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Monday, January 24, 2005
Environmental Awards Accepting Hospital, CEO Nominations
The Hospitals for a Healthy Environment (H2E) award program is accepting applications through Feb. 15 from hospitals that are recycling, eliminating mercury and implementing other environmental programs. The annual award program recognizes environmental excellence in health care. As an H2E Champion for Change, OHA encourages Ohio hospitals to apply for the national award. Visit www.h2e-online.org/awards/ to apply.

Ohio hospitals can also nominate an individual for the OHA John Chapman Award, which honors excellence in initiating or supporting hospital pollution prevention programs. Nominations for this and several other health care leadership awards must be submitted by Feb. 11. Visit www.ohanet.org/annualmeeting/Awards/ to download a nomination form. (Rick Sites, ricks@ohanet.org)

OSU Offers Health Care Improvement Lecture
The Ohio State University School of Public Health will present the latest program in the Midland Lecture Series, Leadership Leverage Points for System Level Improvement in Health Care, Wednesday at the Ross Heart Hospital Auditorium. Led by James L. Reinertsen, M.D., senior fellow at the Institute for Health Care Improvement and president of The Reinertsen Group, the lecture will run from 3:30-4:30 p.m. Participants will learn the difference between project- and system-level improvement and how to measure and set aims for system-level improvement of health care quality and safety. The program will also cover the Seven Leverage Points for achieving measured system-level performance improvement.

For more information on attending this week’s lecture, contact Kathy Holloway at kholloway@sph.osu.edu.


Tuesday, January 25, 2005
Tax Reform Tops State Legislative Agenda
Touting tax reform as the top priority in the new General Assembly, Gov. Bob Taft, House Speaker Jon Husted and Senate President Bill Harris last week announced companion reform bills as the first legislation of this assembly. The focus on reforming Ohio’s tax code seeks to improve the state’s ability to attract businesses and jobs and Gov. Taft will talk more about tax reform during his State of the State address Feb. 8. House Bill 1, sponsored by Sen. Ron Amstutz (R-Wooster), and Senate Bill 1, sponsored by Rep. Sally Kilbane (R-Rocky River), kick off discussion and the committee process. To view a news release, visit http://governor.ohio.gov/releases/011805%20SB1.htm.

Also pursuing other sources of economic development, the legislature continues to support the Third Frontier Project, an initiative promoting innovation and company formation. OHA is currently working with the Ohio Board of Regents on Ohio hospital involvement and opportunities related to this initiative. To learn more about this and other government action impacting Ohio’s hospitals, consider joining the OHA Advocacy Network. This network enables hospital employees, volunteers and other supporters statewide to send unified messages to elected officials in support of the hospital industry. Advocacy Network members receive e-mail newsletters and access to other related resources. Register or learn more by visiting www.ohanet.org/advocacy/state/network/. (Bridget Gargan, bridgetg@ohanet.org; Jeff Klingler, jeffk@ohanet.org)

Ohio Voters Support Tobacco Tax
A statewide collaborative proposing an increase in Ohio’s tobacco tax today released a new poll finding 69 percent of Ohio voters support raising the tobacco tax by 75 cents per pack and investing the $525 million in new, annual state revenue in tobacco prevention and cessation and health care for uninsured Ohioans. The Ohio Partnership for Prevention estimates the increase in the state’s tobacco tax will prevent 133,000 children from smoking and reduce adult smokers by 82,000, saving $57 million in the first five years and $2.27 billion in the long term. Nearly 70 organizations have endorsed the partnership, including OHA.

Ohio voters - 86 percent - also oppose cuts to Medicaid health care coverage to balance the state’s budget, which is projected to reach a deficit of $4-5 billion over the next two years. Preserving funding for Medicaid is a top state and federal advocacy priority of OHA. Visit www.ohanet.org/medicaid/ for more information about Medicaid. (Jeff Klingler, jeffk@ohanet.org)


Wednesday, January 26, 2005
New Technology Helps Hospitals Boost Patient Safety
Ohio hospital quality improvement associates this week received a cutting-edge tool for their efforts to strengthen patient safety and reduce medication errors. An interactive CD-ROM, provided by the Ohio Patient Safety Institute (OPSI) and created by Catholic Healthcare Partners and the Veritech Corporation, walks nursing personnel through vignettes of real health care providers delivering care, drawing participants into authentic scenarios to observe, identify and correct medical and medication errors in the workplace and create strategies to prevent potential future errors. Along with the Basic Principles of Medication Administration CD-ROM, hospitals received supplemental materials including a study guide and additional information on patient safety improvement.

Through an Ohio State University College of Pharmacy research study, this program was proven to positively impact medication safety administration and it also qualifies participants for continuing nursing education. Large physician clinical practices and all Ohio nursing homes will also receive the interactive tool and OPSI will monitor the use and results of this new resource.

OPSI is a subsidiary of the Ohio Health Council, which was founded by the Ohio Hospital Association, the Ohio State Medical Association, and the Ohio Osteopathic Association. It draws together all the stakeholders in patient safety statewide to share data, resources, and expertise to improve the safety of patients in Ohio. To learn more, visit www.ohiopatientsafety.org/. (Joseph Roel, josephr@ohanet.org; Rosalie Weakland, rosaliew@ohanet.org)

Final Rules for Drug Benefit, Managed Care Released
The Centers for Medicare & Medicaid Services (CMS) last week issued final regulations for the upcoming Medicare prescription drug benefit, changes to the Medicare Advantage Program and incentives for employers to continue retiree drug coverage. On the docket for this week’s Federal Register, the regulations, a fact sheet, summary of changes from the proposed rule and other background information are available on the CMS Web site at www.cms.hhs.gov/medicarereform/pdbma/general.asp. (Charles Cataline, charlesc@ohanet.org)


Thursday, January 27, 2005
Court Upholds Hospital Board’s Authority
Further examining and defining the role of hospital boards' authority, the Alabama Supreme Court recently upheld a hospital board’s authority to transfer ownership of certain radiology services to a separate corporation outside the hospital despite objections from a group of physicians who alleged the decision violated the hospital’s medical staff by-laws. The physicians remained on staff at the hospital, but could not have privileges to practice radiation oncology at the hospital because the hospital no longer offered those services.

According to the Alabama Hospital Association, the court’s decision confirms the hospital board’s final authority over decisions related to management of the hospital, even if those decisions affect the ability of some medical staff members to practice in the hospital. Last year, a proposed amendment in the Ohio Senate sought to limit the authority of hospital governing boards in their role of credentialing physicians. OHA advocates that the responsibility for ensuring hospitals have the resources to meet their communities’ needs lies with the hospital's governing board, and that hospital boards take decisions regarding hospital staff privileges for physicians very seriously, but they must retain the ability to act in the best interests of the facilities they serve. For more information on this issue in Ohio, visit www.ohanet.org/advocacy/state/issues/credentialing.htm. (Bridget Gargan, bridgetg@ohanet.org)

OHA Foundation Welcomes Board Members
OHA’s Foundation for Healthy Communities welcomes new members Kirk A. Hummer, chief operating officer of Mount Carmel St. Ann’s in Westerville, and Lauren Rock, chief administrative officer of Euclid Hospital, to its board of directors. Elected by the OHA Board of Trustees at its Jan. 21 meeting, the new foundation board members will serve three-year terms.

The foundation expresses its appreciation to retiring board members Nancy Dix, community representative from Newark, and Patsy Matheny, director of community health improvement for VHA, Inc. in Columbus.

The Foundation is a charitable arm of OHA, created and endowed by Ohio hospitals in 1994 to promote creative collaborations for better health. For more information, visit www.ohanet.org/healthycommunities/. (Lynne Ayres, lynnea@ohanet.org)


Friday, January 28, 2005
Board Recommends HCAP Model, Approves Strategic Direction Plan
At its January meeting, the OHA Board of Trustees made recommendations on a 2005 Hospital Care Assurance Program (HCAP) distribution model based on recommendations of the OHA Executive Committee and OHA Finance Committee. The Board-recommended 2005 HCAP distribution model removes ambulance and durable medical equipment costs from the assessment formula, authorizes the development of a three-tiered system for assessments, multiplies all public hospitals’ Omnibus Budget Reconciliation Act (OBRA) caps by 130 percent, adjusts the critical access hospital and rural hospital pools of money, and sets a floor of $7 million for the children’s hospitals’ pool.

Looking to the future, the Board approved a four-year strategic plan with initiatives focusing on: accountability, financing, healthy communities and lifestyles, hospital-physicians relations, leadership, quality and patient safety, and workforce.
The Board also voted to oppose a patient compensation fund in Ohio barring an analysis from the Ohio Department of Insurance on the cost to providers, which is likely to exceed the perceived benefit of the program.

On the federal level, the Board continued looking into limited-service, physician-owned hospitals and the threat these facilities pose to the health care delivery system. OHA supports the American Hospital Association’s position to extend the federal moratorium on these facilities. The moratorium is set to expire in June. The Board was also briefed on emerging federal advocacy priorities for hospitals in 2005. (Jim Castle, jimc@ohanet.org)

Hospitals Lead the Way
Ohio hospitals continue receiving recognition and expanding ways to benefit their communities, and others around the world.

Following the tsunami in South Asia, nurses at Fisher-Titus Medical Center in Norwalk embarked on a fundraising campaign to assist the victims by creatively encouraging employees to contribute up to eight hours of vacation time to the American Red Cross’ fund. Combined with employee contributions, donations from the public, and the hospital’s matching funds, Fisher-Titus raised over $20,000. Many other hospitals throughout Ohio, including Ashtabula County Medical Center, Lodi Community Hospital and Humility of Mary Health Partners in Youngstown, initiated unified collection efforts and donated supplies and other services.

Facing an ice storm at home, MedCentral Health System in Mansfield reopened its closed Crestline Hospital to serve as an emergency shelter for the community, used hospital lobbies as warming facilities for residents and opened its cafeteria to the public, allowing residents to take carry-out meals home.

Hospital recognition goes to Rainbow Babies and Children’s Hospital in Cleveland, ranked number five in the nation by Child magazine for treating sick children. J.D. Power and Associates Distinguished Hospital Program honored three Toledo hospitals, St. Vincent Mercy Medical Center, St. Charles Mercy Hospital and St. Anne Mercy Hospital, for service excellence. McCullough-Hyde Memorial Hospital in Oxford was honored as the Business of the Year by the Oxford Chamber of Commerce. The American Society of Health-System Pharmacists’ presented OhioHealth in Columbus with the ASHP Research and Education Foundation’s first Award for Excellence in Medication-use Safety. Children’s Medical Center in Dayton was a finalist for the award.

Receiving individual recognition is Grace Wakulchik, vice president of patient care services and chief nursing officer at Akron Children’s Hospital, who received the Nursing Leadership Award from the Ohio Organization of Nurse Executives. Frank Perez, president and chief executive officer of the Kettering Medical Center Network, was named the winner of the annual Heart of Dayton award, give by the Dayton chapter of the American Heart Association for a significant contribution to the organization’s mission. (Mary Sterenberg, marys@ohanet.org)