2008 HAR Education and Information Session

1. 2008 HAR Education and Information Session Amy Camp, MDH Tom Major, MDH Joe Schindler, MHA Jonathan Peters, MHA

2. 2008 Education and Information Topics • New or Changed Sections in the 2008 HAR • Reorganization of sections • Prescription Drug Purchases Section • Diagnostic Imaging Provider Information • Charges, Days, and Admissions Sections (separate tab this year) • Capital Expenditure Retrospective Review Tab • Reminders, Resources, and Tips

3. Reorganization of HAR Sections • Sections were reorganized to improve flow and readability of HAR formset (e.g. all charge sections together, adjustments follow charges, etc.) • HAR sectional reorganization was reviewed and by a cross sectional group of HAR preparers (e.g. metro, rural, system, non-affiliated, etc.) and their input was received on its redesign.

4. Prescription Drug Purchases • This section asks for the Aggregate Purchases, Discounts, Rebates, and Other Credits relating to prescription drug purchases at the facility. • This information was obtained in prior years through a separate reporting mechanism by MDH.

5. Diagnostic Imaging Provider • For Diagnostic Imaging Services, if your hospital has the service available on site (either by the hospital or contracted services), you will be asked to provide the name of the provider. • This is being asked to help tie diagnostic imaging provider information (which is collected on separate report) to the HAR data.

6. Charges, Days, and Admissions by Hospital Service • These accounts can be filled out using UB or billing data. • MHA can fill out the accounts if the preparer indicates “Yes” in appropriate sections in the HAR. • Patient Days by Hospital Service (Section 62) and Admissions by Hospital Service (Section 60) follow the same structure and guidelines as the Charges section. • If the preparer chooses to fill out the section themselves, please make sure that if a particular account has information in charges, days, or admissions, that all three contain data. Please call MHA before attempting these sections yourself.

7. Capital Expenditure Retrospective Review Tab • Instead of having to send a separate memo in answering the questions required of a retrospective review, a separate tab has been created in the HAR for this purpose. • Hospitals who had a project over one million dollars which was related to patient care (and not otherwise excluded from retrospective review) will need to supply the information on the project in the “Capital Expend Project Specific” tab in the formset. • A FAQ newsletter is available at both the MDH and MHA website which reviews the questions to be answered, as well as what qualifies for a retrospective review.

8. Capital Expenditures • A Capital Expenditure memo and FAQ newsletters is available on both the MDH and MHA HCCIS websites. • There are two separate reporting requirements for Capital Expenditures under Minnesota Statutes, section 62J.17 • Reporting of major capital expenditure commitments greater than one million dollars (see HAR sections 57 & 58). • Providing sufficient project specific information about capital expenditure commitments for MDH to complete a retrospective review of each project greater than one million dollars (see capital expenditure project specific tab of the formset). • All inquiries on Capital Expenditure reporting can be directed to: Tom Major (651) 201-3574 tom.major@state.mn.us

9. Reminders, Tips, and Resources for Preparers General Guidelines and Places for Further Information

10. Contact Information A Capital Expenditure Contact is required by all hospitals. This should list the individual responsible for any questions relating to Capital Expenditures. The Capital Expenditure Contact is required, and is not optional.

11. Available Beds and Bassinets • Report number of available beds in each dedicated specialty unit. • Smaller facilities will most likely need to fill out only the Med/Surg Available Bed line. • According to MDH Licensing, Neonatal units are bassinets, and should be reported in account 7497 in Section 55. • Most cells in the Total Available column are over writable. Only cells grayed out have been locked. • Report Swing Beds if the hospital has a dedicated swing bed unit.

12. Bad Debt Write Offs • This section requests the breakouts of Insured vs. Uninsured of bad debt written off during the hospital’s 2008 fiscal year. • This is not related to the hospital’s provision for bad debt (which is an income statement item), but the actual debt that was written off and/or sent to collections.

13. Self Pay and Charity Care The percentage discount offered Self Pay patients will be collected. Please note that this will be non public data. Charity Care Adjustments will be broken out into Insured vs. Uninsured. • Within Uninsured, three further pieces of data will be collected: • Amount that was 100% discounted • Amount that was only a partial discount of full bill • The average partial discount given to uninsured patients

14. Community Benefits • Community benefits information should be hospital level data. • Work with the individual who has reported this information in surveys to MHA and MDH in prior years. • A number of these accounts will require calculations to be made that may not be found in the trial balance or accounting statements. • Communications/Marketing Director may be able to assist in the accurate completion of this section.

15. Data Transmission Method Available • HTTPS data transmission available • Transmission encrypted and secure • As easy as web e-mail or online banking • Hospitals can download their prior year’s Commentary or Hospital Profile report from same site as well. • More safe and secure than postal mail or e-mail • No file size restrictions, unlike e-mail • This method is highly recommended by MDH and MHA for data transmission • Please contact MHA to receive your login and password • Web address: https://har.mnhospitals.org

16. Places for Further Information • Both MDH and MHA’s website have further information on HAR related issues. • MDH Website: http://www.health.state.mn.us/divs/hpsc/dap/hccis/index.html • MHA Website: http://www.mnhospitals.org/index/HCCIS_1 • All Deadlines and Events are posted on websites. • Power Point presentation of 2007 and 2006 HAR Education and Information Sessions available at sites above. • Electronic Newsletters covering the following topics: • Getting Started • Microsoft Excel Tips and Useful Tools • Expense Allocation Methodology • Primary Payer Charges and Adjustments • Outpatient Charges • If a question or problem arises while completing the Hospital Annual Report, please contact either Joseph Schindler or Jonathan Peters at MHA, or Amy Camp at MDH (see last slide for contact information).

17. Contact Information • MHA staff at (800) 462-5393 or (651) 641-1121 • Joseph Schindler, MHA (651) 659-1415 • Jonathan Peters, MHA (651) 659-1422 • Amy Camp, MDH (651) 201-3575 • Tom Major, MDH (651) 201-3574 (Capital Expenditure Reporting)