FALL 2013 www.arkhospitals.org Meet Doug Weeks, AHA’s New Chairman Arkansas Health Insurance Marketplace News AA MMAAGGAAZZIINNEE FFOORR AARRKKAANNSSAASS HHEEAALLTTHHCCAARREE PPRROOFFEESSSSIIOONNAALLSS Fall 2013 I Arkansas Hospitals 1 2 Fall 2013 I Arkansas Hospitals PAGE 10 PAGE 16 PAGE 24 PAGE 28 Arkansas Hospitals FEATURED SECTIONS CEO Profile is published by Arkansas Hospital Association Health Insurance Marketplace 419 Natural Resources Drive • Little Rock, AR 72205 501-224-7878 / FAX 501-224-0519 www.arkhospitals.org Beth H. Ingram, Editor CEO Profile 30 Career Center Clients Have Competitive Advantage BOARD OF DIRECTORS 8 AHA’s New Chairman – Doug Weeks 30 Why Join ACHE and AHEF? Doug Weeks, Little Rock / Chairman 32 Don’t Overlook Revised CAH Operations Manual Walter Johnson, Pine Bluff / Chairman-Elect Darren Caldwell, DeWitt / Treasurer Health Insurance Marketplace 33 Preparedness is a Process Larry Morse, Clarksville / Past-Chairman Ron Peterson, Mountain Home / At-Large 12 Arkansas Health Insurance Marketplace News 33 Joplin Tornado Offers Response Lessons Peggy Abbott, Camden Chris Barber, Jonesboro 14 Questions about Health Insurance Marketplace David Berry, Little Rock Medicare/Medicaid Tim Bowen, Mena 16 Clinton Touts Positives, Calls on Bipartisan Fixes Kristy Estrem, Berryville 36 59 Hospitals Receive EHR Incentive Payments John Heard, McGehee Ed Lacy, Heber Springs NewsSTAT 36 GAO Says CMS Should Streamline Audits Jim Lambert, Conway James Magee, Piggott 19 SE AR Hospital Alliance Improves Health 37 Payment Reform at One Year Ray Montgomery, Searcy Robert Rupp, Newport 22 Rural Hospitals Receive Funding for Connectivity 38 CMS Release FY 2014 IPPS Final Rule Sharon Sly, Siloam Springs Barbara Williams, Conway 24 Sparks Fitness Supports Air National Guard Quality/Patient Safety EXECUTIVE TEAM 24 5 Hospitals Honored for Years without Injury Robert “Bo” Ryall / President and CEO W. Paul Cunningham / Executive Vice President 25 Two Arkansas Hospitals “Most Wired” 42 Congratulations to Century Club Achievers! Beth H. Ingram / Senior Vice President 25 AHA Trust Returns $6.2 Million to Members 42 Healthcare Quality Week October 20-26 Tina Creel / Vice President, AHA Services, Inc. Don Adams / Vice President, 26 King Faisal Hospital & Centre Tours St. Vincent 43 Guide From AHRQ Focuses on Patient/Family Rural and Mental Health Services Elisa M. White / Vice President and General Counsel 27 AHA Holds First CMO Workshop 44 Free HPOE Guide Offers Compendium Jodiane Tritt / Vice President, Government Relations Pam Brown / Vice President, 27 AHA 2013 Diamond Award Winners Quality and Patient Safety Miscellaneous 28 What’s New in Pre-Hospital Stroke Care? DISTRIBUTION 34 3 Reasons You Should Act Like Owner not Renter Arkansas Hospitals is distributed quarterly to hospital executives, managers, and trustees 40 Ways to Respond Respectfully to Entitled Patient throughout the United States; to physicians, state legislators, the congressional delegation, 44 10 Tips for Creating Healthy Work Environment and other friends of the hospitals of Arkansas. 45 Accent Modification Training for Non-Native Cover Photo Departments Cypress Trees in full color at 4 From the President Yankopin, near pcipublishing.com the Arkansas 5 Education Calendar River. Created by Publishing Concepts, Inc. 6 Arkansas Newsmakers and Newcomers David Brown, President • [email protected] Photo courtesy For Advertising info contact Michelle Gilbert • 1-800-561-4686 ext.120 of the Arkansas 7 All About Arkansas Hospitals [email protected] Department of Parks and edition 84 Tourism Fall 2013 I Arkansas Hospitals 3 F R O M T H E P R E S I D E N T Hospitals’ Role in Helping the Uninsured Get Coverage Having Arkansas’ unin- 2. Arkansans may be able to get financial help to pay for a sured population access newly health insurance plan. available healthcare insurance 3. If you have a pre-existing condition, insurance plans can- will be a big plus, not only for not deny you coverage. patients, but also for hospi- tals throughout Arkansas. It 4. All insurance plans will have to show the costs and what won’t be easy; change rarely is covered in simple language with no fine print. is. And this change, brought We expect that 75% of the newly eligible will want about by the Affordable Care in-person assistance to learn about and enroll in cover- Act, marks the biggest health- age. Many hospitals are getting staff trained as Certified care reform since Medicare Application Counselors, but it is also important to be able Photo courtesy of Jason Burt was implemented in 1965. to identify Navigators and other assisters in the community Covering the uninsured has been a focus of America’s hos- who can help, and perhaps even to partner with a local orga- pitals for the past 20 years, long before the earliest discussions nization to develop referral relationships, or to offer space in of the Affordable Care Act began. We’re now on the verge of the hospital for assisters to meet with patients. seeing it happen, but success depends on everyone pitching in And we must help spread the word! Include information to do their part. about www.healthcare.gov and www.getcoveredamerica. Our hospitals can perform their role best by being able to org on voicemail messages, on-hold messages and websites; answer questions, point the uninsured to those who can help hang posters in waiting rooms; provide a trained staff per- them enroll, and keep lines of dialogue going. son to listen and to help. Open enrollment began October 1, and runs through Perhaps the most important message is that cost and March 31. Coverage by the new health plans will start affordability of healthcare coverage are now going to be January 1, 2014. We know everything won’t move along within the financial reach of uninsured Arkansans, whether smoothly in these early months. In fact, things may seem to they receive federal assistance to pay their premiums in full be a bit bumpy and unorganized. But, we’ll adjust as we go. or qualify for partial subsidies based upon income. While many may not recall, Medicare wasn’t perfect when it The Arkansas Insurance Department is publicizing the was launched, either, but today’s senior citizens have grown state’s online Insurance Marketplace through its “Get In” to rely on the program, which operates smoothly for them. campaign. The website, www.ARHealthConnector.org, The success of the healthcare legislation will depend on the provides individuals, self-employed workers, small busi- uptake, how quickly the people who need insurance enroll nesses and others detailed information about their options through the insurance marketplaces in each state. For hospi- for the new coverage and the enrollment process. Yet, it is tals, the quicker, the better. the face-to-face, up close and personal communications that might turn the tide. The Arkansas Hospital Association and its member hos- pitals are working diligently to ensure that the state’s unique Because many of the uninsured already turn to our hos- Private Option plan and the broader health insurance expan- pitals for needed healthcare, they are the most likely source sion efforts translate seamlessly from a well thought out of those personal interactions. So, Arkansas hospital leaders, theory to reality, and that as many uninsured Arkansans as employees, medical staff and workers are key players in the possible receive the coverage they need. overall effort to help our uninsured understand their options. Because dramatic Medicare reimbursement cuts are Like Medicare was almost 50 years ago, this will be a already in effect, hospitals have good reason to help in the monumental change for healthcare and likely will encounter enrollment of uninsured Arkansans. Caring for more patients some rough patches. But, if we are patient, it has the potential with insurance coverage will help to offset those losses, lower to be good for the state and its families, individuals, patients the rates of uncompensated care and improve hospitals’ abil- and hospitals for years to come. ity to remain open to serve their communities. So how can hospitals help? Make certain all staff from the C-Suite down through the organization learn the four key facts that reach the most uninsured: 1. All insurance plans will have to cover doctor visits, hos- Bo Ryall pitalizations, maternity care, emergency room care and President and CEO Arkansas Hospital Association prescriptions. 4 Fall 2013 I Arkansas Hospitals EDUCATION CCoonnffeerreennccee CALENDAR Let everyone speak,   hear and understand  October 24-25, Petit Jean Arkansas Healthcare Human Resources Fall Conference 40 years and hundreds of proven applica�ons. October 25, Little Rock Let us show you! No obliga�on to share ideas. Arkansas Society for Healthcare Marketing Call 1‐888‐758‐4728 5313 McClanahan Drive and Public Relations Fall North Little Rock, AR 72116  Boardroom ■ Auditorium ■ Informa�on Display ■ Videoconference www.jaystanley.com Conference October 29, Little Rock ED Case Management Workshop Greatest November 1, Little Rock Arkansas Association for issue facing Medical Staff Services Fall Conference hospitals November 8, Little Rock today… Arkansas Social Workers in Health Care Fall Conference November 9-11, New Orleans Healthcare Financial Management Association WHY DOLBEY FOR COMPUTER-ASSISTED CODING?? Region 9 Conference November 12-14, 2013, LEADER! WE ARE THE Jonesboro, Little Rock and Fort Smith ARbestHealth Workshops • Dolbey was one of the first companies in the CAC arena in 2005 November 20, Little Rock • Dolbey has the largest CAC Installation with over 44 facilities on AHA New CEO Orientation one system December 3, Little Rock • Dolbey has been creating Medical Documentation for over 30 years CPT Coding Update Workshop • Dolbey has been interfacing to all the Hospital Systems for decades, not just the ChargeMaster and Billing System as encoder December 4, Jonesboro companies have done CPT Coding Update Workshop • Dolbey has the largest installed base of CAC w/NLP in production • Dolbey has all features being demonstrated actually implemented December 6, Little Rock MAC & RAC Workshop and working in Customer sites • Premise-based and Hosted solutions available December 10, Little Rock CAH/Rural Hospitals • Dolbey has the best local service and support Quarterly Meeting • Dolbey has developed all their own CAC Software December 11, Little Rock • Embedded Encoder (TruCode) provides option to lower cost of Healthcare Financial existing encoder contract 25% while increasing productivity Management Association CPE Seminar Program information available at www.arkhospitals.org/events. Webinar and audio conference Corporate Headquarters | 8555 E. 32nd Street North information available at Wichita, KS 67226 | www.voiceproducts.com www.arkhospitals.org/events. Sales and Support Offices Throughout The Midwest | 800-466-1152 Fall 2013 I Arkansas Hospitals 5 ARKANSAS NEWSMAKERS NEWCOMERS and Governor Mike Beebe has named Alicia Storey, ville. Casmer most recently served as assistant CEO oncology programs manager, St. Bernards Healthcare, at Weatherford (Texas) Regional Medical Center and Jonesboro, to the Breast Cancer Control Advisory previously served as assistant CEO of Medical Center Board replacing Tammy Gavin, FACHE, COO, White of South Arkansas in El Dorado. River Medical Center in Batesville. Storey’s appoint- ment expires January 1, 2017. Julie Ginn Moretz has been named associate vice chancellor for patient- and family-centered care, a new Governor Mike Beebe has appointed infectious- position at UAMS in Little Rock. A nationally-known disease specialist Nathaniel Smith, MD as director advocate for engaging patients and their families in and state health officer of the Arkansas Department of healthcare decisions inspired by her late son’s battle Health. Smith has served as interim director for the with congenital heart disease, Moretz came to Little department following the departure of Dr. Paul Hal- Rock from Augusta, GA where she worked as direc- verson in May. Smith has been with the department tor of the Family Services Department at the Medical since 2004 and served previously as state epidemiolo- College of Georgia, which has one of the first model gist and as deputy director for health programs. programs for the movement. She also recently served as director of special projects at the Institute for Patient- David R. Fox, CRA, FACHE, FAHRA, president and Family-Centered Care in Bethesda, MD. of St. Vincent North, has been elected for a three- year term as president of the American Healthcare Michael Perkins, vice president and administrator of Radiology Administrators (AHRA), the professional Baptist Health Extended Care Hospital in Little Rock, organization representing management at all lev- has been appointed by Governor Mike Beebe to the els of hospital imaging departments, freestanding Tobacco Prevention and Cessation Advisory Committee imaging centers and group practices. The mission replacing Ron Rooney of Paragould. His appointment of AHRA is to be a resource and catalyst for the expires September 30, 2015. development of professional leadership in medical imaging management. Eddie Phillips, MD has been named chief medical officer for Baptist Health in Little Rock. Dr. Phillips Rex Jones has been named CEO of Bradley Coun- has been a member of the Baptist Health Medical ty Medical Center in Warren. He succeeds Brandon Center-Little Rock professional staff since 1980 as an Gorman, CFO who has been acting in an interim obstetrician and gynecologist. He also has served as capacity during the search for a permanent CEO section chief for obstetrics and gynecology as well as since the retirement of Harold Mitchell in January. chairman of the quality review committee. Dr. Phillips Jones was with Quorum Health Resources from 1998 currently serves on the advisory board of Baptist Health to 2011, and during that time was CEO at Howard Physician Partners. He succeeds Dr. Guy Gardner, who Memorial in Nashville, and three hospitals in Kansas retired as the system’s chief medical officer. and Oklahoma. St. Vincent Health System has named two physicians Dan McKay, CEO of Northwest Health System, has to new leadership positions within the System. David announced that Ben Casmer has been named admin- Foster, MD has been named president of the St. Vincent istrator/COO at Northwest Medical Center – Benton- Medical Group. His focus is engaging physicians to 6 Fall 2013 I Arkansas Hospitals strengthen and build relationships with employed and Scott Street, president and CEO of Mercy Hospital aligned physician partners with St. Vincent. Dr. Foster Northwest Arkansas in Rogers since 2010 and At-Large previously served as chief medical officer of the CHRIS- Director on the AHA board of directors, has accepted TUS Health Provider Network in Texas. Tom Cum- a new role with the Mercy health ministry focusing on mins, MD is the new vice president of medical affairs the implementation of the Affordable Care Act. Eric and chief medical officer for St. Vincent Health System. Pianalto will serve as interim president of the facility He was previously CMO and director of hospital medi- while the search process for new leadership takes place. cine for White River Medical Center in Batesville. Dr. Pianalto currently serves as chief operating officer of Cummins has extensive clinical experience as a board Mercy Clinic in Arkansas and Oklahoma. certified internist and group practice partner. Marion “Tony” Thompson, FACHE, has resigned Kim Skidmore has been named CEO of Community as CEO of Fulton County Hospital in Salem. The FCH Medical Center of Izard County in Calico Rock. Skid- board of directors has named County Judge Charles Wil- more was CFO of the facility since 1981. lett as the new administrator succeeding Thompson. • all about ARKANSAS HOSPITALS St. Bernards Healthcare of Jonesboro has broken this tax, the hospital would not be able to operate in the ground on a $14.5 million complex for patients with long term. It’s definitely vital to our success.” Lawrence Alzheimer’s disease and those who need more care than County voters approved extending a half-cent sales tax an assisted living facility can offer. The complex, called and adding another half-cent sales tax to operate Law- St. Bernards Villa, will add 40 workers when it opens rence Health Services, which operates Lawrence Memo- the first phase with 45 beds in the fall of 2014. “We rial Hospital and a nursing home in Walnut Ridge. know there is a staggering need for Alzheimer’s care,” says Chris B. Barber, president and CEO of St. Bernards Baxter Regional Medical Center has begun a $2 Healthcare. “And this development represents another million “Building for Babies” capital campaign for the instance in which St. Bernards is stepping up to meet an renovation of the Women and Newborn Care Center in overwhelming community need. That is what we have the hospital. Ron Peterson, President and CEO of Baxter done for nearly 113 years at St. Bernards. The Olivetan Regional, says that since 2006, more than 5,000 babies Benedictine sisters of Holy Angels Convent who estab- have been born at BRMC. The facility has been designat- lished St. Bernards in 1900 in response to a malarial ed as a Level 2 Neonatal Intensive Care with the statewide fever epidemic continue today to focus on developing ANGELS program through the University of Arkansas programs and services that meet needs in the communi- for Medical Sciences. The renovated facilities will provide ties we serve for many years to come.” additional rooms to allow mothers and babies to stay together throughout labor, delivery and recovery. Voters in two Arkansas counties supported by wide margins tax measures in special elections August 13 Capella Healthcare and Mercy Health have ended to keep their hospitals open. In Hot Spring County, their discussions at this time to join together National residents approved extending a 20-year, half-cent sales Park Medical Center and Mercy Hot Springs, officials tax to continue maintenance of HSC Medical Center in announced June 27. This announcement comes after Malvern. Sheila Williams, CEO of the Malvern facil- more than a year of due diligence and the investment of ity, said, “There is always that fear inside that people significant resources to create a stronger, more efficient won’t show up to vote, but we knew, in the end, that healthcare delivery system for the region. The proposed people would end up doing the right thing. We have a partnership was subject to approvals by both the Fed- very supportive community. They know that without eral Trade Commission (FTC) and the Vatican. • Fall 2013 I Arkansas Hospitals 7 CEO PROFILE Meet AHA’s New Chairman – Doug Weeks Doug Weeks, FACHE, Senior looked to Little Rock and Baptist Vice President, Hospital Opera- Health in hopes of his first job in tions at Baptist Health in Little healthcare – and he hasn’t looked Rock, has been installed as the 72nd back since that time. “I was for- chairman of the board of directors tunate that they were looking for of the Arkansas Hospital Associa- young administrator candidates, tion (AHA) during the association’s and have to this day felt that it October 9-11 Annual Meeting in has been a perfect fit. Russ Har- Little Rock. rington has been an outstanding “Growing up as the son of a role model, leader and mentor for Baptist minister, one of my earliest me,” says Weeks. memories is spending many hours Weeks began his almost 25-year in the waiting room of Baptist Hos- healthcare career as assistant pital on 12th and Marshall Streets administrator at Baptist Health near downtown Little Rock while Rehabilitation Institute (BHRI) in my Dad visited sick church mem- 1990, becoming administrator of bers,” recalls Weeks. Little did he the facility in 1994. Three short know those many years ago that years later, he moved over to Bap- he would spend a major part of his tist Health Medical Center-Little career as a top executive in that Rock (BHMC-LR), an 827-bed same hospital system. facility, as Senior Vice President/ Doug Weeks, FACHE The “old Baptist Hospital,” as Administrator, where he served for many folks in Little Rock call it, Arkansas and northern Louisiana. 14 years. moved westward in 1974 and now Weeks became interested in health- During that period, he saw much has grown to the largest health- care administration from a church change in the Baptist Health system care system in Arkansas with seven member at his father’s church in El and in the two hospitals. He was hospitals, rehabilitation facilities, Dorado. Phillip Gilmore, now CEO responsible for the development of family clinics, specialty centers, at Ashley County Medical Center 20 outpatient satellite therapy clin- therapy and wellness centers, long in Crossett, was then leading the ics and achieving specialty accredi- term care, a retirement village, a former Warner Brown Hospital in tation from the Commission on hotel focused on the comfort of El Dorado, and shared information Accreditation of Rehabilitation patients and families, and a school about his vocation with the young Facilities in spinal surgery and brain of nursing and allied health under college student. Weeks was living in injury at BHRI; led construction of its banner. Russell D. Harrington, New Orleans at the time and found a 36-bed ICU at BHMC-LR; initi- Jr., FACHE, is president and CEO that Tulane University had a master’s ated implementation of the 37-bed of Baptist Health. program in healthcare administra- long-term acute-care hospital, Bap- “I believe Doug Weeks is well tion, thus his future path was set. tist Health Extended Care Hospi- positioned to lead the AHA board “Through high school, I spent tal; initiated implementation of the as its chairman. His greatest evenings and summers sacking gro- high-risk maternal fetal medicine strengths are hospital operations ceries and working produce aisles program; and assisted in acquir- and his understanding of today’s in local groceries. I credit hard- ing the former Southwest Hospital difficult healthcare environment. nosed bosses at Piggly Wiggly and campus for use by BHMC-LR. He has significant ability to drive Brookshires for instilling in me a In the spring of 2012, Baptist decision making through consensus customer service mindset,” he said. Health made some significant building. These attributes should “Occasional roofing jobs and one changes in its leadership team and serve as a good fit for the AHA stint at an incineration plant in El Weeks was promoted to Senior board during the next two years,” Dorado helped keep me focused on Vice President, Hospital Opera- said Harrington. my studies in college….” tions for the system. His new role Weeks’ father’s career necessi- After earning his master’s degree consolidates overall management tated many moves to communities in in healthcare administration, he continued on page 10 8 Fall 2013 I Arkansas Hospitals Fall 2013 I Arkansas Hospitals 9 CEO PROFILE Healthcare Systems delegate to the Professionally, he is a Fellow in American Hospital Association’s the American College of Health- Regional Policy Board (RPB) 7. care Executives and has served The RPBs provide input on pub- on that group’s Regent’s Advisory lic policy issues considered by the Council. He served as president national association, serve as ad of the Arkansas Health Execu- hoc policy development commit- tives Forum (AHEF) and in 1999 tee when appropriate, and identify received the AHEF’s C. E. Mel- needs unique to a region and assist ville Young Administrator of the in developing programs to meet Year Award. those needs. “One of my best memories as Active in the Little Rock commu- administrator at Baptist Health was nity, he is a board member for the when President George W. Bush vis- Central Arkansas Division, Ameri- ited our campus during tort reform. can Heart Association; former We had a one-week notice of his board member and volunteer for the planned visit and it is amazing the Big Brother Big Sisters program and preparation necessary to host a Pres- CARTI; a member of the Mount St. ident. It was about as hard as I have Mary Academy Marketing Com- ever worked in one week, but worth Doug Weeks congratulates Mary mittee, and 2007 Chairperson of it as it gave us the opportunity to Murphy, Unit Supervisor of Day the Diabetes Association’s “Walk really brag about the wonderful Surgery/Eye Surgery, who retired after 28 years of service to Baptist Health. for Diabetes.” care provided by physicians, nurses When his children were younger, and all other healthcare workers at of the system’s seven hospitals into he coached their soccer and Life Baptist Health.” a single organizational structure. CHAMPS football teams. Jok- In his January 24, 2004 radio The leadership changes were moves ingly, Weeks says, “No, we didn’t address, President Bush said, “This to prepare the hospital system for win any championships, but no one week, I will travel to Little Rock, the future. was badly injured or kicked out of Arkansas, to visit Baptist Health In addition to his hospital duties, any games!” Medical Center. For Baptist and Weeks is an enthusiastic member of the Arkansas Hospital Associa- tion. He is a member of the AHA’s Board of Directors having served as the Metropolitan Hospital Dis- trict representative from 2007 to 2011. In October 2011, he was elected to serve a two-year term as chairman-elect, thus beginning a six-year term on the Executive and Finance Committees. Weeks also serves on the AHA’s Council on Government Relations and the Medicaid Committee. “The AHA is a steady and trusted source of information, advice and advocacy as we all navigate today’s changing and unsteady waters. I call on our leaders routinely for assistance, and they always provide excellent feedback. It is a pleasure serving on the AHA board!” said Weeks. In addition to his state asso- ciation role, Weeks is completing a three-year position as Section for Doug, Steven, Leighton and Connelly Weeks 10 Fall 2013 I Arkansas Hospitals