Arkansas Hospitals, Summer 2018

ARKANSAS

HOSPITALS Summer 2018

CYBERSECURITY Arkansas Hospital Association

STATISTICS edition

K EEP YOUR DATA

HEALTH Y Cybersecurity team of attorneys Anton Janik, Mandy Stanton, Ben Jackson and Zach Steadman

Cyberattacks are a real and constant threat. Financial accounts, protected and confidential information – it could all be hacked and compromised. Our experienced cybersecurity team helps mitigate these risks, protecting your company and customers. Learn more today.

Little Rock | Rogers | Jonesboro | Austin MitchellWilliamsLaw.com

Mitchell, Williams, Selig, Gates & Woodyard, P.L.L.C. 425 W. Capitol Ave., Suite 1800 | Little Rock, AR 72201 R.T. Beard, III, Managing Director

Neurological Care That Goes Beyond.

1 in 6 children will be diagnosed 1 in 6a children will be diagnosed with with neurological disorder. a neurological disorder.

Does your child suffer from tremors, headaches, weakness or balance Does your child suffer from an illness affecting the brain, spinal problems? These symptoms could be a sign of a neurological cord, nerves or muscles? disorder. The Neuroscience Center at Arkansas Children’s includes a team of more than Center 200 health care professionals who worka together The Neuroscience at Arkansas Children’s includes team to provide comprehensive neurological care for the children of of more than 200 health care professionals who work together Arkansas beyond. care for the children of Arkansas and to provideand neurological beyond.

Find out more at

archildrens.org/neuro

or (501)364-1850 364-1850 or call call (501) (501) 364-1850 ARKANSAS HOSPITAL ASSOCIATION . 1

Arkansas Heart Hospital Bryant, Arkansas

HELPING BUILD A HEALTHIER ARKANSAS. Clark Contractors is proud to be a part of creating the healthcare infrastructure essential to the well-being of our state and our people. We thank you for your confidence and look forward to continuing our efforts to build a healthier Arkansas.

2 . SUMMER 2018

www.clarkcontractors.net

Features 11

Hospitals in the Crosshairs: Managing Cybersecurity Risk

ARKANSAS HOSPITALS IS PUBLISHED BY THE ARKANSAS HOSPITAL ASSOCIATION 419 Natural Resources Drive • Little Rock, AR 72205 Elisa M. White, Editor-in-Chief Nancy Robertson, Senior Editor & Contributing Writer

15

Determining the True Cost of a Data Breach

19 DEPARTMENTS

5 6 7 9 9

President’s Message

28 49 51

Cybersecurity and Organizational Excellence

NEWS

All About Hospitals

47 54

Celebrating Volunteers

59 62

A New Data Resource

Newsmakers & Newcomers

Paul Cunningham

Profile: Marcy Doderer, Arkansas Children's Allies in Health Care: HFMA

Assess Your HIPAA Security Risk

64 66

Hunting Sepsis The Silent Killer

80

Focus on Quality

POLICY AND ADVOCACY

Fighting Antibiotic Resistance

70 73

STATISTICS

31

52

Editor’s Letter

QUALITY AND PATIENT SAFETY

25

COACH’S PLAYBOOK

AHA Calendar

A FOND FAREWELL

23

Insuring Against a Breach

Hospital Statistics 2018

77

AHA Services Works for You National Disaster Medical System Standing Against Violence

Medicaid Expansion An Attorney's Perspective on Tort Reform

DESIGN TEAM: Jamison Mosley, Jamie Smith, Kellie McAnulty BOARD OF DIRECTORS: Darren Caldwell, Newport / Chairman Chris Barber, Jonesboro / Chairman-Elect Peggy Abbott, Camden / Treasurer Ryan Gehrig, Fort Smith / At-Large Molly Burns, Magnolia Greg Crain, Little Rock Barry Davis, Paragould David Deaton, Clinton Phil Gilmore, Crossett John Heard, McGehee Vince Leist, Harrison James Magee, Piggott Mike McCoy, Danville Dan McKay, Fort Smith Ray Montgomery, Searcy Ron Peterson, Mountain Home Darlene Tuohy, Bella Vista Doug Weeks, Little Rock Debra Wright, Nashville EXECUTIVE TEAM: Robert “Bo” Ryall / President and CEO W. Paul Cunningham / Executive Vice President Tina Creel / President of AHA Services, Inc. Elisa M. White / Vice President and General Counsel Jodiane Tritt / Vice President of Government Relations Pam Brown / Vice President of Quality and Patient Safety Lyndsey Dumas / Vice President of Education DISTRIBUTION: Arkansas Hospitals is distributed quarterly to hospital executives, managers and trustees throughout the United States; to physicians, state legislators, the congressional delegation, and other friends of the hospitals of Arkansas.

Arkansas Hospitals is produced quarterly by Vowell, Inc., 910 W. 2nd St., Suite 200, Little Rock, AR 72201.

Periodicals postage paid at Little Rock, AR and additional mailing offices.

The contents of Arkansas Hospitals are copyrighted, and material contained herein may not be copied or reproduced in any manner without the written permission of the Arkansas Hospital Association.

Articles in Arkansas Hospitals should not be considered specific advice, as individual circumstances vary. Products and services advertised in the magazine are not necessarily endorsed by the Arkansas Hospital Association.

To advertise, call 501-244-9700.

The Capitol Report ARKANSAS HOSPITAL ASSOCIATION . 3

PRESIDENT’S Message

EVENT CALENDAR JULY

SUMMERTIME

Learning Resources

July 12 Arkansas Hospital Auxiliary Association Board Meeting AHA Boardroom July 27 Arkansas Society for Directors of Volunteer Services Summer Conference St. Bernards Foundation, Jonesboro

AUGUST August 2-3 careLearning User Group Forum AHA Headquarters

It may be summer, but your health care education program doesn’t have to take a holiday! Vacation schedules make face-to-face workshops a challenge, but never fear…your AHA Education Team has a variety of webinars available for summer learning.

View them from the convenience of your own facility, and pay one site fee for as many attendees as you require.

Go to the Education Calendar at www.arkhospitals.org for more information and a complete list of educational opportunities.

And if you don’t yet subscribe to the eBulletin, our monthly update of online education resources, contact Director of Educational Operations Romeeka Taylor at rtaylor@arkhospitals.org or give her a call at 501.224.7878 to be added to the distribution list.

6 . SUMMER 2018

August 10 AHA Board Meeting AHA Boardroom

SEPTEMBER September 3 AHA Office Closed September 5 Metro District Meeting AHA Boardroom September 7 AHA Workers’ Compensation Self-Insured Trust Board Meeting AHA Headquarters September 7 AHA Workers’ Compensation Self-Insured Trust Annual Education Conference AHA Headquarters

September 7 Arkansas Association of Healthcare Engineering Fall Conference Holiday Inn Springdale September 13 Arkansas Hospital Auxiliary Association Board Meeting AHA Boardroom September 14 AHA Board Meeting AHA Boardroom September 14 Arkansas Association for Healthcare Quality Fall Conference Gilbreath Conference Center, Baptist-Little Rock

OCTOBER October 3-5 AHA 88th Annual Meeting and Trade Show Little Rock Marriott and Statehouse Convention Center October 3 AHA Board Meeting (held in conjunction with the AHA Annual Meeting) Little Rock Marriott October 3-5 Arkansas Hospital Auxiliary Association 60th Annual Meeting and Trade Show Embassy Suites, Little Rock

EDITOR'S

Letter

ARKANSAS HOSPITAL ASSOCIATION . 7

BEHAVIORAL HEALTHCARE SYSTEM

Specializing in mental health treatment for children & adolescents

Pinnacle Pointe Hospital is located in Little Rock and is one of Arkansas’ largest behavioral health facilities.

We offer acute inpatient and residential services for children and adolescents ages 5-17 who are struggling with emotional or behavioral health issues.

We Provide a Full Continuum of Behavioral Healthcare Services

• Residential inpatient care

• Partial hospitalization

• Day treatment services

• Acute inpatient care

• School-based services

TRICARE ® is a registered trademark of the Department of Defense, Defense Health Agency. All rights reserved.

• Outpatient services

11501 Financial Centre Pkwy.

Little Rock, AR 501.223.3322 • 800.880.3322 10 . SUMMER 2018

Best of

2018

Hospitals in the CROSSHAIRS Managing CYBERSECURITY Risk

ARKANSAS HOSPITAL ASSOCIATION . 11

12 . SUMMER 2018

Because employees are the leading cause of data breaches, one of the best defenses...is to

implement regular employee training as part of your data security plan.

ARKANSAS HOSPITAL ASSOCIATION . 13

ARTIFICIAL EYE & FACIAL PROSTHESIS CLINIC THE location for post-surgical reconstruction of the face.

Helping Patients Experience Life in a New Light

Making Patients Feel Whole Again

The Artificial Eye Clinic at the The Center for Alloplastic Facial Reconstruction serves all the needs of prosthetic eye patients: from the initial custom design of prosthetic eyes to fitting, follow up, and ongoing clinical care. In addition to the highest level of clinical prosthetic eye care, patients also have the advantage of receiving RealLifeEye™ Artificial Eye Technology.

RealLifeEye™ Artificial Eye Technology is a unique and proprietary process producing eye prostheses that are extraordinarily lifelike in appearance. The prosthetic eye irises (colored part of the eye) are filled with ultra fine stroma detail and a remarkable level of three dimensional depth.

The clinic is proud to attract patients nationwide in search of this singular technology. Clinic Ocularist Michael Kaczkowski creates this custom iris process not just for practitioners and patients in the United States, but also for others throughout the world.

The Facial Prosthesis Clinic at the The Center for Alloplastic Facial Reconstruction offers exclusive Custom RealLifeSkin™ Facial Prosthetics and Hemi-Facial prostheses to help facial prosthetic patients. The unique construction of these prosthetics helps to stabilize the facial opening, preserve the sinus cavity, and improve normal speech resonance.

Each facial patient is evaluated individually to best determine which facial prosthesis retention method or combination of methods is best for them. Pre-evaluations can be made based on emailed photographs in order to save on travel resources.

Such pre-evaluations are extremely helpful for the patients from all over the United States and overseas who approach the Facial Prosthesis Clinic for access to their specialized artistry and technology.

Says one patient: “Everyone is amazed at how real it looks; people can’t tell it’s a a prosthesis. I love it!”

Arkansas clinic offers artificial eyes for patients across the country

Lifelike facial prostheses help patients move on

a

BEFORE

AFTER

A PEDIATRIC PATIENT AND HER MOM

FACIAL PROSTHESIS

FACIAL PROSTHESIS IN SITU

PROVIDING ARTIFICIAL EYES & PROSTHETIC FACIAL RECONSTRUCTION FOR ARKANSAS AND BEYOND FOR 15+ YEARS at the Center for Alloplastic Facial Reconstruction - Michael Kaczkowski, Ocularist, Anaplastologist 3924 W Markham St, Little Rock, AR 72205

501-265-0100 • info@RealLifeFaces.com • RealLifeFaces.com a Facebook.com/RealLifeFaces

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in the Continental US, Carribean, Mexico or Canada

Land Closer to Your Destination Travel on Your Schedule Arrive Relaxed & Ready for Business or Leisure Pets Fly Free and With You

Enjoy Your Next Flight 975.9329 / charter@central.aero 1501 Bond Avenue, Little Rock, Arkansas |

Since 1939 | www.central.aero | 501.375.3245

More than just maintenance-free, our lifestyle offers a whole new perspective on retirement living.

Woodland Heights is committed to ensuring the best possible care with a lifestyle geared to fit resident’s needs. We offer four care levels: • Independent Living • Assisted Living • Memory Care • Enhanced Care Woodland Heights invites you to Little Rock’s warmest and most friendly retirement community.

Schedule a Private Tour or Call Today for a FREE Information Package!

8700 Riley Drive • Little Rock, AR 72205 • 501-224-4242 www.woodlandheightsllc.com

We Take Care of You & You Take Care of Your Patients Did you know...

Wright Lindsey Jennings is a full-service, 118-year-old law firm that partners with physicians and health care providers to offer guidance in the following areas: • Medical Practice Organization • Medicare/Medicaid Reimbursement • Regulatory Compliance, including HIPAA, Stark I and II & Anti-Kickback Compliance • Corporate Compliance • Estate Planning • Intellectual Property • Tax • Real Estate Investments • Employment

Hayden W. Shurgar

Kayleigh C. Dulaney

little rock rogers wlj.com

Only a

CLICK

away!

Connect

to order free health care resources and tools!

Go to afmc.org and get instant access to information that health care providers like you need every day. You’ll find free tools available for order and download, details about AFMC’s quality improvement and disease prevention projects, survey results, professional publications geared toward Arkansas health care providers and MORE!

REVISED SEPTEMBER 2017

ADDRESSING SOCIAL DETERMINANTS OF HEALTH

You Can’t Buy Experience.

Stop Wasting Time and Resources, and Get the Best Counsel Possible Starting Today.

New Resource!

Social determinants of health – where we live, work and play – have tremendous effects on one’s health, and they can affect anyone, regardless of age, race or ethnicity.

 � � � � � � � � � � � �  � � � ­ � � ­ � � � � � � � € ‚ �  ƒ ‚ ‚ �  �  „ � �  � … †‡ � ˆ ‰ Š � ‹ ‚ � ˆ†‡ � � � Š  � � � †‰Œ Œ � �  „ � � ­ � � � � Ž

The American Hospital Association has released a new resource highlighting the importance of addressing this important topic.

The PowerPoint presentation is designed for use by hospital and health system leaders in conversations with their employees, trustees and community.

Help your organization and community better understand how social determinants impact your patients and neighbors. Learn what hospitals are doing to address this crucial aspect of health. Discover resources from the American Hospital Association to help you further tackle related challenges, including food insecurity and lack of transportation.

You can download the 23-slide PowerPoint presentation by going to www.aha.org and searching for Social Determinants of Health Presentation. More resources on addressing the social determinants of health are also available at this site.

Open to all children SUMMER MEALS FORunder KIDS18. & TEENS Being served in your community!

U.S. Department of Agriculture

NEWS

STAT 26 . SUMMER 2018

No Cost!

No Enrollment!

Open to all kids under 18 - No cost or enrollment

FIND A SITE NEAR YOU! Call: 1-866-348-6479 Visit: www.fns.usda.gov/summerfoodrocks Text: “Summer Meals� to 97779

USDA is an equal opportunity employer and provider.

USDA is an equal opportunity employer and provider.

Educating the Physicians of Tomorrow NYIT College of Osteopathic Medicine (NYITCOM) at Arkansas State University not only produces excellent physicians, but also works to create healthier communities. Our faculty, staff, and students are actively engaged in outreach programs to introduce our youth to health and science, to create greater awareness of health outcomes, and to develop healthier communities.

NYITCOM at Arkansas State University is committed to addressing the primary care physician workforce shortage in Arkansas and the Delta region. By 2030, NYITCOM at A-State will produce more than 1,000 physicians to serve this state, region, and beyond.

Want to learn more?

Visit: nyit.edu/Arkansas Call: 870.972.2786 Email: nyitcom.astate@nyit.edu ARKANSAS HOSPITAL ASSOCIATION . 27

SEPSIS IS AN ONGOING NATIONAL PRIORITY

98

In-State Hospital Members General Medical-Surgical Hospitals Urban

24

Rural

20

Critical Access

28

Pediatric

2

Cardiac Care

1

Women’s Health

1

76

Inpatient Psychiatric Facilities

11

Inpatient Rehabilitation Facilities

4

Long-Term Care Hospitals

5

Veterans Affairs Hospitals

2

Out-of-State Border City Hospitals

2

Non-Hospital Members

3

Total AHA Members

103

34 . SUMMER 2018

ARKANSAS HOSPITAL ASSOCIATION . 35

Carroll

Benton

Washington Crawford

Madison

Boone

Newton

Searcy Stone

Franklin

Johnson

Pope

Van Buren

Scott Garland

Prairie

Clark

Lincoln

Desha

Ouachita

Little River Hempstead Nevada

Calhoun

Drew

Bradley

Miller Lafayette

Cleveland

Columbia

Union

Ashley Chicot

Crittenden

St. Francis

Phillips Arkansas

Mississippi

Poinsett

Monroe

Grant Jefferson

Dallas

Craighead

Lee

Lonoke

Pike

Sevier

Greene

Cross Woodruff

Saline

Hot Spring Howard

Jackson White

Pulaski Montgomery

Independence

Faulkner

Perry

Yell

Sharp Lawrence

Cleburne

Conway

Logan

Sebastian

Polk

Izard

Clay

Randolph

Fulton

Baxter Marion

Carroll

Benton

3

Washington

Madison

Boone

Newton

Izard

Searcy Stone

Crawford

Franklin

Johnson

Pope

Scott

Polk

Garland

Howard

Pike

Sevier

4

Cleveland

Lincoln

Desha

Ouachita Nevada

Calhoun

Drew

Bradley

Miller Columbia

Union

Ashley Chicot

Crittenden

St. Francis

Phillips

Grant Jefferson

Dallas

1

Lee

Arkansas

Mississippi

Poinsett

Monroe

Clark

Little River Hempstead

Lafayette

Prairie Lonoke

Saline

Hot Spring

Craighead

Cross Woodruff

Pulaski Montgomery

Jackson

2

Perry

Yell

Independence

White

Faulkner

Greene

Sharp Lawrence

Cleburne

Conway

Logan

Sebastian

Van Buren

Clay

Randolph

Fulton

Baxter Marion

38 . SUMMER 2018

ARKANSAS HOSPITAL ASSOCIATION . 39

40 . SUMMER 2018

ARKANSAS HOSPITAL ASSOCIATION . 41

$7,106,332,049

INPATIENT

EMERGENCY

Source: Arkansas Department of Health, Hospital Discharge Data Program, 2016 (most recent data available)

Self-Pay/No Charge Patients Admitted Self-Pay/No Charge as a % of All Patients Admitted Total Uncovered Costs ($ Millions)* Source: Arkansas Department of Health, Hospital Discharge Data Program, 2016 (most recent data available) *Estimate based on statewide cost-to-charge ratio (latest available cost, 2015)

Total Uncovered Arkansas Inpatient Costs (in $ Millions), 2007-2016

Arkansas Self-Pay/Uninsured Inpatients Admitted, 2007-2016 $250

35,000 30,000

$200

25,000 $150

20,000 15,000

$100

10,000 $50

5,000 0

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

$0

2007

2008

2009

2010

2011

2012

2013

2014

2015

2016

2013

2014

2015

2016

Self-Pay/No Charge Patient Visits

297,241

168,779

139,616

119,779

Self-Pay/No Charge as a Percentage of all ED Visits

25.56%

13.92%

11.55%

9.87%

Source: Arkansas Department of Health, Hospital Discharge Data Program 2016 (most recent data available)

WASHINGTON

Springdale Northwest Medical Center–Springdale

CARROLL

SHARP

Walnut Ridge Lawrence Memorial Hospital

RANDOLPH

Pocahontas Five Rivers Medical Center Salem Fulton County Hospital

Calico Rock Izard County Medical Center

FULTON IZARD

Mountain Home Baxter Regional Medical Center

Hospital Malvern GRANT Baptist Health Medical Center–Hot Spring County

MARION

BAXTER Harrison North Arkansas Regional Medical Center

NEWTON

BOONE

Berryville Mercy Hospital–Berryville

• National Park Medical Center

BENTON

Eureka Springs Eureka Springs Hospital

GREENE

CLAY

Paragould Arkansas Methodist Medical Center

De Queen De Queen Medical Center

Mena Regional Health System

JEFFERSON

ARKANSAS

DeWitt DeWitt CLARK PIKE Pine Bluff Hospital and SEVIER HOWARD Jefferson Regional Arkadelphia Nursing Medical Center Baptist Health Home Nashville DALLAS Medical Center– Dumas CLEVELAND LINCOLN Howard Arkadelphia Delta Memorial Memorial Hospital DESHA Fordyce Hospital HEMPSTEAD Monticello NEVADA LITTLE Dallas County RIVER McGehee Drew Camden Medical Center Hope McGehee Memorial Ouachita County Wadley Regional Warren CALHOUN Hospital DREW Hospital Medical Center Ashdown Medical Center Bradley County OUACHITA Little River at Hope Medical Center Magnolia ASHLEY El Dorado Memorial BRADLEY CHICOT MILLER Magnolia Crossett Medical Hospital Lake Village Regional COLUMBIA Center Ashley County UNION Chicot Memorial LAFAYETTE Medical Center Medical Center of South Arkansas Medical Center

HOT SPRING

• • • • •

*Small Rural Hospital Arkansas Children’s Hospital Improvement Grant Program.

Arkansas Heart Hospital Map revised May 2018.

Baptist Health Medical Center–Little Rock CHI St. Vincent Infirmary Central Arkansas Veterans Healthcare System– John L. McClellan Veterans Hospital • UAMS Medical Center

Acute care hospital–SHIP*

Critical access hospitals

Acute care hospitals

KEY

Osceola South Mississippi County Regional Medical Center

Blytheville Great River Medical Center

Piggott Piggott Community Hospital

SOURCE: https://www.hrsa.gov/ruralhealth/programopportunities/ fundingopportunities/?id=b56d4504-7bf6-4f79-b0e8-37b766f2213e

Mountain View Johnson SEARCY MADISON Fayetteville (3) Stone County LAWRENCE Northwest Medical Center– Batesville • Washington Regional Medical Center CRAIGHEAD MISSISSIPPI Willow Creek Women’s Hospital Medical Center STONE White River • Northwest Health Physicians’ Jonesboro (2) Heber Springs Clarksville VAN Medical Center Specialty Hospital • St. Bernards Baptist Health Medical BUREN Johnson Regional Russellville POINSETT Medical Center • Veterans Health Care System INDEPENDENCE Newport Center–Heber Springs Medical Center Saint Mary’s of the Ozarks • NEA Baptist Unity Health– Clinton FRANKLIN Regional JOHNSON JACKSON CRAWFORD Memorial Hospital Harris Medical Center Ozark Health Medical Center CLEBURNE Ozark Searcy Medical Center CROSS Mercy Hospital− WHITE CONWAY POPE Unity Health– White Paris Conway (2) Van Buren Ozark Wynne CRITTENDEN Mercy SEBASTIAN • Conway Regional Medical Center County Medical Center LOGAN Sparks Medical CrossRidge Hospital− Dardanelle • Baptist Health Medical Center–Conway WOODRUFF ST. FRANCIS Center–Van Buren Community Paris River Valley Jacksonville Booneville Morrilton Hospital Fort Smith (2) SCOTT FAULKNER Medical Center CHI St. Vincent LONOKE North Metro Medical Center YELL Mercy Forrest City • Sparks Regional Medical Center PERRY Sherwood PRAIRIE Hospital Morrilton Forrest City LEE Danville • Mercy Hospital−Fort Smith PULASKI CHI St. Vincent North Booneville Medical Center Chambers Memorial Hospital Waldron Helena SALINE North Little Rock (2) MONROE MONTGOMERY GARLAND Mercy Hospital− Helena Regional • Arkansas Surgical Hospital Hot Springs (3) Stuttgart Benton PHILLIPS Waldron Medical Center • Baptist Health Medical • CHI St. Vincent–Hot Springs Baptist Health Saline POLK Center–North Little Rock • Levi Hospital Medical Center−Stuttgart Memorial Mena Little Rock (6)

Gravette Ozarks Community Hospital of Gravette

Siloam Springs Siloam Springs Regional Hospital

Bentonville Northwest Medical Center–Bentonville

Rogers Mercy Hospital Northwest Arkansas

Arkansas Hospitals,  Medicare Rural Hospital Flexibility Grant Program | HRSA-15-038 | Office of Rural Health Policy

AAHQ Arkansas Association for Healthcare Quality

www.arkahq.org

PARTICIPATING HOSPITALS:

Summer IS HERE!

JULY IS UV AWARENESS MONTH!

JULY IS UV SAFETY AWARENESS MONTH The sun is out and we’re ready to enjoy it!

The warm summer rays feel great, but don’t forget to protect your eyes and skin.

A A arkhospitals.org

PROFILE

Valley Falls Estates

Homes and lots available. Located in a gated community right in the heart of West Little Rock Call 501-912-8800.

Photo by 3wire Photography

Waterview Estates

Gated community with new water view lots and homes available now! Located in Roland, just a few miles outside Little Rock. Call 501-912-8800 or visit www.waterviewlittlerock.com.

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DOES YOUR HOSPITAL RECEIVE

ACCURATE PAYMENT? SPECIALIZING

in clinical documentation improvement and coding accuracy. Our services include but are not limited to: Clinical Documentation Improvement Inpatient/Outpatient Coding & Billing Audits Hospital Chargemaster Review & Update Appeals Process Education

405-878-0118 www.acsteam.net

THE CARE YOU NEED. WHERE YOU NEED IT.

Our patients place their trust and health in our hands, and caring for patients is a privilege and a responsibility we never take for granted.

We are committed to our mission — to provide quality healthcare and improve the health of our communities.

Updated 3/22/2018

Hawaii

Other Data Exchange Participants • Indiana

• Kentucky

HIDI State Hospital Association Partners and Clients • Alaska • Arkansas • Georgia • Illinois (COMPdata) • Kansas

• Montana (served by COMPdata) • State of Alaska • Texas • Tennessee

Special Projects • Arizona

• Virginia • West Virginia • Washington • Wyoming

• Massachusetts

HIDI Non-Resident or MO Exchange Database Participants • Georgia • Illinois • Iowa • Kansas • Michigan

• Minnesota • Missouri • Montana • Nebraska • North Dakota

• South Dakota • Tennessee • Wyoming

ARKANSAS HOSPITAL ASSOCIATION . 67

THIRDHAND THREAT Clearing the air won’t clear the threat from tobacco smoke. It leaves residual chemicals on indoor surfaces that can linger for years and be absorbed through the skin, ingested and inhaled, according to research published this May in the magazine Science Advances.

And, outdoor tobacco smoke can travel indoors and coat surfaces with residue that can become airborne again. “That Uber car you jump into, the hotel room you stay in, even a classroom where smoking hasn’t been allowed for decades: These are places where you are often exposed to a lot more than you expect,” said the study’s lead author Peter DeCarlo, of Drexel University.

For more information, see the study (Science Advances, May 9, 2018) and the article by William Wan that originally appeared in The Washington Post (May 9, 2018).

Gold Award

product 2O15

-The Washington Post and Johns Hopkins’ Global Health NOW

NEWS

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HELPING PATIENTS WITH MY NICU BABY ™ APP Danielle Bell, M.D. Medical Director Adult and Geriatric Psychiatry

Tyler Bayles, M.D. Adult Psychiatry and Substance Abuse Disorders

George Konis, M.D. Adult Substance Abuse Disorders

Robert Jarvis, M.D. Adult Psychiatry

My NICU Baby™ App, developed by the March of Dimes, provides trusted information to improve families’ experiences during what can be a stressful time.

It helps families find peace of mind during and after their NICU stay with answers to questions and helpful resources.

Jeffrey Palmer, M.D. Child and Adolescent Psychiatry

21 Bridgeway Road North Little Rock, AR 72113 1-800-BRIDGEWAY thebridgeway.com

arkansasrelay.com/captel

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Captions for your phone calls.

arkansasrelay.com/captel

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* CapTel is a registered trademark of Ultratec, Inc.

The App is free and available in the App Store and Google Play now.

Whether you’re a nurse, doctor, social worker, lactation consultant or another person supporting a NICU family, you can recommend this App to families who can use it to: • Learn more about their baby’s stay in the NICU, including what to expect from day one, common medical conditions in the NICU, who they will come into contact with and how they can participate their baby’s care; • Track baby’s feeding and weight; • Track pumping and kangaroo care sessions; • Save contact information for health care providers; and • Use the notes feature for to-do lists and questions.

To request a printable PDF to share this information with families, please email NICU@marchofdimes.org.

NEWS

STAT

Reducing the burden of uncompensated care on hospitals has made all the difference.

KEEPING AN AI ON DISEASE SURVEILLANCE Artificial Intelligence (AI) packs superpowers in data processing and predictive modeling and could transform disease surveillance as we know it.

By capturing information from data sources like country reports, social media and hospitals, AI can speed disease detection and improve "contact tracing" efforts during outbreaks.

There are potential pitfalls, though.

For all of AI’s promise in revolutionizing disease surveillance, a major roadblock in its scale-up could be lack of data collection and data security measures, according to Stephanie McKay and Sulzhan Bali in Global Health NOW. Concerns surrounding missing data are especially valid in low- and middleincome countries that may lack the infrastructure and human capital required to maintain these systems, they note. Scarcity of data, and lack of transparency on algorithms (especially where private companies are involved), could compound challenges of misinformation or false alarms as well.

Keys to offsetting the risks could include educating policymakers, integrating AI systems for disease surveillance with traditional surveillance networks, and investing in training programs for data scientists.

-Johns Hopkins’ Global Health NOW

NEWS

STAT

No detail too small.

You’re proud of your hospital for good reason — you’ve kept your house in order. Our diligent, disciplined pros can help you keep payment reform and regulatory compliance under control so you can concentrate on growing wisely.

Everyone needs a trusted advisor.

Who’s yours?

States With Similar Caps on Contingency Fees

9 States

The sky will not fall if Arkansas voters approve Issue 1.

States With Similar Caps on Damages

15 States

States That Allow The Legislature To Either Change or Adopt Court Rules

16 States

Building Partnerships. Delivering Excellence.

The professional liability and property protection for your healthcare facility deserves the expertise of specialists. The Healthcare Division of BXS Insurance is one of the largest and most experienced group of medical professional liability and property specialists for hospitals, PHOs, IPAs, surgery centers, clinics, physicians, surgeons, and nursing homes in the Southeast. Call Tom Hesselbein today for more information at (501) 664-7705.

Professional Liability | Property | Loss Control | TPA Services (501) 664-7705 | bxsi.com 1. BXS Insurance is a wholly owned subsidiary of BancorpSouth Bank. 2. Insurance products are • Not a deposit • Not FDIC insured • Not insured by any federal government agency • Not guaranteed by the bank • May go down in value. 3. BXS Insurance is an insurance agent and not an insurance carrier. 4. Always read your policy for coverage terms and conditions.

FINANCING IS THE FIRST STEP. Our Capital Markets professionals have the industry experience and client-first approach you need to complete upcoming projects. Planning new construction? Refinancing? Equipment leasing?

We can customize the right capital structure. Call or click today and find out what Crews can do for you.

A First Security Company

INVESTMENT BANKING | PUBLIC FINANCE BONDS | LEASES | LOANS Paul Phillips 501.978.6309 pphillips@crewsfs.com

800.766.2000 | crewsfs.com Member FINRA & SIPC

• PTCOA has clinics in Little Rock, North Little Rock, White Hall, Conway and Bentonville. PTCOA is also proud to serve through its sister clinics in Batesville, Searcy, and Mountain Home.

• PTCOA’s team consists of physicians and nurse practitioners with over 100 years of combined pain management experience • PTCOA provides truly comprehensive pain management, embracing both med management and interventions.

ARKANSAS’S LARGEST COMPREHENSIVE PAIN MANAGEMENT PRACTICE SPECIALIZING IN THE TREATMENT OF ALL CHRONIC PAIN CONDITIONS.

WWW.PTCOA.COM Phone: (501) 773-6993 Toll Free (844) 215-0731 Fax: (888) 630-8885

• PTCOA accepts all major insurances including Medicare, Medicaid, and all government expansion programs.

Chair Senator Chair Representative

Senator Jim Hendren Representative Lane Jean

Senators

Representatives

Senator Jonathan Dismang Senator Joyce Elliott Senator Bart Hester Senator Keith Ingram Senator Missy Irvin Senator Larry Teague Senator David Wallace

There is no question that Arkansas hospitals give more than they take.

Representative Frances Cavenaugh Representative Jim Dotson Representative Kenneth B. Ferguson Representative Joe Jett Representative Bob Johnson Representative Mathew W. Pitsch Representative Warwick Sabin

Unity Health and Mayo Clinic - collaborating for your care

Unity Health & Mayo Clinic are

Working Together YOU for

Achieving our vision of world-class healthcare is even closer due to our membership in the Mayo Clinic Care Network, an innovative collaboration which brings the expertise of Mayo Clinic to our patients.

As the first member of the Mayo Clinic Care Network in Arkansas, our depth of specialty care has been enhanced with new resources and tools while keeping patient care right here at home.

Innovation. World-class care. Unity Health.

For more information, please visit Unity-Health.org/mayo.

HOSPITALS • CLINICS • SPECIALISTS Searcy | Newport | Beebe | Bradford | Cabot | Clinton | Heber Springs

Unity-Health.org

Arkansas Children’s Northwest Springdale, Arkansas

Arkansas Children’s Northwest Springdale, Arkansas

CONSTRUCTION

CONSTRUCTION

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INDUSTRIAL

INDUSTRIAL

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CIVIL

CIVIL

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E N V I R O N M E N TA L

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E N V I R O N M E N TA L

WE BUILD PLACES TO HEAL

WE BUILD TO HEAL At Nabholz, thePLACES buildings that matter to you matter to us.

At Nabholz, the buildings that matter to you matter to us.

It might look like just a hospital, but to the 200,000 children and families Arkansas Children’s Northwest serves in Northwest Arkansas, it’s a beacon It might look like just a hospital, but to the 200,000 children and families of hope and healing, providing care close to home. With over 300 team Arkansas Children’s Northwest serves in Northwest Arkansas, it’s a beacon members who call this region home, we understand that difference.

of hope and healing, providing care close to home. With over 300 team members who call this region home, we understand that difference.

479.659.7800 | www.nabholz.com

479.659.7800 | www.nabholz.com

S P E C I A LT Y

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S P E C I A LT Y