Critical Questions Every Hospital Board Needs to Be Able to Answer
Hospital Trustees – KHA-PAC Needs Your Help!
Save the Date - Critical Issues Summit for Hospital Boards 2016
A Kansas Solution Explored via the Healthy Indiana Plan
Healthy Kansas Hospitals Are Making Changes
Kansas Hospitals Discuss Treating Behavioral Health Issues
HEN 2.0 off to a Strong Start
Trustees Invited to KHA Advocacy Day
Exemplary Trustees Among Many Awarded at Convention
Compass Practice Transformation Network Recruiting Clinicians
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According to the American Hospital Association, there are more than 2,800 non-government, not-for-profit community hospitals in the United States, and just over 1,000 state and local government community hospitals. The nation's hospitals employ more than 5.4 million people for a wide range of skill levels and are one of the largest sources of private sector jobs. Hospitals in the U.S. contribute much more than clinical care. They play an integral role in what's right with America's health care system, acting as centers of innovation and education, working outside their walls to improve community health, providing free and discounted care to uninsured and underinsured patients, and contributing significantly to their local economies.
America's health care system is undergoing significant transformation, and hospitals are seeking new ways to deliver value-based care, improve the health of their patients and communities and ultimately elevate "what's right with health care" to a new level. Many hospitals and health systems are aligning and integrating services across the continuum of care, but at the same time are confronting significant financial pressures as they seek to cross the chasm from a fee-for-service based system to a value-based payment system.
Trustees play a significant role in the transformation of health care and must demonstrate strong leadership to navigate through the challenges their organizations are confronting. Board service has never been more challenging. The future of health care is still largely unknown, and the range of board responsibilities is broad. Hospitals and health systems need dedicated and knowledgeable individuals who are willing to commit their time, experience, expertise and leadership to the hospital, its mission and the community.
The Kansas Hospital Association has partnered with The Walker Company to provide a new resource to Kansas hospital trustees. Critical Questions Every Hospital Board Needs to Be Able to Answer was developed by The Walker Company, an Oregon-based health care consulting firm. This resource is available in its entirety online and in linked topical sections.
The KHA Hospital Governance Task Force reviewed this resource and determined it was an excellent tool for trustees seeking to ensure their board discussions, deliberations and decisions are well-informed and evidence based, as they lead their organizations into the future. The entire publication (135 pages) can be downloaded.
The resource contains 22 areas of focus. KHA will feature sections of this resource in our quarterly Trustee Newsletter. Those sections also can be found as stand-alone pieces on the KHA website. These sections are easy to download and use for board education. This resource covers a wide variety of topics, including:
And more. Let us know if you have additional areas in which you would like KHA to provide education.
The Kansas Hospital Association Political Action Campaign needs $12,000 to get to this year's goal of $74,000. We have set a goal of 100 percent participation from Kansas hospitals – any donation will help. The goal for many of our hospitals is only $200. The hospitals listed below have either yet to contribute or are at 10 percent or less of their hospital goal. If your hospital is listed below, we ask that you please help in our advocacy efforts with a contribution to the KHA-PAC.
Thank you to the many trustees who have supported the KHA-PAC so far this year. Support from hospital trustees is essential. The KHA-PAC supports representatives on the state and federal level that supports hospital issues. We need your donations to the KHA-PAC to make a difference in Topeka and Washington. Make an online contribution to the KHA-PAC today.
Mark your calendars for this year's Critical Issues Summit for Hospital Boards on March 3-4, 2016, in Wichita. The Critical Issues Summit, hosted by the Kansas Hospital Association, brings together hospital leadership and trustees from across the state and promotes the importance of good governance practices. This event provides top notch speakers, educational sessions and discussions on the most critical topics facing hospitals today.
Earlier this month, the Kansas Hospital Association participated in a forum that examined one state's solution to helping to provide insurance for low-income uninsured. The forum, which was organized by Via Christi Health System and hosted by the Kansas Health Foundation and the Kansas Leadership Center, focused on an examination of the Healthy Indiana Plan, Governor Mike Pence's strategy to take advantage of the Affordable Care Act's opportunity to expand coverage to low-income individuals.
Kansas Health Foundation President and CEO Steve Coen opened the program by discussing how lack of coverage expansion affects individuals, and Via Christi President and CEO Jeff Korsmo provided an overview of where we are in Kansas. Then, a very knowledgeable panel made up of four individuals from Indiana presented the specifics of the Healthy Indiana Plan. Doug Leonard, president and CEO of the Indiana Hospital Association; Brian Tabor, vice president of government relations, Indiana Hospital Association; Jonathan Nalli, chief executive officer, St. Vincent Health; and Georgiana Reynal, system director of advocacy and government relations, did an excellent job of explaining how Governor Pence and other stakeholders put together a plan unique to Indiana that is based on personal responsibility.
Another important part of the program was a reaction panel from a group of Kansas legislators: Senators Jeff King, Independence and Michael O'Donnell, Wichita; and Representatives Dan Hawkins, Wichita, and Jim Ward, Wichita. The legislators all appeared to be impressed with the information from Indiana, with Representative Ward and Senator King expressing interest in using the Indiana plan as a model for discussions in Kansas. The governor's office responded quickly that "Indiana's policy is not right for Kansas" because it doesn't contain a work requirement for "able-bodied adults" or a plan to provide services for "disabled persons."
It's disappointing that the governor's office dismissed the Healthy Indiana Plan outright with no recognition of the careful work that had been put into that plan by Governor Pence and other stakeholders in Indiana. In fact, the question regarding the waiting lists for disabled persons referenced wasn't even an issue in Indiana. Despite those comments, the Wichita forum was an important event in several respects. First, the overflowing attendance is evidence that interest in this issue among Kansans is growing; and, in fact, is broadening. Second, there is indeed an increasing level of engagement in this issue on the part of legislators. As Senator King stated, just saying no to everything is not an option. Third, the Wichita forum showed that a state can indeed put its own unique stamp on a program for the uninsured through the collaborative efforts of all stakeholders.
This is exactly the type of dialogue that is needed if this issue is to be thoroughly considered. We are planning another forum in the Kansas City area in early January. Hopefully, constructive discussions will continue as the 2016 legislative session convenes in January.
The Healthy Kansas Hospitals initiative started in 2013. To date, 78 hospitals have signed the Healthy Kansas Hospitals pledge to examine their current food and beverage practices and take steps toward implementing new policies to provide healthier food options in their hospital cafeterias and throughout the facility. This enhanced access to healthy food aims to positively impact not only hospital patients but employees, visitors and the communities served.
We are pleased to report, as of today, 14 hospitals having implemented these new policies. The Healthy Kansas Hospitals initiative provides resources and technical assistance for facilities to enhance the offerings of healthier foods and beverages in their cafeterias and through vending and catering practices.
For more information, visit HealthyKansasHospitals.org.
One of the issues we have been discussing during this year's fall round of district meetings is behavioral health. We put the issue on the agenda because we consistently hear from Kansas hospitals the problems they encounter as they try to assist community members in need of this kind of assistance. We've discussed the evolution of the current system, including the dramatic decline in the average length of stay over the years, the implementation of "mental health reform," and the closure and challenges of the state hospitals.
As we have discussed these issues, we've received a lot of great feedback from members. We've heard about the difficulties in placing patients in state hospitals, problems in transporting patients, the lack of psychiatrists, the problematic managed care organizations' screening process, the need for licensed mental health technician type workers and the increasing concern for staff safety.
The Kansas Hospital Association is fortunate that we have an ongoing task force considering many of these issues. We recently sent a communication to the State of Kansas containing recommendations from that task force. We will keep Kansas hospitals posted on any response we receive.
The Kansas Healthcare Collaborative is pleased to announce that 106 Kansas hospitals have committed to participate in the Hospital Engagement Network 2.0. This record number of Kansas facilities includes a 99 percent retention rate from the first HEN initiative, plus five new additions. The hospital enrollment period ended Nov. 2.
HEN 2.0 is a 12-month initiative focused on 40 percent reduction of inpatient harm and 20 percent reduction in readmissions by September 2016. The focus areas for reduction include the original 10 core topics. Additional HEN 2.0 topics include Sepsis, C-difficile, Failure to Rescue and Culture of Safety.
Kansas joins the American Hospital Association/Hospital Research & Educational Trust HEN, along with 34 other states and more than 1,300 hospitals across the country, in this massive nationwide patient safety initiative started in 2011. KHC leads the HEN on behalf of the Kansas Hospital Association.
Join the Kansas Hospital Association, state legislators and Kansas hospital executives at our 2016 Advocacy Day on January 19, in Topeka. This is your opportunity to visit with your elected officials about the health care issues facing Kansas hospitals. Join us to discuss how we can help shape the future of health care for Kansans. We encourage CEOs, senior staff and hospital trustees to attend this event.
It was an honor in September to recognize hospital trustees who provide an exemplary contribution through their leadership and governance. Hospitals across the state nominated individuals for the Trustee of the Year Award because they routinely went above and beyond the call of duty. Six trustees from across Kansas were chosen as 2015 Trustees of the Year:
Congratulations to all our 2015 awardees. Thank you for making a difference.
The Kansas Healthcare Collaborative now has more than 40 practices and nearly 500 clinicians recruited for the Compass Practice Transformation Network. Led in Kansas by KHC, the four-year national initiative will support clinicians as they prepare for the transformation from fee-for-service-based payment to one that is performance-based. Kansas is participating through a six-state collaborative led by the Iowa Healthcare Collaborative. As a part of the Compass PTN, quality improvement advisors will work directly with practices to assess clinical performance, identify gaps in best practices, and recommend methods to improve patient care processes and quality outcomes. In Kansas, more than 1,000 clinicians are expected to join the initiative. For more information, visit: www.khconline.org/kansas-ptn-overview.
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