The 2015 Legislative Session Session Kick-Off Webcast January
13, 2015
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Presenters Cassie Sauer SVP, Advocacy & Government Affairs
Claudia Sanders SVP, Policy Development
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Webcast Outline Introduction State Health Care Environment
State Legislative Environment WSHA Agenda: Improving Quality,
Increasing Access Policy Budget Going Forward
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State Health Care Environment: Improving Quality, Increasing
Access Quality Innovative patient safety work: voluntary,
collaborative, successful, national leadership Access Medicaid
expansion is working: enrollment is up, charity care is down Some
hospitals are in severe economic crisis New Vistas Promises and
challenges of population health States innovation grant
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State Legislative Environment
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House Split
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Senate Split
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Governor Inslees Budget Multi-billion dollar budget gap
Governor proposes $1.4 billion in new revenues Significant
investments in education, transportation Mixed bag for hospitals
and health care
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WSHA Policy Priorities
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Mental Health Telemedicine Mergers and Affiliations Hospital
Services Nurse Staffing Pharmaceutical Dispensing Workforce
Flexibility Suspect and Inmate Care All-Payer Claims Database
Crisis Standards of Care Community Benefits
www.wsha.org/policyadvocacy.cfm
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Support Mental Health System Improvements Better integration of
mental health and primary care Provide data and evaluation tools to
improve system Reduce barriers to hospitals providing inpatient
treatment Increase supply of psychiatric professionals Ruling that
bans psychiatric boarding has health officials scrambling
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Support Telemedicine Payments Ensure payment for services
provided using telemedicine technology Does not expand services
beyond patients existing policy Recognizes store and forward
Insurers are supportive or neutral on the bill
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Ensure Flexibility for Strategic Partnerships and Hospital
Services Some hospitals need partnerships to maintain basic
services and access to care in the community Partnership decisions
should be made at the local level Elective services should be
determined locally, where quality and sustainability can be taken
into account
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Oppose Staffing Mandates Ratios: Not shown to increase safety
Uninterrupted meal, rest breaks: Takes away nurse choice on best
time to break Overtime/on-call restrictions: Lead to necessary
treatments being delayed
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Hospital Leadership on Nurse Staffing Hospital leaders are
encouraged to ask themselves tough questions, including: How is
your nurse staffing committee functioning? Do you use overtime or
mandatory call? How much? What are the longest shifts people work?
Are your staff getting their breaks?
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Pharmaceutical Dispensing Pre-pack medications allow hospitals
to provide necessary treatment when pharmacies are not open Protect
ability to dispense pre-pack medication as needed
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Work Force Flexibility Challenge: Geographic and practice areas
where there are not enough providers to meet the need Opportunity:
Establish structured process to safely pilot delivery alternatives,
including expanded roles for already licensed health care
professionals
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Support Suspect and Inmate Care Increasing incidences of
violent or sexual suspects or inmates injuring staff and patients
Require that all law enforcement agencies provide guarding to
patients in law enforcement hands for violent or sexual crimes
Unless otherwise negotiated, payment would be Labor &
Industries (L&I) rates
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All-Payer Claims Database We cant fix what we cant measure APCD
created last year, needs strengthening New bill makes needed
fixes
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Support: Crisis Standards of Care Disasters declared by the
Governor or local government executive Legal protections will help
health care providers get to work faster This legal protection that
is currently given to volunteers, emergency workers and
credentialing entities
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Community Benefits ACA is working: Enrollment in Washington is
up, need for charity care is down Medicare and DSH cuts are coming
Hospitals and health systems are moving toward more population
health-based model Hospitals are investing in access and care
improvements Premature for legislature to increase community
benefits requirement before impact on access is known
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Hospital Windfall?
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WSHA Budget Priorities
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Mental Health Sufficient funding to reduce or end psychiatric
boarding for adults, adolescents and children Resources need to be:
Statewide Inclusive of inpatient and outpatient services Include
appropriate community support services
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Hospital Safety Net Assessment Program Extend program through
SFY 2019 without ratchet Maximize federal match rate Allocate
majority of any increase in benefits to hospitals Dedicate
additional state funds to support health care for Washingtonians
Renew hospital contract
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Access to Hospital Based Clinics Governor proposes to cut
Medicaid payment rates for hospital-based clinics by $42 million
Will hurt the ability of Medicaid patients to get both primary and
specialty care
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Meeting the Work Force Need Loan Repayment: Support state funds
for loan repayment for those serving in underserved areas Medical
Residencies: Provide state funds for more residency training slots
Primary Care Payment: Increase Medicaid payment rate for
practitioners and clinics to improve access to care
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How You Can Help and Stay Informed
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Heading Into Session www.wsha.org/policyadvocacy.cfm
www.wsha.org/policyadvocacy.cfm Stay informed Inside Olympia,
Weekly Report Bulletins and Calls to Action Policy and Advocacy
Website Priorities Issue Briefs Stay connected Feel free to contact
Cassie, Claudia, or policy directors
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We Need You! Keep track of whats happening! Stay in touch with
your legislators!
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Washington Hospital PAC Building Relationships Electing
Champions for Hospitals Unifying Hospitals Political Voice
www.wsha.org/whpac.cfm
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Thank You! Your advocacy with your legislators, your testimony,
your connections with local leaders and media, and your
contributions to the PAC are essential to our success. Please keep
up the good work!