44 , Issue THE VALUED VOICE 4 Vol 6 Vol

7 October 29, 2020

IN THIS ISSUE Packers, Brewers, Bucks Join Stop the COVID Spread!

Packers, Brewers, Bucks Join Stop the Coalition COVID Spread! Coalition...... 1 Packers players in new public education announcement A Plea to Our Community about All three of ’s major professional COVID-19...... 1 sports teams have signed on to the “Stop the COVID Spread!” coalition. The coalition Wisconsin COVID Vaccination Plan released this week its second public education Summary Released...... 2 announcement on broadcast TV and digital Alert Issued on Ransomware Targeting platforms statewide, featuring three players Providers ...... 3 from the Green Bay Packers. Wisconsin State PAC & Conduit The latest ad features Packers players Adrian Fundraising Update...... 3 Amos, Kenny Clark and Marquez Valdes- WHA Physician Leaders Council Considers Scantling encouraging Wisconsin residents to Key Policy Issues...... 3 do their part in the team effort to help slow the spread of COVID-19. Green Bay Packers player Adrian Amos in WHA-Crafted ‘Grow Our Own’ Training the new public education announcement. Grants Awarded...... 4 “We know that everyone must do their part to SSM Health’s Boatwright Wins 2020 stop the rapid spread of COVID-19 in our state and we are pleased to join this effort Distinguished Service Award...... 5 through a public service announcement and encourage Wisconsinites to join our team in wearing masks, social distancing and washing your hands. It’s time to get in the HHS Responds to Concerns, game Wisconsin!” said Packers President and CEO Mark Murphy. Clarifies Definition of Lost Revenue...... 6 (continued on page 7) Upcoming Educational Events – Register Today!...... 6 In a release to the Southeast Wisconsin community, the Health Care CELEBRATING 100 YEARS: Protecting Partnership wrote: Concerned healthcare providers in southeast Wisconsin issued a plea Wisconsin’s Balanced Medical Liability to the public today: COVID-19 is real. As the region continues to break daily records of System...... 8 newly diagnosed patients, hospitalizations and deaths with no signs of slowing, their message is clear: we can’t stop fighting COVID-19. Recognizing that the public is suffering from “COVID fatigue” and sometimes hearing conflicting information, physician leaders from Advocate Aurora Health, Ascension Wisconsin, Children’s Wisconsin, Froedtert EDUCATIONAL EVENTS & Medical College of Wisconsin, Pro-Health Care and Milwaukee’s Community Health Centers issued this joint plea to address the public’s weariness about doing what works. November 17, 2020 Carpe Diem! Be Prepared to Leverage A Plea to Our Community about COVID-19 the New “Industrial Revolution” From Physician Leaders in Southeast Wisconsin Webinar Today is October 29, 2020. November 19, 2020 4,463. That’s the number of people in southeast Wisconsin* who tested positive Prioritizing & Funding IT during a for COVID-19 in the last 72 hours. Pandemic Webinar 567. That’s the number of people in southeast Wisconsin currently in the hospital with COVID-19. Starting December 7, 2020 THIS IS REAL. Chargemaster Coding Updates and Implementation for 2021 But this isn’t about numbers. It’s about people. People you know and care about. Self-study modules Your mom. Your dad. Your grandparents. Your husband. Your wife. Your kids. Your partner. Your friends. Your neighbors. Your co-workers. (continued on page 2) (A Plea to Our Community about COVID-19 . . . continued from page 1)

It’s also about protecting the people who keep our communities going. Healthcare workers. Essential workers. First responders. But we get it. You’re tired. We are too. We also get that you’re hearing mixed messages about what you should do. About what works.

You trust us to take care of you when you’re sick...right? We’re asking that you trust us when we say: You have the power. Every. Single. One of you. The power to keep yourself safe and to keep people around you safe - it’s simple and it doesn’t cost much. 1. Wear a mask. 2. Wash your hands. 3. Watch your distance. 4. Get your flu shot. If we all take these small actions, we can turn this around and keep ourselves and our loved ones safe. As healthcare providers, we stand united in our commitment to care for the health, well-being and safety of our communities.

We will be here for you when you need us. Will you join us?

Gary Stuck DO Aronica Williams MD Advocate Aurora Health Milwaukee Health Services, Inc.

Gregory Brusko DO Anthony Linn MD Ascension Wisconsin Outreach Community Health Centers

Michael Gutzeit MD Allison Kos DO Children’s Wisconsin Progressive Community Health Centers

Jonathon D. Truwit MD Arthur Coffey MD Froedtert Health and the Medical College of Wisconsin ProHealth Care

Lyle Ignace MD Pamela Wilson MD Gerald L. Ignace Indian Health Center Sixteenth Street Community Health Centers

Joseph E. Kerschner MD Medical College of Wisconsin

* Reflects Southeast Wisconsin Healthcare Emergency Readiness Coalition (HERC): Fond du Lac County, Kenosha County, Milwaukee County, Ozaukee County, Racine County, Sheboygan County, Walworth County, Washington County, Waukesha County. Data Sources: COVID-19 cases come from Wisconsin Electronic Disease Surveillance System. All other data comes from EMResource.

Wisconsin COVID Vaccination Plan Summary Released The Wisconsin Department of Health Services (DHS) has released an executive summary of the state’s COVID-19 vaccination plan, which was submitted to the Centers for Disease Control (CDC) earlier this month. Titled “COVID-19 Vaccination: Planning in Action,” the document outlines initial plans and approaches regarding vaccine availability, administration, delivery, safety and storage. DHS notes the plan is a work in progress and will undergo changes as national and state stakeholders’ work develops.

10/29/2020 2 Alert Issued on Ransomware Targeting Health Care Providers On October 28, the FBI, the U.S. Cybersecurity and Infrastructure Security Agency, and Department of Health and Human Services issued a joint alert that they have identified a credible threat of an imminent cyberattack against the U.S. health care infrastructure. The joint alert – “Ransomware Activity Targeting the Healthcare and Public Health Sector: AA20-302A” – details what is known about the threat, steps for health care providers to take to protect their networks from these threats, and steps that health care providers should take if they are the target of a ransomware attack. The alert also provides additional links and checklists that can help guide health care providers. WHA continues to monitor this situation. If you have questions, contact WHA General Counsel Matthew Stanford or any other member of the WHA team.

Wisconsin Hospitals State PAC & Conduit Fundraising Update See full contributor list As of October 28, 247 individuals from across the state have contributed to the Wisconsin Hospitals State PAC & Conduit. To date, a total of $315,594 has been raised for its annual campaign. Take a look at the full 2020 contributor list on pages 9-10 to see who made the list. Through your contributions, the Wisconsin Hospitals State PAC & Conduit support candidates who understand the important role Wisconsin hospitals and health systems have, both as leaders in care delivery and as essential employers within the communities they serve. Election Day, November 3, is next week. As a reminder, you can still use your Wisconsin Hospitals Conduit funds to support Wisconsin candidates. To check your conduit balance or to authorize your Wisconsin Hospitals Conduit funds to candidates, contact Nora Statsick. To ensure your name is on the next contributor list, individuals can make a personal contribution online at www.whconduit.com or by contacting WHA’s Kari Hofer at 608-268-1816 or Nora Statsick at 608-239-4535.

WHA Physician Leaders Council Considers Key Policy Issues Dr. Thomas Voelker, chief medical officer (CMO) of Aspirus Riverview Hospital & Clinics, led the October 19 WHA Physician Leaders Council (PLC) meeting in his new role as chair of the PLC.

The physician leaders who comprise the PLC had a robust discussion of health care costs in response to a presentation on health care costs in Wisconsin by WHA Senior Vice President of Public Policy Joanne Alig. Alig presented the findings of the recently released Rand 3.0 study of health care costs as well as WHA’s response to the Rand study’s conclusions. Alig said Rand’s conclusions are compromised by using a very small sample size of payments for health care services. In addition, the Rand study relies heavily on a comparison to Medicare payments that are influenced by many other factors besides the actual cost of care, making state by state comparisons problematic.

PLC members provided important feedback regarding what they are hearing about health care costs in their communities. One member noted that employers are most focused on unit price although he hears from patients who are concerned about co-payments and high deductible limits. Another PLC member emphasized the need to recognize utilization as an important component of the total cost of care.

Alig also described the key findings of a recent study performed by BSG Analytics (BSGA). The BSGA study found that health care insurance premiums, a very good proxy for health care costs, are about average in Wisconsin compared to other states while both quality of care and access to care in Wisconsin are above average.

PLC members relayed their experiences with respect to WHA’s efforts to effect public policy and regulatory rule changes related to the COVID-19 pandemic. WHA General Counsel Matthew Stanford described WHA’s successful effort to have the Wisconsin (continued on page 4)

10/29/2020 3 (WHA Physician Leaders Council Considers Key Policy Issues . . . continued from page 3)

Department of Safety and Professional Services (DSPS) reinstate waivers and orders related to licensure reciprocity with other states that were put in place early in the pandemic but had since expired. A number of PLC members stated that the extended license reciprocity has been very valuable for hiring nursing personnel. Stanford also outlined other regulatory changes adopted by DSPS at WHA’s urging with respect to telehealth, expiring credentials, licensure reinstatement and practice waivers. Members noted that while the increased use of telehealth has been a very valuable resource for patient care during this pandemic, robust broadband access remains an issue in rural areas. One PLC member observed that “telehealth has been embraced by families.”

WHA Senior Vice President of Workforce and Clinical Practice Ann Zenk and WHA Vice President of Policy Development Laura Rose outlined WHA advocacy efforts to modify recent Department of Health Services (DHS) guidance regarding the acceptance of new admissions by skilled nursing facilities when there is a staff member or patient with COVID-19 and regarding health care workers who have been exposed to a person with COVID-19. In both instances, WHA’s efforts have led to modifications giving health care institutions greater flexibility in caring for patients and in keeping the health care workforce available. Rose also led the PLC in a discussion of the CY 2021 Medicare Physician Fee Schedule proposed rule. Key changes include a reduction in the conversion factor, changes to telehealth rules, and to Medicare’s Quality Payment Program. WHA Vice President of Education and Marketing Leigh Ann Larson gave an overview of WHA’s 2021 education plans. Given the pandemic induced constraints on in-person learning for at least the near future, WHA is moving to a blended learning approach for 2021 including webinars, online education (recordings available on WHA’s On-demand Learning Center) and, if possible, in-person learning. Of note is that WHA’s annual Physician Leadership Development Conference will be a two-part learning experience in 2021. A Physician Learning Day will take place on Friday, March 12, featuring the three nationally renowned speakers originally scheduled for the 2020 Physician Leadership Development Conference: Dr. David Nash, Bill Benjamin and William Martin. The second part will be an in-person Physician Networking Event at Kohler, Wisconsin, on September 14 and 15, which will include an evening reception with dinner followed by two educational sessions the following morning. Larson also shared that plans for both Advocacy Day and for the Rural Health Conference in 2021 are evolving.

WHA-Crafted ‘Grow Our Own’ Training Grants Awarded $3.1 million in grants spur on public-private partnerships to grow Wisconsin’s health care workforce The Wisconsin Department of Health Services (DHS) has announced the award of the next round of matching grants, totaling more than $3.1 million, to help rural hospitals, health systems and educational entities train more physicians, advanced practice clinicians and allied health professionals. Originally crafted by WHA, the DHS Health Care Workforce Initiative is a collaborative partnership with WHA, Rural Wisconsin Health Cooperative, Wisconsin Collaborative for Rural GME, University of Wisconsin, Medical College of Wisconsin and others. “In 2019, WHA asked the state to include additional in-demand specialties beyond the original primary care specialties in the physician residency grants and that change was made in the FY 2019-21 Wisconsin State Budget,” noted WHA Senior Vice President, Workforce and Clinical Practice Ann Zenk. “This year’s grant awards validate the need for that change with a wide range of specialties creating new residency opportunities for physicians.” Grants to support Graduate Medical Education (GME) programs were awarded to: • The NEW Dermatology Group, Green Bay – Micrographic Surgery/Dermatologic Oncology Fellowship • Marshfield Clinic Health System, Marshfield – Anesthesiology Residency Feasibility Study • Mayo Clinic Health System, Northwest Wisconsin Region, Eau Claire – Rural Psychiatry Training Track • The Medical College of Wisconsin, Milwaukee – Child and Adolescent Psychiatry Fellowship • Gundersen Lutheran Medical Center – Family Medicine Resident Training Program • University of Wisconsin and UW Health – Obstetrics and Gynecology Rural Track Residency Program There is also a sustained and growing interest in the Allied Health and Advanced Practice Clinicians training grants first implemented in 2017. Advanced Practice Clinician training grants were awarded to: • Aspirus – Central Wisconsin • Aurora UW Medical Group – Northeast Wisconsin • Cumberland Healthcare – Cumberland, Wisconsin (continued on page 5) • Upland Hills Health – Dodgeville, Wisconsin

10/29/2020 4 (WHA-Crafted ‘Grow Our Own’ Training Grants Awarded . . . continued from page 4)

Allied Health Profession training grants were awarded to: • Gundersen Lutheran Memorial Hospital – La Crosse, Wisconsin • Marshfield Clinic Health System - Marshfield, Wisconsin • Marshfield Medical Center Beaver Dam – Beaver Dam, Wisconsin • Prairie Ridge Health – Columbus, Wisconsin • Stoughton Health – Stoughton, Wisconsin Matching grants create public-private partnerships based on what is called WHA’s 86% equation and are aimed at growing Wisconsin’s health care workforce. “Providing clinical education and training opportunities to individuals with ties to Wisconsin increases the likelihood of that new clinician staying in Wisconsin to practice.” Zenk noted. “It grows our Wisconsin health care workforce.”

SSM Health’s Boatwright Wins 2020 Distinguished Service Award Nominated by health care leaders, SSM Health’s Regional President of Operations Damond Boatwright was awarded this week the WHA 2020 Distinguished Service Award, which recognizes senior executives who have made an exemplary commitment to both WHA and the communities they serve. Boatwright joined SSM Health in Wisconsin as Regional President of Hospital Operations in February of 2014. In this role, Damond is responsible for overseeing all hospital operations within SSM Health’s integrated care delivery network in the Wisconsin Region. Nominations supporting Boatwright all cited his exceptional leadership: “Damond has been a proven leader in overseeing the operations and financial stability of initially Damond Boatwright our Wisconsin hospitals, and currently all of SSM Health’s hospitals, medical groups and affiliate partnerships throughout the Wisconsin region.” – Les McPhearson, President, Dean Health Plan – A Member of SSM Health “I have worked with Damond since 2016 and have found him to be an exceptional leader who all at once is dedicated to improving our health care system, serves as an inspiring role model for young professionals and promotes humanity at work with each of his interactions.” – Margo Francisco, System Vice President, Strategy, SSM Health Wisconsin “I have had the opportunity to witness his leadership and service to the Wisconsin Hospital Association. He is a skilled facilitator, orator, and leader whether he is on stage at Monona Terrace during WHA Advocacy Days or chairing a board meeting. Damond is accountable, charitable and leads personally and through advocacy and fundraising to support the Wisconsin Hospital Association Foundation and Advocacy efforts.” – Mark J. Thompson, MD, President, SSM Health Wisconsin Medical Groups; WHA Board Member. Boatwright has been a member of the WHA Board of Directors since 2015 and was chair in 2019. He is also the current chair of WHA’s Advocacy Committee. He serves on the WHA Board Subcommittee on Health Care Reform, WHA Nominating and Awards Committee, and WHA Budget Committee. WHA congratulates Boatwright for his dedication to improving Wisconsin’s health care and truly values his involvement in WHA. WHA will make a $250 donation to the charity of his choice as a recipient of the 2020 WHA Distinguished Service Award.

10/29/2020 5 HHS Responds to Hospital Concerns, Clarifies Definition of Lost Revenue On October 22, the U.S. Department of Health and Human Services clarified guidance on how hospitals may use federal CARES Act Provider Relief Fund (PRF) dollars. The clarification comes in the wake of WHA and others raising concerns over a notice that was issued on September 19 that seemed to change the meaning of “lost revenue.” Prior to the September 19 notice, HHS had issued FAQs on June 19 that suggested hospitals could use PRF dollars very broadly, stating in their FAQs that: “You may use any reasonable method of estimating the revenue during March and April 2020 compared to the same period had COVID-19 not appeared. For example, if you have a budget prepared without taking into account the impact of COVID-19, the estimated lost revenue could be the difference between your budgeted revenue and actual revenue. It would also be reasonable to compare the revenues to the same period last year.”

Unfortunately, HHS’ September 19 notice changed the definition of “lost revenue” to mean “a negative change in year-over- year net patient care operating income,” which was akin to a change in a hospital’s operating margin. WHA and others raised concerns that this was not in line with the statute and prior guidance which clearly intended these dollars to be used for lost revenue. Changing the definition to a difference in margin could have penalized hospitals that cut expenses to deal with losses in revenue experienced during COVID. It also may have penalized states like Wisconsin that had a high number of rural hospitals with low COVID-related expenses. With the new October 22 notice, HHS has reverted back to directing hospitals to use these PRF dollars for actual lost revenue. However, the new guidance requires hospitals apply the dollars to COVID-related expenses or the difference in the entire calendar year 2019 patient care revenues compared to calendar year 2020 revenues, rather than being able to compare certain months from each year. Hospitals may also incur additional expenses or lost revenues through June 2021 that they can compare to the same months of 2019 when allocating PRF dollars. Lastly, the notice further clarified how systems may be able to allocate general distribution payments to other entities within their system. Specifically, it expands the definition of “reporting entity” to include, for example, “the parent of one or more subsidiary billing TINs that received General Distribution payments,” among other criteria. This applies even if a subsidiary hospital originally attested to the receipts of the funds. Contact WHA Vice President of Federal and State Relations Jon Hoelter with questions.

Upcoming Educational Events – Register Today! Below are upcoming educational opportunities for WHA members, including the always popular Chargemaster Coding Updates and Implementation for 2021 class. This year, it is a self-study online event. For questions on this, and any other WHA educational event, please contact us at [email protected].

Carpe Diem! Be Prepared to Leverage the New “Industrial Revolution” November 17/Webinar Despite advances in technology, construction operations have not changed much in the past 100 years. Project outcomes continue to disappoint – projects take too long, cost too much, and often kill and injure too many workers. Over the past 25 years, Lean Construction and Integrated Project Delivery have emerged to challenge project management’s underlying assumptions and offer a different theoretical foundation. Coupled with advances in Building Information Modeling, the stage has been set for a new industrial revolution – “Industrialized Construction.” Through a combination of team integration, designing for production, and factory-based construction practices, projects are able to be delivered more reliably, with tremendous gains in speed to market, without sacrificing quality or cost. This session will explore the roots of lean construction and integrated project delivery, then provide a snapshot of the industrialized construction journey. It will offer a case study of the recent STAAT Mods effort of Boldt and HGA and provide a glimpse of the future – where construction is better, cheaper and faster. Webinar brought to you by WHA Corporate Member The Boldt Company. Recording: This webinar will be recorded and posted, within 24 hours after its completion, to the WHA On-demand Learning Center. This webinars will be secure. After clicking on the title, you will be brought to the Member Portal where you will need to enter your login and password. (continued on page 7)

10/29/2020 6 (Upcoming Educational Events – Register Today! . . . continued from page 6)

Prioritizing & Funding IT during a Pandemic November 19/Webinar Health care organizations have been acquiring technology for many years, and with new licensing models, the options have changed, and have become even more urgent during this pandemic. Software subscriptions, Software as a Service (Anything as a Service), Consumption Based Services, have blurred the lines between Capital and Operational funding. COVID-19 has accelerated the need to modernize and transform your IT environment. Please join us to learn some best practices for acquiring and funding modern technology initiatives so you can increase agility for your hospital and clinics during and after this pandemic. Webinar brought to you by WHA Corporate Member Nutanix. Recording: This webinar will be recorded and posted, within 24 hours after its completion, to the WHA On-demand Learning Center. This webinar will be secure. After clicking on the title, you will be brought to the Member Portal where you will need to enter your Hospital Member login and password.

Chargemaster Coding Updates and Implementation for 2021: Self-study module series Starting December 7/Self-study modules This Webex Modules Series will consist of 8-10 modules (depending upon the number and extent of changes effective 1/1/2021) by clinical department (or grouped such as Cardiology, Cardiac Cath and Interventional Radiology, as an example). Each registrant will receive a memo of the 2021 CDM updates effective January 1, 2021, link to download the clinical/department presentations, Webex Modules to access and download the recordings that sync with the presentations, AAPC CEU (2 hours), and updated master presentation, if any changes or updates.

(Packers, Brewers, Bucks Join Stop the COVID Spread! Coalition . . . continued from page 1)

The ad with the Packers is the latest in a series of public education announcements launched by the “Stop the COVID Spread!” coalition encouraging the use of crucial safety measures to help reduce the spread of COVID-19. The Milwaukee Brewers and Milwaukee Bucks organizations are also joining the “Stop the COVID Spread!” coalition, standing alongside the dozens of business and public health groups banding together in an appeal to Wisconsinites to do all they can in their personal lives to fight COVID-19. “Teamwork is critical to success in baseball, and we are joining the ‘Stop the COVID Spread!’ team to encourage Wisconsin residents to take precautions,” said Rick Schlesinger, president of business operations for the Milwaukee Brewers. “As Wisconsin continues to see the COVID-19 crisis grow, we must do our part to reduce infections and hospitalizations,” said Alex Lasry, senior vice president of the Milwaukee Bucks. “We are pleased to join the ‘Stop the COVID Spread!’ coalition and remind Wisconsin residents that now is the time to take action, get in the game and stop the spread of COVID-19.” “We could not be more grateful to have these voices on our coalition team,” said Eric Borgerding, president and CEO of the Wisconsin Hospital Association. “As COVID in Wisconsin continues to spread at alarming rates and sets troubling new records every day, having the Green Bay Packers, Milwaukee Brewers, and Milwaukee Bucks speaking out on this issue could not have come at a more important time.” You can watch the full video at www.wha.org/ProSports-PackersPSA. “Stop the COVID Spread!” has grown to more than 45 of Wisconsin’s leading health care, business, and advocacy organizations. Learn more about the coalition here:www.wha.org/StoptheCOVIDspread . Members can help the effort by amplifying coalition messages and expand the coalition’s reachable audience by sharing through your own channels and social media platforms.

10/29/2020 7 Protecting Wisconsin’s Balanced Medical Liability System The eight months from July 2005 to March 2006 were pivotal for Wisconsin’s comprehensive medical liability system. In July 2005, a divided Wisconsin Supreme Court disrupted the balanced system by finding the cap on noneconomic damages that existed at the time unconstitutional. On July 14, 2005, the day the Supreme Court found the cap unconstitutional, WHA held a Capitol press conference to explain how Wisconsin’s balanced system supports key health care goals, such as access to care, and to emphasize the importance of reinstating a cap.

Background The Wisconsin Legislature established Wisconsin’s comprehensive medical liability system in 1975. The Injured Patients and Families Compensation Eric Borgerding, WHA, speaking at the Fund (the Fund) was created then as part of a balanced system that ensures July 14, 2005 Capitol press conference. payments for those injured by medical malpractice and, at the same time, controls liability. The Fund, which is supported through assessments on providers, mainly hospitals and physicians, guarantees payment of 100% of all settlements and judgments for economic damages arising from medical malpractice. Payments for noneconomic damages are limited to $750,000 for each claim, the limit established in 2006.

Push to Protect Balanced System Soon after Supreme Court struck the cap in effect in 2005, the Assembly established a “Medical Malpractice Task Force” that found that “a reasonable cap on noneconomic damages serves as a rational basis [in] the Legislature’s plan to ensure that successful malpractice plaintiffs are able to recover appropriate damages.” The Task Force wrote that “medical liability reform is part of a broad legislative strategy designed to keep health care affordable and available in Wisconsin.” After legislative hearings that included reports from actuaries, testimony from other experts, and significant debate, 62 members of the Legislature, including members from both parties, co-authored legislation that would establish a cap on noneconomic damages of $750,000. Former Supreme Court Justice William Bablitch and noted UW-Madison CELEBRATING 100 YEARS 100 CELEBRATING Law School constitutional law expert Gordon Baldwin weighed-in, indicating their strong belief that the proposed cap was constitutional. Sue Turney, MD, current CEO of Marshfield Clinic Health System, speaking at the July 14, A new cap of $750,000 on noneconomic damages, which passed the 2005 Capitol press conference. Legislature with overwhelming, bipartisan majorities in both houses, was signed into law by then-Governor James Doyle in March 2006. Recognizing the Legislature’s and the Governor’s efforts, then-WHA President Steve Brenton said, “They looked into the future, saw the brewing access crisis, and did something about it.”

System Remains Strong WHA President and CEO Eric Borgerding, who, in 2005-2006 led WHA’s lobbying effort related to the new cap, noted then, “WHA followed a strategy of partnering with our allies in the Wisconsin medical community, talking about the facts and realities of what is happening in this state.” Brenton said, “This was a massive, multi-faceted strategy and is a prime example of how to do things the right way in the Capitol.” Twelve years later, on June 27, 2018, the Wisconsin Supreme Court upheld the $750,000 cap on noneconomic damages. Borgerding recently observed, “Wisconsin’s balanced medical liability system has supported one of the Legislature’s main goals: affordable and accessible health care in Wisconsin.”

10/29/2020 8 Political Action Fundraising Campaign Contributors

Contributors $10,000+ (Leaders Circle) Blakely, Michelle Aurora Medical Center in Grafton Cronrath, Corey Marshfield Medical Center - Eau Claire Borgerding, Eric & Dana Wisconsin Hospital Association Curran-Meuli, Jane Monroe Clinic, a member of SSM Health Size, Tim & Pat Rural Wisconsin Health Cooperative DeGroot, Dan Stoughton Health Skogsbergh, Jim Advocate Aurora Health Dietsche, James Bellin Health System Douglas, Jason Memorial Medical Center of Ashland Contributors $5,000 to $7,499 (Leaders Circle) Edwards, Gordon Marshfield Clinic Boatwright, Damond SSM Health Wisconsin Erickson, Susan UnityPoint Health - Meriter Jacobson, Catherine Froedtert & The Medical College of WI Ericson, Allen Froedtert & Medical College of Wisconsin - Kammer, Peter The Kammer Group Froedtert West Bend Hospital Kaplan, Dr. Alan UW Health Euclide, Jeff Marshfield Medical Center - Ladysmith Meyer, Daniel Aurora BayCare Medical Center - Green Bay Francisco, Margo SSM Health Wisconsin Olson, David & Joanne Alig Froedtert & The Medical College of WI and Froemming, Lisa Ascension Wisconsin Wisconsin Hospital Association Graebner, David Aurora Sheboygan Memorial Medical Center Robaidek, Jay UW Health Gutzeit, Michael Children’s Wisconsin Sherry, Bernie Ascension Wisconsin Hilt, Monica Ascension St. Elizabeth Hospital Troy, Peggy Children’s Wisconsin Hoelter, Jon & Elizabeth Wisconsin Hospital Association Turney, Susan Marshfield Clinic Health System Just, Lisa Aurora Medical Center - Kenosha Woleske, Chris Bellin Health System Kaufman, Mark Wisconsin Hospital Association Khare, Smriti Children’s Wisconsin Contributors $3,000 to $4,999 (Platinum Club) Kluesner, Kevin Ascension St. Joseph Hospital Kocourek, Cathie Aurora Medical Center - Manitowoc County Decker, Michael Aspirus Divine Savior Hospital & Clinics Lappin, Michael Advocate Aurora Health Duncan, Robert Children’s Wisconsin Leitch, Laura Wisconsin Health Law & Policy, LLC Harding, Ed Aurora Medical Center - Bay Area Levin, Jeremy Rural Wisconsin Health Cooperative Heywood, Matthew Aspirus, Inc. Mueller, Jennifer WHA Information Center Kachelski, Joe Wisconsin Statewide Health Information Norell, Brett Holy Family Memorial, Inc. Network Punzenberger, Lindsay Children’s Wisconsin Killoran, Carrie Advocate Aurora Health Rohrbach, Dan Southwest Health Mettner, Michelle Children’s Wisconsin Rose, Laura Wisconsin Hospital Association Natzke, Ryan Marshfield Clinic Health System Schimmers, Heather Ascension Wisconsin Newson, Reginald Ascension Wisconsin Vandenhouten, Peter Bellin Health System O’Brien, Kyle & Laura Wisconsin Hospital Association Pandl, Therese Retired Contributors $1,000 to $1,499 Potter, Brian Wisconsin Hospital Association Russell, John Prairie Ridge Health Baenen, Sharla Bellin Psychiatric Center Santulli, William Advocate Aurora Health Bahr, Jeffrey Advocate Aurora Health Schulze, Connie UW Health Bloch, Jodi Children’s Wisconsin Standridge, Debra Retired Geraghty, Tricia Children’s Wisconsin Stanford, Matthew Wisconsin Hospital Association Gisi, Dale ThedaCare Starmann-Harrison, Mary Hospital Sisters Health System Hartberg, David Vernon Memorial Healthcare Wallace, Michael Fort HealthCare Horvath, Joanne ThedaCare Zenk, Ann Wisconsin Hospital Association Hung, Karen Ascension Wisconsin Kadlec, Mark SSM Health Wisconsin Contributors $2,000 to $2,999 (Gold Club) Keddington, Richard Watertown Regional Medical Center Levin, Jeremy Rural Wisconsin Health Cooperative Bard, Jeffrey Advocate Aurora Health Lindberg, Steve Mayo Clinic Health System - Red Cedar Brenton, Stephen Froedtert Health Miller, Robert Aurora Lakeland Medical Center Dibbert, Beth Wisconsin Hospital Association Nondorf, Kyle SSM St. Mary’s Hospital Madison Frazier, Michelle Advocate Aurora Health Rude, Nels The Kammer Group Garcia-Thomas, Cristy Advocate Aurora Health Schafer, Mike Spooner Health Grebe, Michael Advocate Aurora Health Sohn, Jonathan Ascension Wisconsin Gustafson, Andrew & Sara SSM Health Wisconsin Thornton, Eric SSM St. Mary’s Hospital Janesville Hanus, Andrew Advocate Aurora Health Turner, Scott Children’s Wisconsin Hart, Shelly Advocate Aurora Health Van Meeteren, Robert Reedsburg Area Medical Center Hofer, Kari Wisconsin Hospital Association Waldoch, Tim Ascension Wisconsin Levin, Jeremy Rural Wisconsin Health Cooperative Walczak, Laura SSM St. Clare Hospital - Baraboo Lewis, Gordon Burnett Medical Center McKevett, Timothy Beloit Health System Contributors $500 to $999 Potts, Dennis Aurora St. Luke’s Medical Center White-Jacobs, Mary Beth Black River Memorial Hospital Anderson, Deb Advocate Aurora Health Arnett, Stuart Advocate Aurora Health Contributors $1,500 to $1,999 (Gold Club) Aulik, Juli UW Health Barth, Andrew Aspirus Langlade Hospital Anderson, Sandy HSHS Sacred Heart Hospital Breen, Melissa Marshfield Clinic Bachleitner, Joan Ascension Wisconsin Collins, Sherry Wisconsin Hospital Association Bagnall, Andrew HSHS Wisconsin Cox, Sharon Beloit Health System Basilotto, Steve Froedtert Health DeGere, Michael SSM Health Wisconsin Beirl, Luke Hayward Area Memorial Hospital Birschbach, Nancy SSM Health - St. Agnes Hospital (continued on page 10)

10/29/2020 9 (Political Action Fundraising Campaign Contributors . . . continued from page 9)

Dexter, Donn Mayo Clinic Health System - Eau Claire Cardinal, Lori St. Agnes Hospital Donagan, Edward SSM - St. Mary’s Hospital Madison Cliffe, Elizabeth Ascension Wisconsin Elfner, Christopher Bellin Health System Competente, Brian WHA Information Center Elkins, Kelly Ascension Columbia St. Mary’s Crespin, Matt Children’s Wisconsin Gaines, Denise Advocate Aurora Health Culotta, Jennifer SSM Health St. Clare Hospital - Baraboo Grinnell, Amy SSM - St. Mary’s Hospital Madison Darner, Tonya Aspirus Wausau Hospital Hiremath, Satchi Advocate Aurora Health Dettman, Amy Bellin Health System Hustedt, Dale Aspirus, Inc. Dresang, Andrew Froedtert Health Kauten, Ralph SSM Health - Wisconsin, Inc. Dux, Larry Froedtert & MCW Community Memorial Kerk, Julie Froedtert Health Hospital Campus Kersten, Juliet Children’s Wisconsin Ferrigno, Sandra SSM Health Wisconsin, Inc. Kharbat, Mohammad SSM Health - Wisconsin, Inc. Fischer, Deborah Bellin Health System Kinsella, Matt SSM Health - Wisconsin, Inc. Fleuette, Laurie Wisconsin Hospital Association Kneiser, Patti Froedtert & The Medical College of Wisconsin Franklin, Nathan Larson, Leigh Ann Wisconsin Hospital Association Freiberg, Kerry Froedtert Health Larson, Peg Ascension Mercy Hospital Glenn, Kathi SSM - St. Mary’s Hospital Janesville Lee, Don Ascension Wisconsin Hale, Anne Bellin Hospital Lenz, Larry Advocate Aurora Health Hansen, Karen Memorial Medical Center of Ashland Lux, Teri Froedtert & The Medical College of Wisconsin Hermes, Amy Stoughton Health Lyles, Vincent Advocate Aurora Health Hill, Juliet HSHS - Sacred Heart Hospital McCawley, Thomas Beloit Health System Hoeft, Steven SSM Health - Wisconsin, Inc. McNally, Maureen Froedtert & The Medical College of Wisconsin - Hovila, Gary Advocate Aurora Health Froedtert Hospital Kelsey-Foley, Kathy Aspirus, Inc. Menke, Dawna SSM Health - Wisconsin, Inc. Kirschbaum, Tom SSM Health - Wisconsin, Inc. Mlsna, Jean SSM Health - Wisconsin, Inc. Koebke, Troy Bellin Hospital Mumm, Dan Aurora St. Luke’s Medical Center Krueger, Kari SSM - St. Mary’s Janesville Hospital Neikirk, Jon Froedtert & The Medical College of Wisconsin - Lally, David HSHS St. Clare Memorial Hospital Froedtert Hospital Lenzner, Stephanie Froedtert & The Medical College of Wisconsin Nelson, James Fort HealthCare Lindfors, Teresa Stoughton Health Newman, John Aurora Medical Center - Oshkosh Luehring, Sally HSHS - St. Vincent Hospital Ottenbaker, David SSM Health - Wisconsin, Inc. Luskin, Ronald SSM - St. Mary’s Hospital Peterson, Doug AdventHealth Durand Lynch, Sue Mayo Clinic Health System - Franciscan Prise, Eric Tomah Health Healthcare in La Crosse Redman-Schell, Jennifer Aspirus, Inc. Maier, Julie SSM St. Clare Hospital - Baraboo Richardson, Todd Aspirus, Inc. Marquardt, Amy Froedtert & The Medical College of Wisconsin Roesler, Bruce The Richland Hospital Mays, Laura Stoughton Health Rudquist, Debra Amery Hospital & Clinic Meicher, John SSM - St. Mary’s Hospital Madison Schnedler, Lisa Upland Hills Health Molaska, Jan Aspirus Wausau Hospital Schubring, Randy Mayo Clinic Health System - Eau C laire Murphy, Kayla SSM - St. Mary’s Hospital Janesville Sczygelski, Sidney Aspirus, Inc. Obermiller, Susan Bellin Health System Selvick, Carl Fort HealthCare Ordinans, Karen Children’s Wisconsin - Milwaukee Hospital Sexton, William Retired Ostrander, Gail Hospital Sisters Health System Sheehan, John UnityPoint Health-Meriter Oungst, Laurie Howard Young Medical Center Sommers, Craig SSM - St. Mary’s Hospital Madison Peck, Lori Aspirus, Inc. Sprecher, Lon Consultant Peiffer, Susan HSHS Sacred Heart Hospital Statsick, Nora Wisconsin Hospital Association Porter, Kay SSM Health - Wisconsin, Inc. Stoeckigt Parra, Cheryl Aurora Medical Center - Manitowoc County Randles, Julie SSM Health St. Clare Hospital - Baraboo Stuart, Philip Tomah Health Roundy, Ann Prairie Ridge Health Thompson, Mark SSM Health - Wisconsin, Inc. Schmidt , Dr. Brad SSM - St. Mary’s Hospital Madison Tischer, Jesse Aspirus, Inc. Schmitz, Christopher Stoughton Health Tucker, Jeffrey Marshfield Clinic Health System Shadick, Jeff SSM - St. Mary’s Hospital Madison Voelker, Thomas Aspirus Riverview Hospital & Clinics Shorter, Tom Husch Blackwell Williams, Janice WHA Information Center Shtulberg, Semyon Advocate Aurora Health Wolters, Brad Marshfield Clinic Health System Simmons, Cathy UnityPoint Health-Meriter Smith, Robert Aspirus Wausau Hospital Contributors $1 to $499 Stamas, Peter Ascension SE Wisconsin Hospital - Elmbrook Campus Abey, Michelle Stoughton Health Stephens, Brian Door County Medical Center Ambord, Hannet Reedsburg Area Medical Center Tapper, Joy Milwaukee Health Care Partnership Anderson, Marty Marshfield Clinic Health System Vergos, Katherine St. Agnes Hospital Barina, Rachelle SSM Health - Wisconsin, Inc. Waala, Shelly Froedtert Health Balzer, John Froedtert & The Medical College of Wisconsin - Walker, Troy SSM Health St. Clare Hospital - Barabo Froedtert Hospital Wymelenberg, Tracy Advocate Aurora Health Bauman, Jan Aspirus Divine Savior Hospital & Clinics Wysocki, Scott SSM - St. Clare Hospital & Health Services Borchert, Barry Reedsburg Area Medical Center Brabant, Chris HSHS St. Clare Memorial Hospital Brice, Kaitlin Hospital Sisters Health System Bunten, Sherry Aspirus Langlade Hospital Byrne, Frank Retired

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