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    <title>REDW Blog</title>
    <link>http://www.redw.com/learning_center/blog/</link>
    <description></description>
    <dc:language>en</dc:language>
    <dc:creator>lmontoya@redw.com</dc:creator>
    <dc:rights>Copyright 2010</dc:rights>
    <dc:date>2010-02-27T02:52:00-07:00</dc:date>
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    <item>
      <title>$1B in new stimulus to tribes can be used for health centers, job creation</title>
      <link>/site/1b_in_new_stimulus_to_tribes_can_be_used_for_health_centers_job_creation/</link>
      <guid>/site/1b_in_new_stimulus_to_tribes_can_be_used_for_health_centers_job_creation/#When:02:52:00Z</guid>
      <description><![CDATA[Reprising a $1 billion infusion to tribal entities last fall, the federal government is <a href="http://abcnews.go.com/Business/wireStory?id=9810862" title="allowing tribes to issue another $1 billion">allowing tribes to issue another $1 billion</a> in low-interest bonds that can be used for a wide range of projects, including health care centers.<br />
<br />
<a href="http://albuquerque.bizjournals.com/albuquerque/stories/2010/02/08/daily41.html" title="According to the New Mexico Business Weekly">According to the New Mexico Business Weekly</a>, "The pueblos of Acoma and Ohkay Owingeh have been awarded bond allocations totaling about $29 million under the federal stimulus act." Acoma is using the new funds to build a wind farm. Ohkay Owingeh will use some $22.9 million for "refinancing, as well as recreational, government and commercial facilities."<br />
<br />
Other tribes or pueblos helped by the program include Isleta, Santa Clara and the Navajo Nation.<br />
<br />
Our Tribal Services team can help with a wide range of issues relating to financing. We've helped many clients approach these questions with creativity and insight. If you have questions, <a href="http://redw.com/services/tribal_services/" title="please contact us today">please contact us today</a>.  ]]></description>
      <dc:subject>Consulting, Tribal</dc:subject>
      <dc:date>2010-02-27T02:52:00-07:00</dc:date>
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    <item>
      <title>New Mexico organization to share in $1B of federal health IT and training funds</title>
      <link>/site/new_mexico_organization_to_share_in_1b_of_federal_health_it_and_training_fu/</link>
      <guid>/site/new_mexico_organization_to_share_in_1b_of_federal_health_it_and_training_fu/#When:01:50:00Z</guid>
      <description><![CDATA[The Lovelace Clinic Foundation of New Mexico will receive more than $13 million as part of stimulus funds designed to "advance the adoption and meaningful use of health information technology (IT) and train workers for the health care jobs of the future," according to a <a href="http://www.hhs.gov/news/press/2010pres/02/20100212a.html" title="Health and Human Services Department press release">Health and Human Services Department press release</a>.<br />
<br><br />
<blockquote><i>The awards are intended to make health IT available to more than 100,000 hospitals and primary care physicians by 2014 and train thousands of people for careers in health care and IT.<br />
<br />
Of the more than $750 million being awarded by the Department of Health and Human Services, $386 million will go to 40 states and qualified state-designated entities to facilitate health information exchange at the state level, and $375 million will go to an initial 32 not-for-profit organizations to support the development of regional extension centers that will help health professionals as they work to implement and use health IT. This assistance at the state and regional levels will facilitate healthcare providers' efforts to adopt and use electronic health records in a meaningful manner.<br />
<br />
The more than $225 million being awarded by the Department of Labor will be used to train 15,000 people in job skills needed to access careers in health care, IT, and other high-growth fields. Through existing partnerships with local employers, the grant recipients have identified about 10,000 job openings for skilled workers that likely will become available in the next two years in areas such as nursing, pharmacy technology, and IT. The grants will fund 55 separate training programs in 30 states to help train people for secure, well-paid health jobs and meet the growing employment demand for health workers.</i></blockquote><br />
<br />
We wrote recently about <a href="http://redw.com/learning_center/blog_details/presidents_budget_includes_8_increase_for_indian_health_service/" title="a proposed 8 percent increase for the Indian Health Service">a proposed 8 percent increase for the Indian Health Service</a> in President Obama's Fiscal Year 2011 budget. It appears the healthcare sector is one the federal government intends to invest heavily in. Our <a href="http://redw.com/services/healthcare/" title="Healthcare Services team">Healthcare Services team</a> is staying abreast of these developments and can assist you in navigating these uncertain times. <a href="http://redw.com/services/healthcare/" title="Please call today">Please call today</a>.]]></description>
      <dc:subject>Consulting, Healthcare, Technology</dc:subject>
      <dc:date>2010-02-25T01:50:00-07:00</dc:date>
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    <item>
      <title>Glimmers of hope for the not&#45;for&#45;profit healthcare sector</title>
      <link>/site/glimmers_of_hope_for_the_not_for_profit_healthcare_sector/</link>
      <guid>/site/glimmers_of_hope_for_the_not_for_profit_healthcare_sector/#When:02:44:00Z</guid>
      <description><![CDATA[The Healthcare Financial Management Association is noting several encouraging signs for not-for-profit healthcare organizations in recent news. <br />
<br />
First, though bond rating downgrades were still more common than upgrades in 2009, <a href="ttp://www.hfma.org/hfmanews/PermaLink,guid,c96c9683-032c-42ef-a463-d8de11f948de.aspx" title="the rate of downgrades slowed significantly">the rate of downgrades slowed significantly</a> in the second half of the year, according to Moody's. Last month, the debt of the parent company of Blue Cross and Blue Shield plans in Illinois, Texas, Oklahoma and New Mexico was <a href="http://www.chicagotribune.com/health/chi-thu-notebook-blue-crossjan14,0,3741679.story" title="downgraded">downgraded</a>, but only slightly; the company remained in the upper tiers.<br />
<br />
Second, a <a href="http://www.hfma.org/hfmanews/PermaLink,guid,929e4e1a-411e-4603-be68-38c8559a652d.aspx" title="new Standard & Poor's Ratings Services report">new Standard & Poor's Ratings Services report</a> says "the sector is showing signs of stabilization." The report said credit solidification began at the end of 2009, and ratings and outlooks are expected to settle this year.<br />
<br />
Though neither piece of news answers longer-term questions about the healthcare environment, these positive developments can give leaders of not-for-profit healthcare organizations reason to take a new look at their broad assumptions. Our Healthcare Services team can help dig into these findings to look for new opportunities so you can be one of the first back in as the economy returns. <a href="http://redw.com/services/healthcare/" title="Please contact us today">Please contact us today</a>.]]></description>
      <dc:subject>Consulting, Healthcare</dc:subject>
      <dc:date>2010-02-23T02:44:00-07:00</dc:date>
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    <item>
      <title>Medicare pays for greater percentage of rural hospital visits</title>
      <link>/site/medicare_pays_for_greater_percentage_of_rural_hospital_visits/</link>
      <guid>/site/medicare_pays_for_greater_percentage_of_rural_hospital_visits/#When:17:14:00Z</guid>
      <description><![CDATA[New data reported by the <a href="http://www.hfma.org/hfmanews/PermaLink,guid,c4ef4fc8-5147-4fa0-8a63-89bd4700d4fa.aspx" title="Healthcare Financial Management Association">Healthcare Financial Management Association</a> show that Medicare not only pays for a larger percentage of patient visits to rural hospitals but also pays a higher rate of aggregate costs than in urban hospitals. According to the Agency for Healthcare Research and Quality, Medicare paid for:<br />
<br><br />
<blockquote>•     45 percent of all stays in rural hospitals in 2007 vs. 35 percent in urban hospitals.<br><br />
•     55.7 percent of aggregate costs in rural hospitals vs. 44.3 percent in urban hospitals.</blockquote><br />
<br />
The statistical brief also found that patients from the lowest income bracket accounted for more than half of all stays in rural hospitals. The study also noted that average costs per stay are lower in rural hospitals ($6,500) than urban ($9,000) and that the length of a stay in rural hospitals is almost a full day shorter on average.<br />
<br />
New Mexico has a relatively high rural population – 25 percent <a href="http://www.hfma.org/hfmanews/PermaLink,guid,c4ef4fc8-5147-4fa0-8a63-89bd4700d4fa.aspx" title="in the 2000 Census">in the 2000 Census</a>, which gives the question particular importance in our home state, but most states have sizable numbers of residents living outside urban areas. REDW has worked in this area for years and can help your healthcare organization successfully manage its accounting for federal reimbursement programs. Please contact our <a href="http://redw.com/services/healthcare/" title="Healthcare Services team">Healthcare Services team</a> today for more information.<br />
<br />
]]></description>
      <dc:subject>Consulting, Healthcare</dc:subject>
      <dc:date>2010-02-18T17:14:00-07:00</dc:date>
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    <item>
      <title>Should rules or principles guide accounting?</title>
      <link>/site/should_rules_or_principles_guide_accounting/</link>
      <guid>/site/should_rules_or_principles_guide_accounting/#When:17:10:00Z</guid>
      <description><![CDATA[The move to International Financial Reporting Standards (IFRS) will necessitate significant changes in how financial professionals approach their work, according to renowned <a href="http://www.ifrs.com/merits.html" title="panelists at a recent industry forum">panelists at a recent industry forum</a>.<br />
<br />
One panelist compared Financial Accounting Standards Board Statement No. 133 – an 800-page guide on "Accounting for Derivate Instruments and Hedging Activities" – and the U.S. Constitution as examples of rules-based vs. principles-based approaches. IFRS represents a more principles-based approach to reporting.<br />
<br />
Though IFRS could reduce the number of rules financial professionals must be familiar with, the new standards will also create a greater responsibility and require new ways of analyzing choices, the panelists noted.<br />
<br />
The shift could place a greater emphasis on experience in the industry. To learn more about what these changes could mean to your company or organization, please call our <a href="http://redw.com/services/audit_consulting/" title="experienced Audit Services team">experienced Audit Services team</a> today. ]]></description>
      <dc:subject>Accounting Standards, Audit, Consulting</dc:subject>
      <dc:date>2010-02-17T17:10:00-07:00</dc:date>
    </item>

    <item>
      <title>Community health centers: Money well spent, group says</title>
      <link>/site/community_health_centers_money_well_spent_group_says/</link>
      <guid>/site/community_health_centers_money_well_spent_group_says/#When:17:04:01Z</guid>
      <description><![CDATA[Community health centers are an effective investment in treating the nation's uninsured, according to the <a href="http://www.nachc.org/pressrelease-detail.cfm?PressReleaseID=545" title="National Association of Community Health Centers (NACHC)">National Association of Community Health Centers (NACHC)</a>. The association reported recently on <a href="http://www.healthaffairs.org/1500_about_journal.php" title="new findings in Health Affairs">new findings in Health Affairs</a>, "the leading journal of health policy thought and research," reporting that, "based on their study, the authors predict that a $500,000 increase in grant support for all centers would provide treatment for an additional 500,000 uninsured patients."<br />
<br />
The study found that investments brought about such things as broader mental health coverage, greater staffing levels, more centers, new services, and more free or discounted care to uninsured or underinsured patients. According to <a href="http://www.nachc.com/client/documents/research/2009-State-Fact-Sheets/NMFS08.pdf" title="NACHC data">NACHC data</a>, New Mexico has 133 federally supported health center sites run by 15 organizations that have served nearly 243,000 patients. <br />
<br />
You can <a href="http://marketplace.publicradio.org/display/web/2010/02/02/am-community-clinics/" title="listen to coverage of the news by American Public Media's Marketplace">listen to coverage of the news by American Public Media's Marketplace</a>.<br />
<br />
Do you operate a community health center or other healthcare institution and would like to find out more about how to demonstrate the ROI you're providing? Please <a href="http://redw.com/services/healthcare/" title="contact our Healthcare Services team">contact our Healthcare Services team</a> today for more information.]]></description>
      <dc:subject>Consulting, Healthcare</dc:subject>
      <dc:date>2010-02-16T17:04:01-07:00</dc:date>
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    <item>
      <title>Enterprise Risk Management for the Government Sector</title>
      <link>/site/enterprise_risk_management_for_the_government_sector/</link>
      <guid>/site/enterprise_risk_management_for_the_government_sector/#When:13:06:00Z</guid>
      <description><![CDATA[Ignoring or misunderstanding risk management can chip away at any organization's underpinnings. As the American Institute of CPAs (AICPA) <a href="http://fmcenter.aicpa.org/NR/rdonlyres/7BF73B89-0369-4CCB-ABE1-5D55EDCA072A/0/GovAccBrief_feb10_linked.pdf" title="Government Accountability Brief">Government Accountability Brief</a> notes this month, a modern approach called Enterprise Risk Management (ERM) isn't just for corporations anymore.<br />
<br />
The brief quotes the following definition of ERM:<br />
<br><br />
<blockquote><i>Enterprise risk management is a process, effected by the entity’s board of directors, management, and other personnel, applied in strategy-setting and across the enterprise, designed to identify potential events that may affect the entity, and manage risk to be within the risk appetite, to provide reasonable assurance regarding the achievement of objectives.</i></blockquote><br />
<br />
According to the brief, instituting ERM techniques need not be a daunting task. AICPA says "significant gains" can be made simply by starting a conversation among leaders and key stakeholders about the top risks your organization faces.<br />
<br />
If your needs go beyond this introduction, REDW can help. Please contact <a href="SCogan@redw.com" title="Steve Cogan">Steve Cogan</a> with our <a href="http://redw.com/services/audit_consulting/" title="Internal Audit Services team">Internal Audit Services team</a> to assist you in developing a sophisticated risk-management strategy that will protect your organization today and in the future.]]></description>
      <dc:subject>Consulting, Internal Audit</dc:subject>
      <dc:date>2010-02-15T13:06:00-07:00</dc:date>
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    <item>
      <title>President&#8217;s budget includes 8% increase for Indian Health Service</title>
      <link>/site/presidents_budget_includes_8_increase_for_indian_health_service/</link>
      <guid>/site/presidents_budget_includes_8_increase_for_indian_health_service/#When:16:37:00Z</guid>
      <description><![CDATA[Despite calling for an almost government-wide freeze on discretionary spending, President Obama has asked for a $4.4 billion increase for the Indian Health Service in Fiscal Year 2011, <a href="http://www.nihb.org/docs/02042010/NIHB%203-10%20WA%20Report.pdf" title="according to the National Indian Health Board">according to the National Indian Health Board</a>.<br />
<br />
According to the board's February 4th <i>Washington Report</i>, highlights of the proposed budget include:<br />
<br><br />
<i><blockquote>•     Clinical Services request of $3.2 billion, an 8% increase<br />
<br />
•     Contract Health Services request of $862 million, a 10% increase<br />
<br />
•     Contract Health Support Costs request of $444 million, a 10% increase<br />
<br />
•     Facilities Construction request of $445 million, a 11% increase</blockquote></i><br />
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Tribal Services are one of REDW's fortes. We know the unique issues and opportunities tribes faced. If you need assistance in planning for potential budget increases in your tribal organization, <a href="http://redw.com/services/tribal_services/" title="please contact us today">please contact us today</a>.]]></description>
      <dc:subject>Consulting, Healthcare, Tribal</dc:subject>
      <dc:date>2010-02-11T16:37:00-07:00</dc:date>
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    <item>
      <title>Healthcare Jumps to Record 17.3% of the Economy</title>
      <link>/site/healthcare_jumps_to_record_173_of_the_economy/</link>
      <guid>/site/healthcare_jumps_to_record_173_of_the_economy/#When:14:30:00Z</guid>
      <description><![CDATA[Accounting for nearly $2.5 trillion in 2009, healthcare spending made the largest one-year jump ever recorded, <a href="http://www.latimes.com/news/la-na-healthcare4-2010feb04,0,1163654,print.story" title="according to a Los Angeles Times story">according to a Los Angeles Times story</a> on an annual report by independent actuaries at the federal Centers for Medicare and Medicaid Services.<br />
<br />
The actuaries also noted that the government could for the first time pay for more than 50 percent of the country's healthcare costs as early as next year. They previously had not forecast that to occur until 2016. Among other findings were:<br />
<br><br />
<blockquote><i>•     Federal and state spending on Medicaid, the nation's primary health insurance program for low-income Americans, jumped nearly 10% in 2009, according to the report.<br />
<br />
•     Medicare spending, meanwhile, shot up just over 8%.<br />
<br />
•     Fueled by new technology, an aging population, rising incomes and other changes, spending on medical care has been consuming a larger and larger share of the nation's economy for years, jumping from about 5% of the gross domestic product in 1960 to nearly 14% in 2000.<br />
<br />
•     Even now, with the economy slowly recovering, the government expects that the growth of healthcare spending will outpace the expansion of the economy. By 2020, 1 of every 5 dollars spent in the U.S. is expected to go to healthcare.</i></blockquote><br />
<br />
Much of these costs falls to the states. Under a budget proposal working its way through the New Mexico Legislature, for instance, $853 million would be spent on Medicaid, which covers about one-fourth of all New Mexicans--about 500,000 people, <a href="http://www.businessweek.com/ap/financialnews/D9DK9RL00.htm" title="according to an Associated Press report">according to an Associated Press report</a>. About half of the $168 million in federal money that would be included in that total is contingent upon action by Congress. The president has proposed a Medicaid increase in his budget.<br />
<br />
In such a climate, organizations need every advantage they can find. Tools such as audits and process reviews can help, as can implementation of new information technology methodologies. REDW can help. Please <a href="http://redw.com/contact_us/" title="contact us today">contact us today</a> to learn more about how we can assist your healthcare organization.<br />
<br />
]]></description>
      <dc:subject>Consulting, Healthcare</dc:subject>
      <dc:date>2010-02-10T14:30:00-07:00</dc:date>
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    <item>
      <title>Using Data to Improve Profitability</title>
      <link>/site/using_data_to_improve_profitability/</link>
      <guid>/site/using_data_to_improve_profitability/#When:14:24:00Z</guid>
      <description><![CDATA[What are you leaving on the table vis-à-vis data analysis? The author of a new book on business analytics says it might be a lot. Jeanne Harris is the author of <a href="http://www.amazon.com/Analytics-Work-Smarter-Decisions-Results/dp/1422177696" title="Analytics at Work">Analytics at Work</a> (co-written with Thomas H. Davenport and Robert Morison) and an executive research fellow at the Accenture Institute of High Performance. <a href="http://cfo.com/article.cfm/14473223/c_14473073?f=home_todayinfinance" title="CFO recently wrote about Harris' work">CFO recently wrote about Harris' work</a>:<br />
<br><br />
<blockquote><i>The data-driven convention known as analytics has been around for "a long time," according to Harris. The term generally refers to the process of using decision-support systems, business intelligence, statistics, executive-information systems, and predictive models to give companies a competitive edge. Today, says Harris, analytics is taking "center stage" in high-performance organizations that have discovered ways to put data to work to improve profitability. ...<br />
<br />
California winemakers E&J Gallo provide another example of analyzing intangible factors to boost bottom-line results. Harris explains that the wine-making family's new generation of executives, armed with Harvard MBA degrees, focused on a relatively new metric that influences the price of wine: ratings awarded by Wine Spectator magazine. Basically, a wine rated 90 or better by the magazine can be sold for more than a bottle rated 80.</i></blockquote><br />
<br />
Most businesses have a wealth of data that can be trove in the right hands, but we're often inured to its worth by its familiarity and by our own day-to-day activity. Our <a href="http://redw.com/services/consulting_services/" title="Consulting Services team">Consulting Services team</a> thrives on findings like these and can help you unlock the true value of your data for strategic planning, operations and many other components of your business. New tools and technologies are emerging every day. Please <a href="http://redw.com/services/consulting_services/" title="contact us">contact us</a> today for more information.]]></description>
      <dc:subject>Consulting</dc:subject>
      <dc:date>2010-02-09T14:24:00-07:00</dc:date>
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