HCECM
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News

Scheurer Grief Support Group

Tuesday evenings at 6:00 PM Country Bay Village, Pigeon, MI Beginning March 5 and ending May 28, 2019 Free meal for participants at 5:30 PM. $10 Suggested donation for series For more information,...

Scheurer Announces Spring CPR and First Aid Classes

For dates and times of classes, please click here

Marlette Regional Hospital Offers Monthly Preventive Health Screenings

Preventive health screenings and monitoring is one of the best things you can do to stay healthy and ward off chronic diseases such as diabetes, heart disease, and cancer. Unfortunately, due to...

HCECM Members Announce Golf Outings

For a list of 2019 golf outings, please click here

MRH Offering Matter of Balance Classes

Every Monday & Wednesday 10 a.m. – 12 p.m. June 3rd – June 26th Classes are held twice per week for 4 weeks for 2 hours each Marlette Regional Hospital East Campus 2861 Main Street,...

Diabetes Education Program Coming Soon to Deckerville

Marlette Regional Hospital and Deckerville Community Hospital, as affiliates of United Healthcare Partners, are pleased to offer diabetes self-management services in two convenient locations,...

Community Fitness Classes Session #3

May 6 – June 28 McKenzie Health System is pleased to be able to provide a variety of fitness classes. Aqua Aerobics, Low Impact, Senior Exercise, and Tai Chi. For more information and to...

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...

Marlette Regional Hospital’s $10 Sports Physicals Begin in June

Marlette Regional Hospital’s family healthcare offices will begin offering reduced price sports physicals to area athletes for a cost of ten dollars, and half of the proceeds will be donated...

14th Annual McKenzie Golf Scramble to be held on June 6

The McKenzie Health System Auxiliary has been preparing for the 14th Annual McKenzie Golf Scramble which will take place on June 6 at Woodland Hills Golf Course in Sandusky. This will be the third...

McLaren Caro Honors Employees

McLaren Caro recently honored employees for their longevity. For more information, please click here

McLaren Bay Region Announces Community Classes

At McLaren Bay Region , we understand that your health is your main priority. That’s why we offer classes and events that make keeping your health in check simple. We back you up in your life...

Saginaw Vet Center to Host Community Open House, Celebrating 40th Anniversary

What: Saginaw Vet Center invites Veterans, active duty service members, their families and the general public to an Open House event, celebrating the 40th Anniversary of the Vet Center program. When:...

VA Research Week Spotlights 94 Years of Excellence

The Aleda E. Lutz Department of Veterans Affairs (VA) Medical Center will join the entire Department in celebrating National VA Research Week 2019. This year’s event, which will be observed...

McLaren Bay Region Receives 2019 Governor's Award of Excellence

McLaren Bay Region has been awarded with MPRO’s 2019 Governor’s Award of Excellence for Excellence in Effective Reporting and Measurement. The award recognizes improvement in nursing...

Marlette Regional Hospital’s $10 Sports Physicals Begin in June

Marlette Regional Hospital’s family healthcare offices will begin offering reduced price sports physicals to area athletes for a cost of ten dollars, and half of the proceeds will be donated...

Michigan Academy of Family Physicians (MAFP) Vice President Hamed Named 2019 Michigan Rural Health Professional

Author: Dana Lawrence, Director of Communications, Michigan Academy of Family Physicians *Shared with permission During the Michigan Rural Health Conference held April 25-26 at Soaring Eagle Casino...

McKenzie Health System Receives 2019 Governor’s Awards of Excellence

McKenzie Health System is pleased to announce it has received MPRO’s 2019 Governor’s Award of Excellence for Outstanding Achievement in Effective Reporting and Measurement (Hospital...

Hills & Dales General Hospital Receives MPRO’s 2019 Governor’s Award of Excellence

Hills & Dale General Hospital is pleased to announce it has received MPRO’s 2019 Governor’s Award of Excellence for Outstanding Achievement in Effective Reporting and Measurement...

Hills & Dales General Hospital Earns ER Recognition

Hills & Dales General Hospital is proud to announce that they recently earned recognition from Covenant Healthcare for their outstanding Door to Door to Balloon time. In just 99 minutes, the...

Administrator named for Ascension St. Joseph

Ascension Michigan welcomes Shane Hunt, RN, BBA, MBA, to serve as Administrator for Ascension St. Joseph in Tawas. Hunt is a highly respected leader with 20 years of experience in health care and...

May is Mental Health Month—"The Moment When” Campaign

In conjunction with Mental Health Month in May, Make the Connection has launched “The Moment When” campaign aimed at starting a conversation about mental health to include treatment and...

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...

MRH Seeks Community Health Survey Input

Marlette Regional Hospital is currently conducting a Community Health Needs Assessment survey to identify health needs that are most important to our communities and its residents. The survey is...

MHS Change 4 Life Support Group

May 28, 6:30 p.m. Location: Sandusky Presbyterian Church Meeting Room, 104 Lexington Street, Sandusky FREE, registration not required. Discussion Leader: Connie Kramer, Integrit Cleaning &...

McLaren Bay Baby Class for BIG KIDS

Wednesday, May 29 | 6:00 p.m. - 7:30 p.m. This class is designed for children ages 3-8 who are expecting a new baby at home, and includes information on fetal development, newborns, getting used to a...

Scheurer HeartSaver CPR Class

May 29th: HeartSaver CPR Class located in the Wilson Education Center 9:00am – 12:00 pm

Scheurer Spark in the Park 2019

May 31st: Spark in the Park 3-7 pm in the Pigeon Recreation Park. Light dinner served 5 – 6:30 pm.

Scheurer Auxiliary Appreciation Luncheon

June 3rd: Auxiliary Appreciation Luncheon at Pigeon Event Center at 12:00 noon.

McLaren Bay Region Amputee Support Group

Location: Center for Rehabilitation, 3190 East Midland Road, Bay City Category: Support Group Date: Tuesday, June 04, 2019 Time: 12:00 pm - 1:00 pm Contact: 989-667-6736 For more information, please...

McLaren Bay Region 4 Week Childbirth Series begins - Tuesdays - June 4 -25

Facility Health Pavilion, 3175 West Professional Drive, Bay City Date Tuesday, June 04, 2019 Time 6:30 pm - 9:00 pm Description Class provides information on the process of labor and birth, including...

Aleda E. Lutz VA Medical Center to Host Veteran Community Town Hall on June 4

The Aleda E. Lutz VA in Saginaw will host a Veteran Community Town Hall on June 4, 2019 at 3:00 p.m., at the VA Medical Center, located 1500 Weiss Street, Saginaw, MI, in their Pavilion located at...

Harbor Beach Hospital Foundation Annual Benefit Golf Scramble

Thursday, June 5, 2019 Verona Hills Golf and Country Club For a flyer, please click here

McKenzie Health System Auxiliary Golf Scramble

McKenzie Health System Auxiliary Golf Scramble at Woodland Hills Golf Course, Sandusky Contact: Rebecca Cambridge rcambridge@mckenziehealth.org www.mckenziehealth.org

McLaren Bay Region Heart Health & Stroke Screening

Location: Center for Rehabilitation, Building C, McLaren Bay Region West Campus, 3190 E. Midland Road, Bay City Category: Screening Date: Thursday, June 06, 2019 Time: 8:00 am - 11:00 am Contact:...

McLaren Bay Region Breast Cancer Education Series - Dealing with Side Effects from Aromatase Inhibitors

Location: Health Pavilion, 3175 W. Professional Drive - located on McLaren Bay Region’s West Campus. Category : Support Group Date: Thursday, June 06, 2019 Time: 6:00 p.m. Contact: RSVP...

6th Annual Dr. Michael Ogboh Memorial 5K Walk/Run Slated for June 8th

Marlette Regional Hospital invites you, your friends and family to participate in the sixth annual Dr. Michael Ogboh Memorial 5K Walk/Run scheduled to take place on Saturday, June 8, 2019 during the...

Bay Area Stroke Support Group

Location: Center for Rehabilitation, 3190 East Midland Road, Bay City, MI 48706 Category: Support Group Date: Tuesday, June 11, 2019 Time: 1:00 - 2:00 pm Contact: (989) 667-6736 For more information,...

McLaren Bay Region Caring for Others Support Group

Location: Center for Rehabilitation, 3190 East Midland Road, Bay City, MI 48706 Category: Support Group Date: Wednesday, June 12, 2019 Time: 6:00 PM Contact: (989) 667-6636 For more information,...

McLaren Bay Region Breastfeeding Class

Location: Health Pavillion, West Campus, 3175 W. Professional Drive, Bay City, MI 48706 Category: Childbirth Education Date: Wednesday, June 12, 2019 Time: 6 p.m. to 9 p.m. Contact: For questions...

Scheurer Caregiver Connection – Dementia Care

June 13th: Caregiver Connection – Dementia Care located in the Wilson education center 12:00-1:00 pm. Free lunch provided.

McLaren Bay Region “Boot Camp for New Dads”

Location: Health Pavillion Childbirth Classroom; West Campus, 3175 W. Professional Drive, Bay City Category: Childbirth Education Date: Thursday, June 13, 2019 Time: 6:00 p.m. to 9:00 p.m. Contact:...

Saginaw Vet Center to Host Community Open House, Celebrating 40th Anniversary

What: Saginaw Vet Center invites Veterans, active duty service members, their families and the general public to an Open House event, celebrating the 40th Anniversary of the Vet Center program. When:...


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
           

 



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