Dear fellow HFMA members:
Our program year is in full swing, with plenty of updates to share with
you in this issue of the newsletter. We have an exciting lineup of
educational programs, networking events and additional opportunities for
you to develop your industry expertise and leadership skills. The chapter
brings you timely updates as well as a link to HFMA national's resources,
including a full membership database.
Speaking of membership, our chapter directory will soon be available.
Those attending the November 2 reimbursement meeting will receive theirs
personally, and remaining copies will be mailed shortly thereafter. We invest
time and resources into this directory to link you to our chapter resources
and your colleagues, so please enjoy it and keep it as a handy resource.
In this directory, you'll find the names of our chapter leaders who are
dedicating their creative energy to the opportunities that we are able to offer,
thanks to your membership and our sponsors' support. If you are interested in
getting involved in a committee, please contact me or another chapter leader and we'll
gladly get you engaged to develop your leadership skills. Thanks to all
who have been involved in the continuing strong traditions of this chapter
and forging roads that lead to new opportunities for all of us.
Certification is a just one of those opportunities. Congratulations to
Becky Brugler, CFHP, from the Ernst & Young Akron office, who has recently
achieved certification status! Please join me on the road to certification;
have you ordered your study guides yet? They are good until December
2008 so you have plenty of time to get certified. See the article below
from our certification chair, Bob Matitia from University Hospitals regarding
the next coaching course that he will offer. It is a wonderful way to
prepare with others locally before taking an exam. Please let us know how we
can help you if you are looking to achieve certification status this year.
Enjoy the beauty of autumn and hope to see you soon at an HFMA Northeast Ohio event!
Northeast Ohio HFMA Chapter President, 2007-2008
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2007 Holiday Party and Annual Awards Dinner
NEO HFMA is pleased to invite you to the 2007 Holiday Party
and Annual Awards Dinner! Celebrate the Season! Join with friends
at this year's Happy Holiday Gathering in a Country Setting.
The evening, all wrapped up in an enchanted surrounding and holiday flair,
promises to be memorable with HFMA friends, old and new. The Blue
Heron will be elegant, yet comfortable = a great place to indulge in amazing
food, incredible socializing and endless dancing.
This year's charity 50/50 Raffle will benefit Harvest Home - an Akron
shelter for women and children.
- Wednesday, November 28, 2007
- 7:00 pm to 8:00 pm - Cocktails
- 8:00 to 9:00 pm - Dinner
- 9:00 -9:30 pm - Awards
- 9:30-11:00 pm - Social and Dancing
- $40 per person
Blue Heron Banquet and Conference Center
3225 Blue Heron Trace, Medina, Ohio, 44256
Directions available at www.golfblueheron.com
Register on-line at www.neohfma.org/hp_registration.htm
Or contact Kathy Much, 27910 Osborn Rd., Bay Village, Ohio 44140
Phone: (440) 835-1186
Deadline to register for this event is November 23rd
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NEO HFMA Welcomes...
||Source 1 Healthcare Solutions
|Joshua G. Frederick
||Northern Ohio Medical Specialists
|Anthony J Schillero
||Manager of Internal Finance Reporting
||Louis Stokes Cleveland VA Medical Center
|Sameer B. Alramahi
||Sr. Financial Analyst
|Diana L O'Boyle
||Ernst & Young
||Deloitte & Touche Llp
||Mgr. Business Intelligence
||Emergency Medicine Physicians
|Michael A Parris
||Associate Account Manager
||Relational Technology Solutions
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Membership Committee - Get to Know Us - Come Join Us!
We'd like to introduce ourselves. We are the 2007/2008 Membership Committee.
We are 11 Chapter members working for you (and a really nice group of people).
Jonathan Brown BROWNJ4@ccf.org
Frank Conway Frank.Conway@53.com
Julie Day email@example.com
Lisa Geiger firstname.lastname@example.org
Jill Hiner email@example.com
Diane Lilko firstname.lastname@example.org
Chris Maeder Christopher.Maeder@UHhospitals.org
Mike Manfull email@example.com
Bob Medcalf firstname.lastname@example.org
Mary Jayne Reedy email@example.com
Suzanne Tschetter firstname.lastname@example.org
A strong Chapter membership is essential to creating a rich experience for
everyone. This year, our committee has several important things to accomplish
in support of high member satisfaction and achievement of Chapter scorecard
objectives. Three key initiatives are:
- New member recruitment
- Member retention
- Member satisfaction
Most of our committee members are new to our group. We are happy to extend an
invitation to you to join our committee. We'd like to get to know you (if we
don't already). Plus, it's not all work and no play. We have plans to
mix it up. We are just an email away. Contact any one of us on our committee
and we'll get you involved.
We hope to hear from you.
From your friends,
NEOHFMA Membership Committee
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HFMA Helps You Stay On Top Of Your Game. Share the Experience.
As a current member of HFMA, you are in the best position to share your
experience as a member, be a recruitment link to others and help impact HFMA's
future. Last year, nearly 1,400 individuals nationwide joined HFMA.
Right now, the 2007-2008 Member-Get-A-Member program is in full swing. Did you
know that when you recruit 1or 2 new members (or reactivate members), you will
receive either a $25 Visa Fuel Card or HFMA apparel - your choice. Recruit 3
or 4 new members and receive $100 Visa card. The rewards keep growing ...
Have fun! Happy recruiting!
Click for more details.
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Listed below are the remaining events planned for the 2007/2008 program year. Details and
dates are announced as soon as they are available. Check the events calendar section of
www.neohfma.org often for updates on events.
|Medical Group/Post Acute Care
||January 17, 2008
||November 2, 2007
|Patient Financial Services
||February 21, 2008
|Past President's Recognition
||March 27, 2008
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Gerry Haggerty Annual Leadership Institute 2007
Sunny skies and the great location of Quail Hollow welcomed attendees
to this years GHALI. With a change of days to a Monday through Wednesday
format, a great lineup of speakers, a Vendor Fair, golf tournament,
Casino Night, Food Stations from around the USA, Installation of Officers and oh
yes Texas Hold'em, how could it not be a great event?
Congratulations to the Committee headed by Bill Watson and Dave Lang for a
job well done. The comments received were very positive and our goal of expanding
this conference to be a regional one has started to take place. This was our last
year at Quail Hollow and the location served us well as we attempted to grow
beyond our NE Ohio boundaries.
Watch for details of next years Conference, May 21-23, at the Kalahari Resort in Sandusky Ohio!
This event runs Wednesday thru Friday.
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Kudos to You!
Welcome back to Ohio
After spending 7 years in Rochester New York as the CFO of the Via Healthcare
System, Former HFMA President Richard Hogg has retired from the CFO ranks and
is working as the Development Director for the independent investment advisory
firm of Hartland & Co., headquartered in Cleveland.
Cyndee Shirk has joined UHHS/CSAHS - Cuyahoga, Inc (St. Vincent Charity &
St. John West Shore Hospitals) as a Senior Analyst.
Claudio Zanin has been appointed Administrator of the Cardio-Vascular Service
Line at Parma Hospital.
Congratulations to Cindy Hoyt on her recent move to Akron General
Medical Center as the Director of Patient Financial Services. She
also serves as the Secretary for the AAHAM/Western Reserve Chapter.
Becky Brugler received the HFMA CHFP certification by passing the test at
the ANI in late June.
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Improve Healthcare Building Environments to Improve Staff Satisfaction
In healthcare settings, staff
satisfaction and retention are critical to patient care and hospital outcomes.
In fact, the continuing shortage of qualified nurses has been found to play a
role in the commission of medical errors, according to a recent Joint
Commission on the Accreditation of Healthcare Organizations (JCAHO) study(1).
Therefore, maintaining job satisfaction rates to retain healthcare personnel
is a continuing, important goal of healthcare organizations.
Given that working conditions
comprise a major factor in job satisfaction among RNs(2) as well as all
healthcare providers, a positive building environment can play an important
role in how healthcare delivery personnel feel about their jobs. Providing
supportive positive working conditions, including building layout,
temperature, lighting, noise, and Indoor Air Quality (IAQ) can therefore
contribute to the ability of medical personnel to perform their work well and
maintain high morale.
To create and maintain building
environments that support the highest possible levels of healthcare delivery -
as well as overall professional staff satisfaction -focus on efficiently
providing indoor comfort and proper Indoor Air Quality (IAQ).
IAQ affects healthcare staff
satisfaction in several ways. Improving IAQ, including proper air exchange,
air flow and filtration, can contribute to lower rates of nosocomial
infections, which results in longer patient stays and higher work loads for
already stressed staff. Better IAQ also benefits hospital personnel by helping
to reduce their risk of contracting infections such as
For proper IAQ, hospital
ventilation and filtration systems must meet strict standards. Look to
guidelines set out by The Centers for Disease Control (CDC), the American
Institute of Architects (AIA), and the Joint Commission on Accreditation for
Temperature and humidity
When regulating temperature and
humidity, priorities must address patient health and healing as well as staff
working conditions. For example, in the operating room, set temperatures to
suit the procedure being performed and materials used - as well as the
personnel involved. Surgeons and support staff often need to concentrate for
long hours wearing layers of protective clothing and sub-optimal temperatures
can lead to significant discomfort and sweating.
Consider that different spaces
may also warrant specific requirements. Patient rooms will generally require
warmer temperatures than surgical suites. Ensure that the design - and control
of - healthcare HVAC systems will allow both the precise, and customized,
temperature control throughout the facility.
Franklin Memorial Hospital
(FMH) in Farmington, Maine wanted the latest in HVAC technology when it
undertook renovation of its operating suites in order to "satisfy the
surgeons, who wanted the temperature at 62-65 degrees, while the
anesthesiologists and other staff wanted higher temperatures." Moreover,
excessive humidity can require resterilizing surgical kits, adding thousands
of dollars of expense.
For the solution, FMH worked
with their HVAC consultants and consulting engineers to design and build a new
packaged, state-of-the-art HVAC system to provide superior temperature and
humidity control. The system included water pumps, piping, as well as a high
technology automation system and controls. The result: O-R doctors love the
new system because it keeps them so comfortable.
Noise and Light
In addition to air quality,
temperature and humidity, noise can also directly affect the hospital
atmosphere, impacting both workers and patients. High noise levels can add to
stress. Building equipment, including HVAC systems, should be selected and
designed for minimal noise output.
Poor lighting has been linked to
patient depression and medication errors (Designing,
2004). Hospitals can incorporate technologies, such as highly efficient
fluorescent lighting, to achieve proper conditions for staff while saving
energy. Lighting systems can be integrated in overall building automation
environmental management solutions to provide centralized control as well as
improve energy management and efficiency.
Centralized Monitoring and Reporting
Hospital administrators and
engineers also installed a next generation control and management tool that
will not only save time and money by providing detailed environment of care
documentation for Joint Commission reporting, but also allows hospital staff
to continuously view, monitor, track, trend and report environmental
conditions in all critical areas from a single location. The high technology
solution provides an immediate alarm signal if any critical parameter is
exceeded so that staff may take immediate action to correct the
Quality Staff and Environment
Improving patient outcomes can be a direct benefit of raising job satisfaction and
lowering turnover among healthcare professionals. Creating healthy, efficient,
and comfortable hospital buildings is an integral element of achieving
staff satisfaction and retention - worthy of ongoing attention,
investment, and improvement.
For more information, contact: Todd Smith, Trane Ohio, by phone: 513-771-8884 or email:
Tarkan, Laurie. "Nursing Shortage Forces Hospitals to Cope Creatively". The
New York Times, January 6, 2004.
"Designing the 21st Century Hospital: Serving Patients and Staff."
Summary based on a conference convened by the Robert Wood Johnson Foundation
(RWJF) and The Center for Health Design, June 3, 2004, in Washington, D.C.
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Healthcare Providers Can Proactively Address Charity Care Issue
Several state lawmakers have recently proposed legislation that would establish
stricter standards for charity-based healthcare organizations to maintain
tax-exemption eligibility. Currently, the guidelines vary from state to state,
requirements are unclear and hospitals often end up having to interpret vague
state and local guidelines to establish their own charity care criteria.
Without uniform standards, it is complex and challenging for hospitals to
determine the appropriate level of charity care.
While hospitals are attempting to clarify their charity care policies, some consumer
advocacy groups claim public hospitals are not providing enough charity care
to deserving individuals and are using overly aggressive tactics when
collecting a patient's payment for services. Unfortunately, many hospitals
have antiquated revenue cycle processes that might misclassify a patient's
account as possible collection, rather than as a true charity case, and the
patient account becomes part of the $46M in bad debt across the U.S. In either
scenario, the medical services were ultimately provided to the patient at no
charge. Only the accounting process was incorrect.
In November 2006, the HFMA's Principles & Practices Board updated Statement
15 to improve clarity and address congressional and legal questions regarding
the charity care reporting practices of tax-exempt hospitals. As part of its
recommendations, the board suggested providers determine charity care
eligibility and bad debt before or at the time of service. To better fulfill
its charity-based mission, some hospitals are following Statement 15's
recommendations and employing new strategies with automated technologies that
objectively and logically predict a patient's eligibility for charity or other
assistance. For example, after certifying permissible purpose under the
Federal Fair Credit Reporting Act, those hospitals can check a patient's
credit profile to project their financial resources. They can then better
assist those patients who are unaware that they may be eligible for available
Medicaid, State Children's Health Insurance Program (SCHIP) and other public
financial assistance, and also evaluate them for possible hospital discounts
and charity. If a patient qualifies for a program, some technology systems can
generate the necessary paperwork, populate it with patient information and
submit the appropriate Medicaid, discount request and charity
In turn, registrars can spend more time counseling patients and addressing their
financial needs. With proper, evidence-based determination of a patient's
eligibility for financial assistance, hospitals can help the truly needy as
well as prove its decisions on a case-by-case basis and thereby meet exemption
Automated technologies can offer other benefits as well, including:
Identity Management - reduce fraud and better predict financial performance by
verifying Social Security Numbers, addresses, phone and other contact
numbers from the beginning (i.e. at the point of registration). This not
only helps in reducing fraud losses, but also protects patients from the
many headaches that result from becoming a victim of the crime.
Determine Appropriate Payment Options - develop an automated process and
leverage new technologies to assess a patient's financial situation and
determine the best payment options.
Ensure Objective Charity Program - maintain a healthy revenue cycle and
ensure objective, consistent and current results by conducting an
ongoing assessment of the hospital's charity
Collection Prioritization - prioritize collections efforts by incorporating
data, evaluation models, decision systems, advanced analytics and
expert consultation into an objective decision-making
System Automation - automate key steps in the hospital's revenue
cycle to make informed decisions more
For many health care providers, it's not as much a matter of wanting to
give discounts and charity care as it is having policies and processes in
place to accurately assess a patient's financial resources and determine who
may be eligible for assistance -
charity, public aid, discounts or payment plans. By addressing this issue at
the beginning of the registration process, the likelihood of a patient going
into collections is greatly reduced, resulting in fewer surprises for the
patient and a healthier revenue cycle for the healthcare organization.
Marty Callahan is a vice president and oversees TransUnion's Healthcare Information Services.
Headquartered in Chicago, TransUnion is a leading global information solutions
company that offers a broad range of financial services that enable customers
to manage risk and capitalize on market opportunities. The company uses
advanced technology coupled with extensive analytical capabilities to combat
fraud and facilitate credit transactions between businesses and consumers
across multiple markets. Marty Callahan can be reached at
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Puzzle - Shriekville's Ghosts
By Jack Bailey
Five People were all taking a vacation in Shriekville;
unfortunately all their vacations were cut short by a terrifying
encounter with a resident ghost.
Can you determine the type of accommodation, its name and the name of
the resident ghost?
The pub was the home
of Chilling Charlie, who frequently turned down the thermostat and then
let out gruesome shrieks, chilling everyone to the bone.
Lucas or Archibald's
vacation was at the castle - was Terrifying Tony the resident ghost
Charlie went to stay with friends, this was in a bungalow, but it did
not have the name Briar Hill. He was not terrified by Bloodcurdling
Brian, the ghost that left bloodstained footprints behind.
Billy vacationed at a place named Rosedale, which was not a hotel.
Creepy Craig really
did scare Gary, as he was settling down to sleep, by scraping his fingernails
on the bedroom window, this was not at a hotel and it wasn't a place
The bed and breakfast
accommodation was not High Lodge, which was also not the castle where
Macabre Malcolm was resident.
E-mail your answer to Jack Bailey at email@example.com.
All correct entries will be included in a drawing and one lucky entrant will receive a $25
Previous puzzle: Summer Paintings
Winner: Jason Kopczak of Ashtabula County
Medical Center won a $25 gift card to Macy's.
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