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Monday, October 16, 2006
Health Care Decisions Day Oct. 21

Health care providers are joining forces with the legal community to educate Ohioans about advance directives through "Plan Ahead…Health Care Decisions Day '06.” Health care providers and attorneys will be available on Saturday, Oct. 21, 2006, at designated local public libraries across Ohio to answer questions about advance directives – particularly living wills and health care powers of attorney – and to help participants complete these documents. View a list of participating libraries at http://downloads.ohiobar.org/pub/AdvDD/Library_locations.doc.

 

Health Care Decisions Day is also a good time for hospitals to review the federal Patient Self-Determination Act of 1990, which requires that hospitals serving Medicaid patients provide a "You Have the Right" advance directives brochure to patients upon admission. View a copy of the Ohio Department of Job and Family Services’ brochure online at www.odjfs.state.oh.us/forms/file.asp?id=41990. Hospitals can order copies (use form number 8095) at www.odjfs.state.oh.us/forms/orderTrack.asp?fid=42181&loc=INTER. The act also requires hospital staff to ask if the patient has an advance directive.

 

Find more information about Health Care Decisions Day and advance directives at www.ohanet.org/advocacy/state/issues/advance_directives.htm. (Rick Sites, ricks@ohanet.org)
 


Tuesday, October 17, 2006
Hospitals Strive to Meet Needs of Patients with Limited English Proficiency
A report released this week by the American Hospital Association’s Health Research & Educational Trust found that 80 percent of the nation’s hospitals frequently care for patients with limited English proficiency (LEP) while only 3 percent report receiving any reimbursement for those services. Fifty-two million people – 19 percent of the U.S. population – speak a language other than English at home and hospitals provide language services to meet the needs of LEP patients. More than 80 percent of hospitals use staff interpreters, 77 percent use telephonic services and 77 percent employ bilingual staff to provide language services. Of the hospitals surveyed, 88 percent provide language services 24 hours a day, seven days per week. Hospitals cited lack of reimbursement, as well as tools and training resources, as a major barrier to providing adequate language services. To read the complete report, Hospital Language Services for Patients with Limited English Proficiency: Results from a National Survey, visit www.hret.org/hret/languageservices/.

Ohio nurses interested in learning or improving Spanish skills can participate in SHAPES Language Training, a program approved by the Ohio Board of Nursing (OBN) for 19.2 OBN contact hours. The program includes a CD, written text and print flashcards at a cost of $35. For more information, contact Robin Melnick at 937-767-2372 or robin@rmelnick.com.

Hospitals’ Heartbeat
A 2006 nominee for the
Albert E. Dyckes Health Care Worker of the Year Award

Sharon Wachter
Administrative Supervisor, Food and Nutrition Services

The Jewish Hospital

Cincinnati

A look inside Sharon’s nomination –
Sharon Wachter is a model employee at Jewish Hospital.  She enjoys creating new marketing tools on the retail side of the food service operation as well as making improvements to foods that are offered to the patients.  It is a delight to see a committed associate that truly enjoys coming to work each day to serve others.  She manages to respect the diverse needs of others and works closely with the Jewish Hospital Diversity Committee to offer a variety of themed meals throughout the year.  She has been devoted to healthcare all of her adult life and continues to be a positive influence in creating a culture of respect, integrity, teamwork and excellence.


Wednesday, October 18, 2006
OHA Argues for BWC Repayments
Continuing to seek restitution for Ohio hospitals, OHA today made oral arguments before the Court of Appeals, 10th District of Ohio in OHA’s lawsuit against the Bureau of Workers’ Compensation (BWC), OHA v. Mabe. At issue is the state’s appeal of a trial court decision in OHA’s favor that BWC improperly bypassed its duty to go through the public rulemaking process when it put into place a new fee plan, effective Oct. 1, 2005. OHA is advocating for the $50 million in losses incurred from Oct. 1, 2005, to Nov. 1, 2006, to be repaid to hospitals.  Arguing on behalf of OHA was Dave Wickland with the Shumaker, Loop and Kendrick law firm in Toledo.

The three-judge panel, which included William Klatt, Charles Petree and Susan Brown, posed questions favorable to OHA’s position. A decision is not expected for several months. If the trial judge's decision for OHA is upheld, the case will go back to common pleas court to determine repayments to hospitals. (Mary Gallagher, maryg@ohanet.org)

OHA Hosts Dinner Conferences for Hospital Leaders
OHA’s Research and Educational Foundation will host dinner conferences throughout the state in November on Hospital Tax Exemption: A Gathering Storm. Hospital trustees, CEOs, finance officers, medical staff leaders and hospital legal counsel are invited to attend.

Nov. 1, 6-8 p.m., Cambridge
Nov. 2,
6-8 p.m., Findlay
Nov. 8,
6-8 p.m., Lebanon
Nov. 9,
6-8 p.m., Cuyahoga Falls

Visit www.ohanet.org/education/BrochureDinnerSessions.pdf for more information or to register.

Hospitals’ Heartbeat
A 2006 nominee for the
Albert E. Dyckes Health Care Worker of the Year Award

Pam Dwenger, RN, BSN
Staff Nurse, Medical/Pediatrics
Joint Township District Memorial Hospital
St. Marys

A look inside Pam’s nomination –
Pam actually “gets” what lead nursing is about.  She is committed to optimal patient outcomes with appropriate utilization of services.  Pam develops the IPOC with thoroughness and insight.  She collaborates with each discipline and communicates to all involved; including the patient.  Pam practices the Caring Model and spends time sitting at the bedside giving the patient attention.  Pam is a long-term employee and a recently achieved BSN.  She actively pursues knowledge and shows a willingness or openness to change. Pam has the ability to calm patient’s fears with her soothing voice.  She is not afraid of answering difficult questions from family.  It is really about the therapeutic relationship. Pam is able to help the patient and family set realistic, measurable goals.  She seeks avenues to help the patient want to meet this goal. I believe Pam should be considered as lead nurse of the year.  She has numerous positive qualities and has used them to the patient’s satisfaction.

 


Thursday, October 19, 2006
OHA Insight Software Launches Monday
OHA is launching its newly-developed patient origin software – OHA Insight – Monday, Oct. 23 in a full-day training session in Columbus. OHA Insight is a Web-based tool that gives hospitals access to crucial information regarding inpatient, outpatient and emergency room data – in total over 20 million patient records per year. Hospitals can investigate what services are most used by members of their communities, where people are going for care and how the hospital might better meet needs. OHA Insight allows hospitals to produce reports, graphs or maps to identify business development opportunities or improve quality benchmarking and community health. OHA will conduct subsequent training sessions on OHA Insight around Ohio. OHA is offering the OHA Insight product beginning Nov. 30, 2006, when OHA’s current agreement with the DECIDE System expires. Contact Dan Paoletti at 614.221.7614 or danp@ohanet.org with questions about OHA Insight.

Hospitals’ Heartbeat
A 2006 nominee for the
Albert E. Dyckes Health Care Worker of the Year Award

Melissa Bailey              
Home Health Aide, InHome CARE
Kettering Medical Center
Kettering

A look inside Melissa’s nomination –
Melissa is always proactive in meeting the needs and the wishes of the clients. Her thoughtfulness and kindness is shown in the care she gives each client. Our agency receives positive reflections from all of the lives that she touches daily. She anticipates what her co-workers needs before they start their shift, so the client care is seamless at shift change. She has planned special events for clients so they experience excitement and joy in their day to day routine. For the past 2 years Melissa has been the primary caregiver for this family. Co-workers enjoy working with Melissa because she is always positive and willing to help out.


 

Friday, October 20, 2006
BWC Plans Centralized Billing System, Tightened MCO Controls
This week the Ohio Bureau of Workers' Compensation (BWC) announced it will install a centralized data "router" starting in spring 2007 to process incoming First Reports of Injury (FROI) and, eventually all provider bills and payments.  The bureau's goal is to employ HIPAA-compliant electronic data standards along with new National Provider Identifiers to streamline claims and bill processing and save money.  The proposed system will still include managed care organizations (MCOs), but providers will no longer submit FROIs and bills to MCOs.  Instead, BWC will use a centralized, commercial intermediary to accept, edit and forward data to MCOs and BWC for processing and payment.    

BWC also announced a controversial plan to tighten up MCO contract standards, potentially lowering payments to underperforming MCOs starting next year. The 2007 MCO contract will include updated medical management benchmarks that focus on appropriate medical care for the covered injury and include performance incentives for closing industrial cases and returning injured workers to work as quickly as possible. Several MCOs are stating the new standards will cut MCO payments at the same BWC is demanding more and more expensive services, and they warn the proposed plan could cause some MCOs to close shop.  (Charles Cataline, charlesc@ohanet.org)

© 2001-2008 OHA. Last updated January 03, 2008.
Please direct comments, corrections or additions to: oha@ohanet.org 614.221.7614.