On July 24, the Health Resources and Services Administration issued a Federal Register notice to inform stakeholders of revised deadlines for registration of new covered entities and for adding outpatient facilities and contract pharmacy arrangements to the 340B Drug Pricing Program. This notice replaces all previous 340B Program guidance documents addressing the deadline and enrollment period for the 340B Program registration of new covered entities, addition of outpatient facilities and contract pharmacies, including any individual correspondence issued by HRSA on the subject.
Eligible Entity Registration Changes:
Starting Oct. 1, you will have a 15-day time frame, at the beginning of each quarter, to get your eligible entity registered with the Office of Pharmacy Affairs. Today, you have from the beginning of the quarter - e.g. June1 till the end of the quarter Sept. 1- to get your eligible entity registered with the OPA. If you meet that time frame, the OPA will have your eligible entity listed as registered with your 340B ID the second month of the following quarter e.g. Oct 1.
Starting Oct. 1, you will only have a 15-day window at the beginning of each quarter to register your eligible entity, and they won't be listed as registered under your 340B ID until the following quarter (e.g. Jan. 1).
This significantly shortens the time frame in which you have the ability to register for the 340B Program.
Contract Pharmacy Registration Changes:
HRSA also has set new registration parameters around pharmacy network registration with the OPA. Starting Oct. 1, you will have a 15-day time frame at the beginning of each quarter to get your pharmacy network registered with the OPA. While this 15-day time frame can be achieved, the greater issue is how long it will take to get your contract pharmacy network registered with the OPA.
Today, you have a 15-day pharmacy registration window. If you meet that time frame, the OPA will have your pharmacy network listed as registered under your 340B ID within a few weeks. If you don't meet the 15-day window, then you have to start the process over again. However, you can do this as many times as you need with no restrictions.
Starting Oct. 1, you will only have a 15-day window at the beginning of each quarter to register your contract pharmacies, and they won't be listed as registered under your 340B ID until the following quarter (e.g. Jan. 1).
If you would like more information about the impact of the SunRx 340B Program on your hospital, please contact Steve Poage, Kansas Health Service Corporation, at (785) 233-7436, or Matthew Bobo, Southwest regional director for SunRx at (210) 646-1885.
The SunRx solution offers many options not available with other 340B programs:
The Centers for Medicare and Medicaid Services has announced that acquiring electronic health record equipment through a lease is acceptable when demonstrating meaningful use and will now qualify you to receive incentive payments for Critical Access Hospitals.
Initially, CMS determined that in order to be eligible for incentive payments, CAHs must purchase EHR equipment to achieve meaningful use. CMS has since reviewed the statue and determined that many leasing programs meet the requirements to qualify for the incentive reimbursements.
This is great news for CAHs that may not have the funds available now to achieve meaningful use.
CSI Leasing, one of the largest privately-held independent technology lessors in the world, offers customized lease solutions for a wide variety of health care providers. CSI can finance virtually any equipment you may need, regardless of project size. CSI takes a very personal approach to customer service, which means that people who truly comprehend the industry will listen closely to your needs and create a financial solution that's right for you.
When you lease with CSI, you have a built-in data security program in place for equipment that is no longer in use. CSI's strict processes help you meet Health Insurance Portability and Accountability Act standards and, best of all, give you peace of mind.
CSI Leasing offers fair and flexible lease rates that fit your budget, so you can work toward meaningful use now and gain the maximum incentive payments from CMS.
For more information about the CMS requirements when leasing EHR, visit the CMS Web site. Contact Johnny Kruse or Andy Dodge at (816) 977-2800 to see how CSI can benefit you.
Organizations invest energy and financial resources to attract and retain top performing employees. When employees leave an organization, there is a gap analysis to consider: "Why are they leaving?" Or better yet, "Why are they leaving us?"
There can be a myriad of reasons why employees leave. One of the vital elements to retention is the relationship between the employee and the manager, essentially TRUST. Frequently, managers are great employees who are promoted with little support provided to learn how to lead people. Leading people is a monumental task that cannot be taken lightly.
Managers must have a TRUE open-door policy. Many organizations tout that they have an open-door policy, but in reality, the manager appears to listen and takes no action. Small fact: for each employee who makes a comment, there are generally three more that hold the same belief.
To create a successful TRUST relationship with employees, managers should do the following:
For managers, to whom much is given, much is expected. Managers should be held to higher performance standards than employees because they lead the team, organizational culture, profitability and more.
The difficult task of managing is not 'knowing what to do,' it is 'doing it!' Great managers make employees a priority!
Kristin Scott is a human resource professional serving organizations for 14 years to address employee challenges, legal complexities, organizational performance and communications. Kristin earned a master in management degree from Baker University, a bachelor of science degree in business from Washburn University, and is a certified professional in human resources. Recently, Kristin earned the Certified Employee Retention Professional certificate from the Retention Institute. For additional information, contact Kristin at Kristin@Scotthr.com.
As this election cycle heats up, one of the main issues will be Medicare reform. With the addition to the Republican ticket of Paul Ryan, who has worked to be a force for Medicare reform, there will be considerable attention given to this topic.
With Republicans vowing to change or throw out the Patient Protection and Affordable Care Act and pass their brand of Medicare reform, and Democrats pushing hard for full implementation of PPACA with its own changes to Medicare, one thing is certain, there is a lot of uncertainty about Medicare's future.
Medicare participants, including both health care facilities, providers and those on Medicare, will be forced to wade through the passionate debate and sometimes viscous dialog from the different perspectives in the media. Trying to separate the facts from the politics is difficult at best, and it leaves most people feeling lost or confused about what is to come.
In an effort to provide clarity to residents in your area who are on Medicare, the Kansas Health Service Corporation has arranged for Kansas Hospital Association member hospitals the opportunity to co-host a community-wide Medicare educational event for people on Medicare, all at no cost. Area independent pharmacists also can partner with hospitals to co-host the educational event as a valuable service for their customers on Medicare.
In these events, people on Medicare will learn how the current changes in Medicare may affect them. They'll also hear information about proposed Medicare reforms. These events have been held since 2005, and will be the third year these events have been provided for KHA member hospitals. Over the past two Medicare enrollment seasons, hospitals hosting these events have received very positive feedback.
Due to the logistical challenges in hosting these large events, there are a limited number of events that can be held across the state. In order to make sure your community gets the opportunity to be selected as a host city, contact Amy Porter at Schreck Financial Group at (785) 299-0175 or (800) 349-9296 by Sept. 20. Since 2010, KHSC has exclusively endorsed Schreck Financial Group to host these events.
The annual Kansas Hospital Association Work Comp Fund Employee Safety Seminar was Aug. 8 and 9 in Wichita. Multiple guest speakers continued to focus on the issue of safe patient handling. It was apparent through feedback from attendees that there is a need for further education about the risks to patient caregivers as the result of manually handling patients and how to mitigate those risks. Attendees participated in a small group exercise that allowed them to network and share challenges at their hospitals with others. Participants indicated that this was beneficial for them to see that they are not alone in their efforts to address these issues. The top three most commonly shared barriers to effective safe patient handling program development were; staff not using the equipment, lack of training and cost.
Multiple patient-handling equipment vendors were present and enabled attendees the opportunity to put their hands on equipment and collect information regarding products that would be beneficial to their hospitals. Attendees expressed appreciation for the chance to see equipment first hand and visit with the vendors. Speakers included nationally recognized safe patient handling guru Marcia Medlin of THE Medical; Don Groover, senior vice president of BST Inc., an international safety consulting firm; and Lorri Adams, CEO of Solutions 4 Fundraising.
The KHA WC Fund continues to focus on safety and risk management. If Safety Coordinator Chris Saiya can be of any assistance with regard to employee safety, please contact him at (785) 233-7436.
"If you don't know where you are going, any road will get you there." So quotes the Cheshire Cat in Lewis Carroll's Alice's Adventures in Wonderland, which aptly describes how many employers have assessed their retirement plan's effectiveness for plan participants.
While such factors as fee disclosure, investment returns, fiduciary liability, plan communication, plan design, etc., are important, shouldn't the ultimate retirement plan measure be to assess whether employees have enough income on which to retire?
Increasingly, plan sponsors are beginning to realize that it is necessary to encourage each employee to have an individual retirement goal and to measure the progress each is making toward that goal.
As stated in the 10th Annual 401(k) Survey by Deloitte Consulting LLP, United States corporate executives responsible for overseeing retirement plans identified retirement readiness as the issue they need the most help with. The same survey also indicates:
At Tax Favored Benefit, Inc., we can provide hospitals with a complimentary report to gauge the health of their retirement plans by mining plan data and assessing the percentage of employees likely to have enough income at retirement and provide suggestions on how to make improvements. At the participant level, we can provide a tool to simply assess the personal level of retirement readiness by mining data from individual questionnaires.
Tax Favored Benefits, Inc., will provide a complimentary review to measure and improve the health of your retirement plan and retirement readiness of your employees at no cost for Kansas Hospital Association members under the Kansas Health Service Corporation Endorsed Retirement Plan Program. For further information, contact R. David Wentz, J.D. ChFC, Tax Favored Benefits, Inc., 4801 W. 110th Street, Ste. 200, Overland Park, KS 66211 at (800) 683-3440.
Tax Favored Benefits, Inc., is not authorized to give legal advice. For specific legal advice, contact an attorney.
Despite a down economy and half of health care workers worrying there aren't enough jobs, most in the health industry still feel confident they still can find jobs, according to a survey conducted by Harris Interactive for Randstad Healthcare Employee Confidence Index.
In a survey released Aug. 13 of more than 230 physicians, administrators and other health care professionals, there was a sharp increase in the number of health care workers (43 percent) who said that the economy is weakening. That's up 27 percent since the first quarter. Only one-fifth of respondents think the economy is improving.
Even though half (49 percent) said there are fewer jobs out there, 51 percent said they are confident in their personal employability; 58 percent are confident in the future of their organization.
More than one-third (37 percent) of workers said they plan on looking for a new job within the year. "The recent decision by the United States Supreme Court to uphold the health care reform legislation, formally called the Patient Protection and Affordable Care Act, all but ensures the future growth of the health care industry," Randstad U.S. Professionals' Executive Vice President Steve McMahan said in a statement.
According to the Bureau of Labor Statistics, the biggest job gains in health care are for registered nurses, personal care aides and medical assistants from 2007 to 2011, Forbes recently reported. The nation needs 5.6 million new jobs by 2020 to meet the growing demand for care under health reform, according to a study from Georgetown University's Center on Education and Workforce published last month.
Morgan Hunter HealthSearch provides executive search and interim leadership solutions for hospitals and health systems throughout the United States. Our services include executive health care recruiting, retained health care executive search, health care interim management, executive placement for hospitals. Contact Barry Jackson for more information.
Managing your business is difficult enough without thinking about the human factor. In today's fast-paced world, small and large business owners need to be forward thinking when addressing the human factor. Take a cruise with us to navigate the changing waters of human resources.
Kansas Health Service Corporation | 215 SE 8th Avenue | Topeka, Kansas 66603-3906 | Phone:(785) 233-7436 | Fax: (785) 233-8551