President’s Report2016 NDHA Convention SponsorsWashington UpdateHouse Passes Bill to Extend Enforcement Moratorium on Direct SupervisionPhysician RecruitmentIndian Health Service Announces Great Plains Area Telehealth Contract Award

Clink on link to view attachments:http://www.ndha.org/resources/informer

Record Retention GuidesIndian Health Services Press Release

Phone: 701-224-9732Fax: 701-224-9529Web Site: www.ndha.org

Jerry Jurena, PresidentTim Blasl, Vice PresidentCallen Cermak, Finance ManagerLori Schmautz, Executive AssistantPam Cook, Education Director

A portion of this publication is supported by The Center for Rural Health’s Medicare Rural Hospital Flexibility Program. Visit their site at http://rural-health.und.edu/projects/flex/.

The InformerPresident’s Report ~ Jerry JurenaIn This Edition:

Attachments:

NDHA Contacts

September 16, 2016

Record Retention: Several times each year I am asked; “how long should I keep records pertaining to a specific area within the hospital”. Each time this comes up we search the internet for answers for that specific area. Recently this question was posed to the state hospital associations. Several states responded and as a result of the question I am attaching two record retention schedules; one from Iowa and the other from Maine. These retention schedules cover several areas within the hospital. I thought these two had the best schedules. Please pass these along to staff in your hospital.

NDHA Convention: If you haven’t already registered for NDHA’s 82nd Annual Con-vention, please follow this link: www.regonline.com/ndha2016.

Nursing continuing education hours have been approved by the ND Board of Nurs-ing; and licensed nursing home administrators can receive up to 15.5 hours of continu-ing educational hours for license renewals. The Educational Committee has worked hard to provide you with plenty of education and networking opportunities.

Check out session A4: Hack Attack. Although it is recommended for Risk Manager’s, it is applicable for anybody interested in cybersecurity and based on what has been happening recently I would highly recommend attending. This session will provide a deeper look at cyber risk…and if you don’t deal with it directly at your facility, you need to be aware of it personally as everyone has an iPhone, iPad, or computer/tab-let of some sort which automatically makes you at risk. The speaker will also discuss ransomware. Medical records have become more valuable to hackers than credit card information. The ND Department of Health’s Mobile Medical Unit (MMU) will be set up as well. The MMU is a retrofitted semitrailer with eight fully functional emergency stations and the capacity for up to 16 patients. Tours of the unit will be available during the trade show on Wednesday.

Along with the educational opportunities we will update you on activities within NDHA; including the additional services we have added and will be adding for your benefit. I hope to see you all in Fargo in October.

2016 NDHA Convention SponsorsThank you to the following companies who have committed to sponsoring NDHA’s 2016 Annual Convention!

HSI Solutions - Diamond Level MMIC Group - Bronze LevelSanford Health - Diamond Level EAPC Architects - Bronze Level Myers Thompson, P.A. - Bronze LevelHCIS/Coverys - Gold Level Blue Cross Blue Shield ND - Bronze Level

Avera eHealth - Silver Level McGough Construction - Bronze Level NorthStar Technology - Bronze LevelQuality Health Associates of ND - IDeACOM Mid-America - Bronze LevelLunch

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Senate and House leaders this week continued to slog toward a deal to fund the government after October 1. As of this writing, there is no deal, only the prospect of more wrangling in the next few days.

Overall funding levels are not in dispute, and funding will be provided to address the Zika virus. But what is at issue are funding add-ons such as money to help flood victims in Louisiana and other states (Republicans want it), aid to address the water quality crisis in Flint, Michigan (Democrats want it) and several non-budget policy riders.

The end of the fiscal year is just one week away and no one wants another government shutdown, but just how that will be averted is unclear.

Meanwhile, once again this week, our attention has been focused on gaining support for an AHA-sponsored letter from mem-bers of Congress to the Centers for Medicare & Medicaid Services (CMS) that calls for more flexibility in the rules implementing site neutral policies included in the Bipartisan Budget Act of 2015 (BiBA).

As of Thursday afternoon, Rep. Kevin Cramer has signed the letter. A quick note to Sens. Heitkamp and Hoeven urging them to sign would be helpful.

As you recall, BiPA requires Medicare to reimburse off-campus, provider-based facilities at the Medicare physician fee schedule rate – rather than under the OPPS – beginning January 1, 2017. Facilities seeing Medicare patients prior to November 2, 2015 are exempt from the new payment rules.

CMS wants to implement the new law in the Medicare outpatient PPS rules for CY 2017. Hospitals have criticized proposed rules for being too rigid for facilities that have to rebuild or relocate, change ownership or want to expand their services.

House-passed legislation would move the cut-off date for the exemption from November 2, 2015 to December 31, 2016. The Senate Finance Committee is just beginning to discuss how it will approach the issue.

Members of Congress this week also has acted on some other health bills:

• The House unanimously approved legislation that would extend until December 31, 2016 the moratorium on enforcement of rules governing supervision of outpatient therapeutic services. The moratorium applies to critical access hospitals and rural hospitals with fewer than 100 beds. Senate companion legislation has been hung up over a procedural issue.

• The House Energy & Commerce Committee, on which Rep. Cramer serves, unanimously approved the Title VIII Nursing Workforce Reauthorization Act (H.R. 2713), which would reauthorize grants and scholarships for graduate and under graduate nursing education. The legislation also would update the programs to reflect current nursing roles and practices and include clinical nurse leaders as advanced education nurses making clinical nurse leader education programs eligible for advanced education nursing grants.

• The E&C Committee also approved legislation to amend the Controlled Substances Act to enable paramedics and other emergency medical services professionals to continue to administer controlled substances to patients pursuant to standing orders issues by their EMS agency’s medical director.

• The E&C Committee approved a bill that would require the Substance Abuse and Mental Health Services Administration to award mental health awareness training grants to people who work with patients with mental health disorders, such as first responders, law enforcement or teachers.

Washington Update ~ John Flink

The House of Representatives yesterday voted 420-0 to pass AHA-supported legislation (H.R. 5613) to extend through calendar year 2016 the enforcement delay on direct supervision requirements for outpatient therapeutic services provided in critical ac-cess hospitals and rural prospective payment system hospitals with 100 or fewer beds. The bill now goes to the Senate for consid-eration. “We applaud the House of Representatives’ action delaying enforcement of CMS’ direct supervision policy through 2016 for small, rural hospitals,” said AHA Executive Vice President Tom Nickels. “We look forward to Senate action, which would provide immediate regulatory relief to small, rural hospitals and ensure these communities continue to have access to outpatient thera-peutic services.” AHA continues to urge Congress to also enact the AHA-supported Protecting Access to Rural Therapy Services Act (S. 257/H.R. 1611), which would adopt a default standard of “general supervision” for outpatient therapeutic services, among other provisions; and the Rural Hospital Regulatory Relief Act (H.R. 5164), which would permanently extend the enforcement moratorium for CAHs and small, rural hospitals.

House Passes Bill to Extend Enforcement Moratorium on Direct Supervision

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Physician Recruitment ~ Kevin Malee

Millennials Impacting Recruitment (Part 1 of a 2 Part Series) from What Is.Com

Millennials, also known as Generation Y or the Net Generation, are the demographic population that follows Generation X. Millennials are consisting of individuals born between 1982 and 2004.

What, exactly, is the Millennial generation? The term Millennials is usually considered to apply to individuals who reached adulthood around the turn of the 21st century. However, the exact date for Millennials, seems to be a moving target.

Millennials, overview: Millennials grew up in an electronics-filled and increasingly online and socially-networked world. They are the generation that has received the most marketing attention. As the most ethnically diverse generation, Millennials tend to be tolerant of differ-ence. They are often seen as slightly more optimistic about the future of America than other generations -- despite the fact that they are the first generation since the Silent Generation (people born from the mid-1920s to the early 1940s), that is expected to be less economically successful than their parents.

Many early Millennials went through post-secondary education only to find themselves employed in unrelated fields or un-deremployed and job hopping more frequently than previous generations. Their expectations may have resulted from the very encouraging, involved and almost ever-present group of parents that became known as helicopter parents.

Millennial statistics (Source: Pew Research): • 50 percent of Millennials consider themselves politically unaffiliated. • 29 percent consider themselves religiously unaffiliated. • They have the highest average number of Facebook friends, with an average of 250 friends vs. Generations X’s 200. • 55 percent have posted a selfie or more to social media sites versus 20 percent of Generation X. • They send a median of 50 texts a day. • As of 2012, only 19 percent of Millennials said that, generally, others can be trusted. • There are about 76 million Millennials in the United States. • Millennials are the last generation born in the 20th century. • Twenty percent have at least one immigrant parent.

Next week we will look at Millennials in the workplace and how that is impacting recruitment.

If I can assist you in your physician recruitment efforts, please contact me. I can be reached at northdakotarec@comcast.net or 701-320-2109.

The Indian Health Service (IHS) today announced a new contract for $6.8 million awarded to Avera Health to provide telemedi-cine services in all 19 Great Plains Area service units, which serve approximately 130,000 American Indians and Alaska Natives. Telemedicine services use electronic communications to connect health care providers and patients for remote clinical appoint-ments, as well as some nonclinical services. In some cases, specialty care furnished through telemedicine is supplemented by a nurse or assistant who is physically in the room with the patient. IHS has found that telemedicine can be one of the best ways to get health care services where they are needed most, and this contract expands telemedicine services as a means of strengthen-ing access to care at IHS health facilities in Iowa, Nebraska, South Dakota and North Dakota.

This award was made as a result of the RFP released by IHS on May 5. Further details can be found in the press release included in this weeks Informer attachments.

Indian Health Service Announces Great Plains Area Telehealth Contract Award

There will not be an Informer published for September 30th and October 7th.