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Becker’s Healthcare Virtual Events presents Standing Room Only
• Amy Schroeder, Chief Strategy Officer, Lexington Regional Health Center• Ash Goel, MD, MBA, Senior Vice President and Chief Information and Informatics Officer, Bronson Healthcare Group• David Jones, Chief Human Resources Officer, Stanford Health Care• Moderated by Molly Gamble, Vice President of Editorial, Becker's Healthcare
The COVID-19 pandemic is wreaking havoc across the country and around the world. Dr. Brady Beecham provides a unique perspective to the current state of affairs due to the many hats she wears. One hat is that of a practicing family physician at Lexington Regional Health Center in Lexington, Nebraska. Another hat is that of the Chief Medical Officer of the Board of Health in Lexington. “Leadership is trying to help anticipate problems and help the whole group navigate around them.” ~Brady Beecham, M.D. Dr. Beecham is a family medicine physician, a public health advocate, and a mother to two young kids. She has lived around the world and speaks three languages but finds living in a rural Nebraska just right. As a family doctor, she takes pride in providing the best possible care to her patients, including a busy OB practice. In addition to her primary job functions, she serves as the chief medical officer for the local health department, which this year means helping to strategize a COVID-19 plan. She has been recognized as the minority health provider of the year in Nebraska for her commitment to serving patients in this diverse rural community.
This episode features Leslie Marsh, CEO of Lexington Regional Health Center. Here, she discusses how her hospital is thriving in a rural setting, what she considers the most important qualities of leadership, and more.
Two major storylines are discussed during this edition of Monitor Mondays, with the exclusive 60-minute broadcast to focus on the raging coronavirus pandemic and the imminent auditing of Medicare and Medicaid claims scheduled to begin Aug. 3, as directed by the Centers for Medicare & Medicaid Services (CMS).Joining the broadcast to report on the coronavirus will be Dr. John Foggle, Adjunct Associate Professor of Emergency Medicine at the Alpert Medical School of Brown University. Offering an update on the imminent audits of Medicare and Medicaid claims will be healthcare attorney Andrew Wachler, managing partner of Wachler and Associates. And Sean Weiss, chief compliance officer for DoctorsManagement, reports on the issues and implications associated with the public health emergency (PHE), which was extended recently by Alex Azar, Secretary of the U.S. Department of Health and Human Services (HHS).Two reports from two provider organizations will round out the Monitor Mondays coverage of the impact of the deadly coronavirus on hospitals. Dennis Jones, administrator of patient financial services at Montefiore Nyack Hospital in Nyack, N.Y., once near the epicenter of the virus, reports on how his facility has emerged from the worst of the spike in the northeast. And Nicole Thorell, chief nursing officer at Lexington Regional Health Center, reports on how her rural hospital has managed to survive during the pandemic.Other segments to be featured during the live broadcast include the following:RAC Report: Healthcare attorney Knicole Emanuel, a partner in the Potomac Law Group, files the Monitor Mondays RAC Report.SDoH Report: Ellen Fink-Samnick, a nationally recognized expert on the social determinants of health (SDoH), reports on the news that’s happening at the intersection of COVID-19 and SDoH. Ellen also conducts the Monitor Mondays Listener Survey.Legislative Update: Former Centers for Medicare & Medicaid Services (CMS) official Matthew Albright, now chief legislative affairs officer for Zelis, reports on the status of healthcare legislation associated with the current COVID-19 pandemic.Risky Business: Healthcare attorney David Glaser, shareholder in the law offices of Fredrikson & Bryon, joins the broadcast with his trademark segment. reporting on legal implications during the pandemic. Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.COVID Q&A: Navigating COVID-19 guidance continues to be a major challenge for healthcare professionals – and that is why Monitor Mondays will devote additional time during this live broadcast to answer your questions.
In this fifth episode of Managing from the Middle: Leading Through Change 6-part podcast series, we address the challenges leaders face with managing their own emotions during change. Guests share best practices for strengthening emotional intelligence, building resilience and role-modeling while leading a group through a change. Joining the conversation are Micala Dempcy with Lexington Regional Health Center in Nebraska, and Rhonda Barcus and Shannon Studden with the National Rural Health Resource Center. "Managing my own emotions helps me stay professional and relevant with my staff; I don’t hide them by any means, but I acknowledge them and I’m honest with them." ~Micala Dempcy
Like a destructive earthquake, recent news from The Chartis Center for Rural, documenting the accelerated rate of closures among rural hospitals, is sending shock waves through rural communities.As with the Richter scale, the closure of one rural hospital is likely to have an exponential impact on all rural health. And the stark reality is that, as of January 2020, a total of 120 rural health facilities have closed their doors.Leslie Marsh, the chief executive of Lexington Regional Health Center in Lincoln, Neb., returns to Monitor Mondays and reports on precipitous peril for rural hospitals, which is now rising to a national disaster.Other segments featured on the podcast are:RAC Report: Senior healthcare analyst Frank Cohen returns to the broadcast to report on why Recovery Audit Contractors (RACs) can’t be considered unbiased in a court of law.Audit Report: Sean M. Weiss, partner and chief compliance officer for DoctorsManagement, reports Artificial Intelligence (AI) and its impact on compliance and auditing.Risky Business: Healthcare attorney David Glaser, a shareholder in the law offices of Fredrickson & Bryon, will join the broadcast with his trademark segment Risky Business.Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.
With a 30,000-foot view of rural healthcare policies and regulations emanating from Washington, D.C., Leslie Marsh still recognizes the importance of having boots on the ground, serving as the chief executive of Lexington Regional Health Center in Lincoln, Neb.Marsh, who also serves as vice president of board of directors for the ruralMED Health Network, addresses the ubiquitous Z codes and their impact on the rural population, among other serious issues facing rural healthcare providers, during this edition of Monitor Mondays.Other segments to be featured during the podcast includes:RAC Report: Healthcare attorney Knicole Emanuel reports on the latest audits by Recovery Audit Contractors (RACs) and other third-party auditors.Audit Report: Sean M. Weiss, partner, and chief compliance officer for DoctorsManagement, reports the latest on Target Probe Educate.SDoH Report: Ellen Fink-Samnick has the latest news on rural health and also conducts the Monitor Mondays Listener Survey.Risky Business: Healthcare attorney David Glaser has his trademark segment, in which he reports on problematic issues facing providers. Monday Rounds: Ronald Hirsch, MD, vice president of R1 RCM, makes his Monday Rounds with another installment of his popular segment.
We’re talking about Telehealth in Rural America. We’re having that conversation with Dr. Windy Alonso, Post-Doctoral Research Associate at the University of Nebraska Medical Center, College of Nursing, Dr. Elizabeth Crouch, Assistant Professor and Deputy Director of the Rural and Minority Health Research Center at the University of South Carolina, and Nicole Thorell, Chief Nursing Officer at Lexington Regional Health enter. Wendy, Elizabeth and Nicole were 2018-2019 Rural Health Fellows with the National Rural Health Association (NRHA), where they focused on Telehealth in Rural America, culminating in a Policy Paper presented to and adapted by the NRHA Rural Health Congress. “Leadership involves balance, humility, fortitude and mentoring” ~Windy Alonso, Ph.D. Dr. Windy Alonso is currently a post-doctoral research associate in the College of Nursing at the University of Nebraska Medical Center. She received her PhD in Nursing from the Pennsylvania State University College of Nursing, University Park, PA in 2017. Windy is a first-generation college student who was inspired by her rural upbringing to pursue a career as a nurse scientist. She has received funding from the National Institutes of Health, the Heart Failure Society of America, the Rural Nurse Organization, and the Midwest Nursing Research Society to pursue strategies to improve the lives of individuals with heart failure living in rural areas. Dr. Alonso has disseminated her work in rural heart failure regionally, nationally, and internationally through numerous presentations and publications. Her commitment to improving rural health led to her recognition as a National Rural Heath Association Rural Health Fellow and a Nebraska Action Coalition 40 Under 40 Emerging Nurse Leader in 2018. “Telehealth encompasses more than people realize.” ~Elizabeth Crouch, Ph.D. Dr. Elizabeth Crouch is an assistant professor in the Department of Health Services Policy and Management within the Arnold School of Public Health and Deputy Director of the Rural and Minority Health Research Center. Her work focuses on policy-related issues across the age spectrum in vulnerable populations at the beginning of life (children) and the end of life (elderly), with a particular focus in rural-urban disparities. She is highly experienced in claims analysis, particularly Medicaid and Medicare claims. Elizabeth has produced 40 peer-reviewed articles with over half of these articles involving analysis of Medicaid, Medicare, or private health insurance plan claims. “The barriers are really our target areas for improvement when looking at telehealth.” ~Nicole Thorell, MSN, CEN Nicole Thorell, MSN, CEN, is the Chief Nursing Officer at Lexington Regional Health Center in Lexington, Nebraska. Nicole has been at Lexington Regional for ten years, and has been in this position for four years. Prior to this, she was a staff nurse and Director of Nursing Quality in the facility. Nicole received her diploma in nursing from Bryan College of Health Sciences, and her Bachelor of Science in Nursing and Masters of Science in Nursing from Kaplan University.
Controversy swirls and denials of claims continue when it comes to reporting sepsis. Exacerbating this compliance issue is the dual definition of the condition: The Centers for Medicare & Medicaid Services (CMS) and in many cases, payers use the Sepsis 2 definition, while generally, providers rely on Sepsis 3.Joining us on this episode of Monitor Mondays, Mary Beth Pace, vice president of care management at Trinity Health, will share how her system approaches the dilemma of sepsis.The broadcast rundown also will include:Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment.The Audit Report: Healthcare attorney Knicole Emanuel, a partner in the Potomac Law Group, returns to report on a new audit by Brown University that reveals the targeting by Medicare Advantage auditors of certain skilled nursing facilities (SNFs).Monday Focus: Rural Health Report: Data from the Centers for Disease Control and Prevention (CDC) reveal another decline in life expectancy. Suicide and drug overdoses continue to be major factors, and suicide rates in rural counties are reported to be nearly double that of urban counties for 2017. Reporting on the state of healthcare in rural America is Leslie Marsh, chief executive officer at Lexington Regional Health Center in Lexington, Neb.Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron will report on another example of a potentially troublesome issue that could pose a risk to your facility.Hirsch’s Heroes: Dr. Hirsch will also profile his 2018 “Hirsch’s Heroes” during his popular annual holiday segment.
UnitedHealthcare (UHC) is putting providers on notice: Come Jan. 1, 2019, the industry giant will use the SEP-3 definition to determine if a diagnosis of sepsis is clinically validated, advising that the Sequential (sepsis-related) Organ Failure Assessment (SOFA) score is to be used to determine if sepsis is present. If reviewers find no SOFA score in the medical record, that could spell trouble – audit trouble. Reporting on this topic during this edition of Monitor Mondays is Edward Hu, MD, executive director of Inpatient Physician Advisor Services for the University of North Carolina Health Care System and president of the American College of Physician Advisors. The broadcast rundown also will include: The RAC Report: Healthcare attorney Knicole Emanuel reports on a flurry of new cases in which judges are ordering the government to refrain from recouping alleged overpayments until a hearing has been held. Immediate recoupments, currently allowable by law, fundamentally violate our country’s concept of due process. Medicare Advantage Report: A recent investigation by the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) found that Medicare Advantage plans overturned 75 percent of their denials. Timothy Powell, Monitor Monday national correspondent, reports on this developing story. Rural Health Report: There has been a spike in the closure of rural hospitals, according to the Government Accountability Office (GAO). In a recent report, the GAO says that a total of 64 rural hospitals closed between 2013 and 2017. In the face of that bad news, Leslie Marsh, the chief executive officer for Lexington Regional Health Center in Lexington, Neb., reports on the positive economic impact her facility is having on the community. Risky Business: Healthcare attorney David Glaser with Fredrikson & Byron reports on another example of a potentially troublesome issue that could pose a risk to your facility. Monday Rounds: Ronald Hirsch, MD, vice president of R1 Physician Advisory Services, makes his Monday Rounds with another installment of his popular segment. Monitor with us™
Today we’re having a conversation with Nicole Thorell, MSN, CEN, Chief Nursing Officer at Lexington Regional Health Center in Lexington, Nebraska. Nicole has been at Lexington Regional for ten years, and has been Chief Nursing Officer for four years. Prior to becoming the CNO, Nicole was a staff nurse and Director of Nursing Quality. “The secret sauce is really the transition care team.” Lexington Regional Health Center was able to reduce readmissions by over 80%. Nicole was one of the key players to accomplish this along with Leslie Marsh, CEO, and Dana Steiner the Chief Nursing Officer prior to Nicole being in that position. Nicole was the data collector at the beginning and the first Transitional Care Director really got a great foundation of where hospital needed to go. Current Director of Transitional Care, Brittany Hueftle, is now taking the program beyond what was thought to be possible. Nicole received her diploma in nursing from Bryan College of Health Sciences, and her Bachelor of Science in Nursing and Masters of Science in Nursing from Kaplan University.