HCECM
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News

Scheurer Hospital Announces Fall CPR and First Aid Classes

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Scheurer Fall Taekwondo Classes

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8 Week Body Transformation Challenge For Men and Women

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Scheurer Offers Max's Program

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Scheurer Offers Grief Support

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8 Week Body Transformation With Personal Trainer Joe LaFave

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United Healthcare Partners Announces Change

The United Healthcare Partners (UHP) governing Board of Directors has announced that due to governance and strategic differences, McKenzie Health System’s request to be terminated from UHP was...

Yee-Haw, Get Your Dancing Shoes for the Harvest Hoedown!

Do you ever wish there were local events that offered a night of fun, clean entertainment like there was “back in day”? Well, wish no further because the Marlette Hospital Auxiliary will...

McKenzie Health System Auxiliary Announces New Leadership

For over 50 years the McKenzie Health System Auxiliary has shown support for the organization and the community through volunteer work on site and raising money through events, fundraisers, and the...

Hills & Dales General Hospital is pleased to welcome Dr. Gerald Schell, Neurosurgeon and Pain Management Physician

September 11, 2018, Hills & Dales General Hospital is pleased to welcome Gerald Schell, MD, to our Speciality Physician Staff. Dr. Schell is a neurosurgeon and pain management physician who has...

Hills & Dales General Hospital Recognized as No. 37 of Best Places to Work in Healthcare in 2018.

October 1, 2018, Hills & Dales General Hospital has been named one of the Best Places to Work in Healthcare by Modern Healthcare. Each year, employees of Hills & Dales complete an anonymous...

Hills & Dales General Hospital Earns ACR Accreditation in Nuclear Medicine

Hills & Dales General Hospital has been awarded a three-year term of accreditation in nuclear medicine as the result of a recent review by the American College of Radiology (ACR). Nuclear...

Hills & Dales General Hospital Completes Phase 1 of Renovation and Expansion

Hills & Dales General Hospital is thrilled to share that Phase 1 of the renovation and expansion project has been completed and all areas involved in the Phase 1 portion have been relocated. This...

Hills & Dales General Hospital Earns ACR Accreditation

Hills & Dales General Hospital has been awarded a three-year term of accreditation in computed tomography (CT) as the result of a recent review by the American College of Radiology (ACR). CT...

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....

McKenzie Health System Auxiliary Makes Donation

McKenzie Health System (MHS) Auxiliary members recently donated $16,000 to McKenzie Health System. The funds will be used to renovate the hospital dining room, which is utilized by guests of...

MHS Community Fitness Classes Session #6

November 12 – December 14 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...

The Flu Stops With You—Vaccines Available at Marlette Regional Hospital

We are fast approaching the time of year referred to as “flu season,” and if you have ever contracted the flu, you know all too well how serious this illness can be…as in, you never...

Kingswood Outfield Bar & Grill Donates to United Hospice Service

A local Kingston business recently donated a charitable contribution to United Hospice Service (UHS) of Marlette Regional Hospital. Over the course of many months, the Kingswood Outfield Bar &...

Scheurer Offers Holiday Bonus classes

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Independent Bank Volunteers Support Area Seniors

Independent Bank's Marlette branch recently spent a day out of the office to dig in at Marlette Regional Hospital’s long-term care unit courtyard garden. Marlette Regional Hospital’s...

Sandusky TOPS Chapter Raise Funds for B.C.U.P.S. Program

In observance of Breast Cancer Awareness Month in October, the Sandusky TOPS Chapter #1669 hosted a month-long donation drive among their twenty members to present the Marlette Regional Hospital...

Chelsea Measel Awarded MRH Nursing Scholarship

Each year, Marlette Regional Hospital (MRH)’s ∑3 Nursing Team—the Knight ‘n’ Gales—offers a scholarship opportunity to MRH employees pursuing a nursing degree or...

McLaren Bay Region Offers Multiple "Free Yourself from Joint Pain Seminars"

In these free seminars, McLaren Bay Region Orthopedic Surgeons will discuss the causes of joint pain and what treatment options to consider. For more information, please click here

MRH Foundation Observes Tree of Shining Love 30th Anniversary

The Marlette Regional Hospital (MRH) Foundation will be observing the 30 th anniversary of the Tree of Shining Love event this holiday season. The MRH Foundation’s Tree of Shining Love event...

McLaren Caro opened a new clinic in Vassar

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McLaren Caro Region Wins First Place for Parade Float

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Annual Charity Ball benefits purchase of 3D mammography equipment at McLaren Bay Region

The 61st annual Charity Ball will take place at the DoubleTree by Hilton Hotel Bay City Riverfront, downtown Bay City, on Saturday, December 1, 2018. The Charity Ball is sponsored by the McLaren Bay...

McLaren Bay Region Offers Multiple "Free Yourself from Joint Pain Seminars"

In these free seminars, McLaren Bay Region Orthopedic Surgeons will discuss the causes of joint pain and what treatment options to consider. For more information, please click here

McLaren Bay Region 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, November...

McLaren Bay Region Look Good...Feel Better

This class is designed to help women who are on the journey through cancer treatment look and feel better. Tips shared include skin care and makeup application, tips on wig selection, scarves,...

MHS Healthcare Provider BLS Classes

November 20, 2:00 - 6:00 p.m. Additional classes and times available by calling 810-648-3092 Registration is required by calling 810-648-6117.

MHS Healthy Lifestyle Workshop

November 26, 5:30 p.m. Location: McKenzie Health System Dining Room, 120 Delaware Street, Sandusky Guest Speaker: Margaret Kelly Topic: “Reiki – Healing Energy” FREE, please...

MHS Change 4 Life Support Group

November 27, 6:30 p.m. Location: Sandusky Presbyterian Church Meeting Room, 104 Lexington Street, Sandusky Guest Speaker: Change 4 Life Group Members Topic: “Getting Ready For The...

McLaren Bay Region Offers Multiple "Free Yourself from Joint Pain Seminars"

In these free seminars, McLaren Bay Region Orthopedic Surgeons will discuss the causes of joint pain and what treatment options to consider. For more information, please click here

McLaren Bay Region “Boot Camp for New Dads”

During Boot Camp for New Dads, new and expectant dads learn directly from veteran fathers about how to prepare for fatherhood and support mothers throughout the process. For more information, please...

McLaren Bay Region Auxiliary Charity Ball

Join us at the Doubletree Hotel for an evening of fun, dinner and dancing, with all proceeds benefiting the purchase of new 3D mammography equipment at McLaren Bay Region. For more information,...

Annual Charity Ball benefits purchase of 3D mammography equipment at McLaren Bay Region

The 61st annual Charity Ball will take place at the DoubleTree by Hilton Hotel Bay City Riverfront, downtown Bay City, on Saturday, December 1, 2018. The Charity Ball is sponsored by the McLaren Bay...

McLaren Bay Region Offers Multiple "Free Yourself from Joint Pain Seminars"

In these free seminars, McLaren Bay Region Orthopedic Surgeons will discuss the causes of joint pain and what treatment options to consider. For more information, please click here

McLaren Bay Region Amputee Support Group

The Amputee Support Group will meet on Tuesday, December 4 from 12:00 noon-1:00 p.m. at the Center for Rehabilitation, McLaren Bay Region West Campus, 3190 East Midland Road in Bay City. This group...


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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