HCECM
ECMHF


News

McLaren Bay Region Offers “Parkinson’s Exercise & Movement” Class

McLaren Bay Region’s Center for Rehabilitation is pleased to offer a comprehensive low-cost exercise class designed for individuals living with Parkinson’s Disease....

Aleda E. Lutz VA and Community Based Outpatient Clinics Encourage Veterans to Receive Influenza “Flu” Vaccines

The Aleda E. Lutz Veterans Affairs Medical Center would like to share the following information for Veterans to receive their flu vaccine. Veterans receiving a flu vaccine from the VA must be...

McKenzie Health System to Host 3rd Annual “Pink Up The Pace 5K” to Support Women’s Health and Wellness Fund

“Pinking” up the pace to support local women, McKenzie Health System is hosting its third annual 5K to benefit the McKenzie Health System Women’s Health and Wellness Fund. Pink Up...

A Matter of Balance Program Will Be Offered in Marlette

Marlette Regional Hospital (MRH) is offering A Matter of Balance program free of charge to area seniors aged 60 years and older who have physical limitations due to concerns about falling. A Matter...

Veteran Suicide Prevention Month 2017: #BeThere

Aleda E. Lutz VA Joins national effort to Prevent Veteran Suicide Local VA Rallies Community Support for Veterans During Suicide Prevention Month Veteran suicide isn’t just a national issue,...

Diabetes Education classes at McLaren Bay Region

A Diabetes Self-Care Education Program is offered through McLaren Bay Region. A total of three 3-hour sessions and a follow-up class with certified diabetes education nurses and registered dietitians...

McLaren Bay Region Offers Prenatal Classes

McLaren Bay Region offers a variety of prenatal programs for expectant parents and parents of newborns. Classes include: Childbirth 4-Week Series Weekend Cram Session Breastfeeding Class Baby Class...

McLaren Bay Region Offers “Parkinson’s Exercise & Movement” Class

McLaren Bay Region’s Center for Rehabilitation is pleased to offer a comprehensive low-cost exercise class designed for individuals living with Parkinson’s Disease....

Mark Your Calendar for the Pink Out for Cancer Clash September 29th

The long-standing rivalry among athletes of Marlette and Brown City schools will surely continue into the 2017-18 academic year as their varsity football teams face off on Friday, September 29th in...

Like Cars Need An Oil Change, Men Need a Health Tune Up

Serving up fresh food from the grill, muscle cars, and vital health information, nearly 100 men and women joined the Marlette Regional Hospital (MRH) Foundation and Russ Kraft for the Total Tune Up...

Hospitals Partner to Provide Over 500 Heart Screenings to Area Teens

Over 500 of Michigan’s Thumb Area teens ages 13 to 19 received free heart health checks offered by Marlette Regional Hospital and McKenzie Health System, affiliates of United Healthcare...

Aleda E. Lutz To Hold Active Threat/Lock Down Drill September 29, 2017 at 3:00 p.m.

The Aleda E. Lutz VA Medical Center will hold an Active Threat/Lock Down DRILL at their 1500 Weiss Street, Saginaw, MI, location on Friday, September 29, 2017 at 3:00 p.m. This DRILL will...

McLaren Bay Region Installs State of the Art Newborn Safety System

The McLaren Bay Region Family BirthPlace recently installed a new and innovative Infant Safety System developed by CertaScan Technologies (www.certascantek.com). The proprietary system allows the...

Survivors After Suicide Support Group

Tuesday, September 26 – 5:30 pm to 7:00 pm Location: McKenzie Health System Dining Room, 120 Delaware Street, Sandusky Provided by: The Sanilac County Suicide Prevention Committee and Sanilac...

Matter of Balance Class in Marlette

Marlette Regional Hospital (MRH) is offering A Matter of Balance program free of charge to area seniors aged 60 years and older who have physical limitations due to concerns about falling. A Matter...

United Hospice Bereavement Services

UNITED HOSPICE SERVICE of Marlette Regional Hospital offers Bereavement Support Programs to people who have experienced a loss through death – these groups are open to anyone in the community....

Pink Out for Cancer Clash Rivalry Football Game

Pink Out for Cancer Clash Rivalry Football Game Fundraiser for B.C.U.P.S., Friday, September 29 th at 7 p.m. in Brown City Proceeds from this football game will help fund free mammogram screenings...

Matter of Balance Class in Marlette

Marlette Regional Hospital (MRH) is offering A Matter of Balance program free of charge to area seniors aged 60 years and older who have physical limitations due to concerns about falling. A Matter...

Alzheimer’s Disease Support Group

Sanilac County Alzheimer’s Disease Support Group October 2 – 1:30 pm – 2:30 pm FREE, registration is not necessary. Location: McKenzie Health System Dining Room, 120 Delaware...

McLaren Amputee Support Group (Copy)

For individuals with an amputation and their families and friends. The Amputee Support Group was formed to provide support and information for individuals with an amputation. Family members are...

McLaren Breastfeeding Class

McLaren Bay Region has scheduled a Breastfeeding Class on Tuesday, October 3 from 6:00 - 9:00 p.m. at the Health Pavilion, 3175 West Professional Drive, Bay City. This class is for expectant mothers...

McLaren Hospice Volunteer Training Classes

McLaren Hospice is once again offering Hospice Volunteer Training . No medical background is required to participate. Volunteers assist with patient and family companionship in-home, at special...

Precious Reflections

Precious Reflections , a pregnancy and infant loss support group, will meet on Tuesday, October 3 (first Tuesday of each month) from 7:00 p.m.-9:00 p.m. at the Lincoln Center, 820 South Lincoln, Bay...

Matter of Balance Class in Marlette

Marlette Regional Hospital (MRH) is offering A Matter of Balance program free of charge to area seniors aged 60 years and older who have physical limitations due to concerns about falling. A Matter...

CMU Safety Issues in Healthcare

Wednesday, October 4, 2017 1 p.m. to 5 p.m. • CMU College of Medicine Live Presentation: CMED 1404, The Dow Chemical Company Foundation Auditorium Simulcast Location: CMED SEB1016, Saginaw...

“Free Yourself from Knee Pain”

McLaren Bay Region has scheduled a “ Free Yourself From Knee Pain” seminar on Wednesday, October 4, 2017 at 5:30 p.m. at the Lincoln Center, 820 S. Lincoln Street in Bay City. Terrence...

McLaren Breast Cancer Education Series

The Breast Cancer Education Series will meet on Thursday, October 5 at 6:00 p.m. in the conference room at the Health Pavilion, 3175 W. Professional Drive in Bay City. Tari Stull, MD, Breast Surgeon,...

Bay Area Cancer Support Group

The Bay Area Cancer Support Group meets on the first Thursday of each month (October 5) from 3:30 p.m.-5:00 p.m. at the Karmanos Cancer Institute, McLaren Bay Region West Campus, 3140 West Campus...

Matter of Balance Class in Marlette

Marlette Regional Hospital (MRH) is offering A Matter of Balance program free of charge to area seniors aged 60 years and older who have physical limitations due to concerns about falling. A Matter...

Pink Up The Pace 5K

Saturday, October 7 - 8:30am Registration at Graff Chevrolet Buick in Sandusky Race begins at 9:30 at Graff and proceeds to Woodland Hills Golf Course Online registration available at...

Bay Area Stroke Support Group (Copy)

For stroke survivors and their families and friends. The Bay Area Stroke Support Group was formed to provide support and information for individuals who have had a stroke. Family members are...

McLaren Hospice Volunteer Training Classes

McLaren Hospice is once again offering Hospice Volunteer Training . No medical background is required to participate. Volunteers assist with patient and family companionship in-home, at special...

McLaren Bay Free Breast Cancer Screening

McLaren Bay Region will be offering a free Breast Cancer Screening on Tuesday, October 10or Tuesday, October 24 from 4:00 to 8:00 p.m. at Bay Diagnostic Center, located at the McLaren Health...

Matter of Balance Class in Marlette

Marlette Regional Hospital (MRH) is offering A Matter of Balance program free of charge to area seniors aged 60 years and older who have physical limitations due to concerns about falling. A Matter...

Caring for Others

Caring for Others meets the second Wednesday of each month at the Center for Rehabilitation, McLaren Bay Region West Campus, 3190 E. Midland Road in Bay City. The next meeting is Wednesday, October...

McLaren Bay Region “The Heart of the Matter: Cardiac Risk Factors and the Heart Healthy Diet”

McLaren Bay Region’s Center for Rehabilitation will offer the program, “The Heart of the Matter: Cardiac Risk Factors and the Heart Healthy Diet” on Wednesday, October 11, 2017 from...

Matter of Balance Class in Marlette

Marlette Regional Hospital (MRH) is offering A Matter of Balance program free of charge to area seniors aged 60 years and older who have physical limitations due to concerns about falling. A Matter...

McLaren Hospice Volunteer Training Classes

McLaren Hospice is once again offering Hospice Volunteer Training . No medical background is required to participate. Volunteers assist with patient and family companionship in-home, at special...


The Hospital Council of East Central Michigan works to maintain relations with state and federal legislators, organizations and others in the region whose activities affect the health services of our community hospitals and encourages their support by providing opportunities to learn about issues that impact members' ability to improve the health of the population. HCECM also works with other advocacy groups to help keep member hospitals informed of all legislative matters affecting their services.

 

Protect Funding for Member Hospitals

Critical Access Hospitals and rural hospitals face many unique challenges that can impact the health of the population. So these hospitals can maintain financial viability and continue to operate and serve the needs of their communities, HCECM member hospitals work with legislators and advocacy organizations to secure state and federal funding that helps overcome these challenges. 

In June 2014, the Centers for Medicare & Medicaid Services announced that low-volume payment adjustments and the Medicare-dependent Hospital (MDH) program were extended which will help our regional hospitals. Ambulance add-on payments for rural operators were also extended.

The Michigan Legislature also restored funding for the small and rural hospital pool and graduate medical education program, created a new small and rural hospital obstetrics stabilization fund and approved a provider tax-funded disproportionate share hospital pool expansion to address the HICA revenue shortfall.

CRNA Physician Supervision Opt-out

Under current federal law, CRNAs must be supervised by a physician. However, in 2001 the Centers for Medicare & Medicaid Services provided an opportunity for states to "opt out" or be exempted from the federal supervision requirements for CRNAs. HCECM hospital members have been working with regional legislators to try to get Michigan to opt out of the requirement.

Some of the problems of requiring CRNA supervision can include:

  • Increases cost of healthcare and financial burdens on hospital unnecessarily for many reasons
  • Creates staffing and access issues in rural areas
  • Increases wait time per patient, which is not cost effective
  • Has not been proven to improve care to patient

Supervision of Hospital Therapeutic Services

In 2009, CMS mandated that "a supervising physician be physically present in the department at all times when Medicare beneficiaries receive outpatient therapeutic services." It further complicated matters by stating that this was a clarification from a 2001 ruling.

For Critical Access, small and rural hospitals, this mandate:

  • Creates unnecessary time and financial burdens
  • Increases costs of healthcare
  • Increases risk for unwarranted enforcement actions
  • Increases risk for opportunistic whistleblowers to claim a hospital did not follow this at some point in the past 13 years

CMS made some positive changes; however, more needs to be done to reduce the burdens on CAHs and rural hospitals. According to the American Hospital Association, many CAHs and small rural hospitals will have no choice but to limit their hours of operation or close certain programs due to their inability to meet the requirements of direct supervision.

EHRs and Meaningful Use

HCECM hospital members are at various stages of participating in EHR and Meaningful Use incentive programs. The rules and guidance are complicated, burdensome and require significant resources, especially for Critical Access and rural hospitals. HCECM and its hospital members are working with other advocacy organizations to encourage CMS to clarify requirements and lessen the burdens for participation.

96-hour Physician Certification Requirement for CAHs

According to the American Hospital Association, "CMS has recently indicated that it will begin enforcing a condition of payment for CAHs that requires a physician to certify that a beneficiary may reasonably be expected to be discharged or transferred to a hospital within 96 hours after admission to the CAH. If enforced, CAHs would be forced to eliminate these '96-hour plus' services, and the resulting financial pressure on CAHs would severely affect their ability to operate and care for beneficiaries in rural communities."

HCECM and its hospital members have been working with other advocacy organizations to urge the CMS to remove this requirement as a payment condition. A few examples of how this could impact patients include:

  • A patient with pneumonia who experiences a setback and needs more time to recover could be negatively impacted by transferring him/her to a tertiary center.
  • A woman who gives birth by C-section or is in labor for 24 hours or more before the C-section could easily exceed the 96-hour rule.
  • A patient with pancreatitis, often caused by alcohol abuse, could benefit more by staying close to a support system of community/family.
  • A patient who undergoes bowel surgery often needs more time to recover.
  • A patient who experiences a ruptured appendix resulting in peritonitis will likely need more time to receive treatment and recover.

Transitions in Care

HCECM is currently working with volunteers from numerous hospitals, agencies and organizations to address transportation challenges for regional residents in need of medical care. A major problem for people with medical issues is to have access to affordable and reliable transportation. Many are unable to make appointments, keep appointments or even make it to a facility when immediate medical help is needed.

A key priority of HCECM is to also work with others to foster effective care transitions through a hospital information process that provides a standardized system that supports the transfer of clinical and care planning information to the multidisciplinary providers continuing care of post acute care inpatients after discharge. 


DOJ, HHS Call for Action to Address Abuse of Older Americans

HHS Awards $83.4 Million to Train New Primary Care Providers

RHRC Report: Support for Rural Recruitment and Practice Among U. S. Nurse Practitioner Education Programs

Policy to Allow RHC to Contract with Non-physician Practitioners Under Certain Conditions - Issued May 2, 2014

 CMS Revisions - Issued May 12, 2014


 


AHA Advocacy

 AHA Small & Rural Hospitals Advocacy Paper 2013

NRHA Fiscal Year 2015 Appropriation Request

Rural Policy Research Institute

NRHA Save Rural Hospitals Action Kit

2015 Rural Health Policy Institute Requests

NRHA Legislative and Regulatory Agenda

Protect Rural Patients and Providers

Sequestration Impact on States



315 Mulholland Street
Bay City, Michigan 48708
Office: (989) 891-8810
Fax: (989) 891-8161
           

 



© 2012-2017 Hospital Council of East Central Michigan