CHI News Update
KentuckyOne This Week will include the Catholic Health Initiatives (CHI) publication e in each issue. CHI is a sponsor of KentuckyOne and will be sharing news of interest to all employees.
May 23, 2013
Please note that some employees who are not yet connected to the CHI Connect program may not be able to access all of the links in this issue. This problem will diminish as more employees are connected to Inside CHI. We apologize for any inconvenience.
New Video on Recycling
Action: View the video
CHI's Green Team, dedicated to providing employees with information about the environmental stewardship efforts that are integral to the system’s identity, produced a short video that details "dos and don'ts" of recycling, including what to recycle and how. The video is designed to help employees across CHI understand and appreciate the importance of recycling as part of a shared commitment to reverence for and stewardship of the environment.
Tips for Online Security Awareness
Connecting online via emails and messaging using computers, laptops, tablets or smartphones has become an everyday reality for most of us. During May and June, CHI Information Technology Services (ITS) Security is focusing on basic online security information that everyone can use. Topics include:
• Browsing the Internet Securely
• Securing Your Mobile Devices
• Using Email Safely
• WiFi Security
Visit the CHI Security Tips page on Inside CHI for tips and more information about these topics. The information will be updated regularly, so check back for new details. For more information, contact SecurityCompliance@catholichealth.net.
CHI Spinal Hardware Vendor Contracting in Effect
In early March 2013, CHI announced its intent to save more than $4.6 million annually through a fixed pricing contracting strategy for all metal hardware and manufactured components used in spine surgery. CHI and Centura Health collectively spend $53 million annually on spine surgery hardware and implants. In addition to significant savings, the strategy was designed to be a favorable physician and vendor strategy with physicians having access to one or more best-in-class vendors and vendors having the option to participate. With more than 45 vendors across the system invited to participate, contracting negotiations were very successful with annual savings of $6.6 million or 12 percent reached by the May 15 deadline.
As CHI’s first systemwide fixed pricing, all vendor contracting strategy, this approach will expand over time. Since March, supply chain leaders and market executive sponsors have moved through an intentional process of vendor negotiations and surgeon engagement in preparation for the May 15 deadline.
Vendors that satisfied CHI’s pricing and contractual guidelines and have agreements in place and are now considered “Best Value” vendors. Seven of CHI’s top-tier vendors are included. They offer the best pricing and savings for markets. Vendors include:
• Top Tier: Medtronic, Depuy, Synthes, Stryker, K2M,
• Additional Vendors: Aesculap, Alphatec, Alphatec Spine,
Amendia, Amedica, Biomet, Cardinal Spine, Core Link,
Custom Spine, Gold Standard Orthopaedics, Integra,
LifeSpine, Osteomed, Phyogen, Pioneer Surgical, Sea
Spine, Spinal Elements, Spine Frontier, Spineology,
Spine Source, Spine Smith Partners, Theken Spine,
Thompson MIS, X-Spine, VTI
Vendors with contracts that did not meet CHI's pricing guidelines are considered “Participating” vendors. Savings with these vendors are not optimal. Procedure costs will be higher for surgeons using Participating vendor products than for surgeons using Best Value vendor products. Participating vendors will not be allowed to expand their products beyond current CHI hospitals, add additional or new products to current facilities or seek local or divisional pricing options. These vendors and their markets include:
• Nuvasive: Tacoma and Federal Way, WA; Kearney and
Lincoln, NE; Des Moines, IA; Reading, PA; Little Rock, AR
• LDR Spine: Tacoma and Federal Way, WA;
• Orthofix: Tacoma and Federal Way, WA; Des Moines, IA;
• Ulrich Spine: Federal Way, WA
• Inion Spine: Kearney, NE
• Innovasis: Tacoma, WA
• Trans S1: Lexington, KY
• Wenzel Spine: Little Rock, AR
• Spinewave: Federal Way, WA; Little Rock, AR
Vendors who chose not to participate or submit a contract are considered “Non-participating” vendors and now have $0.00 (zero) entered into the Lawson catalogue for each of their items. This means that any items brought into a CHI facility will be treated as a donation starting as soon as next week. Corporate offices for Non-participating vendors have been notified of this via certified mail. These vendors and their markets include:
• Chattanooga, TN: Allez Spine, Biostructures and Spinal
• Lexington, KY: SI Bone, Paradigm Spine
• Kearney, NE: Centinel Spine
CHI Urges CMS to Remove Restrictions on
Medicare Rebilling Proposal
The Centers for Medicare and Medicaid Services (CMS) has issued a proposed rule that would allow hospitals to rebill under Medicare Part B those medically necessary claims denied by Recovery Audit Contractors under Medicare Part A. CHI supports the ability to rebill Part A denied claims under Part B, but the proposed rule does not go far enough and is overly restrictive. The proposal would limit rebilling to a one-year window, significantly curtail the role of Administrative Law Judges, and add other unnecessary complication to an already confusing process. CHI is asking CMS to remove the one-year window and all unnecessary restrictions on rebilling. For more information, contact Marcia Desmond or Rachel Tanner.
Clinical Leadership Council Provides Oversight
for Clinical Strategies
As CHI moves into the Next Era of Healthy Communities, health reform and market forces are driving a change to payment and incentives based not on volume, but on on value delivered: health, high-quality care, improved care coordination and lower cost. As CHI embraces these changes, the Clinical Leadership Council (CLC) is the governing body with oversight for CHI’s strategic clinical initiatives that lead toward the achievement of CHI’s vision and quality destination metrics.
CLC membership was recently updated to be more multidisciplinary, with representation that covers the continuum of integrated care across populations and communities served by CHI's markets. During FY2014, the CLC will provide oversight for clinical strategies that will include:
• Clinical and Process Excellence
• National Clinical Service Lines
• Evidence-based Practice
• OneCare Clinical Practice
• Clinical Leadership Formation
• Quality Across the Care Continuum, e.g. readmission
reduction with care transitions and primary care
• Clinical Supply Chain Initiatives
• Clinical Technologies, e.g. smart pump optimization and
barcoded medication administration
The CLC is working with clinical initiative business owners to identify goals and metrics, and is developing an overall Quality Dashboard to be shared, along with progress updates. Submit questions, issues and requests for decisions regarding identified clinical initiatives to any member of the CLC.
Managers Encouraged to Attend
Self-Service Training via Live Meeting
“Introduction to HR/Payroll Connection Manager Self Service,” one of CHI’s Core Management Skills courses, will be offered via live meeting five times in late May and June. For CHI managers, the course will take the guesswork out of transactions; plus, participants will learn how to make changes in the system with just a few clicks of a mouse. This 90-minute, interactive course will familiarize managers with HR/Payroll Connection’s Manager Zone, saving valuable time in the future.
Introduction to HR/Payroll Connection Manager Self Service
May 29, 2-3:30 p.m. ET
Join the Meeting
June 10, 10-11:30 a.m. ET
Join the Meeting
June 12, 2-3:30 p.m. ET
Join the Meeting
June 14, 10:30 a.m.-12 p.m. ET
Join the Meeting
June 24, 2-3:30 p.m. ET
Join the Meeting
To register, log into LEARN from Inside CHI and search the catalog for Manager Self Service. Select the course to show the class schedule, then register for the class of your choice. There is a maximum of 20 participants per class.
People on the Move
Karyn Gonzales to national director, clinically integrated network operations for CHI Physician Services, from senior director of network development and provider contracting, Kaiser Permanente, effective May 13.
Sandy Schuck to interim clinical senior director from director, ambulatory services.