National Healthcare Decisions Day Approaching
The fifth annual National Healthcare Decisions Day (NHDD) will be held on April 16, 2012. The day exists to inspire, educate and empower the public and providers about the importance of advance care planning. NHDD is an initiative to encourage patients to express their wishes regarding healthcare and for providers and facilities to respect those wishes, whatever they may be. All adults can benefit from thinking about what their healthcare choices would be if they are unable to speak for themselves. These decisions can be written down in an advance directive so that others know what they are. Advance directives come in two main forms:
- A healthcare power of attorney (or proxy or agent or surrogate) documents the person you select to be your voice for your healthcare decisions if you cannot speak for yourself.
- A living will documents what kinds of medical treatments you would or would not want at the end-of-life.
The West Virginia Center for End-of-Life Care (WVCELC), located within the Health Sciences Center at WVU, will list participating organizations on its website. Please E-mail or call Cindy Jamison, 304-293-8164, at the WVCELC with the name and phone number of the person who will be coordinating the effort in your organization. Also contact Cindy if you need assistance with planning or materials to distribute on that day. Attached are several documents for your reference, including an NHDD Case Statement, an NHDD 2011 Report Card, and a letter to President Obama regarding the importance of NHDD. For more information, please contact Lori Henshey.
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14th Annual Pleasant Valley Hospital (PVH) Hospice Tea Held

The 14th Annual Pleasant Valley Hospital (PVH) Hospice Tea was recently held at the Mid-Ohio Valley Center in Point Pleasant, West Virginia. PVH Home Health and Hospice employees, along with friends of the community, were in attendance for the lunch and celebration. “Hospice is so often thought of as being about death. The reality is that hospice focuses on life — the quality of a patient’s life, regardless of how long that might be,” said Mistie Best, RN, MSN, MHA – Director of Home Care Services. “Through effective management of a patient’s illness, he or she can live their remaining time to the fullest.”
Pleasant Valley Home Health Services provides care to patients of all ages who no longer require hospitalization, but continue to require periodic attention in their home. Home Health Services provide the patient with skilled nursing care, personal care services, physical therapy, social services, IV therapy services, speech therapy, occupational therapy and 24-hour on-call nursing. They serve Mason and Jackson counties in West Virginia and Gallia, Meigs and Athens Counties in Ohio. For more information, please contact Lori Henshey.

Hospital Groups Urge Congress Not to Cut Funding for Hospital Services
The AHA and eight other national hospital groups yesterday urged members of Congress to oppose cuts to Medicare funding for hospital services as part of any agreement to extend past February a tax and unemployment package that includes an extension of the Medicare physician payment fix. “America’s hospitals strongly support fixing Medicare’s flawed physician payment system but not by further cutting resources for the hospital services upon which America’s seniors depend,” the groups wrote. “We remain extremely concerned that cuts in Medicare and Medicaid payments for hospital services are again on the table as part of the upcoming House-Senate conference committee on H.R. 3630.”
The House-passed H.R 3630 includes a two-year Medicare physician payment fix. To help offset the cost of the payment fix, the bill would cut payments for hospital outpatient evaluation and management services by $6.8 billion; reduce Medicare bad debt payments that help hospitals care for low-income seniors; rebase Medicaid disproportionate share hospitals in future years; and extend the annual therapy cap to the hospital outpatient department. The bill also does not include several important rural Medicare extenders and increases spending by relaxing restrictions on self-referral to physician-owned hospitals. “America’s hospitals encourage you to look elsewhere to pay for changes to the sustainable growth rate (SGE), including looking at the Overseas Contingency Operations funds, so long as those funds cover the entire cost of the SGR fix,” the groups wrote, noting that the $20 billion in proposed reductions to hospital payments could translate into 83,000 jobs lost.
AHA News Now, February 1, 2012
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Bill Would Improve Medicare Payment for Small, Rural Hospitals
Reps. Cathy McMorris Rodgers (R-WA) and Mike Thompson (D-CA) yesterday introduced the Rural Hospital and Provider Equity (R-HoPE) Act (H.R. 3859), AHA-supported legislation that would provide additional Medicare funding for small and rural hospitals. The bill would improve Medicare payment for rural hospitals that serve a disproportionate share of low-income patients, and adjust the low-volume adjustment for small prospective payment system hospitals that do not qualify as critical access hospitals. It also would extend reasonable cost reimbursement for clinical diagnostic laboratory services provided by small rural hospitals in certain states and a 5 percent add-on payment for rural home health agencies, among other provisions. The AHA voiced support for the bill in letters to McMorris Rodgers and Thompson. Sen. Kent Conrad (D-ND) introduced a Senate version of the bill (S. 1680) in October.
AHA News Now, February 1, 2012
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MAP Issues Final Pre-Rulemaking Recommendations
The National Quality Forum’s Measures Application Partnership (MAP) Tuesday sent the Department of Health and Human Services its final recommendations on more than 350 performance measures the agency is considering for federal healthcare programs in 2012, including value-based purchasing and the hospital inpatient and outpatient quality reporting programs. The report supports about 40 percent of the measures and rejects 45 percent, mostly citing a lack of information to complete its evaluation of those measures. The MAP supports the remaining 15 percent of the measures in concept, but says they need to be further developed and tested before inclusion in the associated federal program. The partnership also submitted a separate report outlining a performance measurement coordination strategy for home healthcare, nursing facilities, inpatient rehabilitation facilities and long-term care hospitals. Both reports are available here.
AHA News Now, February 1, 2012
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Bipartisan Policy Center Issues Health IT Recommendations
The Bipartisan Policy Center Friday issued recommendations for using health information technology (IT) to improve healthcare quality and health while reducing costs. Based in on interviews with healthcare system leaders and a literature review, the report identifies common attributes of high-performing healthcare organizations and recommends actions to address gaps and barriers to achieving the health IT capabilities that support these attributes. The recommendations focus on aligning financial incentives and addressing concerns about health information privacy and security; increasing adoption of electronic health records and health information exchange; improving consumer e-health tools; and aligning IT and quality requirements across federal healthcare programs. Among other actions, the report calls for a clear path forward on health information exchange, supported by a national strategy to accurately match patients to their records.
AHA News Now, February 2, 2012
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Report Pegs Community Benefit Expenses at 11.3 Percent
A contractor for the AHA has calculated that U.S. tax-exempt hospitals devoted an average of 11.3 percent of all their expenses to benefitting their communities, based on an analysis of recent tax disclosures that were required for the first time in 2009. An exclusive December 19 analysis by Modern Healthcare using the same kinds of nonprofit hospital tax forms found that the median healthcare provider actually devoted 5.87 percent of its total expenses to providing community benefits, using the narrower definition of community benefit espoused by the Internal Revenue Service. To read more, please click here.
Modern Healthcare, February 2, 2012
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Tennessee Hospital Collaborative Improves Surgical Outcomes
Hospitals participating in the Tennessee Surgical Quality Collaborative substantially improved surgical outcomes while reducing costs, according to a study published online by the Journal of the American College of Surgeons. The improvements reduced the rates of acute renal failure, surgical site infections and other complications, which led to a net savings of nearly $2.2 million per 10,000 general and vascular procedures. "We demonstrated that hospitals in a collaborative can greatly improve their quality by sharing data, comparing results, and evaluating best practices and process improvement approaches with their peers," said Joseph Cofer, M.D., statewide surgeon champion for the collaborative and surgery residency program director at the University of Tennessee College of Medicine-Chattanooga. The collaborative, coordinated by the Tennessee Hospital Association's Tennessee Center for Patient Safety, is part of the American College of Surgeon's National Surgical Quality Improvement Program.
AHA News Now, January 30, 2012
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Hospital Day at the Legislature
February 9, 2012
For more information, please contact Tina Rymer.
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WVHA Disaster Preparedness Training Program
February 8, 2012
Hospital Incident Command Systems (HICS)
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For more information, please contact Samantha Stamper.
25th Annual Rural Healthcare Leadership Conference
February 5-8, 2012
Pointe Hilton Squaw Peak Resort
Phoenix, Arizona
Click here for more information.
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2012 HEF Web Seminars
For more information, please contact Tamra Goodall.
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CAH Dates to Remember
For Important Critical Access Hospitals events, click here.
For more information, please contact Dianna Iobst.
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Free Online Hospital Evacuation Training Available
Current through January 2013.
For more information, please contact Samantha Stamper.
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WVHA Disaster Preparedness Training Program
February 15, 2012
Exercise Evaluation and AAR Writing Workshop
For more information, please contact Samantha Stamper.
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AHA Advocacy Day
February 15, 2012
For more information, please click here.
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National Healthcare Decisions Day
April 15, 2012
For more information, please contact Lori Henshey.
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Patient Safety Congress
May 23-25, 2012
Gaylord National Hotel and Convention Center
Washington, DC
Click here for more information.
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2012 Respecting Choices Advance Care Planning Facilitator Training
August 15, 2012 - Charleston Town Center Marriott
August 29, 2012 - WVU Health Sciences Center, Eastern Division, Martinsburg
For more information, please contact Lori Henshey.
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Political Cartoon: Half Century? By Dan Reynolds

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