agenda. Differing models were circulated at the state level and

in Washington. Hope was in the air. Health care organizations had begun to change how they operated, and financing models were being tested. WHA had developed Wisconsin HealthNet with these principles – universal coverage, delivery system restructure, and equitable financing. Governor Tommy Thompson was promoting his Health Care Partnership Plan. Insurance market reform proposals were on a parallel path. By late March 1994, the Wisconsin Legislature adjourned without passage of a bill. It would be many years before proposals of this magnitude would

again be considered by the Wisconsin Legislature.

Attention now shifted to Washington (late March). President and Mrs. Clinton were working on their own Health Care Reform proposal. Their system design included universal coverage, capitated provider payments, consumer choice, employer accountability, universal coverage, best insurance practices (e.g. pre-existing condition coverage). As the calendar rolled forward, it became clear that the President and Mrs. Clinton were going to experience great difficulty getting their ideas adopted.

Back in Wisconsin, a new Cost Containment Commission began its short life in January 1994. By the end of April the Commission was embroiled in “meddling” health care structure changes. By year end consideration for repealing the Commission was being seriously considered in Governor Thompson’s 1995-96 budget proposal.

In May WHA appointed its first vice president

of medical and professional affairs. This action reflected the hospital-physician teamwork necessary in the future as well the application of new quality management tools that hospitals were testing.

Other conversations competing for time on leadership’s agenda included the Department of Justice regarding antitrust, OCI regarding insurance markets and Department of Natural Resources regarding medical waste.

A Deloitte & Touche study published in mid-1994 reinforced the view that hospitals would be parts of integrated delivery systems with integrated information systems and new payment structures within two to five years. These predictions not only predicted change but also the pace of change. Dominant questions were:

• What would be the nature of the physician and hospital relationships in the future?• What would the health care be governing boards of the future look like?• What will be the necessary managerial and leadership skill sets of future leaders?

It is clear that 1994 was a special time to be in health care management. WHA’s agenda was vibrant and laid the foundation for future work.

08/20/2020

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WHA Chief Medical Officers: Charles Shabino, M.D. and Marvin Kolb, M.D. Kolb was hired in 1994 as Senior Vice President,

Medical and Professional Affairs – the first physician on WHA staff to deal specifically with hospital-physician issues.

Terri Potter, former CEO, Meriter Hospital, Madison;

1994 WHA Chair

WHA’s Wisconsin HealthNet

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Free clinics: Tell us about the free clinic(s) your hospital/health system runs or contributes to.

Hospital-supported initiatives: Identify a priority from your community health needs assessment and explain how the hospital/health system led an effort to address it. If you engaged community partners, include those partners in the story, too.

A hospital may submit a story in each area for consideration. Ideally we would like to be able to include a story from every WHA member hospital in the report.

Stories are due by September 30. WHA has created an online form to make it easy to submit your article. Go to https://www.surveymonkey.com/r/2020CBstories to submit your story along with a high-resolution image to accompany the article. Please submit at least one photo with your story whenever possible, as that helps tell your compelling stories to legislators, the public and media outlets in both the report and on social media.

If you have any questions, contact WHA Communications Manager Shannon Nelson at 608-274-1820.

(Time to Submit Community Benefit Stories . . . continued from page 1)

Political Action Fundraising Campaign Contributors

Contributors $10,000+ (Leaders Circle)

Borgerding, Eric & Dana Wisconsin Hospital AssociationSize, Tim & Pat Rural Wisconsin Health Cooperative

Contributors $5,000 to $7,499 (Leaders Circle)

Boatwright, Damond SSM Health WisconsinJacobson, Catherine Froedtert & The Medical College of WisconsinKammer, Peter The Kammer GroupMeyer, Daniel Aurora BayCare Medical Center - Green BayOlson, David & Joanne Alig Froedtert & The Medical College of Wisconsin & Wisconsin Hospital AssociationSherry, Bernie Ascension WisconsinTroy, Peggy Children’s WisconsinTurney, Susan Marshfield Clinic Health SystemWoleske, Chris Bellin Health System

Contributors $3,000 to $4,999 (Platinum Club)

Decker, Michael Divine Savior HealthcareHarding, Ed Aurora Medical Center - Bay AreaHeywood, Matthew Aspirus, Inc.Kachelski, Joe Wisconsin Statewide Health Information NetworkMettner, Michelle Children’s WisconsinNatzke, Ryan Marshfield Clinic Health SystemNewson, Reginald Ascension WisconsinO’Brien, Kyle & Laura Wisconsin Hospital AssociationPandl, Therese RetiredPotter, Brian Wisconsin Hospital AssociationRussell, John Prairie Ridge HealthSchulze, Connie UW HealthStandridge, Debra RetiredStanford, Matthew Wisconsin Hospital AssociationStarmann-Harrison, Mary Hospital Sisters Health SystemWallace, Michael Fort HealthCareZenk, Ann Wisconsin Hospital Association

Contributors $2,000 to $2,999 (Gold Club)

Brenton, Stephen Froedtert HealthDibbert, Beth Wisconsin Hospital AssociationGrapentine, Mark & Wendy Wisconsin Hospital AssociationGrebe, Michael Advocate Aurora HealthGustafson, Andrew & Sara SSM Health WisconsinHanus, Andrew Advocate Aurora HealthHofer, Kari Wisconsin Hospital AssociationLevin, Jeremy Rural Wisconsin Health Cooperative

Lewis, Gordon Burnett Medical CenterMcKevett, Timothy Beloit Health SystemWhite-Jacobs, Mary Beth Black River Memorial Hospital

Contributors $1,500 to $1,999 (Gold Club)

Anderson, Sandy HSHS Sacred Heart HospitalBachleitner, Joan Ascension WisconsinBagnall, Andrew HSHS WisconsinBasilotto, Steve Froedtert HealthBeirl, Luke Hayward Area Memorial HospitalBirschbach, Nancy SSM Health - St. Agnes HospitalCronrath, Corey Marshfield Medical Center - Eau ClaireDeGroot, Dan Stoughton HealthDietsche, James Bellin Health SystemDouglas, Jason Memorial Medical Center of AshlandEdwards, Gordon Marshfield ClinicErickson, Susan UnityPoint Health - MeriterEricson, Allen Froedtert & Medical College of Wisconsin - Froedtert West Bend HospitalEuclide, Jeff Marshfield Medical Center - LadysmithFrancisco, Margo SSM Health WisconsinFroemming, Lisa Ascension WisconsinHilt, Monica Ascension St. Elizabeth HospitalHoelter, Jon & Elizabeth Wisconsin Hospital AssociationJust, Lisa Aurora Medical Center - KenoshaKaufman, Mark Wisconsin Hospital AssociationKluesner, Kevin Ascension St. Joseph HospitalLeitch, Laura Wisconsin Health Law & Policy, LLCMueller, Jennifer WHA Information CenterNorell, Brett Holy Family Memorial, Inc.Rohrbach, Dan Southwest Health Rose, Laura Wisconsin Hospital AssociationSchimmers, Heather Ascension Wisconsin

Contributors $1,000 to $1,499

Curran-Meuli, Jane Monroe Clinic, a member of SSM HealthGisi, Dale ThedaCareHartberg, David Vernon Memorial HealthcareHorvath, Joanne ThedaCareHung, Karen Ascension WisconsinKadlec, Mark SSM Health WisconsinKeddington, Richard Watertown Regional Medical CenterLevin, Jeremy Rural Wisconsin Health CooperativeLindberg, Steve Mayo Clinic Health System - Red CedarNondorf, Kyle SSM St. Mary’s Hospital Madison

08/20/2020

(continued on page 6)

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(Political Action Fundraising Campaign Contributors . . . continued from page 5)

Rude, Nels The Kammer GroupSchafer, Mike Spooner Health Sohn, Jonathan Ascension WisconsinThornton, Eric SSM St. Mary’s Hospital JanesvilleVan Meeteren, Robert Reedsburg Area Medical CenterWaldoch, Tim Ascension Wisconsin

Contributors $500 to $999

Aulik, Juli UW HealthBarth, Andrew Aspirus Langlade HospitalBloch, Jodi Children’s WisconsinBreen, Melissa Marshfield ClinicCox, Sharon Beloit Health SystemDeGere, Michael SSM Health WisconsinDexter, Donn Mayo Clinic Health System - Eau ClaireDonagan, Edward SSM - St. Mary’s Hospital MadisonElkins, Kelly Ascension Columbia St. Mary’sHustedt, Dale Aspirus, Inc.Kauten, Ralph SSM Health - Wisconsin, Inc.Kerk, Julie Froedtert HealthKharbat, Mohammad SSM Health - Wisconsin, Inc.Kneiser, Patti Froedtert & The Medical College of WisconsinLarson, Leigh Ann Wisconsin Hospital AssociationLarson, Peg Ascension Mercy HospitalLux, Teri Froedtert & The Medical College of WisconsinMcCawley, Thomas Beloit Health SystemMcNally, Maureen Froedtert & The Medical College of WisconsinMenke, Dawna SSM Health WisconsinNelson, James Fort HealthCareNewman, John Aurora Medical Center - OshkoshOttenbaker, David SSM Health - Wisconsin, Inc.Peterson, Doug AdventHealth DurandPrise, Eric Tomah HealthRichardson, Todd Aspirus, Inc.Roesler, Bruce The Richland HospitalSchnedler, Lisa Upland Hills HealthSchubring, Randy Mayo Clinic Health System - Eau C laireSczygelski, Sidney Aspirus, Inc.Sexton, William RetiredSommers, Craig SSM - St. Mary’s Hospital MadisonSprecher, Lon ConsultantStatsick, Nora Wisconsin Hospital AssociationStuart, Philip Tomah HealthTischer, Jesse Aspirus, Inc.Voelker, Thomas Aspirus Riverview Hospital & ClinicsWilliams, Janice WHA Information CenterWolters, Brad Marshfield Clinic Health System

Contributors $1 to $499

Abey, Michelle Stoughton HealthBorchert, Barry Reedsburg Area Medical CenterBrabant, Chris HSHS St. Clare Memorial HospitalBunten, Sherry Aspirus Langlade HospitalByrne, Frank RetiredCardinal, Lori St. Agnes HospitalCliffe, Elizabeth Ascension WisconsinCompetente, Brian WHA Information CenterCulotta, Jennifer SSM Health St. Clare Hospital - BarabooDamer, Tonya Aspirus Wausau HospitalDettman, Amy Bellin Health SystemDux, Larry Froedtert & MCW Community Memorial Hospital CampusFerrigno, Sandra SSM Health Wisconsin, Inc.Fischer, Deborah Bellin Health SystemFleuette, Laurie Wisconsin Hospital AssociationFranklin, Nathan Gundersen Health SystemFreiberg, Kerry Froedtert HealthGlenn, Kathi SSM - St. Mary’s Hospital Janesville Hale, Anne Bellin HospitalHansen, Karen Memorial Medical Center of AshlandKelsey-Foley, Kathy Aspirus, Inc.Koebke, Troy Bellin HospitalLally, David HSHS St. Clare Memorial HospitalLenzner, Stephanie Froedtert & The Medical College of WisconsinLindfors, Teresa Stoughton HealthLuehring, Sally HSHS - St. Vincent HospitalLuskin, Ronald SSM - St. Mary’s HospitalLynch, Sue Mayo Clinic Health System - Franciscan Healthcare in La CrosseMarquardt, Amy Froedtert & The Medical College of WisconsinMays, Laura Stoughton HealthMeicher, John SSM - St. Mary’s Hospital MadisonMolaska, Jan Aspirus Wausau HospitalMurphy, Kayla SSM - St. Mary’s Hospital Janesville Obermiller, Susan Bellin Health SystemOstrander, Gail Hospital Sisters Health SystemOungst, Laurie Howard Young Medical CenterPeiffer, Susan HSHS Sacred Heart HospitalRandles, Julie SSM Health St. Clare Hospital - BarabooRoundy, Ann Prairie Ridge HealthSchmitz, Christopher Stoughton HealthSelvick, Carl Fort HealthCareShorter, Tom Husch BlackwellSmith, Robert Aspirus Wausau HospitalStamas, Peter Ascension SE Wisconsin Hospital - Elmbrook CampusStephens, Brian Door County Medical CenterTapper, Joy Milwaukee Health Care PartnershipVergos, Katherine St. Agnes HospitalWalker, Troy SSM Health St. Clare Hospital - BarabooWymelenberg, Tracy Advocate Aurora HealthWysocki, Scott SSM - St. Clare Hospital & Health Services

08/20/2020

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