2016 Accomplishments

Throughout the years, the health care industry has faced a number of challenges. The state of health care in Indiana is stronger today thanks to the dedication of IHA members as well as the dedication of all professionals working across the spectrum of health care in our state.

Looking at the accomplishments of 2016, it is important to note all that IHA has achieved to better serve Hoosier patients and their families. With the help of our member hospitals and esteemed stakeholders, the following is a snapshot of all IHA has accomplished this year.

 

ADVOCACY

Legislative

  • Advanced telehealth in Indiana through legislation (HEA 1263-2016) and formation of an IHA task force
  • Updated and protected medical malpractice caps (SEA 28-2016)
  • Obtained support from Indiana’s Congressional delegation on key federal matters, including sponsoring “Dear Colleague” letters on CMS star ratings and HOPD rule implementation
  • Highlighted hospitals’ concerns over proposed insurance mergers, including providing testimony to the Indiana Department of Insurance and other activities
  • Defeated potentially burdensome legislation (various bills)
  • Worked with FSSA and nursing facility associations on the state’s rebalancing long-term care initiative
  • Expanded use of VoterVoice grassroots tools into state legislative session
  • Addressed issues impacting county hospitals through legislation (board compensation, 100R requirements)
  • Reconvened the Transparency Task Force to address various transparency elements and enhance MycareINsight.org with the addition of outpatient data

Finance

  • Developed and distributed a Reference-based Pricing Member Toolkit in partnership with Hall Render and Blue and Co.
  • Worked with Pence administration to finalize term sheet outlining hospital financing and other details of HIP 2.0 program
  • Provided guidance to members on important federal rulemaking in areas such as Medicare overpayments
  • Worked with AHA and Hall Render, pressured CMS to reverse the improper Two-Midnight Rule payment cut (currently proposed as part of the 2017 IPPS Rule)
  • Distributed HANYS’ KEYSTATS reports to assist members in determining the impact of changing reimbursement Education programs, including estimates of performance in CMS’ various value-based purchasing programs
    • Conducted webinars on HANYS value-based purchasing reports and the Comprehensive Care for Joint Replacement Model

Regulatory

  • Worked with ISMA, Governor’s Drug Task Force and others to establish opioid prescribing guidelines for Emergency Departments
  • Negotiated and implemented fifth year disaster preparedness grants
  • Assisted in development of infectious disease response a both state and hospital levels
  • Maintained CAH status for hospitals affected by changes to rural designation
  • Participated in discussions with the Indiana State Department of Health (ISDH) and Indiana Health Information Exchange (IHIE) to facilitate accurate communicable disease reporting
  • Updated discharge process to nursing facilities through FSSA’s IPAS/PASRR reform project
  • Expanded licensure capabilities for nurse practitioners, physician assistants and other licensed providers
  • Mitigated action regarding fines for reporting hospital CEO changes
  • Began process of modernizing hospital licensure rules

 

STATE HEALTH METRICS

  • Convened and launched the Alliance for a Healthier Indiana to improve Indiana’s health metrics
    • Developed a four-pronged strategy to reduce tobacco use in Indiana
  • Contracted with the Hanover Research Group and produced IHA infographics to assist hospitals’ understanding of the opioid abuse epidemic in Indiana
  • Appointed IHA staff to be actively involved in ISDH’s efforts to reduce infant mortality
    • Doug Leonard co-chaired the Governor’s Council of the Indiana Perinatal Quality Improvement Collaborative (IPQIC)
    • Annette Handy, RN, co-chaired the Quality Improvement Committee of IPQIC
  • Engaged with other interested parties to expand treatment options for opioid abuse

 

POPULATION HEALTH SUPPORT

  • Hosted initial Population Health Forum and launched a Population Health Task Force to define IHA’s role in assisting members with education and data
  • Developed principles for health information exchange in support of population health

 

EDUCATION

  • Continued the core educational offerings of the association
    • Annual Membership Meeting
    • Patient Safety Summit
    • Administrative Professionals Conference
    • Healthcare Communications Summit
  • Organized and hosted Indiana Hospital Governance Regional Meetings & Networking to provide hospital trustees with continued health care education and association engagement
  • Hosted the Prevention and Management of Violence in the Workplace Conference
  • Hosted IHA Legal Forum in partnership with Hall Render Offered ACHE Category 1 education credit at 2015 and 2016 Annual Membership Meeting
  • Offered monthly webinars on a variety of issues to help hospital leaders stay current on industry changes
  • Reviewed membership survey results to incorporate findings into 2016 education plan Hosted two webinars for C-suite executives on cybersecurity issues
  • Hosted two webinars for C-suite executives on cybersecurity issues

 

QUALITY & PATIENT SAFETY

  • Prevented more than 3,750 harms during INHEN 2.0, with an associated cost savings of more than $32 million
    • Recruited 97 hospitals to participate in HEN 2.0, conducted 97 hospital site visits and created action plans for participating hospitals
  • Identified sepsis as the highest statewide priority and launched a statewide sepsis campaign, SurviveSepsis.com
  • Promoted safe health care practices to reach IPSC’s goal of zero patient harms during Patient Safety Awareness Week 2016
  • Presented the inaugural Patient Safety Awards during the seventh annual Patient Safety Summit
  • Facilitated more than 20 IHA member hospitals making the #123forEquity pledge to improve health care disparities
  • Launched the offering of the AHRQ Culture of Patient Safety Survey to IHA members
  • Supported Indiana’s 11 regional patient safety coalitions with designated IPSC liaisons, presenting best practice and performance data and through a coalition leader advancement educational program
  • Completed the Hanover Research Group analysis of readmissions by disparities
  • Selected to lead AHA/HRET’s Hospital Improvement and Innovation Network efforts in Indiana and provide education and assistance to hospitals statewide
  • Began partnership with the Michigan Health & Hospital Association (MHA) Keystone Center PSO to offer a patient safety organization for IHA members

 

COMMUNICATIONS & MEMBER ENGAGEMENT

  • Produced and distributed IHA’s 2016 Legislative Session Report
  • Distributed membership materials in early 2016 including:
    • 2016 Member Directory
    • Meeting calendar with important IHA dates and key health care awareness dates
  • Developed Board Meeting Recap Summary Calls for hospital CEOs
  • Partnered with Hanover Research and conducted a public perception survey of hospitals in Indiana, sharing findings with member CEOs
  • Launched advertising sales for Harmony member publication
  • Provided members with a subscription to the Statehousefile.com to stay informed on Indiana legislative news Developed IPSC communications plan to help increase awareness
  • Developed Patient Safety Awareness Week campaign for members and promoted the work of the coalitions around the state
  • Developed and launched the We Care. We Vote. campaign to encourage member hospitals to promote voter registration to increase civic engagement
  • Developed the Indiana Caregiver of the Year Award to honor a frontline caregiver or support personnel who provides dynamic care, demonstrates leadership and goes above and beyond the call of duty

 

INFORMATION RESOURCE DEVELOPMENT

Accomplishments – Financial

  • Continued distribution of hospital-specific, value-based purchasing analyses to more than 900 registered members
  • Continued distribution of hospital-specific impact analyses of CMS proposed and final rules related to inpatient PPS, outpatient PPS, behavioral health PPS, home health PPS and long-term acute care PPS hospitals
  • Continued development of economic impact of hospitals; distributed to hospitals and provided to legislative liaisons during Washington D.C. visits
  • Developed monthly tabular and graphical tracking of OMPP health plan enrollment by county and by health plan type (HIP, Hoosier Healthwise, Fee-For-Service, Care Select and Hoosier Care Connect)
  • Developed and distributed Affordable Care Act (ACA) tables and maps reflecting ACA enrollees by Indiana city

Accomplishments – Data Services

  • Developed and launched a new tool, CEO Dashboard, to consolidate information from all IHA data programs to provide CEOs with a quarterly snapshot of the data with peer group and statewide or national benchmarks
  • Received data from more than 104 member hospitals for the annual IHA Compensation Salary Survey — 25 percent more participation than 2015
  • Continued accurate and complete transmission of hospitals’ quality information to CMS and The Joint Commission for 67 hospitals in 13 states
  • Continued collection and processing of more than 5 million records annually for Indiana hospitals’ business intelligence and compliance with Indiana’s Hospital Financial Disclosure Law
  • Licensed Dimensions software to interested hospitals to facilitate their decision support activities Licensed additional software to enhance IHA’s capabilities to produce valued business intelligence
  • Investigated use of the Wayfinder analytics program for Indiana hospitals
  • Launched ChimeMaps, a new, innovative geo-tracking solution that uses advanced mapping techniques to provide actionable insights based on Indiana hospital, health and population data
  • Successfully converted all IHA data programs to ICD-10

Accomplishments – Health Information Exchange

  • Encouraged development of comprehensive health information exchange at a statewide level
  • Continued discussions with the IHA Health Information Exchange (HIE) Task Force and met twice this year with Indiana’s health information organizations
  • Created a work group with the Indiana HIOs, ISDH and hospital representatives to discuss immunization/CHIRP issues, resulting in successful implementation of the July 1 mandate for electronic immunization reporting
  • Organized a work group with the Indianapolis Coalition for Patient Safety to discuss standardization of continuity of care documentation to meet physicians’ and patients’ needs
  • Created an Indiana Direct Address Directory with IRHA and the Michiana Health Information Network (MHIN) as a resource for Indiana providers to efficiently exchange patient information at the point of care
  • Assisted hospitals with issues that arose with meaningful use compliance
  • Provided comments to AHA on Stage 2 & 3 meaningful use rule language

 

IHA OPERATIONAL SUSTAINABILITY

  • Continued to implement the IHA succession plan, announced Brian Tabor as the next association president and continued expanding the skill set of the IHA team
  • Launched an Endorsed Business Partner Program to provide membership with well-vetted, quality vendors for services to hospitals – the Board Committee has approved 13 Endorsed Business Partners
  • Relocated the IHA offices to 500 N. Meridian
  • Hosted council meetings at new office space
  • Participated in the Indiana Chamber of Commerce’s 2015 Best Places to Work in Indiana employee satisfaction survey to guide internal improvement efforts

 

ADDITIONAL SITUATIONAL PRIORITIES

  • Disseminated awareness campaign materials for the Zika virus outbreak

 

A DECADE OF IMPROVING PATIENT SAFETY

Over the course of the last 10 years, IPSC has led many successful initiatives that have been crucial in decreasing patient-related harms in hospitals, as well as educating hospital staff on best practices. IPSC is here to stay at IHA and will continue to raise awareness and lead initiatives to help hospitals reduce harms and promote quality patient care. Patient safety is our top priority, and we will continue to provide resources to our member hospitals so they can stay up-to-date with best practices and techniques. The IHA Board will continue support of patient safety initiatives in order to help improve health care quality throughout the state.

Likewise, IPSC will continue striving to meet our bold aim of making Indiana the safest place to receive health care in the United States, if not the world.

Thank you to all our staff, member hospitals, board members, coalitions, council members and so many others who have contributed to making the first 10 years of the IPSC a success.

 

THANK YOU TO IHA BOARD AND CHAIRMAN!

IHA would like to thank the 35 members from our Board of Directors for your service and guidance throughout this busy year, which has been crucial to our efforts, and especially our chairman, Bryan Mills, president and CEO of Community Health Network—your leadership is evident through all the accomplishments IHA has been able to achieve this year.