Update from the CEO: Fighting for Rural

As I watched the Super Bowl this year the one commercial that resonated with me was the commercial from Chrysler that highlighted the importance of America’s farmers. Our rural communities provide the food supply for our country and nearly 40% of our armed forces are served by men and women from rural communities. Yet only 2% of the total Medicare budget is spent on the Critical Access Hospitals. Colorado communities represent 31.6 million acres of farmland across the state, $7 billion annually is contributed to the state’s economy through agriculture, and maintains over 105,000 jobs (Ag in the Classroom, 2010).

Sequestration now seems on the verge of reality and if this is true Colorado’s rural communities will certainly suffer as a result. Recent data shows that rural cuts will force hospitals to close. More importantly rural cuts will not save money, in fact, rural patients cost less to treat by approximately $400 per beneficiary than urban beneficiaries each year according to NRHA. During the NRHA Policy Institute the USDA Secretary and White House Rural Council chair Tom Vilsack stated that “Rural America matters. And for far too long rural issues have not received the attention they deserve.” Senators Moran (R-KS) and Klobuchar (D-MN) heard the concerns from rural communities and have introduced S.R. 26, which calls on the US Senate to recognize five key findings:

  • Access to rural hospitals and providers for rural patients is essential to the survival and success of rural communities
  • Preserving and strengthening access to quality health care in rural areas is crucial to the success and prosperity of the nation
  • Strengthening access to care for rural hospitals and other rural providers is cost-effective and improves health outcomes for rural patients
  • Rural health providers provide vital care to patients and are an integral part of the local rural economy and are one of the largest employers in rural areas
  • Rural health providers provide quality care for 20% of the population and help preserve communities cherished by rural patients across the nation
While we all must face the reality of changes in the healthcare environment, our communities are embracing these changes and creating innovative solutions that are in alignment with national trends and local needs.

Over the last three years CRHC has implemented a healthy clinic assessment, a tool created by RT Welter & Associates, Inc., with rural health clinics (RHCs) across rural Colorado. Of our 53 RHCs, 72% have received this assessment and are actively working on strengthening the foundation of primary care through quality systems and process improvement. Additionally, our rural communities are on the road to improving health system performance through implementation of electronic medical records and rural Colorado has been highlighted nationally for our efforts.

I urge you to remember that despite the challenges you face with geography, higher poverty, higher percentages of elderly, a shortage of healthcare providers, fewer insurance carriers, and increased insurance costs, you are succeeding! Please take the time to share these successes, along with the challenges with your local legislative representatives.

CRHC Sponsored Events

CRHC presents a variety of events throughout the year, currently we are preparing for our 13th Annual Forum Conference.  Click here to follow our event blog to recieve up to date information as it is released. Keep reading to learn more about the Forum!




April 3-5th, 2013
Sheraton Denver West
360 Union Blvd. - Lakewood, CO
Reservations: 888.627.7027
(Group Code: RHD03A)


This 13th Annual Forum offers a forward-looking and relevant agenda designed to engage participants in discussion about health policy, advocacy, exchange marketplace navigation, community collaboration, mental and oral health, and much more. Click here for further details. For event updates, follow our events blog.

Early Bird Rates:
$220 CRHC Members (or ClinicNET Affiliates) - $370 Non-Members
Not sure if you are a current 2013 CRHC Member.
Click here for current membership list.


Call for Exhibitors and Sponsors
The Colorado Rural Health Center (CRHC) and ClinicNET have initiated a call for sponsors and exhibitors for the 13th annual Forum April 3-5th, at the Sheraton Denver West Hotel in Lakewood, CO.

Did we mention that this year's conference features:
  • over 8 hours of scheduled networking time
  • optional marketing packages to increase your organizations visibility
  • the chance to network with a variety of healthcare professionals
We invite your organization to be a sponsor or exhibitor at this year’s conference. Click here for further details or to access a registration form.


STUDENTS: attend one of Colorado’s leading healthcare conferences… for FREE!

Do you want to…
¨ Enhance your resume?
¨ Network with reps in the healthcare industry?
¨ Learn from leading professionals in the field?

It's easy…
¨ Sign up as a Student Member ($45/annual membership)*
¨ Contact us to register for FREE conference sessions**

*As a student member you receive the same benefits as organizational members, including access to educational resources, discounts to CRHC events, workshops and webinars, and important updates and notifications through our e-newsletter and email bulletins. Student Membership rate is $45.00 and is active from join date through 12/31/2013. **Student members are eligible to attend select conference sessions at no charge (space is limited, first come first served).

Are you a Certified Rural Health Clinic? Recieve $500/person for attending The Forum!

Want to attend the Forum this year? Think it will cost your facility too much?

What if we helped you get here? CRHC offers scholarships to Certified RHCs to help staff members attend this important event. Approved staff members can receive up to $500.00 per person to attend The Forum. Click here for more information on how your clinic can receive funds to attend the Forum 2013.

At the end of the Emergency Preparedness session, a brand new, free AED will be given away to one of the RHC clinics in attendance – that could be your clinic! Click here to register for the conference or preview this year's agenda.

Dr. Winston Wong to give Keynote Address at The Forum

We are pleased to announce that Dr. Winston Wong, MD, MS will be the 2013 Forum's keynote speaker! Dr. Wong serves as Medical Director, Community Benefit, at the California-based Kaiser Permanente where he is responsible for developing partnerships with communities and agencies in advancing population management and evidence based medicine, with a particular emphasis on safety net providers and the elimination of health disparities. Dr. Wong also continues his work as a physician in a small practice in Family Medicine at Asian Health Services in Oakland, CA.



As a self-proclaimed health policy "wonk," Dr. Wong speaks to the University of Southern California's School of Social work about topics such as health disparities and health care expansion under the Affordable Care Act.


Classic Sponsor's Bulletin

News and updates from CRHC's 2013 Classic Sponsors. We would like to thank our sponsors who support CRHC in a variety of ways. We encourage you to learn more about these businesses who share our commitment to strengthening rural healthcare across Colorado, as well as provide resources to our members. If you would like to learn more about our Classic Sponsorship Program, please visit our website.



Anthem Blue Cross and Blue Shield is the trade name of Rocky Mountain Hospital and Medical Service, Inc., an independent licensee of the BlueCross BlueShield Association. ®ANTHEM is a registered trademark of Anthem Insurance Companies, Inc. Click here for additional information about Anthem Blue Cross and Blue Shield in Colorado. Also, follow us on Twitter, on Facebook, or visit our YouTube channel.

At Anthem Blue Cross and Blue Shield we understand our health connects us to each other. What we all do impacts those around us. So Anthem is dedicated to delivering better care to our members, providing greater value to our customers and helping improve the health of our communities.

In the News
“Anthem Urges Seniors to Get Flu, Pneumonia Vaccines”

The seasonal flu can be serious for everybody. So serious, in fact, that the Centers for Disease Control and Prevention (CDC) recommend that nearly everyone get a flu vaccine. This is particularly true for seniors (adults 65 and older). Click here to read the full article.



CoBiz Financial is a multi-billion-dollar financial services company serving the complete financial needs of businesses and business owners in Colorado and Arizona, with experts who specialize in the unique needs of our medical community. We serve the leading health care entities including hospitals, clinics, physician groups and managed care organizations. Our knowledge of the medical field enables us to better assess your needs and to find solutions that free you to succeed.

Our products and services are customized to our clients at all stages of their business lifecycle. At Colorado Business Bank, we combine the personal service of a community bank with the sophisticated products expected from a large national bank. We offer a complete suite of products tailored to you including commercial, real estate and private banking, and sophisticated treasury management and deposit services. With our local decision making, we provide quick responses and customized solutions from a banker who knows you and your business. CoBiz Insurance helps our medical industry clients deal with complex policies, fluctuating costs and an ever-changing legal environment with its property/casualty insurance brokerage and employee benefits offerings. Through CoBiz Wealth, we offer investment management and trust advisory services and through Green Manning & Bunch, we offer investment banking services.

Click here here to visit the CoBiz website.




Colorado Access is a nonprofit health plan that provides access to behavioral and physical health services for Coloradans. Established in late 1994, the company is sponsored by Children's Hospital Colorado, Colorado Community Managed Care Network and University of Colorado Hospital/University Physicians, Inc. We currently have four (4) active lines of business:

■Access Behavioral Care
■Child Health Plan Plus offered by Colorado Access
■Colorado Access Advantage (Medicare)
■Regional Care Collaborative Organization (RCCO)

Colorado Access also provides administrative services for the CHP+ State Managed Care Network and CHP+ Prenatal Care Program. To learn more about the CHP+ State Managed Care Network, visit www.chpplusproviders.com.

Colorado Access is unique because of what we do and how we do it. What we do is take care of Colorado's "medically underserved populations." We offer access to physical and behavioral health services for people who receive Child Health Plan Plus, Medicaid or have Medicare Parts A & B. We go beyond that. Every day, we work to improve the quality of each and every life we have the honor of serving.

Click here to learn more about Colorado Access.



The Colorado Hospital Association (CHA) is the leading voice of the state’s hospital community. Representing 95 hospitals and health systems throughout Colorado, CHA serves as a trusted, credible resource on health issues, hospital data and trends for the media, policymakers and the general public. Through CHA, Colorado’s hospitals work together in their shared commitment to improving health care in Colorado. Member hospitals include private and government-operated, metropolitan and rural, investor-owned and not-for-profit facilities. Beyond providing their patients with the best health care services available, Colorado hospitals work every day to enrich and strengthen their communities. Colorado hospitals offer a range of general and specialty services at locations throughout the state. To locate a hospital, visit the Find a Hospital section.

Click here for a map of CHA member hospitals. Or click here to learn more about CHA by visiting their website.



COPIC is a leading provider of medical professional liability insurance to physicians, group practices, hospitals and other medical facilities. Our nationally-recognized patient safety and risk management programs deliver tools and guidance designed for practical implementation to improve health care outcomes. And COPIC’s advocacy efforts help maintain a stable medical liability environment so health care professionals can focus on what matters most—better medicine and better lives.

COPIC’s mission is to improve medicine in the communities we serve. One of the ways we do this is by supporting organizations like the Colorado Rural Health Center (CRHC) so it can carry out its mission to enhance healthcare services in the state and address rural health issues. It’s a partnership COPIC is proud to be a part of, as we work with CRHC and its members “to ensure that all rural Coloradans have access to comprehensive, affordable, high quality healthcare.”

COPIC’s philosophy is based on offering valuable educational resources, trusted advice, solid defense and unparalleled customer service:
  • COPIC annually offers more than 400 educational programs that reach more than 10,000 health care professionals.
  • When patients are injured due to a failure to meet the standard of care, COPIC supports fair and expeditious compensation. When medicine meets the standard of care, we rigorously defend policyholders, drawing upon extensive experience in medical liability claims and expert legal counsel.
  • COPIC’s intensive legislative advocacy program focuses on tort reform and patient safety as essential to accessible, affordable quality health care and a stable medical liability environment.
  • COPIC’s 3Rs (Recognize, Respond and Resolve) Program addresses unexpected medical outcomes in a way that attempts to preserve the physician-patient relationship and reimburse the patient for related eligible expenses. It was recognized by The New England Journal of Medicine as part of the national transformation in how health care providers communicate with patients about unexpected outcomes.
  • COPIC conducts more than 2,200 practice quality reviews annually to provide guidance on ways to improve internal systems and mitigate risk.

COPIC was founded by Colorado physicians in 1981. Today, our CEO and the majority of our board members are physicians, representing diverse medical specialties, practice sizes/settings, and geographical areas. The remaining board members are respected business leaders. COPIC consists of COPIC Insurance Company, COPIC Financial Service Group, Ltd., and COPIC Medical Foundation—all of which work together to collaborate with key stakeholders and the broader health care community.

Click here to visit COPIC's website.




Founded in 1997, Executive Health Resources (EHR), is the leading provider of medical necessity compliance solutions to more than 2,300 hospitals and health systems across the country. Endorsed by the American Hospital Association and Peer Reviewed by the Healthcare Financial Management Association, EHR delivers its medical necessity compliance solutions through expert Physician Advisors who are specially-trained in Medicare/Medicaid rules and regulations pertaining to observation and inpatient status.

Through its expert Physician Advisor approach, EHR delivers an outsourced operational, technological, and clinical resource that helps hospitals achieve the critical goal of effectively managing clinical care while maintaining regulatory compliance and sound financial performance. To date, EHR's Physician Advisors have successfully performed more than 5 million medical necessity reviews, conducted hundreds of audits at hospital facilities, and successfully identified and reversed thousands of inappropriate medical necessity denials, concurrently and retrospectively, at all levels of appeal.

Today, EHR employs hundreds of Physician Advisors who possess a wide array of medical specialties and board certifications and work in EHR's headquarter and regional offices. Available seven days a week, 365 days a year, EHR's Physician Advisors are The Medical Necessity Authority™ in the healthcare industry.

Click here to visit Executive Health Resources website.




Peck, Shaffer & Williams LLP is a national leader in public finance law. We have been serving as bond counsel since 1889, making Peck Shaffer one of the country’s very first bond counsel practices. Today, we are comprised of 46 attorneys devoted exclusively to public finance, one of the largest bond counsel practices in the country. This “boutique” practice provides our clients with a level of expertise that cannot be found in more traditional full-service law firms with limited bond departments.

In recent years, Peck Shaffer has been engaged in financings in nearly all 50 states. We have strong, long-term relationships with governmental issuers, and have worked with virtually every major investment banking firm and financial institution, as well as many of the financial advisory firms in the country. According to data compiled by Thomson Reuters and The Bond Buyer, Peck Shaffer has for many years ranked among the top 20 law firms nationally in terms of dollar amount of municipal bond financings approved annually.

Our experience ranges across the entire breadth of public finance, and we have helped hundreds of municipalities, states, school districts, universities, nonprofit institutions and others build roads, sewers, schools, airports, stadiums, hospitals, convention facilities, public housing and other economic development engines.

We believe our tax expertise deserves specific mention. Over the past two decades, the federal income tax implications of public finance have become been so extensive that nearly every financing requires the attention of attorneys intimately familiar with those laws. Peck Shaffer's Tax Department is unmatched in depth and experience. Three partners and two financial analysts are dedicated to providing support to the primary transaction attorneys and ongoing advice and counsel to our clients.

Peck Shaffer’s offices are located in Atlanta, Georgia, Chicago, Illinois, Cincinnati and Columbus, Ohio, Covington, Kentucky, and Denver, Colorado.

For more information, please visit www.peckshaffer.com.

PrivaPlan Associates, Inc. is the leading authority in HIPAA Privacy and Security Compliance. Offering a wide array of products and services including guidance on: HIPAA Privacy and HIPAA Security, HIPAA Training, Meaningful Use Consultation, Security Risk Assessments and much more!

Our service line includes HIPAA training workshops, consultative seminars, audioconferences, teleseminars and webinars, and a variety of personalized consulting options. We offer seminars geared towards the use of the PrivaPlan™ HIPAA Privacy and Security Compliance Resource Kit. We are pleased to announce the launch of our new Multimedia HIPAA Training with Online Testing, a new, affordable product to assist organizations with HIPAA training which can be accessed at the user's convenience.

Additionally, PrivaPlan offers seminars and hands-on consulting related to Electronic Health Records and Practice Management/HIS software including compliance, needs and workflow assessments, search and selection, and implementation.

The Colorado Rural Health Center has made PrivaPlan Associates Inc. its official HIPAA compliance vendor, providing ongoing training and education to its members as well as endorsing the PrivaPlan HIPAA Privacy and Security Resource Kit.

Click here to visit PrivaPlan's website.



Rx Remote Solutions (RemoteSolutions) provides safe, efficient off-site medication order verification and processing services which meet The Joint Commission, CMS and other regulatory agency standards, HIPAA regulations and applicable state licensing requirements.

Hospitals and health care facilities without 24/7 pharmacy services face the challenge of affordably providing around the clock medication safety practices to maintain patient care levels and comply with regulatory standards. This issue is compounded by the ever-increasing costs of recruiting and retaining highly trained, licensed pharmacy professionals. RemoteSolutions is the answer to this challenge. RemoteSolutions pharmacists are an extension of your pharmacy service, adhering to your organization's policies, procedures and values. RemoteSolutions pharmacists are available 24/7 to answer questions and will contact your nursing staff or physician should consultations be necessary. Pharmacy records are updated and current, allowing your facility's on-site pharmacy staff to focus efficiently on its daily responsibilities.

“RemoteSolutions has eliminated 3 hours a day previously needed for order entry from each night shift, which permits my day shift time to implement patient safety goals and cost-effective clinical initiatives. Overtime hours have been virtually eliminated at a cost approaching $30,000 per year. We could not be more pleased with the professionalism, customer service provided and the excellent feedback received on interventions conducted by RemoteSolutions.”


RemoteSolutions is driven to provide cost effective, extraordinary quality and exemplary customer service to hospital pharmacies across the country. RemoteSolutions centralizes seamless continuity of care, patient safety, HIPAA compliance and quality monitoring allowing for peer-to-peer interaction, as opposed to remote/home-based individual pharmacist review. Click here to visit RxRemote Solution's website.
 

Unique Solutions Associates, Inc. is now a preferred provider with the Colorado Rural Health Center. Unique Solutions Associates (USA) is a creative platform that enables key decision makers to reduce cost and improve productivity by connecting with USA’s panel of SolutionsProviders™. Their SolutionsProviders™ offer unique products and services that produce exceptional results.

Ed Cody, CEO of USA, was formerly a partner in a top 20 CPA and consulting firm. He led their healthcare consulting practice to become one of the largest 15 practices in the country. Ed created the USA platform to enable decision makers to quickly and confidently enter into relationships with pre-qualified, entrepreneurial companies known as USA SolutionsProviders™. Ed and the Associates of USA use their many years of industry experience and knowledge to create win-win relationships that continue for years.

USA is also a preferred partner with the South Carolina Office of Rural Health and the Western North Carolina Health Network. In these and other relationships, USA and its Unique SolutionsProviders™ have helped hundreds of hospitals and other healthcare providers.

These solutions have resulted in several million dollars of savings and additional revenues. USA is excited to bring these unique solutions to the members of CRHC and will be working with the staff to focus on key areas needed by the membership.

Click here to visit Unique Solutions Associates website.

Resources

The Colorado Rural Health Center provides various resources that pertain to rural health issues. We continually strive to provide assistance through our staff, online resources, funding opportunities, and educational events. We produce a number of publications, as well as post publications produced by other groups and organizations that might be of interest to our constituents.


Latest Health Professional Shortage Area & Medically Underserved Area/ Population Released

Colorado’s Primary Care Office has released maps showing the latest Health Professional Shortage Area and Medically Underserved Area/Population designations. These designations can benefit your clinic in regards to workforce, RHC designation and provider reimbursement. Contact the Colorado Rural Health Center for more information on the effect of HPSA and MUA/MUP designations on your clinic or community.

Click on the following links to view the maps:Dental Health Map, Mental Health Map, Medically Underserved Areas (MUAs) and Populations (MUPs) Maps, Primary Care Map


Rural Community Collaboration and Veteran Outreach Broadcast

Dr. Brett Hicken and Dr. Bruce Goodrow discussed the potential benefits, challenges, and solutions surrounding becoming integrated into the healthcare support structures of your rural community and how that ultimately impacts the quality of care received by our rural Veterans.

CEU/CMEs were available for the live broadcast and will soon be available for this on demand version. This broadcast provides a number of good downloads and resources, and is sure to answer some of the questions you may have about being an effective VA professional in a small community.

Check it Out! Sign into MyVeHU Campus and select the purple On Demand button. Select the search box and enter 13010 or Outreach and select “GO.”

Questions or Support Issues? Please email our MyVeHU Campus support staff at support@myvehucampus.com or call 423-979-4368.

Opportunity to Participate in a National Telenursing Center

The Massachusetts Department of Public Health (MDPH) has been awarded funding by the National Institute of Justice, Office for Victims of Crime to fund the National Sexual Assault TeleNursing Project. The Project will provide real time, audio and video 24/7 access to expert guidance and support by Mass. Sexual Assault Nurse Examiners (SANE) to clinicians caring for adolescent and adult sexual assault patients/survivors in four underserved pilot sites across the nation. The four sites will include: a tribal community, a corrections setting, a rural community, and a U.S Navy setting.

MDPH is issuing a Request for Information (RFI) for stakeholder input and commentary regarding a future Contract Award Opportunity (CAO) to recruit service delivery sites that will partner with the National Sexual Assault TeleNursing Project. The MDPH and Project Team are currently seeking information about the needs and resources of potential pilot sites, and ideas and opinions regarding site selection criteria that will inform that future CAO. It is anticipated that the CAO will be released in February and it is expected that contracts will be active in June 2013.

To view the RFI, click here. It is not required to respond to the RFI as a condition of future participation. If you have any questions about any of the content, please contact Joan Sham.

Institute Seeks Proposals for Rural Communities Facing Design Challenges

The Citizens’ Institute on Rural Design (CIRD) is issuing a request for proposals to rural communities facing design challenges to host local workshops in 2013. Examples of challenges might include: how to add jobs and support local businesses, how to honor and protect local character and history, or how to use limited financial, human, and natural resources wisely. Successful applicants will receive a $7,000 grant and in-kind design expertise and technical assistance valued at $35,000. CIRD is a National Endowment for the Arts leadership initiative in partnership with the U.S. Department of Agriculture and Project for Public Spaces, Inc., along with several foundations. More information on the Request for Proposals is on the new CIRD website: www.rural-design.org.

Health Insurance Marketplace Included in Relaunch of HealthCare.gov

The web site HealthCare.gov from the U.S. Dept. of Health and Human Services has been relaunched to include new information about the Health Insurance Marketplace. The Marketplace allows families and small businesses to compare and purchase high-quality health insurance plans starting October 1, 2013, with coverage beginning January 1, 2014. When key parts of the Affordable Care Act take effect, individuals will be able to go to HealthCare.gov to buy insurance from qualified private health plans and check if they are eligible for financial assistance in one place, through a single application. (If a state is running its own Marketplace, HealthCare.gov will direct users to the right place.) In addition, many people will be eligible for a new kind of tax credit to help pay their premium costs.

Resource for Pregnant Women: Text4baby!

Text4baby is the first free mobile health service, developed in partnership by the U.S. Department of Health and Human Services, nonprofit organizations, and corporate sponsors. The service offers free critical health and safety information about pregnancy and a baby's first year of life (there are no messaging charges).

Women can enroll on the Text4baby web site (http://www.text4baby.org) or by texting ‘‘BABY'' for the English service or ‘‘BEBE'' for the Spanish service to 511411.

A user registers due dates or baby's birth date along with her zip code and receives a message on her cell phone on Monday, Wednesday, and Friday every week timed to her due date or baby's birthday. The primary target audience for text4baby is women who may be at higher risk for poor health outcomes and may have problems accessing health information.

Colorado Welcome Back!

Are you an internationally trained healthcare professional?
Do you want to get back into the healthcare field?

Colorado Welcome Back, a program of Spring Institute for InterculturalLearning, helps foreign trained health care professionals re-establish careers in health care in Colorado. Designed to increase the diversity and cultural competency of the state health care workforce, the program also addresses medically underserved communities experiencing health workforce shortages and health disparities.

Colorado Welcome Back is for people with health care training from other countries that have moved to Colorado and desire to work in a health care setting again. The program provides an array of case management, education and employment services to assist Colorado’s foreign trained health professionals who are otherwise unable to practice their professions.

Colorado Welcome Back is funded by the Colorado Refugee Services Program, the Kaiser Foundation, and the Colorado Health Foundation. For more information about Colorado Welcome Back's services please see the program brochure.