MEDICAL NEWS the Business of Healthcare

MEDICAL NEWS The business of healthcare

$2.50 November 2015

News in Brief page 2 | People in Brief page 5 | Event Calendar page 6 | Prevention Spotlight: Oral Health 11 | Commentary page 22

Corner Office Meet Brian Veeneman, 6 attorney with Hall Render Killian Heath & Lyman, a full service law firm with a focus in health law, in Louisville, Kentucky. 33 25 Each month, Medical News catches up with a hospital or health system leader to learn about their organization, interests, favorite pieces of advice and healthcare issues that ruffle their feathers most. Read more on page 4 3 Getting a leg up

Diverse career options in healthcare and the role career colleges play. Spencerian College in Louisville, Ky. offers College Career Pathway program at two local high schools: By Candace Bensel 7. Business – Four percent Hardin County Early College Career Center and the 8. Military – Four percent I want to be a… Oldham County Arvin Center. Each fall, social 9. Engineer – Four percent Read more on page 18 media is filled 10. Nurse – Three percent Medical Assistant: An allied with pictures of health professional that elementary, middle A Faster Way supports the work of physicians Our most valuable asset and other health professionals, and high school According to the Bureau of Labor Researchers at the University of Kentucky usually in a clinic setting. students on their first Statistics, the top projected annual College of Nursing conducted a survey, which employment rates of change by major day back to school. Phlebotomist: A nurse or was recently published in the Journal of Nursing In recent years, a industry sector between 2012 and 2022 other health worker trained Administration, to see if Kentucky is meeting BENSEL growing trend has will be in healthcare/social assistance and in drawing venous blood the IOM goal and found that only 40 percent of included a “what I construction, both projecting a growth for testing or donation. Kentucky nurses have at least a BSN. want to be when I grow up” sign in the of 2.6 percent, adding five million jobs. Read more on page 22 photographs. This year alone, I’ve seen Further, of the 30 occupations projected Radiographer: A technician career goals including professional athlete, to have the largest percentage of increase trained to position patients rock star, doctor, lawyer, firefighter, during this same period, 14 are related to and take radiographs or perform other radiodiagnostic IN THIS ISSUE teacher, a few princesses and even a healthcare with 28.1 percent of the overall procedures. mermaid. Over time, many of these career growth in healthcare support occupations, goals will change, but do our children 21.5 percent in healthcare practitioners and Medical Coder: A person Education really understand the vast number of technical occupations and 20.9 percent in who assigns numeric codes This month, Medical News takes personal care and service occupations. career opportunities that exist and which to represent diagnoses and a closer look at healthcare fields are in the highest demand? With this increase in demand, we procedures, describe patient education and workforce In 2005, Gallup conducted a youth know that these students seeking careers treatment and delineate development at colleges survey for teenagers between 13 and 17 as a doctor, nurse or in the science/ fees for health services. and universities around our asking them to name their top three career biology field are on the right track, but Surgical Technologist: A options. The top 10 results were: what happens when four to 10 years or state. How are they preparing scrub, also called a scrub more of education isn’t an option for the students for careers? What new 1. Teacher – Eight percent tech, surgical technician or programs are being developed? 2. Doctor – Eight percent student who needs to get into the work operating room technician, is 3. Lawyer – Seven percent force quickly or who doesn’t find these an allied health professional What collaborations are in effect? 4. Sports job – Five percent programs to be a good fit? There are an working as a part of the team Education Round Up begins 5. Science/biology – Five percent abundance of opportunities in healthcare delivering surgical care. on page 10 and articles 6. Architecture – Five percent Continued on page 3 begin on page 18

Serving Kentucky and Southern Indiana PAGE 2 MEDICAL NEWS • NOVEMBER 2015

NEWS in brief ACA impact on health insurance rates for Kentucky children

A new report suggests imple- mentation is impacting Kentuckians. mentation of the Affordable Care While the multi-year study focuses Act (ACA) in Kentucky has had a on adults, this issue brief compiled positive impact on increasing health by SHADAC provides initial data insurance coverage for children. The on ACA impact on children in the issue brief shows that the uninsured Commonwealth. rate for Kentucky children dropped Researchers focused on main ac- to 4.3 percent in 2014, which means tions likely to have the largest effect more than 16,000 kids gained cover- on children’s coverage. Highlights age in the first year of the ACA. Data include information on kynect Fi- also reveal more than ten percent of nancial Assistance for Families and private insurance purchased on the also Increased Enrollment of Eli- kynect marketplace was for children. gible Children. Both the overall increase in children e report indicates increases in who are insured and the portion of coverage “may have been further bol- state marketplace (kynect) plans that stered by the state’s extensive eﬀ orts at cover children are much higher than outreach and promotion for kynect,” the national averages. and concludes by stating “as more Ken- The Foundation for a Healthy tucky children obtain health coverage, Kentucky has contracted with State it will be important to monitor wheth- Health Access Data Assistance Cen- er and how those gains eﬀ ect improve- ter (SHADAC), a health policy re- ments in access to healthcare services search institute at the University of and, ultimately, the overall health of Minnesota, to study how ACA imple- Kentucky’s children.”

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Contact [email protected] or [email protected] to nominate someone for the December leadership issue. MEDICAL NEWS • NOVEMBER 2015 PAGE 3

COVER STORY

When I grow up Continued from cover

that may still be good options if the Filling a Gap students know they exist. Further, of the 30 occupations Career colleges fill a gap in Kentucky’s Only one-third of Kentuckians Only one-third of Kentuckians ages postsecondary training with a focus on projected to have the largest ages 25 to 34 have a post- 25 to 34 have a post-secondary credential, skills that will make students productive percentage of increase during this yet skilled jobs across the Commonwealth members of a more competitive workforce. secondary credential, yet skilled remain unfilled despite higher state same period, 14 are related to They work closely with industry employers jobs across the Commonwealth unemployment rates than the national healthcare with 28.1 percent of to build a stronger workforce. Practitioners remain unﬁ lled despite higher average. Kentucky’s career colleges are the overall growth in healthcare serve on advisory boards developing and state unemployment rates playing a vital role in filling this skills seeking continuous improvement in course support occupations, 21.5 than the national average. gap through flexible scheduling, career- curriculum and faculty members often focused programs, online options and percent in healthcare practitioners work full time in the fields for which they program availability. These schools are and technical occupations and teach and are required to pursue continuing needs of adult learners. With an aging population and increased demand in the providing students job specific education 20.9 percent in personal care education coursework each year. in high-demand fields, preparing them According to 2012-2013 data, area of healthcare, we cannot afford to see and service occupations. to move immediately into the workforce Kentucky’s private sector colleges and these occupations go unfilled, therefore, upon graduation. universities educated nine percent of the educating about the variety of healthcare fields such as medical assisting, phlebotomy, total higher education enrollment in the opportunities is now more important than Our Focus radiography, laboratory sciences, medical Commonwealth and conferred awards ever before. coding, healthcare reimbursement, Our schools focus on a short-term, for 19 percent of all graduates in health Candace Bensel is the executive director patient care, respiratory therapy, surgical hands-on, intensive training approach to professions and related programs. for the Kentucky Association of Career Colleges technology, EMT, physician assistant and education that allows students to be quickly Career opportunities are available & Schools. more, students can complete some programs and thoroughly prepared for entry-level in high demand fields, and numerous in as little as nine months to two years, positions without the traditional long-term education opportunities exist to fit the program lengths. With programs offered in depending on the program and schedule.

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FROM THE CORNER OFFICE NEWS in brief

Meet Brian Veeneman, attorney with New research building at UK will Hall Render Killian Heath & Lyman, a full service law firm with a focus in focus on state’s health disparities health law, in Louisville, Kentucky. is being built on the University of Kentucky’s campus and is scheduled What’s one thing to be completed in spring 2018.The that really piqued FAST FACTS $265 million building gets half of your interest in its funding from the state and the healthcare law? Hometown: Grew up in Ft. other half from university resources, It is a unique Wright, Kentucky; now reside including private gifts, according to area of law that is in Louisville, Kentucky. the release. The facility is consid- ered unique because it focuses on vast and affects so Family: His wife, Emily Veeneman. many topics and Kentucky’s health disparities, spe- Artist’s rendering of new research center discussions – there Volunteer Work: A member cifically in Appalachia, and fosters is always something new to learn. of the Downtown Louisville A new research facility that will multidisciplinary research across Rotary Club since 2008. focus on addressing the health chal- numerous fields to develop solutions lenges and disparities in Kentucky to these complex problems. What do you consider your Accolades: Super Lawyers greatest talent or skill? – Selected as a Kentucky I think my listening skills and patience Rising Star in Construction are the basis for my leadership style and $1.6 Million grant to Litigation (2015 and 2016). achievements. Sanders-Brown researcher What’s one piece of advice you remember most clearly? to delegate more and trust the team e National Institute of Neuro- brain cells. While Alzheimer’s dis- Focus on what you do and do it the around me. You can’t do it all by logical Disorders and Stroke (NINDS) ease is the most-recognized tauopathy, best you can. yourself and there is only so many has awarded Joe Abisambra, PhD, of the Pick’s disease, and Chronic Traumatic hours in a day. University of Kentucky Sanders-Brown Encephalopathy (originating from head What do you consider your greatest Center on Aging a fi ve-year, $1.6 mil- trauma) are all a part of this expanding achievement at Hall Render so far? What advice do you give to lion grant to study a group of diseases disease classifi cation. In fact, last year There are so many clients we guide graduating college students? called tauopathies. tau specialists at Sanders-Brown led an and lead through complicated legal Seek out opportunities to continue Tauopathies are a group of more eff ort to classify a new tauopathy called issues on a daily basis, but it is hard to to learn on a daily basis and net- than 20 neurodegenerative disorders that PART (Primary Age-Related Tauopa- match the feeling of accomplishment work as much as you can. aff ect nearly eight million Americans. thy) for which, like other tauopathies, when you lead a client through the ese disorders all share one common there is no cure and few eff ective treat- long process of litigation and end How do you revitalize yourself? characteristic: deposition of a protein ment options. with a successful result. I visit the gym regularly and try to called “tau” into sticky bundles inside disconnect from work during family Were you in leadership roles when time and vacations. Kentuckians’ views on state priorities you were younger? In high school and college I was What do you enjoy most about the Reducing healthcare costs and im- e gap was wider on improving resi- routinely selected by my peers to Louisville area? proving the health of residents are two dents’ health, with 91 percent of Demo- lead organizations and captain sports e small town atmosphere in a big city priority areas Kentuckians want the next crats and 71 percent of Republicans teams. In high school I was routinely and the people. governor and legislature to work on in viewing this aspect of Kentucky life as selected by school administration for the next year. at’s according to new very or extremely important for the state. leadership conferences. Given the choice of anyone in the world, whom would you want as a data from the Kentucky Health Issues Overall, priorities seen as ex- Poll (KHIP). Overall, KHIP found the tremely or very important were ranked How have your parents dinner guest? economy, jobs and education as the top in this order: influenced your leadership style? There are so many to choose from, three priorities. • Improving the economy: 91 percent Were there certain expressions but I think it would be fun to dine Kentuckians who identifi ed them- • Improving K-12 education: that your parents would repeat with Jimmy Fallon. I think most selves as Democrats, Republicans and 90 percent often to you? importantly, it would be a lot of fun Independents all agreed those are the • Improving job situation: 89 percent My parents instilled in me that hard and laughter. He could also share a most important issues facing policymak- • Reducing healthcare costs: 83 percent work is the only way to achieve your lot of insight on the many people he ers. Regarding health priorities, nearly • Improving residents’ health: goals. I also learned to lead by ex- has met throughout his late night 9 in 10 Democrats (88 percent) said re- 81 percent ample and be humble. hosting career. ducing healthcare costs was extremely or • Government transparency: 71 percent very important to them while almost 8 • Fully funding retirements: 70 percent Any feedback you’ve gotten over the For what in your life do you feel in 10 Republicans (78 percent) said that. years about your leadership style most grateful? that made you think: “Fair point. Great family and friends. I’m going to make an adjustment”? I was advised in the past that I needed MEDICAL NEWS • NOVEMBER 2015 PAGE 5

PEOPLE in brief

Baptist Healthcare System KentuckyOne Health Owensboro Health UK College of Nursing/UK HealthCare omas James, Bruce Tas- Stephen Moore, The following were appointed MD, was named sin, previously with DO has joined Ow- fellow by the American Academy of chief medical offi cer Chritus Health ensboro Health’s Nursing, which honors and recognizes for Baptist Health Systems, was named One Health medi- outstanding accomplishments, Plan and Baptist the new president of cal group. interdisciplinary engagement and Health Community Saint Joseph Hos- leadership to transform America’s Care and will lead pital and the new healthcare system. the clinical and Lexington market pharmacy services. leader. Kristin Ashford, an associate JAMES TASSIN MOORE professor and assistant dean of research. Floyd Memorial Hospital and Middleton Reutlinger Health Services Scoppechio Healthcare Patricia Burkhart, a professor Daniel K a t h e r i n e Ingrid Kor- and associate dean of undergraduate Eichenberger, Reisz has joined gemagi, formerly faculty affairs. MD, previously the fi rm’s litigation with RAPP, a NY- interim CEO, was practice group based Omnicom Deborah Reed, a professor in the named CEO. focusing on litigation agency, was named College of Nursing and College of involving family law, VP in Account Ser- Public Health. healthcare, products vices. Trace Conn liability and general was promoted to Cecilia Page, adjunct instructor insurance defense director of Creative and chief information officer for UK REISZ matters. EICHENBERGER KORGEMAGI Services. HealthCare. KentuckyOne Health Norton Healthcare University of Louisville A n d r e w Craig Blakely, S h a w n Donovan, MD, PhD, dean of the O’Connor was joins Norton UofL School of named vice Medical Group Public Health and president of pa- and the new Kosair tient care ser- Information Sci- Children’s Hospital vices and chief ences, has been ap- nursing officer Medical Associates pointed to the De- (CNO) of Jew- – Middletown offi ce. fense Health Board. ish Hospital and ASHFORD BURKHART Frazier Rehab DONOVAN BLAKELY Institute. In this role, O’Connor Lisa Borden, O’CONNOR will provide MD, joins Norton overall strategic and administrative direc- Medical Group tion to nursing staff working in services lo- and the new Kosair cated at both Jewish Hospital and Frazier Children’s Hospital Rehab Institute. Medical Associates WANT MORE MEDICAL NEWS? – Middletown offi ce. KentuckyOne Health VISIT WWW.MEDICALNEWS.MD Richard Schultz REED PAGE was named chairman BORDEN of the board of directors. Keri Marques, MD, joins Kosair Know someone who is on the move? Children’s Hospital Neonatal Specialists, located at Norton Email [email protected]. Healthcare – St. SCHULTZ Matthews. Jane Chiles was named vice chair. MARQUES

Tushar Nayar, MD joins Norton Inpatient Specialists, located at Norton Brownsboro Hospital and Norton CHILES Hospital.

NAYAR PAGE 6 MEDICAL NEWS • NOVEMBER 2015

NEWS in brief Event calendar

20th Gail Klein Garlove Lectureship mHealth Enabled Medications Management: Community Meeting # 2 Nov. Date: November 4 4 Time: Registration, information fair and a buffet dinner Nov. Date: November 12 starts at 5:30 p.m. Program starts at 6:30 p.m. 12 Time: 5 - 8 p.m. Location: The Olmsted, 3701 Frankfort Ave., Louisville, Ky. 40206 Information: Join Dr. Demetra Antimisiaris and a panel Information: Jae Park, MD, with the Memorial Sloan Kettering Cancer of distinguished guests focusing on medication management. Center, will speak on Engineered T Cells as Cancer Therapy. To register: [email protected] To register: To register, call (502) 629-1234, option 2. Conference for Healthcare Transparency & Patient Safety Florence Nightingale Awards Nov. Date: November 13 Nov. Date: November 5 13 Time: Registration starts at 7:15 a.m. 5 Time: Reception begins at 5:30 p.m., followed Conference is from 8:30 a.m. to 5:00 p.m. by the dinner and program at 6:45 p.m. Location: Four-Points Sheraton, Lexington, Ky. Location: Mellwood Arts Center, 1860 Mellwood Ave., Louisville, Ky. To register: Conference attendance: $48 including box lunch. Information: Community nurses who impact patient lives, improve With Continuing Education Credits $96. Visit healthconference.org. health outcomes, elevate the profession of nursing and inspire others to consider nursing as a professional career will be honored. Six Kentucky Oral Health Summit winners and three honorable mention recipients, along with more than 90 other nominees will be recognized at the second annual event. Nov. Date: November 20 To register: For information about individual tickets and table sponsorships 20 Time: 8:30 a.m. – 4 p.m. visit uoflalumni.org/nightingale. Location: Muhammad Ali Center, 144 N 6th St., Louisville, Ky. 40202 Kentucky REC’s Healthcare Transformation Survival Seminar Series Information: Bringing together hundreds of leaders from diverse fields in the oral health community to increase the dental awareness Nov. Date/Location: November 6: Morehead Convention among stakeholders and the public and to develop strategies to 6, 20 Center, Morehead, Ky.; November 20: The Center deal with the widespread dental access issues in Kentucky. for Rural Development, Somerset, Ky. To register: Visit kyoralhealthcoalition.org. Information: An in-depth look at the new Stage 3 Meaningful Fourth Annual Markesbery Symposium on Use requirements, the latest happenings around Value-Based Aging & Dementia - Scientifi c Session Payment Models, HIPAA Privacy & Security, Patient-Centered Medical Home and the Kentucky Health Information Exchange. Nov. Date: November 20 To register: Visit kentuckyrec.com. 20 Time: 11 a.m. – 4:30 p.m. Location: Auditorium / Atrium, Albert B. Chandler 42nd Annual Taste of Louisville Hospital, Pavilion A, 1000 S. Limestone, UK Campus To register: Events are free and open to the Nov. Date: November 7 public, but you must register to attend. 7 Time: 6-9 p.m. Fifth Annual Markesbery Sympsoium on Aging & Dementia - Location: Bowman Field, Community Session 2817 Taylorsville Rd., Louisville, Ky. 40205 Information: Enjoy tasty snacks and delicious sips from local Nov. Date: November 21 restaurants. Seven Counties is proud to be chosen as a benefiting charity. 21 Time: 8 a.m. – noon; To register: Visit tasteoflouisville.com. 8:30 a.m. check-in and continental breakfast Location: Bluegrass Ballroom, Lexington Center, Run With Our Heroes 5K 430 West Vine St., Lexington, Ky. To register: uky.edu/coa/markesbery-symposium-aging-and-dementia-0 Nov. Date: November 8 KHC Community Healthcare Forum: Helping to Improve 8 Time: Race starts at 2 p.m. Quality Results through Patient Activation Location: University of Louisville campus (behind Ernst Hall and Speed School off Eastern Pkwy.), Louisville, Ky. Dec. Date: December 1 1 Information: Celebrates all branches of the military, veterans, Time: 7:30 – 10 a.m.; breakfast from 7:30 – 8 a.m. and their families. Proceeds support behavioral health programs at Location: Foundation for a Healthy Kentucky, 1640 Seven Counties Services and the UofL Veterans Services Fund. Lyndon Farm Court, Suite 100, Louisville, Ky. 40223 To register: Registration $35; Veterans/Active $25; Information: An interactive session on improving healthcare quality Children 12 and under $15. T-shirt guaranteed with every through patient activation. Jan Berger, MD, with the Mid-West Business registration until Oct. 18. RunWithOurHeroes.org Group on Health and Health Intelligence Partners, will provide an overview of patient activation and its importance to quality care. To register: Register by November 27 at khcollaborative.org/events/ forumregistration/. MEDICAL NEWS • NOVEMBER 2015 PAGE 7

NEWS in brief Groundbreaking at NKU Health Creative Strategies’ answer Innovation Center to first-dose and emergency October 2011. medication management When the center opens in 2018, it will be home to NKU’s College of In early 2015, Creative Strate- distributions, and medication con- Health Professions. The facility will gies announced the launch of its sumption for each resident. allow NKU to expand existing aca- second premier healthcare solu- STATdispense medication man- demic programs and add new ones. tion – STATdispense. TriSun Care agement software solution provides The project includes building a Center, a 125-bed skilled nursing real-time billing and tracking in- new facility and renovating Found- facility in El Paso, Texas, was the formation for medications used by ers Hall, which is the second-oldest first healthcare client to begin us- residents in long-term care, rehab, academic building at the university. Last year, the Kentucky General ing the software. and correctional facilities. STATdis- Assembly allocated $97 million for Creative Strategies software pense improves bottom-line revenue the project. St. Elizabeth Health- solution offers healthcare facilities by removing costs associated with care also has invested $8 million the ability to work with any storage conventional first-dose and emer- to equip the building with a two- system utilized for first-dose and gency medication processes. Medi- Northern Kentucky University story virtual care environment that emergency medication management. cation usage is instantly captured and recently hosted a groundbreaking cer- will provide students experience STATdispense provides a secure in- real-time medication billing is pro- emony to mark the start of construc- and training across the continuum ventory check-in feature with inven- vided to pharmacies. STATdispense tion on a new $97 million-Health of care. A committee of business tory counts for controlled substances has built-in barcode scanning and a Innovation Center. The Highland and healthcare leaders from around and witnessed end-of-shift controlled unique pharmacy-controlled inven- Heights center will be the first new the region has been contributing to substance verification. The software tory system designed to help prevent academic building built on campus plans for the center since 2014. since Griffin Hall, home of the Col- system tracks medication removed medication errors. lege of Informatics, was completed in from the storage system, medication

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when it comes to healthcare law, does your law firm even have a pulse? PAGE 8 MEDICAL NEWS • NOVEMBER 2015

NEWS in brief KentuckyOne Health shows improved Messer selected for financial strength in FY2015 Audubon renovation

KentuckyOne Health reported - We Are One Nurse Campaign: system wide financial improvement of As the nation faces a shortage more than $142 million in the 2015 of nurses, KentuckyOne Health fiscal year (FY2015). The positive recently launched We Are One, financial performance was achieved a campaign focused on retention through increased patient volume and and recruitment of caregivers, enhanced operating performance. particularly nurses. In addition to the $142 million - Employee Compensation Chang- financial improvement, Kentuck- es: A multi-year compensation yOne Health achieved improvements strategy is underway to ensure Norton Healthcare Inc. has se- Construction work at Audubon, in FY2015 implementing an innova- competitive benefits for all Ken- lected Messer Construction Co. off Poplar Level Road in Louisville, tive primary care and access strategy, tuckyOne Health employees. as the construction manager for its is expected to begin in spring of 2016. including five new ambulatory sites - Mission-Driven Community planned $107 million upgrade and Plans for the hospital include and 108 new primary care providers, Outreach: Notable recent pro- expansion of Norton Audubon Hos- building a two-story addition to a virtual primary care program (Any- gram expansions include mental pital. Construction of the project support 74 private patient beds, re- where Care) and a retail partnership health outreach to schools in Bul- will be managed by the Louisville modeling existing patient rooms, and with Walgreens. litt County, statewide expansion office of Messer, which is headquar- upgrading and expanding the emer- Financial strength and stabil- of mobile health screening pro- tered in Cincinnati. gency department, intensive care unit ity enables KentuckyOne Health to grams and extension of innova- Messer has worked with Norton and open heart unit. Three operating make investments in delivery of care tive cancer care through the James before on other projects, including rooms will be added, and the existing in local communities across Kentucky. Graham Brown Cancer Center at building Norton Brownsboro Hos- one will be renovated. Renovations Specific areas of investment include: Medical Center Jewish Northeast. pital and a $70 million renovation will take about three and a half years project at Kosair Children’s Hospital. to complete.

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MedicalNews_10x6.125.indd 1 9/4/2015 2:51:17 PM Continued on page 11

MEDICAL NEWS • NOVEMBER 2015 PAGE 9

NEWS in brief

Passport tops annual Medicaid New Medicaid coverage is making a MCO rating system difference in Kentucky

December 11 – Passport received an Kentucky Voices for Health is KVH is in the first phase, which excellent rating (five stars out of planning for the future as Kentucky it calls the “Health Gains Cam- five) in several healthcare categories. gears up for a new administration by paign,” by sharing the many suc- Passport Health Plan has again Those categories are: working on what it calls a “Sustain- cesses of the Patient Protection and topped the annual rating system that • Childhood immunizations inged Health Policy Gains Cam- Affordable Care Act related to Med- the Commonwealth of Kentucky uses • Adolescent immunizations paign,” which involves a four-phase icaid expansion, including county- to compare the diﬀ erent managed care • 21 and under dental visits approach to continue its mission of by-county enrollment and preventive organizations (MCOs) that administer • Adult doctor visits improving health care and health service data, and the Kynect health- Medicaid beneﬁ ts to residents. • Parent overall satisfaction with child’s coverage for Kentuckians. insurance exchange. According to a document pro- health plan duced by the Kentucky Cabinet for • Adult overall satisfaction with health plan Health and Family Services (CHFS) Ratings are compared to NCQA Department for Medicaid Services (National Committee for Quality (DMS) and sent to all Kentucky Assurance) national averages and Medicaid members ahead of the from information submitted by the Medicaid Open Enrollment period – health plans. which runs from October 19 through Improving health literacy in West Louisville

An outreach and education ini- The project will be based in tiative hopes to improve healthcare the Office of Public Health Prac- utilization and health outcomes tice (OPHP) under the leadership through more effective communica- of School of Public Health and In- tion with west Louisville residents. formation Sciences Associate Dean The University of Louisville School Monica Wendel and assistant profes- of Public Health and Information sor Ryan Combs, PhD. Sciences has received a $300,000 gift The research team will conduct a from the Jewish Heritage Fund for series of focus groups with members Excellence to develop health literacy of the West Louisville community, tools that tailor information about and their input will help guide the chronic health conditions to west project efforts. Through a commu- Baptist introduces insurance plans, Louisville residents in an appropri- nity-based data collection process, ate sociocultural context. The fund- Combs said the office hopes to learn new web site ing will be awarded in two phases, more about the information residents Baptist Health announced a sig- its vision of healthier communities. $105,000 this year and $195,000 in need, sources they trust and barriers nificant expansion of its health in- e transformation continues as 2016, pending a progress review. they need to overcome. surance business, introducing new Baptist Health Plan announced that it insurance plans for the Medicare will oﬀ er entirely new insurance prod- KentuckyOne to hire more than Advantage and individual markets. ucts starting in January 2016: e Bap- For more than 20 years, Baptist tist Health Plan Advantage (HMO), a 300 nurses Health operated Bluegrass Fam- Medicare Advantage plan and the Bap- ily Health, covering nearly 80,000 tist Health Plan Select, a new health KentuckyOne Health Inc. is with associates degrees who are hired members in Kentucky and parts of plan for individuals and families. looking to hire about 300 nurses would be encouraged to pursue the adjoining states in the traditional In addition, Baptist Health Plan across its system by early December. four-year degree. commercial market, offering insur- will continue to offer a variety of The Kentucky-based healthcare sys- KentuckyOne is also offering in- ance through employers. In May, plans for employers. This includes tem has launched a campaign to re- centives such as tuition reimburse- Bluegrass Family Health announced existing Bluegrass Family Health cruit nurses for about 300 open posi- ment and signing bonuses to new that it was changing its name to Bap- group plans and a new “narrow net- tions and to retain its current system hires. The incentives are intended to tist Health Plan to better align with work” plan that leverages the Baptist wide nursing staff of about 3,500 for address a need for more nursing staff, its parent company’s brand as well as Health Community Care network. about 300 available jobs. as KentuckyOne and other health- The new recruitment campaign, care providers nationwide are really called “We Are One,” targets nurses cycling into a time of shortage. with bachelor’s degrees and those PAGE 10 MEDICAL NEWS • NOVEMBER 2015

EDUCATION ROUNDUP

UofL School of Medicine American National University transforms medical launches new medical programs

Students who earn associate’s de- education program grees at the American National Uni- versity (ANU) Richmond campus can continue their education in the medical and health services management bachelor’s degree program through ANU Online, a program designed to help allied health professionals develop the skills they need to become supervisors and managers in a healthcare setting. For over 128 years, American Na- tional University has provided its students with relevant, practical career training, and with workforce demands At the ANU Pikeville campus, constantly evolving, the medical and the new paramedic program and the health services management degree recently revamped phlebotomy/ECG and several other new programs have program are helping to meet the de- recently been launched to best prepare mand for first responders and medical graduates to achieve their career goals. support professionals. Graduates of the In addition to the medical and program will be qualified to sit for the health services management program, EMT-B certification exam. ANU also recently introduced an RN The phlebotomy/ECG program to BSN program. The Institute of trains students to perform two key Medicine recommends that 80 percent skills necessary to work in medical sup- of the nursing workforce should hold a port. It prepares students to sit for the bachelor’s degree by the year 2020 and National Certified Phlebotomy Tech- the RN to BSN program, available en- nician (NCPT) and National ECG tirely online, allows registered nurses Technician (NCET) exams through who already hold an associate’s degree hands-on experience in the lab and to continue their education toward a during externships. Bachelor of Science in Nursing on their own schedule. Big changes at Daymar College Having transformed the curriculum and application of knowledge using and the educational space in which it is enhanced teaching technology and delivered, the University of Louisville methods to take better care of patients. the changeover was a long-anticipated School of Medicine was notified by its The most visible change at the event for which we’ve been preparing accrediting entity that it is in compli- school is the $7.5 million renovation since 2012. During that year, the au- ance with all educational standards and of the instructional building that rede- thor of the textbook on the subject, probationary status has been lifted. signed the school’s instructional space Mary Jo Bowie, came from New York UofL anticipates receiving the detailed that opened in 1970, including two to train instructors on how to best written report in the coming weeks. large interactive lecture halls that will teach students. UofL began implementing a re- better meet the needs of current class Since 2012, Daymar College has designed curriculum in 2011, but sig- size and enable UofL to potentially been teaching both ICD-9 and ICD- nificantly increased the speed during expand its class size to meet the grow- October 1, 2015 was a day to be ei- 10 in order to prepare students. The the past few years. Separate courses ing physician shortage in Kentucky ther feared or to be celebrated if you’re day has come and, happily, billers and have been integrated to create a better and beyond. There also are new small in the medical field. On that day Med- coders that have been trained by Day- fundamental understanding of the way group learning labs and classrooms, ical Billing and Coding underwent a mar College are ready to roll with the the human body works in health and a new student lounge and expanded massive change. ICD-9 codes converted change. Going forward, only one week disease, and to link all of the courses student study areas. Additionally, the to ICD-10 codes. of instruction per quarter will be dedi- throughout the four-year program. The infrastructure was upgraded to better Bowling Green’s Daymar campus cated to ICD-10. faculty and students now are more fo- support innovative, cutting edge aca- was among those celebrating because cused on teamwork, communication demic technologies. MEDICAL NEWS • NOVEMBER 2015 PAGE 11

PREVENTION SPOTLIGHT: ORAL HEALTH

Oral Health in Kentucky

Collaborative effort with mission to improve the oral health of all people of Kentucky.

By Lacey McNary Advocates. The fi rst coalition meeting kyhealthnow initiative and the Connected with national held in March 2012 had over 70 in state’s chronic disease plan. movements to improve oral In 1990, a collaborative effort attendance. The group is moving health and acts as a leader in formed between the University of forward to tackle key priorities and Brought in more than half a million building a nationwide network. Louisville School of Dentistry and make a true impact in Kentucky. dollars to Kentucky to improve the University of Kentucky College of oral health for all and used this Built working relationships with Dentistry known as the Kentucky Oral as leverage for local funding. the Kentucky Dental Association, Health Consortium. The Consortium, Kentucky Dental Hygiene eventually renamed the Kentucky Grown the membership 130 Association, the Kentucky Oral Dental Health Coalition, was involved percent since 2010. Health Research Network, the in numerous oral health promotion Kentucky Oral Health Program projects such as the development Created resources for stakeholders and managed care organizations, of the Kentucky Smile Curriculum in Kentucky such as infographics, as well as many other infl uencers which is still used by Kentucky web site, social media channels and and decision-makers from school teachers, active legislative a report on school-based services. across Kentucky and the U.S. advocacy, the National Governor’s Association Policy Academy on Children’s Oral Health (2001), the KOHC Accomplishments Kentucky Oral Health Surveys (for Kentucky Oral Health children, adults and elders from Created a “Big Tent” of diverse 2001-2003) and many more. people from all over Kentucky to work on improving oral health Summit: November 20, 2015 and regularly convenes folks to The Kentucky Oral Health create systemic policy change. Coalition believes all people Oral health remains one of the most of Kentucky should enjoy Michael Expanded the Kentucky utilization pressing unmet healthcare needs in optimal oral health for life. Glick, DMD of Smiles for Life Curriculum – this Kentucky. As part of its ongoing ef- Keynote Speaker means over 250 health professionals forts to improve oral health care and While the Coalition became inactive Editor of the now know their role in oral health. access, the Kentucky Oral Health Coali- in 2006, a steering committee of Journal of tion (KOHC), in collaboration with its diverse stakeholders came together American Dental Worked to pass legislation to partners from across the state, will in 2010 to plan for the reinvigoration Association expand school based health host a statewide oral health summit. of the Coalition. Now called the services with SB 159. Kentucky Oral Health Coalition The 2015 Kentucky Oral Health Sum- Bill Goodman (KOHC), the newly revitalized Advocated for inclusion of specifi c mit will bring together hundreds of Panel Moderator group is staffed by Kentucky Youth oral health policy changes in the leaders from diverse fi elds in the Host and oral health community, including managing editor state and local policy makers, health of Kentucky advocates, health professionals, edu- Tonight on KET cators and students to increase the dental awareness among stakehold- and panel discussion, there will be ers and the public and to develop oral health champion awards, a net- strategies to deal with the widespread working lunch, presentations from dental access issues in Kentucky. Kentucky’s oral health leaders and public policy priority setting. In addition to a keynote speaker PAGE 12 MEDICAL NEWS • NOVEMBER 2015

PREVENTION SPOTLIGHT: ORAL HEALTH

KOHC Members Integrated preventive care means better health outcomes for kids

By Mahak Kalra the free online training, Smiles TM for Life, for a CME credit. According to the recent article “Of- fering Oral Health Services in Your Refer to a local dentist if further Offi ce” in Family Practice Manage- dental services are needed. ment, family practitioners have been addressing children’s oral health for years. But, there is a lack of guide- Integrating oral health services lines for physicians to effectively into regular doctor’s visits can incorporate oral health services into prevent dental caries in children, their primary care practices. To help pregnancy complications in women, with this, the article offers sugges- and periodontitis in adults. tions for better incorporating oral health at the family physician’s offi ce. Other Reminders Suggestions for a medical All staff members can assist with assistant or nurse: record-keeping by documenting their Assist parents in completing portion of service and any fi ndings, a caries risk assessment at in- education and referrals provided. take—the American Academy of Pediatrics offers a downloadable In Kentucky, physicians are eligible for risk assessment tool for use. a reimbursement of $15 from Medic- aid for fl uoride varnish services for Apply fl uoride varnish, necessary one to fi ve-year-olds up to two times vaccinations and follow-up service in 12 months. Fluoride varnish is an requirements after the physi- effective preventive oral health ser- cian’s oral exam—application of the vice, especially for children in need. varnish can be learned through the Smiles for Life curriculum. Physicians also have the author- ity to fi ll out the dental screening Provide patient education about or exam form required for children oral health, which can be added to entering kindergarten. Non-dental the practice’s web site or printed professionals should always refer off from resources such as the the patient to a local dentist if they Individual and Student Members American Dental Association and notice the child or adult hasn’t vis- the Academy of Pediatric Dentistry. ited a dentist in a while or if they Nicole Allen Dr. Robert Henry Linda Poynter recognize any dental related issues Dr. Amanda Ashley Dr. Fred Howard William Rich Suggestions for the family while providing a screening or exam. Debbie Bell Dr. Kelsey Johnson Elizabeth Roney physician or midlevel provider: Dr. Enrique Bimstein Jahnna Lane Dr. Stephanie Roney Prevention and early detection of oral Dr. Sharlee Burch Beth Lange Donna Ruley Perform the oral exam using the health problems can reduce risk of Mary Ann Burch Dr. Karl Lange Dr. Samantha Shaver knee-to-knee approach, which in- further health complications. Integrat- Ada Carlile Loretta Maldaner Dr. Daniela Shields volves the parent and physician ing oral health services into regular Dr. Jim Cecil Dr. W. Michael Mansfi eld Eva Stone facing each other with the child doctor’s visits can prevent dental car- Susan Collier Dr. John Mason Dr. Nikki Stone sitting on the parent’s lap and the ies in children, pregnancy complica- Prof. Al Cross Dr. Lee Mayer Dr. Brandon Taylor child’s head on examiner’s lap. tions in women and periodontitis in Julie Drury Dr. Julie McKee Kimberly Taylor adults. Offering oral health screenings, Michelle Faeth Lacey McNary Dr. Sharon Turner Offer dietary and hygiene edu- dental hygiene advice and referrals Maulik Gandhi Dr. Raynor Mullins Mara Beth D Womack cation during the visit. to a dental home is an easy and ef- Lawrence Gettleman Jennifer Nettles Dr. A. Stevens fective way for physicians to provide Dr. Laura Hancock Jones Jennifer Osborne Rudy Wrightson Provide the exam and dental hy- integrated care to their patients. giene education after completing www.kyoralhealthcoalition.org MEDICAL NEWS • NOVEMBER 2015 PAGE 13

PREVENTION SPOTLIGHT: ORAL HEALTH

Team effort Smiles for Life in Kentucky

Primary care doctors can decrease dental caries in children As a part of Kentucky’s Oral Health by providing fluoride treatments. Literacy campaign, the Kentucky Oral Health Coalition (KOHC) and other stakeholders seek to bring oral By A. Stevens Wrightson, MD multiple abscessed teeth. Compared health literacy to all of Kentucky’s to national data, the children in this health professionals in the next two Dental caries is service area turned out to have the years. They have been partnering the most common second highest untreated tooth decay with pediatricians, nurses, family infectious disease rates in the nation, second only to physicians, primary care centers, of childhood the isolated Alaskan Native/Native ob/gyns and others to offer a especially in young American populations,” Stone said. free online CEU on oral health. children age two to fi ve. For years, Oral Health and Test Scores The coalition has also partnered the past six years. She partners with a nondental primary In addition, Stone’s work revealed with Smiles for Life national steering pediatric dentist who travels an hour care clinicians, several interesting fi ndings. Schools committee members, managed care WRIGHTSON to Hazard once a week to see children particularly family she visited that had the lowest rate organizations, continuing education with urgent needs, rather than making physicians and pediatricians, have been of untreated decay were also the portals and universities to develop the children and their family travel asked to help address this issue in two schools with the highest test scores. and implement an outreach strategy that distance. This means that she has major ways: counseling on appropriate Children can learn and perform better to increase the number of health seen an increase in completed care (all preventive techniques and prescribing if they are not dealing with dental pain professionals who complete the decayed teeth treated appropriately), fl uoride supplements in children who and disease. Stone also found, not Smiles for Life online curriculum. We from eight percent to 64 percent by do not have adequate access to water surprisingly, that Medicaid utilization will promote and distribute an inter- removing this additional barrier. fl uoridation. Despite these steps, the rates for dental visits remains professional continuing education incidence of caries in children has alarmingly low. This means that even Primary Care Can Help unit created by Smiles for Life on risen, especially in the last 20 years. though Medicaid covers dental care, oral health literacy. Additionally, In the fall 2009 edition of the KAFP and has done so for years, many medical students will be encouraged journal, Stone and I wrote about In Kentucky, we are particularly hard children still do not access care. to incorporate oral health literacy and encouraged the use of fl uoride hit with dental disease, especially as they begin their practice. The varnish by primary care clinicians, and in our children. Nikki Stone, DMD, In 2011, across Kentucky there were goal is to re-frame the partnership stated, “Because many children do dental director for the UK North Fork 113,000 children age zero-to-four between dental professionals and not see a dentist, it is up to clinicians Valley Community Health Center enrolled in Medicaid. Of those, 65,000, other health professionals by treating in a child’s medical home to initiate in Hazard, Ky. has spent the last or 57 percent, received dental services. the patient as a whole being. counseling about good oral health 10 years traveling to schools in the In 2012, despite an increase in enrollees habits as well as providing treatments, four county region around Hazard in this age group to 147,000, only The Smiles for Life curriculum was such as fl uoride varnish, that can (Letcher, Knott, Perry, and Leslie). Her 57,000, or 39 percent accessed dental developed in 2005. The original reduce early childhood caries.” initial fi ndings were disheartening. services. All age groups show a decline goal of the program was to provide in utilization up to age 70, though the educational resources to improve the Providing fl uoride varnish to the zero-to-four age group is the most oral health knowledge of physicians At nearly every Head Start center primary teeth of children from the dramatic. These children, as evidenced training in family medicine residency visited over the four-county area, at time of tooth eruption until age by Stone’s fi ndings, are especially programs. The program has been least one child in each center had fi ve can reduce the risk of early vulnerable to lack of dental care. revised several times to include all 20 baby teeth grossly decayed childhood caries. More importantly, additional components such as with multiple abscessed teeth. A Bright Spot this procedure can be performed in fl uoride varnish, oral health during a primary care clinician’s offi ce with But there is a bright spot. Stone pregnancy, oral examinations “Nearly 5,000 children were seen essentially no risk to the child and has shown with regular monitoring, and geriatric oral health. that fi rst school year (2005), and minimal cost in time and supplies appropriate use of fl uoride varnish the baseline data was disturbing, to the clinician. In May 2014, the US and dental sealants, and a tight Since the site’s launch in 2010, especially when compared to national Preventive Services Task Force gave a collaboration with pediatric dental almost 200,000 health professionals data and the HealthyPeople 2010 B recommendation for fl uoride varnish specialists, she can make a difference visited the site. Last year alone, goals. A staggering 58 percent of application twice a year to all children in these children’s lives. Stone’s almost 24,000 online courses Head Start children and almost 70 by medical primary care providers. program reports a decrease in the were completed for continuing percent of elementary school children incidence of untreated dental decay in education credit from all across had untreated tooth decay, and nearly A. Stevens Wrightson, MD is the elementary age kids from 60 percent the country. KOHC will work with 20 percent had urgent dental needs medical director at the Bluegrass to 53 percent in the last six years. the national site administrators to (pain/infection/rampant decay). Community Health Center. Article measure the state’s utilization rates At nearly every Head Start center adapted from the Kentucky Likewise, for Head Start children, there of the Smiles for Life Curriculum visited over the four-county area, at Association of Family Physicians has been a decrease from 58 percent by Kentucky health professionals. least one child in each center had all Journal Summer 2014, Volume 81. to 42 percent in untreated decay over 20 baby teeth grossly decayed with PAGE 14 MEDICAL NEWS • NOVEMBER 2015

PREVENTION SPOTLIGHT: ORAL HEALTH Thank you to our underwriters

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EDUCATIONMEDISTAR ROUNDUP 2015

creditation of Allied Health Educa- community involvement event called Nineteen years of medical tion Programs to offer the associate LEX DIY. They were two of over 30 of science degree. community members who offered free assisting at Sullivan Ferrari and her colleague, Ja- demonstrations and information ses- mie Cress, recently participated in a sions to the public. Sullivan University’s Lexington campus kicked off its nineteenth year of educating future medical assistants UK College of Nursing update for the Central Kentucky area in Sep- tember. The program, under the di- Since its first class graduated al averages. rection of Jill Ferrari who herself is an in 1960, the University of Kentucky The pro- eighteen year veteran of the program, College of Nursing has prepared gram includes has seen many changes. thousands of men and women nurses the nation’s Those include a renovation of who have worked as caregivers, execu- ﬁ rst-ever Doc- the lab to give it the feel of an actual tive leaders, impactful teachers, trail- tor of Nursing medical examination room. There is blazing researchers, policy makers and Practice (DNP) for nurses with aspira- still ample space for lecture seating community transformers. tions to lead as advanced practice nurses with a 16 chair capacity. Other im- Undergraduate bachelor’s of science or at the executive level. rough its provements include several new pieces in nursing (BSN) students have oppor- PhD in Nursing program, which has of equipment including the Afinion tunities for both academic learning and been ranked sixth in the country by the HbA1c machine which can quickly clinical experience – predominantly at National Research Council since 2010, test for diabetes, a Cholestech LDX the UK HealthCare. Graduates of the the college mentors the next generation System which is used for cholesterol, BSN program have a ﬁ rst-time pass rate of great nursing scientists, educators triglyceride and lipid panel testing, chine designed for physician’s offices. The medical assisting program is of 97 to 100 percent for the NCLEX and leaders. and a ECG 8300 Analyzer which is (nursing boards), which exceeds nation- an interpretive electrocardiogram ma- accredited by the Commission on Ac- Helping Kentuckians Live Healthier Lives

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EDUCATION ROUNDUP

Sullivan students chosen for Frontier awards degrees to leadership program nurse-midwife and nurse e Physician Assistant Education health. Erin Riley, the academic coordi- practitioners Association (PAEA) selected a team from nator and assistant professor of the PA Sullivan University for the Interprofes- program went along on the trip with the sional Leadership Program that was re- team of students. Frontier Nursing University (FNU), cently held in Washington D.C. As part of the project, these students a graduate school educating nurse-mid- The team from Sullivan Univer- plan to take a two-prong approach to the wives and nurse practitioners, hosted its sity was one of six teams from around oral health issue. First, the Sullivan team 2015 commencement ceremony in late the country chosen to participate. is will design a reproducible reference book October. Over the past year, more than program was designed to broaden and of healthcare providers who accept Med- 500 nurse-midwives and nurse practi- increase students’ participation in lead- icaid and are willing to treat the under- tioners from almost every state across distance-education methods to reach ership activities. ey will develop inter- insured patient population. All too often, the nation have completed an FNU nurses throughout the country and the professional, team-based approaches that indigent patients ask their PA or pharma- distance-education program. Nearly 70 world. FNU graduates provide primary will lead to improved oral health in their cist for advice regarding dental affl ictions. of the 2015 graduates are Kentucky na- home community of Louisville. e students will also promote oral care for women and families residing in tives. Two fi rst-year students from the healthcare in the under-served population all areas, with a focus on rural and un- Started by nurse-midwifery pioneer Sullivan Physician Assistant (PA) Pro- by providing both patients and providers derserved communities. gram, Erika Ford and Meredith Hall, with reproducible, easy-to-understand Mary Breckinridge, has an enrollment Degrees were conferred on gradu- teamed up with two fi rst-year students oral healthcare information. is infor- exceeding 1600. FNU offers doctoral ates of FNU’s Doctor of Nursing Prac- from the College of Pharmacy (COP), mation can then be presented to patients and master’s degrees for nurse-midwives tice (DNP) and Master of Science in Amanda Larson and Hope Maniyar, to through fl iers, postcards and posters. and nurse practitioners. Nursing (MSN) programs. work on this joint project promoting oral The university utilizes innovative

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EDUCATION ROUNDUP

UofL’s PhD nursing grads meet Some Owensboro pre-nursing faculty shortage students guaranteed UofL admission Each academic sons for the educator gap. year, UofL will guar- Since the inception of UofL’s PhD antee two spaces for nursing program, the School of Nursing has graduated 15 students, and six received Brescia University stu- competitive postdoctoral fellowships at dents and two spaces Case Western Reserve University, Emory for Kentucky Wesleyan Since the University of Louisville University, Indiana University and Michi- College students. School of Nursing began a Doctor of gan State University. The UofL-Ow- Philosophy in Nursing program in 2005, e school oﬀ ers both BSN-PhD and ensboro BSN Program many of its graduates have started careers MSN-PhD tracks. Each student’s plan of began as a partnership as nursing faculty at colleges and universi- study includes required core courses and between the Univer- ties throughout the nation. elective courses based on individual inter- e American Association of College ests. In addition to course work, students sity of Louisville and of Nursing identiﬁ ed more than 1,200 fac- receive intensive mentoring by experienced Students who excel in pre-nursing Owensboro Health in ulty vacancies through a survey of nurs- faculty researchers to facilitate student suc- courses at two Owensboro colleges will 2008, providing students in the West- ing schools one year ago, and pointed to cess in research, grant writing and dissemi- have an opportunity for guaranteed ad- ern Kentucky area the opportunity to the need to create an additional 125 new nation activities. mission to the University of Louisville’s earn a BSN in a traditional format faculty positions to meet student demand. To view facts about the nursing short- traditional Bachelor of Science in Nursing without traveling to Louisville. e nursing organization cites budget con- age, visit aacn.nche.edu/media-relations/ straints, an aging faculty and increasing job FacultyShortageFS.pdf. (BSN) program taught in Owensboro. competition from clinical sites as top rea-

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EDUCATION

Getting a leg up Spencerian College offers College Career Pathway program at local high schools.

By Ben Keeton with a re-signed agreement for the fall of 2015. Spencerian has 16 students from Spencerian College in Louisville, Ky. Hardin County in the phlebotomy course, has two diff erent high school collabora- taught online via GoToMeeting. An in- tions with outlying county school systems. structor visits the high school each week e fi rst collaboration is with the Hardin for lab with the students. On completion County Early College Career Center. is of this phlebotomy course, students will collaboration started in the fall of 2014 receive six college course credits and will be eligible to sit for the phlebotomy certi- Spencerian College has fi cation exam. e second collaboration is with the turned its focus completely to Oldham County Arvin Center. is col- preparing men and women for laboration started in January of 2015 and careers in healthcare, one of included two diff erent classes. e fi rst the high school once a week to work with the students in their lab. e instructor Programs Offered the nation’s fastest growing class, Patient Care Assistant, was record- also taught an actual clinical rotation in a ed via Panopto. e students watched the SPENCERIAN COLLEGE employment opportunity areas. nursing home with these students. ere lecture at their high school location and - Practical Nursing the Spencerian College instructor went to were 12 students enrolled in the Patient Care Assistant course. After students - Allied Health completed this course, they were eligible SULLIVAN UNIVERSITY to sit for the exam to become a Certifi ed - Pharmacy Technician Nurse Aide Assistant. Spencerian College also taught a de- - Culinary Arts velopmental psychology class for Oldham SULLIVAN COLLEGE OF County where the students interacted on- TECHNOLOGY AND DESIGN line via GoToMeeting with the on campus classroom. ere were 14 students enrolled - Computer Network in this class. Security – Forensics All the students from Hardin County - Advanced Manufacturing We know the business and Oldham County are enrolled in the Technology “Jump Start” high school program and - Dynamic Web Development of health care. earn dual credit for these courses.

High School to College fall. e students are completing their high OUR COMMITMENT e High School to College Career school senior year attending nursing class- Pathway is an enhanced version of the es at Spencerian College. ey are able to With more than 100 years of experience, ones mentioned above. ey developed sample college life and obtain college credit attorneys at Steptoe & Johnson PLLC a Career Pathway program where the seas they complete their senior year. is has niors at the Oldham County Arvin Center understand the importance of protecting and been developed as a Sullivan University can complete up to two quarters of col- system-wide off ering. supporting health care providers of all sizes. lege credit during their senior year in high Spencerian College strives to meet the school. During their senior year, students current workforce needs of the community can complete two quarters of the practi- and develops its program off erings accord- cal nursing program or two quarters of ingly. erefore, Spencerian College has one of their other allied health programs. turned its focus completely to preparing Bonita K. Black is arrangement will allow a high school men and women for careers in healthcare, [email protected] student entering into Spencerian College one of the nation’s fastest growing employ- Louisville Office Managing Member P L L C to actually graduate in as few as two or ment opportunity areas. Spencerian Col- three additional quarters after high school lege is proud of its distinctive reputation www.steptoe-johnson.com graduation. earned through more than a century of e fi rst group of nine students start- service in education. THIS IS AN ADVERTISEMENT ed in the practical nursing program this MEDICAL NEWS • NOVEMBER 2015 PAGE 19

EDUCATION

Two years later How kynect has impacted Kentucky’s healthcare providers.

By Brian Neese ity of postsurgical treatment, hospitals should respond accordingly. Kentucky’s health benefit ex- Kynect has helped the state change has been lauded by state gov- healthcare system. And as a result, ernment leaders as a success story of more nurses, doctors and healthcare the Affordable Care Act. Named administrators are needed to serve kynect, the exchange has now pro- Kentuckians. They will have a hand vided health insurance to thousands in improving the overall well-being of of residents. And it has also drawn Kentucky and the nation. a measure of controversy. Campbellsville University is The political implications sur- meeting this demand through its rounding kynect and the Affordable as a result of kynect’s well-organized in hospitals. New laws withhold Medi- RN to BSN program, which is of- Care Act continue, but the impact on interface and strong marketing cam- care payments from hospitals that have fered fully online to nurses looking Kentucky’s patients, nurses, doctors paign, it enrolled more than 413,000 too many patients returning with spe- to improve quality of care and expand and hospitals has been significant. Ky- applicants during the first enrollment cific ailments. As this can help pre- their career opportunities. nect has completed two enrollment pe- period ending in March 2014. Ap- vent hospitals from sending patients Brian Neese is with Campbellsville riods and is offering open enrollment proximately 75 percent of those pre- home too early and improve the qual- University. from November 1, 2015, to January viously lacked health insurance. 31, 2016. How has kynect worked and what benefits has it offered? Impact on Providers Kynect is helping healthcare pro- Providing Unique and Easy Solutions to Kynect has helped the state viders reach more patients than ever. the Medical Community for over 25 Years healthcare system. And as a Not only do the uninsured have easier access to healthcare, but those who result, more nurses, doctors and were discriminated against due to a 4 Medical Fellows & Resident Home Loans healthcare administrators are • No down payment, close 60 days prior to start of residency pre-existing condition can now obtain needed to serve Kentuckians. or afford health insurance. 4 New Physicians Home Loans • No down payment, low closing costs Nurses and doctors should see a higher volume of patients, although 4 Hospital Physicians Home Loans • Reduced closing costs and rates Benefi ts Offered there are no concrete numbers to SHARON MCGEE VP, TREASURY The Affordable Care Act focused analyze at this stage. This could ex- 4 Business Banking Private Practice MANAGEMENT OFFICER • Line of Credit, Equipment Financing, 502-560-8616 on giving 3.8 million Americans with- acerbate the current and anticipated Treasury Management-Lockbox [email protected] out health insurance the ability to be- shortage of nurses and physicians, in 4 Internet Banking and Mobile Deposit* ASHLEY MAST turn adding to the need for qualified AVP, PRIVATE come insured. While health benefit • Bank at the comfort of your office or home BANKING OFFICER exchanges were created by the federal healthcare professionals. without the commute NMLS #419157 502-394-4483 government and some states, Kentucky [email protected] Gov. Steve Beshear and his adminis- This could exacerbate the current TONY THOMPSON tration elected to develop a state-based PRIVATE BANKING and anticipated shortage of OFFICER exchange to make the process easier for NMLS #849181 nurses and physicians, in turn 502-329-4588 Kentuckians — and kynect was born. adding to the need for qualiﬁ ed [email protected] In Kentucky and nationally, ky- healthcare professionals. nect generated attention for its ability to seamlessly implement the Afford- able Care Act well. News outlets such The Affordable Care Act also as The New York Times and Fortune sought to improve the quality of care magazine declared it a success. And * Message and data rates may apply from your wireless carrier. Qualification restrictions and fees apply for mobile deposit transactions. PAGE 20 MEDICAL NEWS • NOVEMBER 2015

EDUCATION ROUNDUP

Beckfield students prepared for College for Technical Education change in healthcare industry has 100 percent pass rate

The United States’ health system T h e for accreditation and is one of the top updated its medical coding system, m e d i c a l completion programs at CTE. The known as ICD-9, which was more assistant 2014-2015 year is no different than than 35 years old, to ICD-10. ICD- p r o g r a m previous years showing high placement 10, which is the tenth revision of the with Em- rates within the school. code, went into effect on Oct. 1, 2015. ployment Employment Solutions, Inc. /Col- ICD-10 is far more in-depth than Solutions, lege for Technical Education is a non- ICD-9, enhancing the complexity of Inc./College for Technical Education profit, certificate based college with a coding for patient care. These changes announced a 100 percent pass rate with mission to assist people with barriers to require qualified medical coders with the Registered Medical Assistant pro- employment to become self-sufficient. In early October, the medical in-depth knowledge about ICD-10. gram in Kentucky. In addition to medical assisting, the field saw a dramatic change by up- Typical training in this program In existence since 2011, the nine college offers nine month programs in dating the way physicians and hos- takes about one to two years. Beck- month program is designed around full early childhood education, business of- pitals code all diagnoses, symptoms field offers a diploma program, as time students who are serious about fice administration, food and hospital- and procedures. Recognizing how well as an associate degree, which getting their education completed and ity and building trades in the Lexing- difficult this undertaking would be, typically takes two years for full-time into the job market, in little time. ton campus. Cosmetology is available Beckfield College began preparing students and prepares graduates for The 2014-2015 school year showed in both the Lexington and Winchester, students for the coding update more coding needs in both physician of- the medical assistant program meeting Ky. locations. than a year ago. fices and hospitals. benchmarks above the required rates

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EDUCATION ROUNDUP

Medical massage therapy MedQuest College helps others at Medical Career & MedQuest College specializes in medical and dental assisting programs and has been inspired to assist chari- Technical College table medical organizations throughout Kentuckiana. sidering this program after hearing The medical assisting students from members of the healthcare com- and faculty sorted through and boxed munity who wanted a medical focus on donated supplies for Supplies Over massage, instead of just a salon focus. Seas. Dental assisting students went Medical Career and Technical A market survey confirmed that to Southwest Center, a program that works with individuals who have de- The dental assisting program College (MCTC) has announced the Richmond had a void for medical velopmental disabilities, and donated has day and night classes available. addition of a new program. As of Sep- massage therapy. The addition of this toothbrushes, toothpaste and floss Students can complete the program tember 2015, Medical Massage Ther- program also brings the addition of a and taught proper oral hygiene. in as little as six to seven months apy has joined the line-up of programs clinic where their community can en- MedQuest College has also do- and then utilize the Job Placement currently offered at MCTC. joy all the perks of a massage at half nated oral hygiene supplies to the Assistance Program. MCTC’s leaders first started con- the price. Spencer County Enrichment Center, The medical assisting program is collected donations for the Muscular the newest addition. It was added two Dystrophy Lock Up, gathered canned years ago and has affiliations with Health center cares for goods for Dare to Care’s can drive, as many major healthcare centers and well as donated care packages to the networks. Students can complete the racetrack workers Reserves to send overseas. program in 10 months.

For 10 years, the University of KRHWF, the center is staffed and Louisville School of Nursing, in part- managed by nurse practitioners who nership with the Kentucky Racing address minor illnesses, provide main- Health and Welfare Fund (KRHWF), tenance treatment for conditions such has provided free or low-cost health- as diabetes, asthma and hypertension, care services to backside workers at and conduct routine physicals and the Kentucky Racing Health Services screenings. Thanks to recent legisla- Center (KRHSC), located just across tion, these nurses also can indepen- the street from Churchill Downs. dently prescribe most medications. Funded by a grant from the UofL launches internal medical education series

The University of Louisville De- own. The lectures are presented by partment of Medicine launched what faculty from the University of Louis- is believed to be the first open-access ville School of Medicine. internal medicine education online The project makes internal medi- community in the United States. cine didactic lectures, grand rounds LouisvilleLectures.org provides and other special lectures easily ac- free evidenced-based medical edu- cessible to UofL residents and for the cation lectures that are available to education of medical students, physi- anyone. The project was developed by cians and other medical profession- resident physicians in internal medi- als everywhere. Over 40 lectures are cine – physicians who have received already online, attracting more than their medical degrees but are still in 1,400 subscribers from over 100 coun- training before practicing on their tries, with over 25,000 views. PAGE 22 MEDICAL NEWS • NOVEMBER 2015

COMMENTARY

Massive impact Our most valuable asset Six more bipartisan reasons to repeal the Kentucky’s nurse workforce needs Health Insurance Tax. support to attain higher degrees.

By Andrew Segerman By Janie Heath This is not good news for patients What Did in Kentucky. Although the gap be- The rumors are The complexity tween the current reality in Kentucky true. The Health McConnell Say? and effectiveness and the IOM goal is wide, Kentucky Insurance Tax of healthcare deliv- Earlier this year, Senate has a strong history of facing and over- (HIT) is here, and ery in the U.S. has coming challenges and this one is in- it’s here in a big way. Majority Leader Mitch greatly increased creasingly important to address. To be specific, McConnell (KY) noted due to advances in over the next 10 that the Senate would technology, an Many of Kentucky’s nursing years, the health aging population programs are helping to close the SEGERMAN make repeal of the HIT HEATH insurance tax is ex- and the Affordable workforce gap for BSN prepared pected to reach $145 a priority during this Care Act’s focus nurses, but more work is needed. billion, roughly $11 billion this year session of Congress. on wellness. alone and it’s no secret that this tax This sparked a landmark report will largely impact individuals and over five years ago by the Institute of Many of Kentucky’s nursing pro- small businesses in the form of higher Medicine (IOM), which called for 80 grams are helping to close the work- premiums and higher costs. 3. “I co-sponsored H.R. 928 to repeal percent of nurses to hold a minimum of force gap for BSN prepared nurses, but There is broad, bipartisan support the health insurance tax, because a a bachelor’s of science degree in nurs- more work is needed. from members of Congress for repeal- tax that disproportionately targets ing (BSN) by 2020. The IOM report Now more than ever, we have a ing the health insurance tax, and there small business is harmful to em- examined how nurses’ roles, responsi- responsibility to promote nursing and is a significant amount of buzz around ployers, employees and to North bilities and education must change to advocate for what is best for our pa- this important issue. Florida,” U.S. Rep. Gwen Graham meet the needs of a complex, evolving tients. Kentucky nurse leaders must not (D-FL) said. (Sunshine State News) healthcare system. be silent; they must change the land- There is broad, bipartisan 4. “A tax on our insurers is a tax on all BSN programs educate nurses to scape of the nursing workforce by: of us, since Americans will see their work at the nexus of art and science − Creating organizational policies support from members of premiums increase significantly, – the art of managing the care of a that help and mentor nurses to re- Congress for repealing the possibly by a double-digit percent- multitude of individuals from a host turn to school. health insurance tax, and there age,” Twila Brase, the president of of backgrounds while applying the sci- − Assisting students with tuition support, Citizens’ Council for Health Free- ence of competent and compassionate develop seamless transitions between is a signiﬁ cant amount of buzz Associate Degree in Nursing (ADN) dom noted. ” (DC Examiner) care. Research has shown that the level around this important issue. and BSN programs, and create partner- 5. “Virtually everyone who pays for of a nurse’s education is directly linked ships between academic programs and healthcare insurance this year will to patient outcomes. the healthcare industry. What’s Being Said be affected by the tax. The little- Nora Warshawsky’s − Developing strategies for all health- known tax was imposed on all con- 1. “The Health Insurance Tax will study appears in the care professionals to manage work- sumers regardless of whether they force small businesses both in my September issue force planning. obtained their insurance through district and across the state of Il- of Journal of Nurse The health and welfare of Ken- linois to go out of business. This Obamacare or through their em- Administration. tucky’s most valuable asset, its people, is unacceptable at a time when we ployer or as individuals in the pri- is at risk unless strategic priorities are need to prop up small businesses vate market.” (The Daily Caller) set to advance quality of care, such as and do everything we can to get 6. “Every interest group will likely try developing creative practice, educa- our economy back on track,” U.S. to glom to a healthcare package that tion and policy solutions to help nurs- Rep. Bob Dold (R-IL) noted. (Il- actually has a chance to move; the es attain BSN degrees and ensure that health insurance industry, for exam- linois Review) Researchers at the University of Kentucky’s patients receive the best, ple, has long sought to repeal the 2. “Small businesses are hit with regu- Kentucky College of Nursing con- most up-to-date care – they deserve insurance tax levied under Obam- lations and the HIT tax and they ducted a survey, which was recently nothing less. acare.” (National Journal) don’t know what’s going to hap- published in the Journal of Nursing Janie Heath is dean and Warwick Andrew Segerman is with America’s pen next,” U.S. Rep. Jim Renacci Administration, to see if Kentucky is Professor of Nursing at the University of Health Insurance Plans (AHIP). (R-OH) said. “They can’t operate meeting the IOM goal and found that Kentucky College of Nursing. with that uncertainty.” (The Me- only 40 percent of Kentucky nurses dina Gazette) have at least a BSN. MEDICAL NEWS • NOVEMBER 2015 PAGE 23

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Compiled by Melanie grant, this therapy will be ready for clini- Wolkoff Wachsman cal development. “Dr. Zhan’s lab is at the leading-edge UK Researcher Developing Over- of cocaine overdose therapy,” said Linda dose Treatment Dwoskin, associate dean for research By Keith Hautala, Dave Melanson at the UK College of Pharmacy. “This Jan 17, 2014 grant is the culmination of the pre-clini- ______cal, innovative and groundbreaking work ______that has been taking place in Dr. Zhan’s LEXINGTON, Ky. (Jan. 24, 2014) laboratory for many years. The next step — Chang-Guo Zhan, professor in the will be to move this potential therapy University of Kentucky College of Phar- into clinical use and make it available to macy’s Department of Pharmaceutical those who need it.” Sciences, received a three-year, $1.8 mil- Z lion National Institutes of Health (NIH) grant to develop a therapeutic treatment for cocaine overdose. The development of an anti-cocaine medication for the treatment of cocaine overdose has challenged the scientific community for years. In fact, there is no current FDA-approved anti-cocaine overdose medication on the market. “According to federal data, cocaine is the No. 1 illicit drug responsible for drug overdose related emergency department visits,” Zhan said. “More than half a million people visit emergency rooms across the country each year due to cocaine overdose.” This new grant is the fourth in a series of investigator-initiated research project (R01) awards that Zhan has received from the NIH to continue to discover and develop a cocaine abuse therapy. In previous work, Zhan has developed unique computational design approaches to generate of high activity vari- ants of butyrylcholinesterase (BChE), a naturally occurring human enzyme that rapidly transforms cocaine into biologi- cally inactive metabolites. Zhan and his collaborators have improved BChE catalytic activity specifi- cally against cocaine by 4,000 times. The focus of this new grant is to optimize and stabilize these high-activity BChE vari- ants. The hope is that at the end of this

“HANDSTAND”, BRONZE BY TUSKA, LEXINGTON, KY. A DECEASED UK FINE ARTS PROFESSOR, TUSKA WAS FASCINATED WITH THE BEAUTY AND ATHLETICISM OF THE HUMAN FORM.