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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.