January 23rd, 2012

HPSA Update

by: Cecilia Murillo

The Health Professional Service Area designation was established by the Federal Office of Shortage Designation (OSD) to identify geographic areas or population groups with a shortage of primary health care services. HPSA designations are a prerequisite to applying for Rural Health Clinic certification, the National Health Service Corps (NHSC) Loan Repayment Program, California’s State Loan Repayment Program (SLRP), J-1 Visa waivers, and some state funding. A geographic HPSA designation can also increase Medicare payments for physician services.

Beginning this year, the OSD is requiring that all 2008 designations be submitted to the Office of Statewide Health Planning and Development (OSHPD) no later than April 2, 2012. If you received a new designation or renewed it in 2008, you must reapply now. Failure to renew your designation will result in the loss of one or more benefits stated above.

HFS Consultants can assist you in renewing or applying for a new designation and submit all the necessary information to OSHPD. Our Licensing & Certification division has completed over one hundred HPSA designations for rural communities and has spoken on this subject throughout California. For more information, please contact Cecilia Murillo at 510.768.0066 ext. 288 or by email at ceciliam@hfsconsultants.com

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January 10th, 2012

Choosing A Hospital’s Interim CEO

by: Don Whiteside

Hospitals face a change in chief executive leadership for many reasons. A CEO might announce sudden retirement, get promoted to a larger hospital or health system, resign for personal matters or have a difference of opinion with the board of directors regarding the hospital’s strategy and direction.

As HFS Consultant’s managing director of executive search and business development, my experience has been that when there’s a vacancy in the CEO position, it’s often because there’s some kind of crisis and it’s indicative of problems in the organization.
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December 20th, 2011

Mentoring At HFS

by: Michael Davis

HFS Consultants has integrated the concept of “social responsibility” into its company culture and empowered us with PTO hours and the creative latitude to pursue this standard. My name is Michael Davis and I’ve been the IT Director at HFS for the past ten years. Inspired by the HFS social responsibility team, I advertised my desire to mentor on several popular social networking sites.

Michael and GregoryThis summer I was contacted by SPARK, a youth development program whose mission is to inspire middle school youth through workplace-based apprenticeships. The organization was founded in 2001 to help address the astounding 20% nationwide high school drop-out rate.

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December 6th, 2011

A Reflection on 20 Years

by: Rich Gianello

An Interview with Rich Gianello, CEO

Q: How did HFS get started in 1991?

A: We were working for the healthcare division of an East Coast CPA firm when we were notified that it was closing. Starting with a small amount of existing work, Steve Rousso and I set up meetings with rural hospitals up and down I-99 and made sales calls for three or four days. We talked about financial feasibility and reimbursement opportunities. One of the jobs from those calls was to become the interim CFO at Westside District Hospital in Taft. That’s how we started.

Q: What was going on in healthcare at the time?

A: The same issues that exist now existed then, the same pressures. There are constant regulatory changes; federal and state programs keep decreasing reimbursement and all facilities must continue to provide quality patient care at less cost. You are expected to do more with less resources. This is a highly regulated government industry. The methodology constantly changes, for example, changing from ICD-9 coding to ICD-10 coding, a much more sophisticated and complex system. But the pressure still exists to cut costs and operate more efficiently.

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November 29th, 2011

Quality Assurance Fee Survey Update Due 12/30/2011

by: John Pfeiffer

You may have received the email below from DHCS requiring your hospital to submit a new Quality Assurance Fee (QAF) Survey by 12/30/11. One of the reasons DHCS is collecting this information is to determine how revenue and expense from the QAF program (aka the provider fee program) are recorded on the 2010 OSHPD annual reports. If QAF data were reported incorrectly, it could skew Medi-Cal DSH payments. DHCS is requiring all hospitals to apply, whether they receive DSH or not, and whether they are a private or public hospital.
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November 23rd, 2011

Glide Memorial Visit

by: Bill Deane

Several members of the Social Responsibility group at HFS Consultants served a meal at the Glide Memorial this week. Vanessa, Joaquin and I did the seasonal serving yesterday.

Joaquin and I combined with a variety of volunteers behind the counter to load up the serving trays. Joaquin deftly handled the scooper for rice and then later mashed potatoes, while I threw down the breaded chicken breasts, all the while arguing about the worst disco songs of all time coming over the radio speaker in “Mo’s Kitchen”. Of course, Joaquin had to put up with my singing….

We served approximately 750 meals in 2 hours flat. The kitchen ran out of chicken breasts, so we served meatballs, then breaded fish, then back to some chicken.

So it’s a good reminder about all that you have in your own life. As first timer Vanessa said, “It was an amazing experience that really makes you grateful for everything that you have. I must say I had a lot of fun, the people were great and I will definitely do it again.

By Bill Deane

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November 12th, 2011

Adopting Electronic Health Records:

by: Bill Deane

The Answers to Participate in the Incentive Program

The Health Information for Economic and Clinical Health Act (HITECH) portion of the ARRA provides incentives and regulations for the use of electronic health records (EHR) by all Medicare enrolled practitioners, whether a single physician or a multiple site clinic group. These incentives will assist groups in updating their current systems to meet all electronic patient data reporting requirements of “meaningful use,” which are being implemented over the next four years. Read the rest of this entry »

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October 27th, 2011

CMS Requires Provider Revalidation

by: Bill Deane

In accordance with regulations listed in the Patient Protection and Affordable Care Act (“PPACA”), CMS has authorized the Fiscal Intermediaries (FI) to request revalidation of provider information currently on file.  This requires the completion and submission of new Medicare enrollment applications (CMS-855A, 855B, 855I or 855R) depending on the type of healthcare provider.

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October 2nd, 2011

HFS Healthcare Turnaround Strategies: A Success Story

by: Rich Gianello

The HFS Reimbursement Division contains a group of elite professionals who specialize in assisting hospitals with strategies for successful financial turnarounds.

This core group acts as interim Chief Executive Officers and Chief Financial Officers to conduct and implement agreed upon methods for improving operational efficiencies and financial considerations. HFS is recognized for its work with both rural and urban hospitals and is recommended by OSHPD’s Cal Mortgage division for specific situations.

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September 19th, 2011

Executive Recruiting and Interim Placement

by: Don Whiteside

One of our most active practices at HFS is Interim and Permanent Executive Placement. At any given time, HFS is providing from five to fifteen of our clients with interim CEOs, CFOs, controllers, business office managers, decision support executives, etc. And, of course, we also do executive searches to help clients find permanent executives. Read the rest of this entry »

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