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hOUSECALL<br />

JUNE 2011<br />

ThE MEMbEr NEwslETTEr <strong>of</strong> GroUp hEalTh CoopEraTivE <strong>of</strong> soUTh CENTral wisCoNsiN (GhC-sCw)<br />

IN THIS ISSUE<br />

Complementary Medicine: pages 10 - 11<br />

what You Don’t want to forget!<br />

streching boundaries in Urgent Care: page 3<br />

healthy You! Classes page 8<br />

BASIC AID TRAINING<br />

2011 Summer Camp<br />

CAllING kIDS, AGES 8 To 10!<br />

lEARN BASIC AID TRAINING AT BAT CAmp 2011!<br />

REGISTER Now!<br />

Call the GHC-SCW Marketing Department<br />

at (608) 251-3356. Bat camp is open to kids<br />

8-10 in age, including GHC-SCW members<br />

and non-members.<br />

When: Tuesday, August 2 and<br />

Wednesday, August 3<br />

8 a.m. - Noon<br />

Where: American Red Cross<br />

4860 Sheboygan Ave.<br />

Madison, WI 53705<br />

Cost: $5 per child<br />

Children ages 8-10 will<br />

have fun learning about:<br />

• Rescue Breathing<br />

• Fire Safety<br />

• Ways to prevent and<br />

care for wounds, falls,<br />

nosebleeds, choking<br />

and animal bites<br />

• Water Accidents<br />

• Substance Abuse<br />

• Emergency Responses<br />

ghcscw.com


GHC-SCW<br />

Board <strong>of</strong> Directors<br />

PreSident<br />

Ken Machtan<br />

State <strong>of</strong> <strong>Wisconsin</strong>, Retired<br />

ViCe PreSident<br />

Mary Wright<br />

Multifamily Housing - WHEDA<br />

SeCretary<br />

Carol Winkler<br />

American Family Insurance<br />

treaSurer<br />

Michael Mullee<br />

<strong>Wisconsin</strong> Affordable<br />

Housing Corporation<br />

Board MeMBerS<br />

Bret Clostermery<br />

Self-Employed<br />

James Driscoll<br />

PKK Lighting, Inc.<br />

Patricia Gadow<br />

Madison Department<br />

<strong>of</strong> Public <strong>Health</strong>, Retired<br />

Thomas Schomisch<br />

UW Madison, Retired<br />

Fred Trumm<br />

Board-Level Project Planning<br />

Specialist at VMA <strong>Health</strong><br />

Robert Matthew, M.D.<br />

Family Medicine<br />

GHC-SCW Provider<br />

Mark Huth, M.D.<br />

Family Medicine with<br />

Obstetrics<br />

GHC-SCW Provider<br />

2 HouseCall / June - September 2011<br />

Dear GHC-SCW Members,<br />

On May 12, 2011, <strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong><br />

(GHC-SCW) held our 35th Annual Meeting at the Concourse Hotel in Madison.<br />

Thank you to members who were able to attend and have your voices heard.<br />

In case you missed it, a handful <strong>of</strong> staff from the leadership team and myself gave an<br />

overview <strong>of</strong> the accomplishments <strong>of</strong> GHC-SCW in 2010. During the annual meeting,<br />

Ken Machtan, GHC-SCW Board President, presided over the Open Forum to answer<br />

questions and hear ideas from members in attendance. As usual, hearing directly<br />

from GHC-SCW members is one <strong>of</strong> the fundamental principles <strong>of</strong> a non pr<strong>of</strong>it cooperative, and it is always<br />

beneficial to the organization to explore areas <strong>of</strong> improvement based on member feedback. This practice is one<br />

<strong>of</strong> the characteristics that make GHC-SCW unique.<br />

Next, GHC-SCW Board Treasurer, Michael Mullee, gave a review <strong>of</strong> our strong financial health.<br />

Mr. Mullee summarized his presentation by indicating that GHC-SCW was able to increase membership<br />

by 2.8% in 2010, which resulted in a year end membership <strong>of</strong> 64,474 members. After Mr.<br />

Mullee’s presentation, Medical Director, Michael Ostrov, M.D. and Chief <strong>of</strong> Staff, Mark Huth, M.D.<br />

both shared their updates in primary care. Their updates included information about the results <strong>of</strong> our patient<br />

satisfaction surveys, improvements to our patient transition and continuity <strong>of</strong> care, and ways in which we use<br />

medical resources wisely.<br />

Lastly, I had the chance to present highlights from 2010. As always, it was great to see the familiar faces <strong>of</strong><br />

those who have attended these meetings for many years, along with the new faces in the crowd. I covered<br />

the community involvement <strong>of</strong> GHC-SCW, which is an area I am particularly proud <strong>of</strong> and is one <strong>of</strong> our<br />

common values we support with enthusiasm. I focused on our commitment to providing care to needy<br />

students in the Madison Metropolitan School District (MMSD). GHC-SCW recently received<br />

recognition from MMSD for being a leader in the community in providing care to disadvantaged students<br />

You cannot have an annual meeting without a Board election and members voted for Board candidates to fill<br />

open positions for the Board <strong>of</strong> Directors. Congratulations to Ken Machtan, Michael “Mick” Mullee,<br />

and Mary Wright for their re-election to the GHC-SCW Board!<br />

Thank you again for making your voice heard at our <strong>Cooperative</strong>’s Annual Meeting. It is our desire to be<br />

able to continue to service both your insurance and medical service needs well into the future.<br />

Sincerely,<br />

Larry Zanoni<br />

Executive Director


S T R E T C H I N G B o U N D A R I E S<br />

in Urgent Care<br />

If you have ever been treated in an Urgent Care Clinic, you have<br />

seen physicians and nurses working to evaluate and treat patients.<br />

If you seek services at the GHC-SCW Urgent Care Clinic<br />

late this summer, you might be surprised to find that Physical<br />

Therapists have been added to the Urgent Care team.<br />

Putting Physical Therapy services in emergency rooms is an<br />

emerging trend among hospitals across the country. GHC-SCW<br />

would like to go one step further to be one <strong>of</strong> the first health care<br />

organizations in the area to bring Physical Therapy to Urgent<br />

Care.<br />

GHC-SCW Manager<br />

<strong>of</strong> Physical and<br />

Occupational Therapy<br />

(PT/OT), Diane<br />

Harlowe, is very<br />

excited about the<br />

possibility <strong>of</strong> GHC-SCW<br />

being the first health<br />

care organization to<br />

implement this<br />

innovative program.<br />

“I love to be on the<br />

cutting edge. To get to a point where you can launch into<br />

something that’s an improvement in care is really exciting,”<br />

she remarked.<br />

When patients call for an Urgent Care appointment, the pilot<br />

program would create a direct path to a Physical Therapist in the<br />

GHC-SCW Urgent Care PT/OT Clinic, a concept that is not<br />

currently practiced. The pilot program will also help GHC-SCW<br />

determine in what way this new approach has the potential to<br />

improve patient care and see if it can be set up to reduce costs by<br />

decreasing duplication <strong>of</strong> services.<br />

“This is about efficient access to care for our patients. It’s<br />

about getting the care you need when you need it,” Harlowe<br />

added.<br />

Through an internal study, GHC-SCW staff discovered that<br />

1 in 5 patients came to the GHC-SCW Urgent Care Clinic<br />

for musculoskeletal issues in 2009. Specifically, these were<br />

issues that could have been treated directly by a Physical<br />

Therapist and the visit to PCP might have been eliminated<br />

altogether.<br />

{<br />

if you seek services at the<br />

GHC-SCW urgent Care Clinic<br />

late this summer, you might be<br />

surprised to find that Physical<br />

therapists have been added to<br />

the urgent Care team.<br />

{<br />

The pilot program will begin at the end <strong>of</strong> August on a<br />

limited basis. There will be eight PT appointments per day in<br />

Urgent Care. Nurses will gather pertinent information from<br />

patients requesting Urgent Care visits for musculoskeletal<br />

pain (i.e. pain that affects the neck, shoulder, low back, hip,<br />

etc) to determine if they should see the Physical Therapist<br />

or an Urgent Care medical provider. If successful, the<br />

pilot program may be expanded and include Occupational<br />

Therapy for hand and arm injuries in 2012.<br />

HouseCall /June - September 2011<br />

3


ANNUAl mEETING BoARD ElECTIoN<br />

GHC-SCW recently held our Annual Meeting on<br />

May 12, 2011. Members voted for Board candidates<br />

to fill open positions for the GHC-SCW Board<br />

<strong>of</strong> Directors. Congratulations to Ken Machtan,<br />

Michael “Mick” Mullee, and Mary Wright for their<br />

re-election to the GHC-SCW Board!<br />

No CoST wAlk-IN SkIN CANCER SCREENINGS<br />

no appointment necessary<br />

More than one million new cases <strong>of</strong> skin cancer will be diagnosed in the<br />

United States this year. The most serious type <strong>of</strong> skin cancer – malignant<br />

melanoma – will kill nearly 8,500 people this year. With early detection<br />

and education, lives can be saved. To help bring that number down,<br />

<strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> (GHC-SCW) is<br />

<strong>of</strong>fering skin cancer screenings to GHC-SCW members at no charge.<br />

When: tuesday, September 27<br />

time: 12 p.m. – 7 p.m.<br />

Where: GHC-SCW Sauk trails Clinic,<br />

8202 excelsior dr., Madison, Wi<br />

4 HouseCall / June - September 2011<br />

Ken Machtan Mary Wright Michael “Mick” Mullee<br />

‘So SExy So SooN’ AUTHoR To SpEAk oN CHIlDHooD pRoTECTIoN<br />

When: thursday, September 22, 2011; 6 p.m. – 8 p.m.<br />

Where: Madison, location to be posted on www.wisconsinearlychildhood.org<br />

The <strong>Wisconsin</strong> Early Childhood Association is bringing Pr<strong>of</strong>essor Diane Levin, PhD. to Madison for<br />

a presentation to parents and the general public on her book “So Sexy, So Soon: The New Sexualized<br />

Childhood and What Parents Can Do to Protect Their Kids.” While the issue can be troubling or<br />

disconcerting, Pr<strong>of</strong>essor Levin's approach is that there are many ways parents, teachers and others who care<br />

about children can collectively counteract this trend beginning when children are young and working with<br />

both girls and boys. Doing so can counteract the harm caused and help restore the emotional and physical<br />

safety that children need to fully develop.<br />

Pr<strong>of</strong>essor Levin Diane E. Levin, Ph.D. is Pr<strong>of</strong>essor <strong>of</strong> Education at Wheelock College in Boston,<br />

Massachusetts where she has been training early childhood pr<strong>of</strong>essionals for over 25 years.<br />

To pre-register, e-mail weca_events@wisconsinearlychildhood.org or call 608-729-1047. Location and more details will be posted on<br />

www.wisconsinearlychildhood.org<br />

4<br />

SEpTEmBER<br />

SUNDAy moNDAy TUESDAy wEDNESDAy THURSDAy FRIDAy SATURDAy<br />

1 2<br />

11 12 13 14 15 16 17<br />

18 19 20<br />

25<br />

5 6<br />

26 27 28<br />

7 8 9<br />

21 22 23<br />

29 30<br />

3<br />

10<br />

24


mEmBERS ADvISoRy CoUNCIl<br />

The Members Advisory Council (MAC) is made<br />

up <strong>of</strong> patients and family members. The Council<br />

works to improve communication between GHC-<br />

SCW and its members so that we can provide<br />

“superb care and impeccable service.” Many <strong>of</strong><br />

their suggestions help to improve the organization.<br />

There are currently six Standing Participants, five<br />

Outgoing Participants, and seven New Participants.<br />

Welcome 2011 new Participants!<br />

Barbara Clayton<br />

Bruce Hermann<br />

Sara ishado<br />

Paul Ketterer<br />

Susan Levine<br />

Beatriz Mairena-Kellman<br />

James neustadt<br />

roundtable discussions<br />

A new feature at the 2011 GHC-SCW Annual<br />

Meeting was member participation in Roundtable<br />

Discussions. Members in attendance had their<br />

voices heard regarding important issues in health<br />

care and focus areas dealing directly with GHC-<br />

SCW. GHC-SCW appreciates the input and ideas<br />

that were brought forward during the discussions.<br />

The feedback will be valuable as we move forward<br />

with future planning.<br />

Thank you to our Members Advisory Council<br />

roundtable co-leads: Gregory Ziegler, Jennifer<br />

Wabers, Gordon Shea, Kimberly Sailor, Maria<br />

Kluever, Linda Brown, Sheldon Gross, Stan<br />

Woodard and Michele Thompson for your<br />

participation as group facilitators.<br />

pRovIDER CHANGES<br />

Listed below are the most up-to-date Primary Care Provider additions and<br />

deletions to the GHC-SCW network:<br />

GHC-SCW would like to welcome each <strong>of</strong> the following providers:<br />

Allison Philipps, A.P.N.P, Family Medicine who will practice<br />

at the GHC-SCW East Clinic. Dr. Philipps earned a Nurse<br />

Practitioner degree from the University <strong>of</strong> <strong>Wisconsin</strong>- LaCrosse<br />

in 2001.<br />

Julie Sager, M.D., Family Medicine who will be practicing at the<br />

GHC-SCW Hatchery Hill Clinic. Dr. Sager earned her medical<br />

degree from the University <strong>of</strong> Aukland in New Zealand in 1998.<br />

She completed Brown University’s Family Residency at Memorial<br />

Hospital <strong>of</strong> Rhode Island in 2006.<br />

Patrice Streicher, R.N., F.N.P-C, Family Medicine who will<br />

practice at the GHC-SCW Capitol Clinic. Dr. Streicher earned<br />

a master’s degree from the University <strong>of</strong> <strong>Wisconsin</strong>–Madison<br />

in 1996.<br />

Patricia Witte, M.D., Family Medicine who will practice at the<br />

GHC-SCW Capitol Clinic. Dr. Witte earned a medical degree from<br />

the University <strong>of</strong> <strong>Wisconsin</strong> in 1998. She also completed a Family<br />

Practice residency at the UW <strong>Health</strong> Fox Valley Family Practice in<br />

1998.<br />

other Provider additions:<br />

Edward Kramper, M.D., Family Medicine - UW <strong>Health</strong> – Cottage Grove<br />

Joan Uminski, PA-C, Family Medicine - UW <strong>Health</strong> – Northeast Family<br />

Medical Clinic<br />

Provider resignation:<br />

Joseph Holt, M.D., Internal Medicine - GHC-SCW East Clinic<br />

Julie Gendler, M.D., Family Medicine with Obstetrics - GHC-SCW East Clinic<br />

2011 GHC-SCW Annual Meeting Roundtable Discussion<br />

HouseCall /June - September 2011<br />

5


pRIvACy AT GHC-SCw<br />

What does GHC-SCW do to earn your trust?<br />

GHC-SCW staff know how important it is to listen<br />

with patience, respect and kindness. We know<br />

that what we do matters, how we say it, how we<br />

ask and how we write it down. It is <strong>of</strong> the utmost<br />

importance that we show you through our actions<br />

and words that we care. <strong>Central</strong> to this caring is a<br />

consistent, unwavering commitment to “protecting<br />

the privacy and security <strong>of</strong> your health and other<br />

information.”<br />

How do We Collect, use and disclose your<br />

information?<br />

• When you join GHC-SCW, you give us<br />

information in the enrollment process and when<br />

you visit your provider, you give us additional<br />

information about your health. We collect<br />

information related to coordination <strong>of</strong> payment or<br />

care with your other health care providers or payers.<br />

We use your information to contact you regarding<br />

appointment reminders.<br />

• We may use or disclose information for public<br />

health activities, research, law enforcement, health<br />

oversight, judicial & administrative proceedings,<br />

public safety, coroners, medical examiners & funeral<br />

directors, organ & tissue donation, national security,<br />

and worker’s compensation.<br />

• GHC-SCW will not use or disclose Personal<br />

<strong>Health</strong> Information (PHI) without the member’s<br />

written authorization. If the member does not<br />

authorize use or disclose PHI for another purpose, it<br />

may be revoked in writing at any time.<br />

• Many <strong>of</strong> these activities are essential to the<br />

operation <strong>of</strong> our health plan, allowing us to<br />

provide excellent care and service to our members.<br />

Sometimes, the law allows us to use and disclose<br />

health information without authorization. When<br />

this occurs, those who receive it are also required by<br />

law and/or contract provisions, to continue to keep<br />

this information private & confidential.<br />

FoRmUlARy CHANGES AS oF mAy, 2011<br />

6 HouseCall / June - September 2011<br />

• We educate our staff about your rights and make<br />

sure they understand how your privacy applies to<br />

his/her job. Across the organization, we guard your<br />

information from unauthorized access through<br />

physical, electronic and procedural safeguards<br />

maintained in oral, written or electronic format. We<br />

remember that it is your personal information and<br />

it matters to us that it is managed and treated with<br />

respect.<br />

• Treatment, payment and health care operations:<br />

this phrase summarizes how GHC-SCW might<br />

use or disclose your information. This includes<br />

disclosure to doctors, pharmacies, hospitals,<br />

caregivers or others involved in your care that<br />

provide medical treatment through GHC-SCW. It<br />

also includes claims payment, care management,<br />

coordination <strong>of</strong> benefits, preventive health, quality<br />

improvement, auditing and compliance with laws &<br />

regulations. An employer or plan sponsor’s uses are<br />

limited to enrollment & disenrollment information<br />

needed to take care <strong>of</strong> their health benefits.<br />

What are your rights?<br />

You can request that certain communications be<br />

delivered to you confidentially. You can inspect<br />

copy & amend certain records that we maintain<br />

or receive a listing <strong>of</strong> certain disclosures <strong>of</strong> your<br />

personal health information. You may view and/<br />

or receive copies <strong>of</strong> your confidential information<br />

during regular business hours with reasonable<br />

notice. You can submit a complaint about our<br />

privacy practices or request restrictions on the use<br />

& disclosure <strong>of</strong> health information. GHC-SCW<br />

maintains policies, procedures and provides you<br />

with an important document called the Notice<br />

<strong>of</strong> Privacy Practices (Notice) that describes this<br />

information in more detail. Read on for an<br />

important suggestion about the Notice.<br />

important!<br />

Read the GHC-SCW<br />

Notice <strong>of</strong> Privacy<br />

Practices Today!<br />

Visit ghcscw.com and<br />

choose the “Privacy”<br />

tab at the top <strong>of</strong> the<br />

home page. Or,<br />

contact the GHC-SCW<br />

Privacy Officer at<br />

(608) 662-4899 or<br />

(800) 605-4327, email<br />

jcoleman@ghcscw.com.


WHERE R U?<br />

If you’re somewhere in the city <strong>of</strong> Madison,<br />

you’re never more than 8 minutes from the nearest<br />

<strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> clinic.<br />

That’s where.<br />

And that’s convenience.<br />

Just one more way that you and<br />

your health care team are<br />

<strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> (GHC-SCW)<br />

ghcscw.com<br />

<strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> (GHC-SCW)<br />

MK09-124-0(8/10)A<br />

NON-PROFIT<br />

INSURANCE PLAN<br />

Discover the “cooperative”<br />

in <strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong><br />

The GHC-SCW Marketing Department seeks the most<br />

effective way to get our message and brand information to<br />

the Dane County community. Through a close partnership,<br />

GHC-SCW utilizes the services <strong>of</strong> Rippe Keane Marketing<br />

to analyze our advertisement placement schedule for radio<br />

and TV. The placement schedule <strong>of</strong> GHC-SCW revolves<br />

around three communication paths: public radio, TV, and print<br />

advertisement.<br />

GHC-SCW advertises in the following Public radio channels:<br />

• WIBA A/F<br />

• ESPN<br />

• Clear Channel 6<br />

• WRP<br />

• Entercom<br />

GHC-SCW advertises in the following tV programs:<br />

• WKOW<br />

• WISC<br />

• Charter<br />

ghcscw.com<br />

MK08-113-6(4/10)A<br />

2009<br />

EXECUTIVE<br />

CHOICE AWARD WINNER<br />

America’s Best <strong>Health</strong> Insurance<br />

Plans is a registered trademark<br />

<strong>of</strong> U.S. News and World Report.<br />

<strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> (GHC-SCW)<br />

4TH CONSECUTIVE YEAR<br />

TOP RANKED COMMERCIAL<br />

PLAN IN WISCONSIN<br />

Top Ten Best USA <strong>Health</strong> Plans<br />

U.S. News & World Report/NCQA<br />

America’s Best <strong>Health</strong> Insurance<br />

Plans 2009-10.<br />

FAVORITE FAMILY PHYSICIANS<br />

Nancy Deaton, M.D.; Family Practice<br />

Robert Matthew, M.D.; Family Practice<br />

Brava Magazine. 10/09<br />

#1 EXECUTIVE CHOICE<br />

AWARD WINNER<br />

InBusiness Magazine. 12/09<br />

ghcscw.com<br />

MK09-212-2(01/10)A<br />

IT’S A PHONE!<br />

IT’S A CAMERA!<br />

IT’S A JUKEBOX!<br />

GHC My Chart SM<br />

And now, your mobile device also connects you to<br />

GHC-SCW MOBILE<br />

and Mobile GHCMyChartSM – the first <strong>of</strong> it’s kind in Dane County.<br />

Because the closer we are, the healthier our relationship.<br />

It’s just one more way that you and your health care team are...<br />

ghcscw.com<br />

MOBILE GHCMyCHART - Secure, online access to your medical and insurance information<br />

from <strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> (GHC-SCW).<br />

MyChart ® is a registered trademark <strong>of</strong> Epic Systems Corporation. KidsChart ® is a registered<br />

trademark <strong>of</strong> <strong>Group</strong> <strong>Health</strong> Coopertive <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong>. MyKidsChart SM ,<br />

GHCKidsChart SM and GHCMyChart SM are service marks <strong>of</strong> <strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong><br />

<strong>Central</strong> <strong>Wisconsin</strong>. <strong>Health</strong>wise ® and <strong>Health</strong>wise ® Knowledgebase are registered trademarks <strong>of</strong><br />

<strong>Health</strong>wise, Inc.<br />

<strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> (GHC-SCW)<br />

<strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> (GHC-SCW)<br />

When your health insurance<br />

company has a meeting...<br />

MK09-72-8(6/10)A<br />

ARE YOU INVITED?<br />

Discover the “cooperative”<br />

in <strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong><br />

ghcscw.com<br />

GHC-SCW advertises in the following print publications:<br />

• Brava<br />

• Madison Magazine<br />

• InBusiness<br />

• Isthmus<br />

other:<br />

• Clear Channel (www.clearchannel.com)<br />

• WKOW (www.wkow.com)<br />

• Madison Metro Bus Wraps<br />

MK08-113-0(3/10)A<br />

HouseCall /June - September 2011<br />

7


<strong>Health</strong>y You! Class Updates<br />

June - September 2011<br />

CaPitoL CLiniC date<br />

Complementary Medicine<br />

Create Personal Yoga Program Ongoing<br />

Introduction to Reiki June 22<br />

Kripalu Yoga July 21 - Sept. 1<br />

Mat Pilates July 21 - Sept. 1<br />

Mindfulness Meditation Aug. 3 - Nov. 16<br />

Personal Pilates Session Ongoing<br />

Pilates Fundamentals Aug. 27<br />

Pilates Plus Strength July 21 - Sept. 1<br />

<strong>Health</strong> education<br />

Lets Talk About Diabetes July 18 - Aug. 8; Oct. 3 - 24<br />

ChoLESSterol July 21 - Aug. 4; Oct. 27 - Nov. 10<br />

Tobacco Free June 22; July 13; July 27’ Aug. 10;<br />

Aug. 24; Sept. 14; Sept. 28<br />

Childbirth and Parenting Aug. 6 & 13; Aug. 15 - Sept. 26<br />

SauK traiLS CLiniC date<br />

Complementary Medicine<br />

Beginning Yoga June 21 - Aug. 9; Aug. 16 - Oct. 4<br />

Creating Inner Balance July 9; Aug. 13<br />

Integrative Counseling Ongoing<br />

Kripalu Yoga July 19 - Aug. 30<br />

Mindfulness Meditation July 11 - Aug. 29<br />

PAIRS Massage Class July 23<br />

Prenatal Yoga July 27 - Sept. 14<br />

Reflexology Ongoing<br />

Reiki Intensive Training Ongoing<br />

and Certification<br />

Reiki Intensive Training<br />

and Certification Ongoing<br />

Reiki Level 1 June 18<br />

Reiki Level 2 Aug. 20<br />

Total Fitness June 30 - Aug. 18; June 30 - Oct. 13;<br />

July 6 - Aug. 24; Aug. 31 - Oct. 19<br />

Kick Boxing July 26 - Sept. 13<br />

Zumba July 2 - Aug. 20; July 14 - Sept. 1;<br />

Aug. 27 - Oct. 15<br />

HatCHery HiLL CLiniC date<br />

Complementary Medicine<br />

Feldenkrais Method Ongoing<br />

Integrative Counseling Ongoing<br />

Kripalu Style Hatha Yoga June 30 - Aug. 18<br />

for Adults<br />

<strong>Health</strong> education<br />

Pre Diabetes Sept. 1 & 8<br />

ChoLESSterol July 21 - Aug. 4; Oct. 27 - Nov. 10<br />

<strong>Health</strong>y Meals on a Budget Aug. 11; Oct. 20<br />

Lighten Up! July 5 & July 19; Aug. 2 & 16; Sept 6 & 20<br />

I Have Diabetes: What Can I Eat? June 27; July 25; Aug. 22; Sept. 26; Oct. 24<br />

Childbirth and Parenting June 21 - Aug. 2; Aug. 23 - Sept. 27<br />

Breastfeeding June 23; July 7; Aug. 18; Sept. 8; Oct. 6<br />

Returning to Work or School Sept. 22<br />

while Breastfeeding<br />

Feeding Your Baby; Starting Aug. 2; Nov. 17<br />

Solid Foods<br />

8 HouseCall HouseCall / June March - September - June 2011 2011<br />

eaSt CLiniC date<br />

Complementary Medicine<br />

Kripalu Style Hatha Yoga June 29 - Aug. 17;<br />

for Adults Aug. 31 - Oct. 19<br />

<strong>Health</strong> education<br />

Tobacco Free June 17; July 15;<br />

Aug. 19; Sept. 16;<br />

Oct. 21<br />

Childbirth and Parenting Aug. 10 - Sept. 14;<br />

Oct 12 - Nov. 16<br />

Physical/occupational therapy -<br />

(Call 662-5060 for start dates)<br />

Spine Stabilization Class<br />

Knee Strengthening Class<br />

PrinCeton CLuB WeSt<br />

Physical/occupational therapy<br />

(Call 662-5060 for start dates)<br />

Spine Stabilization Class<br />

Knee Strengthening Class<br />

Arthritis: Joint Protection and Energy<br />

Conservation<br />

Body Mechanics for Graduate Students<br />

and other computer users<br />

to see full details and registration information for all classes see your <strong>Health</strong>y you! Calendar or visit ghcscw.com.


QUAlITy ImpRovEmENT AT GHC-SCw<br />

(Note: This is an overview <strong>of</strong> the GHC-SCW Quality Improvement Work Plan. Please visit<br />

ghcscw.com and click the “Quality” tab to see complete details <strong>of</strong> the GHC-SCW Quality<br />

Improvement Work Plan, or call (608) 828-4820 with questions or request a printed copy.)<br />

the GHC-SCW Quality improvement Program<br />

The purpose the GHC-SCW Quality Improvement (QI) System is to<br />

continuously improve the quality and safety <strong>of</strong> medical and behavioral health<br />

care and the quality <strong>of</strong> services provided to our members.<br />

GHC-SCW uses the <strong>Health</strong>care Effectiveness Data and Information Set<br />

(HEDIS®), the Consumer Assessment <strong>of</strong> <strong>Health</strong>care Providers and Systems<br />

(CAHPS®) member satisfaction survey, complaint analysis and other<br />

performance measures and tools to assess how well we deliver health care and<br />

services to our members.<br />

2010 Qi Work Plan Summary and evaluation<br />

GHC-SCW has retained an Excellent NCQA Accreditation Status – the<br />

highest level attainable – for 15 consecutive years. The status is based on a<br />

recent NCQA audit and excellent HEDIS and CAHPS rates in 2010.<br />

QI Projects at GHC-SCW Achieved Great Improvements!<br />

GHC-SCW achieved excellent results in clinical and behavioral health<br />

projects demonstrated in the following HEDIS results. The measures are<br />

compared against the National 90th percentile. Nineteen measures met the<br />

90th national benchmark and 10 measures met the 95th national benchmark.<br />

The measures with low rate scores will be analyzed for opportunities to improve<br />

them in the 2011 QI Work Plan.<br />

nCQa/CaHPS (Consumer assessment <strong>of</strong> <strong>Health</strong> Care Providers and<br />

Systems) Member Satisfaction Survey:<br />

<strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> has achieved the<br />

recognition for improvement efforts from our valued members. GHC-SCW is<br />

rated above the 90th percentile in the “Customer Service” category. We rated<br />

above the 75th percentile in the “How Well Doctors Communicate” category.<br />

Press Ganey (PG) Satisfaction Survey:<br />

GHC-SCW started using the PG survey in January 2007, and our scores have<br />

consistently improved. The “Overall” score improved by 2.7 points over the last<br />

four years. Our Primary Care Providers have some <strong>of</strong> the highest scores on the<br />

survey.<br />

Patient Safety:<br />

In 2009-2010, GHC-SCW has made improvements in patient safety by<br />

addressing the following projects:<br />

• immunization documentation improvements<br />

• after visit summary “Derby”<br />

• anticoagulation program<br />

• medication accuracy<br />

• safety net and virtual drug sample cabinets<br />

The Patient Safety Committee has continued to monitor and respond to<br />

patient safety issues as the committee finds opportunities for improvement.<br />

2011 Quality improvement Work Plan<br />

Based on opportunities for improvement identified<br />

in 2010, GHC-SCW 2011 Focus Areas include:<br />

• Clinical Quality Measurement Monitoring and<br />

Improvement (e.g. diabetes and Cardiovascular Disease<br />

quality improvement, Value based care initiatives, and<br />

comprehensive worksite wellness programs)<br />

• Behavioral <strong>Health</strong> Quality, Monitoring and<br />

Improvement (e.g. improve alcohol and other<br />

drug abuse treatment, improve antidepressant<br />

medication management, and improve member<br />

follow-up care after hospitalization)<br />

• Service Quality Monitoring and Improvement<br />

(e.g. referral improvement project and data<br />

collection for UW <strong>Health</strong> Plan)<br />

• Patient Safety Monitoring and Improvement<br />

(e.g. improve patient safety)<br />

CaHPS Scores<br />

2010<br />

Performance<br />

national<br />

90th<br />

Percentile<br />

Customer Service<br />

How Well<br />

91.1% 89.3%<br />

Doctors<br />

Communicate<br />

95.1% 95.8%<br />

HediS Scores<br />

2010<br />

Performance<br />

national<br />

90th<br />

Percentile<br />

Prenatal Care 97.1% 97.6%<br />

Breast Cancer<br />

Screening<br />

86.4% 77.8%<br />

Cervical Cancer<br />

Screening<br />

Colorectal<br />

90.5% 81.6%<br />

Cancer<br />

Screening<br />

Appropriate<br />

treatment for<br />

72.0% 69.9%<br />

children with<br />

upper respiratory<br />

infections<br />

Appropriate<br />

96.1% 92.2%<br />

testing for<br />

children with<br />

pharyngitis<br />

Well-Child Visits<br />

96.4% 88.7%<br />

in the first 15<br />

months <strong>of</strong> life<br />

Comprehensive<br />

88.8% 86.2%<br />

Diabetes Care<br />

- Eye Exams<br />

performed<br />

82.1% 70.8%<br />

HouseCall /June - September 2011<br />

9


what you don’t want to forget about<br />

COMPLEMENTARY<br />

medicine<br />

No Referral Needed!<br />

Get a massage, relax with yoga, or experience any <strong>of</strong> our<br />

Complementary Medicine modalities without seeing your<br />

Primary Care Provider first.<br />

Call (608) 662-5090 to schedule a Complementary Medicine<br />

appointment, or schedule through your GHCMyChart account.<br />

Available at most<br />

Locations<br />

Whether you schedule closer to home, work, or somewhere<br />

in between, GHC-SCW has Complementary Medicine<br />

modalities available at convenient locations across Madison.<br />

It is not necessary to schedule your Complementary Medicine<br />

appointment in the same location as your Primary Care<br />

appointments.<br />

Tai Chi at Monona Terrace Reflexology<br />

10 HouseCall / June - September 2011<br />

10 HouseCall / June - September 2011<br />

How it Works<br />

As a member, you pay half price for any Complementary<br />

Medicine class or service and GHC-SCW pays the rest, up to a<br />

$375 benefit* allowance. For example, you pay $35 and for a one<br />

hour massage that costs $70. Payment is due at the time <strong>of</strong> your<br />

appointment.<br />

* Services provided within a GHC-SCW Clinic by a GHC-SCW Complementary Medicine provider are limited to<br />

the GHC-SCW member benefit as outlined in the Benefits Summary. Members who find these services beneficial are<br />

welcome to visit the Complementary Medicine and Wellness Center on a fee-for-service basis after their benefit has been<br />

exhausted. Please Note: The GHC-SCW Complementary Medicine Benefit applies only to providers’ services and not to<br />

supplies or herbal remedies. Although these services are available to all GHC-SCW members, State regulations prevent<br />

GHC-SCW from <strong>of</strong>fering this benefit to patients covered under the GHC-SCW Medicare Select Plan. Medicare Select<br />

patients are welcome to visit the Complementary Medicine and Wellness Center on a fee-for-service basis.


Experience Tai Chi on<br />

the Monona Terrace!<br />

When: Tuesdays & Thursdays. Where: The Ro<strong>of</strong>top Garden <strong>of</strong> the Monona Terrace<br />

May 17 - June 30, 12 - 12:45 p.m. Cost: No Charge<br />

Every Madisonian should experience the skyline view, the s<strong>of</strong>t breezes <strong>of</strong>f Lake Monona, and the mental break in the workday during a<br />

“Tai Chi at the Monona Terrace” session. GHC-SCW Tai Chi instructor, Terri Pellitteri will lead each session. The ro<strong>of</strong>top sessions are<br />

open to the public at no cost. Please join us!<br />

(Come wearing loose-fitting clothing and comfortable shoes. In case <strong>of</strong> inclement weather, class may be cancelled. Please call<br />

(608) 261-4000 for cancellation information.)<br />

Tai Massage Massage Therapy<br />

GHC-SCw IS THE oNly HEAlTH plAN IN DANE CoUNTy THAT CovERS<br />

ComplEmENTARy mEDICINE AS pART oF yoUR BENEFITS pACkAGE.<br />

CAll (608) 662-5090 To SCHEDUlE ANy ComplEmENTARy mEDICINE AppoINTmENT,<br />

oR SCHEDUlE THRoUGH yoUR ACCoUNT.<br />

GHC My Chart SM<br />

new Services: other available Services: Class updates:<br />

Thai Massage & Yoga Yoga Visit ghcscw.com for updates<br />

Personal Fitness & Class CranioSacral Therapy on class times and services.<br />

Pilates & Equipment Massage Therapy<br />

Thai Chi for Parkinson’s disease Thai Chi<br />

Feldenkriais Method<br />

Acupuncture<br />

HouseCall /June - September 2011<br />

HouseCall /June - September 2011<br />

11<br />

11


<strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong><br />

P.O. Box 44971<br />

Madison, WI 53744-4971<br />

HouseCall provides current health care<br />

and policy/procedure information to members<br />

<strong>of</strong> <strong>Group</strong> <strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong><br />

<strong>Wisconsin</strong> (GHC-SCW). Comments and<br />

suggestions regarding HouseCall are encouraged<br />

and may be directed to: HouseCall editor,<br />

GHC-SCW, P.o. Box 44971, Madison, Wi<br />

53744-4971.<br />

This newsletter was printed on recycled paper. MyChart ®<br />

is a registered trademark <strong>of</strong> Epic Systems Corporation.<br />

GHCMyChart SM and Better Together SM are service marks <strong>of</strong> <strong>Group</strong><br />

<strong>Health</strong> <strong>Cooperative</strong> <strong>of</strong> <strong>South</strong> <strong>Central</strong> <strong>Wisconsin</strong> (GHC-SCW).<br />

ClINIC loCATIoNS AND HoURS oF opERATIoN<br />

GHC-SCw ClINICS<br />

Capitol Clinic<br />

675 west washington ave.<br />

Madison (608) 257-9700<br />

Mon., wed., fri.: 8 a.m. – 5 p.m.<br />

Tues., Thurs.: 8 a.m. – 7 p.m.<br />

DeForest Clinic<br />

815 south Main st.<br />

Deforest (608) 846-4787<br />

Mon. – fri.: 8 a.m. – 5 p.m.<br />

East Clinic<br />

5249 East Terrace Dr.<br />

Madison (608) 222-9777<br />

Mon.: 9 a.m. – 7 p.m.<br />

Tues. – fri.: 8 a.m. – 5 p.m.<br />

Hatchery Hill Clinic<br />

3051 Cahill Main<br />

fitchburg (608) 661-7200<br />

Mon., wed. – fri.: 8 a.m. – 5 p.m.<br />

Tues.: 8 a.m. – 7 p.m.<br />

CApITol ClINIC<br />

URGENT CARE<br />

Sauk Trails Clinic<br />

8202 Excelsior Dr.<br />

Madison (608) 831-1766<br />

Mon.: 8 a.m. – 7 p.m.<br />

Tues. – fri.: 8 a.m. – 5 p.m.<br />

Uw HEAlTH – CoTTAGE<br />

GRovE ClINIC<br />

Cottage Grove Clinic<br />

500 westlawn Dr.<br />

Cottage Grove (608) 839-3104<br />

Mon. – fri.: 8 a.m. – 5 p.m.<br />

Uw HEAlTH –<br />

FAmIly mEDICINE ClINICS<br />

Belleville Clinic<br />

21 south vine st.<br />

belleville (608) 424-3384<br />

Mon. – fri.: 8:30 a.m. – 5 p.m.<br />

Northeast Clinic<br />

3209 Dryden Dr.<br />

Madison (608) 241-9020<br />

Mon. – fri.: 8:30 a.m. – 5 p.m.<br />

verona Clinic<br />

100 North Nine Mound rd.<br />

verona (608) 845-9531<br />

Mon. – fri.: 8 a.m. – 5 p.m.<br />

Uw HEAlTH –<br />

SToUGHToN<br />

ClINIC<br />

Stoughton Clinic<br />

1001 Nygaard st.<br />

stoughton (608) 877-2660<br />

Mon. – fri.: 8 a.m. – 5 p.m<br />

675 w. washington ave. (608) 257-9700<br />

Monday - friday saturday and sunday<br />

8 a.m. - 9 p.m. 9 a.m. - 9 p.m.<br />

NONPROFIT<br />

ORGANIZATION<br />

U.S. POSTAGE<br />

PAID<br />

MADISON, WI<br />

PERMIT NO. 2080<br />

MK11-61-0(6/11)N<br />

ACCESS CommUNITy<br />

HEAlTH CENTERS<br />

<strong>South</strong> Side Clinic<br />

2202 south park street<br />

Madison (608) 443-5480<br />

Mon. – fri.: 8 a.m. – 5 p.m.<br />

william T. Evjue Clinic<br />

3434 East washington avenue<br />

Madison, (608) 443-5480<br />

Mon. – fri.: 8 a.m. – 5 p.m.<br />

ACHC – wINGRA FAmIly<br />

mEDICAl CENTER<br />

wingra Family medical Center<br />

701 Dane street<br />

Madison (608) 263-3111<br />

Mon. – fri.: 8:30 a.m. – 5 p.m.<br />

CAll yoUR pRImARy<br />

CARE ClINIC FIRST.

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