Nebraska Hospital Association MEMBER VALUE 2018 REPORT nebraskahospitals.org YOUR ASSOCIATION. YOUR RESOURCE. To our valued members, We partnered with the Center for Nursing and the Nebraska Rural Health Association to host listening sessions across the 2018 was certainly a year of disruption and change in our state addressing the ongoing workforce shortage among health industry. care workers as well as a multitude of issues affecting our rural hospitals. From new partnerships with big pharma and big retail to increased talk of direct care models, the state of health care NHA staff actively communicates with Nebraska’s congressional is undergoing change like no other period in our history. And, delegation, the Centers for Medicare & Medicaid Services, the as it has for the past 90 plus years, the NHA continues to American Hospital Association and other stakeholders on a advocate on behalf of its members and help you navigate these frequent basis regarding health care provisions being proposed sometimes turbulent waters. and implemented. Through these efforts, the NHA and our members are able to influence federal policy and its impact on This year’s member value report highlights many of the Nebraska hospitals. successful advocacy and representation efforts that, together, we achieved on behalf of Nebraska hospitals and health In the coming year, with the contribution and support of our systems. With the support of committed members and in membership, we look forward to continuing our mission and collaboration with your Association, we advocated with vision of being THE influential and unified voice for Nebraska’s a common voice in local, statewide and national policy hospitals and health systems. discussions. We look forward to the new year and the challenges and Our advocacy team worked diligently with the Nebraska opportunities it brings. Legislature to support seven new bills that had a potential impact on our member hospitals. All in all, 469 bills were Sincerely, introduced in the 60-day session. 48 bills were monitored, 30 bills received NHA support and we opposed four bills. 27 bills of interest became law. Among the bills supported were those addressing telehealth issues, opioid management and a bill to protect health care Laura J. Redoutey, FACHE workers from patient violence. We opposed LB68 which NHA President attempted to change provisions regarding motorcycle safety. Telehealth, an ongoing workforce shortage, worker’s compensation and Medicaid Expansion were all subjects the NHA was engaged in. In quality initiatives, we worked with our members to identify and create a new opioid toolkit to assist hospitals and clinics with best practices and up-to-date resources. Page 2 | NHA 2018 Member Value Report THE INFLUENTIAL VOICE. 2018 BOARD OF DIRECTORS. Nebraska’s hospitals serve as health and wellness Chairman Physician Representative cornerstones and economic engines of their Marty Fattig, ACHE, CEO John Trapp, MD, VP of Medical communities and the state. For decades, hospitals Nemaha County Hospital, Auburn Affairs have been committed to strengthening not only Bryan Health, Lincoln their patients, but also the communities and regions Immediate Past Chairman they serve. In addition to caring for the injured and James P. Ulrich, Jr., ACHE, FHFMA Trustee Representative serving the health needs of area residents, for many President and Chief Executive Officer Galen Wiser communities, hospitals are the largest employer and York General, York Board of Trustees most stable economic driver. Providence Medical Center, Wayne Vice Chairman Hospitals contribute significantly to the goal of Kevin Nokels, FACHE, President Delegate to AHA RPB 6 improving the overall health of Nebraskans, all the CHI Health Creighton University Ryan Larsen, FACHE, Administrator while focusing on aiding the less fortunate as part of Medical Center Bergan Mercy Community Medical Center, Falls City their mission and purpose. Hospitals care for the sick Omaha and injured, regardless of their ability to pay and the Alternate Delegate to AHA RPB 6 net cost to the hospital. Charity care results from a Secretary Michael Hansen, FACHE hospital’s policy to offer health care services free of Russ Gronewold Chief Executive Officer & President charge or on a discounted fee schedule to individuals Vice President, Finance/CFO Columbus Community Hospital who meet predetermined financial criteria. As the Bryan Health, Lincoln Columbus number of uninsured and underinsured grows, so Treasurer District I Chair does the need for charity care. Also, despite the fact Leslie Marsh, CEO John Arch, FACHE, Director hospitals are reimbursed at a rate below their costs Lexington Regional Health Center Boys Town National Research to care for Medicare and Medicaid patients, hospitals Lexington Hospital, Omaha welcome Medicare and Medicaid patients and provide the same quality care they do for all patients. Directors At Large District II Chair Paul Dongilli, Jr., PhD, FACHE Kelly Driscoll, RN, MHA, FACHE Nebraska’s hospitals are always there when needed, President & CEO CEO from prenatal care to helping patients and families Madonna Rehabilitation Hospitals Faith Regional Health Services at the end of life. Often, the extent of how much Lincoln & Omaha Norfolk hospitals contribute to the betterment of their communities and the state is neither recognized nor John Mentgen, MHA, FACHE District III Chair understood. Regardless of awareness, Nebraska’s President & CEO Mel McNea, CEO hospitals are committed to addressing the critical and Regional West Health Services Great Plains Health, North Platte necessary needs of their communities in a responsible, Scottsbluff considerate and compassionate way. District IV Chair Luke Poore, CEO Mirya Hallock, MHA, CEO Kearney County Health Services Webster County Community Hospital Minden Red Cloud Michael Schnieders, MBA, FACHE District V Chair President Donald Naiberk, CEO CHI Health Good Samaritan, Kearney Butler County Health Care Center David City nebraskahospitals.org | Page 3 CORE SERVICE AREAS. Influential Voice/Advocacy Governance Goal: Position the NHA as the most respected, knowledgeable Goal: Strengthen and improve the Association’s governance and influential resource for the development of health care policy processes and procedures to ensure strong, focused and by providing strong leadership, communicating effectively and representative leadership. Maintain financial viability in the face strategically collaborating with policymakers, members and other of change. stakeholders. Finance: Reimbursement & Regulation Quality & Patient Safety Goal: Provide expertise to NHA members regarding financial Goal: Facilitate a learning environment for NHA members to assist policy issues by analyzing and communicating all significant them in providing care that is free from medical error, utilizes reimbursement regulations and their impact, collaborating and shares evidence-based best practices, is customized to meet extensively with Nebraska’s congressional delegation, Centers patient specific expectations and values, and sets the standard in for Medicare & Medicaid Services (CMS), Nebraska Department Nebraska for service excellence. of Health and Human Services (DHHS) and other agencies/ organizations as appropriate to influence financial policy and Health Data & Information achieve reimbursement fairness. Goal: Provide reliable and comprehensive health data and information about health care services, health care trends, clinical NHA Research & Educational Foundation outcomes and their impacts and implications on Nebraska health The NHA Research & Educational Foundation, a nonprofit care providers and the communities they serve. subsidiary of the NHA, was started in 1968. The Foundation’s mission is to provide quality on site educational programs and Education a wide variety of other services such as web-based programs, Goal: Offer educational programs to assist hospitals with webinars, training products and publications to assist health care leadership development and competencies of their management, providers in meeting state and federal regulations, maintaining clinical staff and board members using a variety of educational quality delivery of patient care and improving health. tools, providing high-quality content and learning opportunities. NHA Services, Inc. Communication NHA Services, Inc,. a for-profit, wholly-owned subsidiary of the Goal: Enhance members’ collective ability to improve public trust NHA, was started in 1992. A collaboration among the NHA, in Nebraska’s hospitals by playing a strong, influential role in the member hospitals and other Nebraska health care organizations development of public awareness and confidence. Inform hospital and providers, NHA Services helps providers find cost-effective, members of relevant news and promote communication and appropriate solutions to their operational challenges. NHA collaboration among members, public officials, other health care Services Preferred Business Partners provide direct financial organizations and those interested in improving health care in support to all NHA programs. Nebraska. Bio-Electronics Member Services Bio-Electronics, a for-profit, wholly-owned subsidiary of the NHA Goal: Stay in contact with NHA members on a personal level, was started in 1976. Bio-Electronics provides expert, cost-effective develop opportunities for member involvement in the Association maintenance, repair and equipment management of medical and serve as a positive conduit to review