PROJECT COPE: Coalition On Patient Empowerment:

This week’s celebration of “National Nurses’ Week” and the impending celebration Sunday of Mother’s Day is a perfect time to celebrate the career of a nurse and mother whose common sense efforts to take care of her patients and others began and whose insights and example continue to guide and inspire the mission now carried on through PROJECT COPE:  The Coalition on Patient Empowerment:  my mother, Mary Kutina Marcotte Brazda.

Like me, my mother grew up surrounded by health care.  Her father was a dentist who helped found and lead the local community hospital and many other health care services in the region.  His sisters both were nurses with Masters Degrees.  Several other family members were nursing nuns, including some who worked internationally in the efforts of the Catholic nun, Mother Teresa.  Her brother, and subsequently my brother and cousin, became dentists.  Many others on both sides of her, and ultimately my family tree followed family members in to the health care profession, becoming physicians, nurses, occupational therapists, physical therapists, or other health care professionals. In fact I, like one of my sister, was expected to follow in these footsteps and become a physician before my begrudging recognition that an average ability to master scientific book learning and understanding of the intricacies of health care administration and policy could not sufficiently overcome much less skilled practical anatomy abilities diverted me to my current course.

From my earliest memories, I was privileged to experience health care through the eyes of a talented health care provider who viewed herself blessed to work in a profession that she viewed as her vocation.  While she lived, I constantly experienced and witnessed through her and the caregivers she teamed with recurrent and undeniable proof that a deep and abiding love for people and desire to care for patients motivated her and most other nurses, doctors and other health care professionals to join and remain in their professions despite long and often grueling, highly stressful and often underappreciated and under-compensated work.

While mom, like my grandfather and other health care providers I know, never sought accolades and always exhibited great modesty and humility about her contributions, during her life and since her death,  patients and families whose lives she touched frequently share with me stories of her compassionate care and its meaning to their families.  While I treasure each of these stories as valued reminders of the special woman I was blessed to call “Mom,” the following letter from Ralph Simonson that I received as I prepared to celebrate my first Mother’s Day without her two months after her death holds a special place in my heart.  Ralph wrote:

“Subject: Your mother!

My name is Ralph Simonson and I just received a reply from my inquiry to find Mary Kutina! I knew of Loren, since he was somewhere behind me in Great Bend High School. Found him in the internet when looking for Mary. Wrote him a note and asked about her whereabouts and he replied to tell me about her life and your email addresses for me to write to you.

My story is unusual and I know you have never heard of me. In ones old age, you think about your youth and a lot about your life. The summer after I graduated from High School, I contracted polio, 1951. It was late August and of course there was an epidemic back then. I went to the hospital on a Saturday afternoon. Sunday I lost my voice and that is the last I remember for over a week. I had the bulbar type that usually killed you, but if you recovered, you did not usually suffer limb paralysis. The left side of my throat is paralyzed which makes me turn my head to swallow, cannot sing (loved singing in HS), cannot cough and cannot laugh. I have actually survived well and do not notice this much anymore. I just have to watch getting something caught in my throat and if I do, I panic a little since I cannot breathe. I am not complaining, just explaining the situation to you.

I left for college late and had to change schools to get in at the later date. Denver U, which was on the quarter system. Then I finished up at K State. My life proceeded and in the 80’s sometime, I started to hear about “out of body experiences”! I suddenly remembered when I had polio. I received cards from all my friends and after the first week, I read them and it was all news to me. I was in a coma all week and feed intravenously. Fortunately, my father was a business man and had some money. When the seriousness of my condition became known, he hired MARY for my “full time” nurse. He put an A/C in the window and she took care of me.

After 30 some years, I “suddenly” remembered that Wednesday night of the crisis. Believe it or not, the doctors were not on the scene because they did not know what to do and as far as everyone was concerned, it was over and I would not make it. I VIVIDLY REMEMBER BEING ON THE CEILING WATCHING MARY AND MY MOTHER AGGRESSIVELY TENDING TO ME. They were concentrating on getting lemon juice down my throat to keep it clear from the flem that would stop up my breathing. Mary told me later that I was not very nice to my mother by saying bad things about her panic at my condition. I am sure Mary calmed her and kept everything in perspective. She was cool, calm and had things under control. Outwardly at least. I just realized from Loren that she was not a full fledged nurse at that time, but certainly had the training to be an aide, or what ever. I never saw Mary after that. In the last few years, I have thought a lot about that for various reasons. The sad part about it, is that at this very late stage of my life, I realized Mary saved my life and I never thanked her. That thought will never leave me.

I liked your mother and know everyone I have ever talked to has spoken very highly of her. As we age, it is easy to say we all loved her. I hope I have added some good memories of your mom. We never forget our mothers and the older we get, it seems the hungrier we are to hear about their lives. No more words to add that describes my gratitude to Mary Kutina!!!!!

Fondly, Ralph Simonson, Leesburg, Fl. “

Ralph’s experience both beautifully captured the essence of my mother’s tremendous heart and lifelong commitment as a nurse and care provider,.  It also documents the extraordinary power and commitment of the thousands of nurses, physicians and other health care providers that pour their hearts and souls into caring for patients and families in their time of a need that I witnessed across her life, experienced in the years, months, days and final hours before her death from lymphoma and leukemia, and continue to see since.

In a time when cost-motivated government and insurance bean counters constantly attack the professionalism and motives of these critical caregivers, my mother’s example and story reminds us to resist with skepticism those who seek to manage the care out of health care by slurring the motives and professionalism of the physicians, nurses and other health care professionals that work in the trenches to make it work.

A nurse for more than 55 years in the small rural community where she was born and lived most of her life, mom breathed caring whether working as a nurse or living her after hours life as mother, daughter, sister, and neighbor.  Since she cared, she constantly cared for people.

People were mom’s thing.  Her childhood friends remember her as the confident, friendly and fun-loving daughter  of a prominent founding family and the local dentist.  Known for her warm and genuine friendliness and special ability to empathize with and put almost anyone at ease,  she was liked by, and liked everyone regardless of status or condition.

Highly popular, and blessed with an insatiable ability to see and find the good in every experience and every person, her friendly and confident smile allowed few to suspect that she suffered from such severe dyslexia that she didn’t master the alphabet until Fourth Grade.  Her resulting empathy learned from her own learning difficulties invested her with a unique ability to recognize, empathize with and help others with learning or other disabilities throughout her life even after  she overcame her learning challenges to earn her nursing degrees and other subsequently earned advanced education.

In her youth and across her life, her lack of acknowledgement of the significance of her own challenges as compared to others that she knew meant they went unknown and unacknowledged by others.  Instead, people saw her for what she was:  a blessed and confident young woman from a good family who always embraced life and people with an unbridled enthusiasm whether playing sports and music, dancing, singing, organizing gatherings at the lake or volunteering on health, church and other community projects.

Her extraordinary people skills, bright mind, and can-do enthusiasm allowed her to excel at sports, music, and life throughout her youth and collegiate studies.  Although initially drawn to teach physical education, she ultimately pursued a career that was her vocation in nursing.  After fully enjoying several years of college, she returned home to attend attend nurses training.

For 60 plus years after she became an R.N,  mom lived her nursing vocation by caring for patients in public health, hospital, home health and school nursing.  While she loved caring for patients is all contexts, she was particularly passionate about public health and school nursing.

After graduating nursing training, she spent several years delivering basic health care, education and social services to underprivileged families as the county public health nurse.  In the 1950’s when she began her career, the county nurse functioned as both health care provider and social worker.  She and other county nurses spent a large portion of their time traveling throughout the county making “house calls” on rural residents.  While closely coordinating with the area physician(s), county nurses like mom  often provided the primary care if not the only health care many rural families received and coordinated the health care and social services that most of these families received from other caregivers.  A big part of her work involved making house calls to rural families around the county.  Many of the families she cared for were poor and possessed limited education.  She quickly learned effectively delivering health care required a holistic understanding and care of the patient and his or her family and circumstances.

After working several years in the health department, mom reluctantly left her job at my father’s urging as the birth of her second child approached to a stay at home to mother  her growing brood.  During her time as away from her career, however, she was not the typical stay at home mother.  Instead, she swept up and brought along her growing brood of five children as she continued to make volunteer house calls on many area families, and organized and volunteered her services for a multitude of health and other community  projects and fund raisers in her church and the community.

By her mid-thirties, however, my father’s advancing terminal cancer prompted her to return to the regular workforce as a night nurse working in the intensive care unit of the local Catholic hospital where she completed her nurses training.  Along with performing the technical aspects of hospital nursing, her patients and their families often share stories of her listening and helping to troubleshoot problems, bringing meals or treats for family members, fixing patients hair or makeup, sitting with frightened or lonely patients or family member and other acts of spiritual nurturing and compassion that made their hospital experiences more bearable. Because even in the 1960’s hospital administration often complained about nursing staff “wasting” time to perform these acts of special care or compassion for patients, many don’t realize mom often arrived early or stayed after her shift to fit in this compassionate care around her family responsibilities of caring for her dying husband and five children aged 2 months to 10 years of age and various elderly members of the community.  More than once, she shared her confusion about hospital “Administration” questioning the necessity of  her efforts and time  spent comforting frightened or lonely patients during those long hospital nights commenting, “Listening to and calming the fears of a sick or dying patient is caring for the patient.”

Shortly following my father’s death in 1968 and while continuing to raise her five children as a single mother, mom had the opportunity to return to public health nursing.  She rejoined the county health department where along with checking and delivering care through a stream of house calls, administering free health screening and immunizations, coordinating and responding to public health outbreaks, and other aspects of administering and running the health department, mom also expanded the department’s programs to meet new needs she identified in the course of her work.  She was responsible for initiating and coordinating a wide range of preschool and other health screening, charity care, health education, nutrition, prevention and other programs.

A few years later, the local school board invited her to become the district’s school nurse.  As her school nursing hours followed the school schedule of her children, the position offered her the opportunity to continue her public health work with a schedule more suited to her home duties as a single mom.  The offer came with a key condition however.   At the time of the offer, mom was a non-degreed “Registered Nurse” or “R.N.”  Although she completed more than five years of college before attending nursing school, she had not earned a Bachelors Degree in Nursing at the time of the offer.  The job technically required a Bachelors Degree in Nursing in addition to her R.N. credentials.  Familiar with her personality and public health experience, the school board believed she nevertheless was the right woman for the job.  Consequently, the board offered her the position subject to the contingency that she earn her Bachelors Degree in Nursing within two years.

Accordingly, during her initial two years at the school district, mom returned college to complete her Bachelors of Science in Nursing.  Earning her degree at night in the rural community where we lived was no easy feat as the community college at the time did not offer a Bachelors Degree in Nursing.  Consequently, along with the normal challenges of fitting in homework and classes around working full-time and caring for her five children, attending classes required that she commute more than an hour each way across dark, usually empty and often icy Kansas prairie highways to the closest university offering the requisite nursing degree.

To fit everything in and to accommodate her lifelong dyslexia challenges, she “let” my siblings and me read her assignments to her as she drove or performed household duties and took one of us along for the trip to each class.  After finishing her B.S., she continued to take us along as she completed her Masters Degree in Counseling, her Emergency Medicine Technician (EMT) certification and a long list of advanced studies and certification in nutrition, development, diagnosis and assessment, learning disabilities, public health and a host other various other advanced degrees and certifications.  The process infused us with both extraordinary reading skills, an acceptance of staying busy and juggling busy schedules as “normal,” a broad understanding of many aspects of nursing and other aspects of health care and a life long hunger for learning and education.  Somehow, attending class, studying and volunteering with mom always seemed like a treat rather than an obligation.

Throughout it all, mom never stopped seeing or caring for people and never accepted a lack of district or county funding or other resources as an excuse for letting a need go unaddressed.  “No” and “can’t”weren’t in her vocabulary when someone in her care needed care.

While pursuing her education and for the remainder of her life, mom continued to push to improve and expand school and community health programs along with continuing to perform her original school nursing responsibilities.  She expanded the preschool screening program, founded and administered scoliosis, educational disabilities and other screening,  school nutrition, pregnancy prevention and support, and other school health programs.

She also helped organize local doctors and other health care providers to run health fairs and provide free or reduced cost charity care for low income families.  She recruited local community organizations to pay for food and other supplies, eyeglasses, hearing aids and other resources.

Horrified when a child she knew had to undergo surgery as a result of late-diagnosed scoliosis, she took training and founded one the first comprehensive school-based scoliosis screening programs in the nation.  Across the years, she expanded her training, implemented screening and intervention programs, and developed and connected extensive people, knowledge and other resources to identify and mitigate nutrition and hunger, mental health, educational and development disorders and a multitude of  other health challenges impacting her students and their families.

Across these years she also volunteered her services on community and public advocacy activities. Our social life usually involved participating in fun, but service directed church and community activities where having “fun” working for the cause was a way of life.  She also involved us and hundreds of others in advocacy activities seeking to educate and encourage local, state and federal officials to understand and improve health and disability funding and services.

When the State’ Medicaid funding rules obstructed her ability to get children care or other services by failing to fund care or the cost of transportation of her kids the two hours to the big city where the specialists needed practiced, mom conceived, coordinated and initially self-funded, and then eventually convinced local community agencies, churches and business leaders to pay for the needed transportation and cost of care to get the children diagnosed or treated.  She talked the Lions Club, ELKS Club, American Legion, Chamber of Commerce, local physicians and churches and anyone else she could think of to sponsor screenings and care for her kids and their families.

When community fear lead to community backlash and exclusion against a local child infected from a blood transfusion with the HIV virus and his family, mom joined others working with the Kansas legislature to enact legislation protecting students with HIV/AIDs from discrimination in school.  Across the years, she also worked on school nursing delegation, home health, under served community and other health funding, and a host of other key community health reforms.

Through it all, mom always recognized the importance of nurturing the spirit as well as the physical body of those under her care.   Beyond addressing the physical needs of these victims, she cared for people by welcoming them into her office, her home, and her life.

Patients and family that knew she dealt with all patients with judgment free kindness, trustworthiness and patience that acknowledged and preserved their dignity and trust.  No matter how much she had on her plate, mom was never too busy to listen and observe.  Patients, families and others rewarded these efforts by giving her their trust, often opening up to share concerns, fears and information they never would have considered discussing with others.

In the course of her 60 plus year career, mom reported, investigated and testified in thousands of bullying and spousal and child abuse and neglect cases.  While some of the circumstances she reported resulted in criminal or child protective services actions, her action, understanding of the human challenges of poverty, ignorance and other contributing causes of these risks and her practical approach to working with families and community resources and counseling resulted in timely intervention that that prevented or resolved many more potential situations before a child could be harmed.

Across my lifetime, I have heard thousands of stories of how mom cured stress-induced stomach and headaches with a well-timed listening ear and hug, time out or nap in her office, snack, or confidence infusing invitation to participate.

Her calendar was never too busy to listen and comfort a sick, embarrassed or anxious student, parent or staff member.  They were all her people and she was theirs.

Mom’s seemingly bottomless, pocket-ridden purse was famous for its Mary Poppins’ like capacity to hold and subtly produce as needed a fig newton bar, cheese or raisin snack, bandages, soap and wash cloth, personal hygiene items or encouraging reward or sticker.

She once arranged for all seventh grade girls participate in a grooming class conducted by beauty contestant and receive soap and other beauty supplies donated by a local salon to address complaints about the unwashed smells of three class members from underprivileged families without singling them out.

Her office, car and our home always had a collection of new or nearly new clothing and personal care items  she collected and kept available to use to rescue poor children from the stigma and bullying that they often experience because their circumstances leaves them  poorly washed or dressed.

Her purse, desk and car always had a snack for a child who went without breakfast.

Fifty plus years later and diagnosed with leukemia and lymphoma, mom eventually retired from the school district.  Around the age of 68, she started the next phase of her heath care career.  While negotiating the remaining decade of her life as terminally ill, she enjoyed an amazingly productive “retirement” discretely making health care house calls on aging and disabled members of her community under the guise of applying her newly acquired Cosmetology, massage, nutrition and Reiki credentials alongside her advanced nursing, counseling, public health and psychology professional degrees and credentials.

At 76 and toting along her oxygen tank, she joyfully drove her van to do a haircut, massage and health check on the 80 year old neighbor with Parkinson’s Disease, the church member with dementia, and countless others between attending her own chemotherapy and doctors visits.

Like most of our nation’s hard-working physicians, nurses, physicians assistants, nurse practitioners, physical therapists, occupational therapists, and other health care providers, caring for people was not a job for my mother: it was a vocation chosen based on a genuine love of and desire to care for people.

Mom also knew that great health care requires teamwork.  She was proud to be a nurse and respected the fellow nurses, physicians and other members of the health care team she worked with as indispensable and valued teammates.  She viewed their roles as essentially synergistic rather than competitive.  She understood that the effective delivery of quality health care generally requires the knowledge, teamwork and communication between physicians, nurses, and others on the treatment team, as well as the patient, their family and others within the community.

She never forgot that effective health care involves much more than the mere science and technical delivery of health care.  She recognized that health care starts and ends with seeing, listening to and caring for the whole patient taking into account the situation where the patient is at the time without judging how they got there.

Most of all, however, she never forgot that health care starts and ends with caring for people.

While lacking the operational talents to carry on my mother’s work as a nurse, physician or other direct care provider, I am privileged to witness and support thousands of physicians, nurses, therapists and other caregivers in the course of my work every year.  Physicians and nurses I know regularly provide free care and hunt resources for a multitude of uninsured or underinsured patients.  Others advocate for patients and their families afflicted with confusing and intractable health conditions to find answers and solutions.  All listen.

Just a few weeks ago, a physician visiting my family on vacation stepped in to counsel a stranger we encountered at church, who was worried about his uninsured grandmother’s unwillingness to seek medical care for her dangerously high blood pressure.  A nurse and EMT attending a sporting event sprung without thought to action when a rider suffered a serious head injury in the course of the event.

While limited and overextended resources continue to challenge their efforts, my experience overwhelmingly affirms that virtually all of these health care professionals, like my mother, are highly skilled, trustworthy and caring professionals motivated by a genuine desire and commitment to caring for patients, rather than the greed or other unsavory motivations often unfairly attributed to them.  They work long hours.  They endure ever-increasing paperwork, regulation and constricted resources.  They fight to care for patients at work, as well as often spend their “off” time helping patients or others in the community.  They earn and deserve our respect, trust and support.

Today, cost-containment motivated and technology star-struck government and insurance leaders perpetually seek to diminish the need for patient care, dehumanize care, divide and destroy teamwork between caregivers, and vilify nurses, physicians, and other health care providers in the name of the all mighty dollar and self-aggrandizement of their own importance.

Amid these attacks, we all must heed the reminders that the experiences of Ralph and other patients who depend upon our nations’ health care providers like my mother provided to deliver care for their physical and other needs during the critical health care moments of their lives.  We need to celebrate their work and defend their ability to deliver the caring health care we and our families need and should expect as we face our own health care crises ahead.

We all know nurses, physicians and other health care providers that go the extra mile to care for our families, often at the expense of time with their own.  Who’s your health care hero?  Help keep real health care alive by celebrating, thanking, encouraging and standing up for the caring nurses, physicians, therapists and other health care providers that keep the caring in health care.  Stand up against those who unfairly besmirch them and their work.  Celebrate them by sharing their story in the comments below.  Support them in their efforts to preserve and protect their ability to care for patients and their families!

About The Author

Recognized by LexisNexis® Martindale-Hubbell® as a “AV-Preeminent” (Top 1%/ the highest) and “Top Rated Lawyer,” with special recognition  as “LEGAL LEADER™ Texas Top Rated Lawyer” in Health Care Law and Labor and Employment Law; as among the “Best Lawyers In Dallas” for her work in the fields of “Health Care,” “Labor & Employment,” “Tax: Erisa & Employee Benefits”  and “Business and Commercial Law” by D Magazine, the author of this update is widely known for her 29 plus years’ of work in health care, health benefit, health policy and regulatory affairs and other health industry concerns as a practicing attorney and management consultant, thought leader, author, public policy advocate and lecturer.

Throughout her adult life and nearly 30-year legal career, Ms. Stamer’s legal, management and governmental affairs work has focused on helping health industry, health benefit and other organizations and their management use the law, performance and risk management tools and process to manage people, performance, quality, compliance, operations and risk. Highly valued for her rare ability to find pragmatic client-centric solutions by combining her detailed legal and operational knowledge and experience with her talent for creative problem-solving, Ms. Stamer supports these organizations and their leaders on both a real-time, “on demand” basis as well as outsourced operations or special counsel on an interim, special project, or ongoing basis with strategic planning and product and services development and innovation; workforce and operations management,  crisis preparedness and response as well as to prevent, stabilize and cleanup legal and operational crises large and small that arise in the course of operations. Her experience encompasses  helping health industry clients manage workforce, medical staff, vendors and suppliers, medical billing, reimbursement, claims and other provider-payer relations, business partners, and their recruitment, performance, discipline, compliance, safety, compensation, benefits, and training; board, medical staff and other governance;   compliance and internal controls; strategic planning, process and quality improvement; change management;  assess, deter, investigate and address staffing, quality, compliance  and other performance;  meaningful use, EMR, HIPAA and other data security and breach and other health IT and data; crisis preparedness and response; internal, government and third-party reporting, audits, investigations and enforcement; government affairs and public policy; and other compliance and risk management, government and regulatory affairs and operations concerns.

The American Bar Association (ABA) International Section Life Sciences Committee Vice Chair, a Scribe for the ABA Joint Committee on Employee Benefits (JCEB) Annual OCR Agency Meeting, former Vice President of the North Texas Health Care Compliance Professionals Association, past Chair of the ABA Health Law Section Managed Care & Insurance Section, past ABA JCEB Council Representative, past Board President of Richardson Development Center (now Warren Center) for Children Early Childhood Intervention Agency, past North Texas United Way Long Range Planning Committee Member, and past Board Member and Compliance Chair of the National Kidney Foundation of North Texas, Ms. Stamer has worked closely with a diverse range of physicians, hospitals and healthcare systems, DME, Pharma, clinics, health care providers, managed care, insurance and other health care payers, quality assurance, credentialing, technical, research, public and private social and community organizations, and other health industry organizations and their management deal with governance; credentialing, patient relations and care; staffing, peer review, human resources and workforce performance management; outsourcing; internal controls and regulatory compliance; billing and reimbursement; physician, employment, vendor, managed care, government and other contracting; business transactions; grants; tax-exemption and not-for-profit; licensure and accreditation; vendor selection and management; privacy and data security; training; risk and change management; regulatory affairs and public policy and other concerns.

As a core component of her work,  Ms. Stamer has worked extensively throughout her career with health care providers, health plans and insurers, managed care organizations, health care clearinghouses, their business associates, employers, banks and other financial institutions, management services organizations, professional associations, medical staffs, accreditation agencies, auditors, technology and other vendors and service providers, and others on legal and operational compliance, risk management and compliance, public policies and regulatory affairs, contracting, payer-provider, provider-provider, vendor, patient, governmental and community relations and matters including extensive involvement advising, representing and defending public and private hospitals and health care systems; physicians, physician organizations and medical staffs; specialty clinics and pharmacies; skilled nursing, home health, rehabilitation and other health care providers and facilities; medical staff, accreditation, peer review and quality committees and organizations; billing and management services organizations; consultants; investors; technology, billing and reimbursement and other services and product vendors; products and solutions consultants and developers; investors; managed care organizations, insurers, self-insured health plans and other payers; and other health industry clients to establish and administer compliance and risk management policies; comply with requirements, investigate and respond to Board of Medicine, Health, Nursing, Pharmacy, Chiropractic, and other licensing agencies, Department of Aging & Disability, FDA, Drug Enforcement Agency, OCR Privacy and Civil Rights, Department of Labor, IRS, HHS, DOD, FTC, SEC, CDC and other public health, Department of Justice and state attorneys’ general and other federal and state agencies; JCHO and other accreditation and quality organizations; private litigation and other federal and state health care industry investigation, enforcement including  insurance or other liability management and allocation; process and product development, contracting, deployment and defense; evaluation, commenting or seeking modification of regulatory guidance, and other regulatory and public policy advocacy; training and discipline; enforcement, and a host of other related concerns for public and private health care providers, health insurers, health plans, technology and other vendors, employers, and others.and other compliance, public policy, regulatory, staffing, and other operations and risk management concerns.

Past Chair of the ABA Managed Care & Insurance Interest Group and, a Fellow in the American College of Employee Benefit Counsel, the American Bar Foundation and the Texas Bar Foundation, Ms. Stamer also has extensive health care reimbursement and insurance experience advising and defending health care providers, payers, and others about Medicare, Medicaid, Medicare and Medicaid Advantage, Tri-Care, self-insured group, association, individual and group and other health benefit programs and coverages including but not limited to advising public and private payers about coverage and program design and documentation, advising and defending providers, payers and systems and billing services entities about systems and process design, audits, and other processes; provider credentialing, and contracting; providers and payer billing, reimbursement, claims audits, denials and appeals, coverage coordination, reporting, direct contracting, False Claims Act, Medicare & Medicaid, ERISA, state Prompt Pay, out-of-network and other nonpar insured, and other health care claims, prepayment, post-payment and other coverage, claims denials, appeals, billing and fraud investigations and actions and other reimbursement and payment related investigation, enforcement, litigation and actions.

Heavily involved in health care and health information technology, data and related process and systems development, policy and operations innovation and a Scribe for ABA JCEB annual agency meeting with OCR for many years who has authored numerous highly regarded works and training programs on HIPAA and other data security, privacy and use, Ms. Stamer also is widely recognized for her extensive work and leadership on leading edge health care and benefit policy and operational issues including meaningful use and EMR, billing and reimbursement, quality measurement and reimbursement, HIPAA, FACTA, PCI, trade secret, physician and other medical confidentiality and privacy, federal and state data security and data breach and other information privacy and data security rules and many other concerns.  Her work includes both regulatory and public policy advocacy and thought leadership, as well as advising and representing a broad range of health industry and other clients about policy design, drafting, administration, business associate and other contracting,  risk assessments, audits and other risk prevention and mitigation, investigation, reporting, mitigation and resolution of known or suspected violations or other incidents and responding to and defending investigations or other actions by plaintiffs, DOJ, OCR, FTC, state attorneys’ general and other federal or state agencies, other business partners, patients and others.

Ms. Stamer  also works extensively with health care providers and organizations, legislative and regulatory bodies, health plans, communities and others on health care access, quality, affordability and other process improvement and risk management, aging, disability, education and other related legal and operational concerns, management, and education.  Her work includes the establishment and reform of standards, processes and procedures,  documentation, implementation, audit and enforcement of policies, procedures, systems and safeguards, investigating, and addressing and responding to emerging and other crises and issues,  training and enforcement, and a host of other related concerns. Her clients include public and private health care providers, health insurers, health plans, technology and other vendors, government and community agencies and others.

A former lead consultant to the Government of Bolivia on its Pension Privatization Project with extensive domestic and international public policy and governmental and regulatory affairs experience, Ms. Stamer also is widely recognized for regulatory and policy work, advocacy and outreach on healthcare, education, aging, disability, savings and retirement, workforce, ethics, and other policies.  Throughout her adult life and career, Ms. Stamer has provided thought leadership; policy and program design, statutory and regulatory development design and analysis; drafted legislation, proposed regulations and other guidance, position statements and briefs, comments and other critical policy documents; advised, assisted and represented health care providers, health plans and insurers, employers, professional. and trade associations, community and government leaders and others on health care, health, pension and retirement, workers’ compensation, Social Security and other benefit, insurance and financial services, tax, workforce, aging and disability, immigration, privacy and data security and a host of other international and domestic federal, state and local public policy and regulatory reforms through her involvement and participation in numerous client engagements, founder and Executive Director of the Coalition for Responsible Health Policy and its PROJECT COPE: the Coalition on Patient Empowerment, adviser to the National Physicians Congress for Healthcare Policy, leadership involvement with the US-Mexico Chamber of Commerce, the Texas Association of Business, the ABA JCEB, Health Law, RPTE, Tax, Labor, TIPS, International Life Sciences, and other Sections and Committees, SHRM Governmental Affairs Committee and a host of other  involvements and activities.

A popular lecturer and widely published author on health industry concerns, Ms. Stamer continuously advises health industry clients about compliance and internal controls, workforce and medical  staff performance, quality, governance, reimbursement, privacy and data security, and other risk management and operational matters. Ms. Stamer also publishes and speaks extensively on health and managed care industry regulatory, staffing and human resources, compensation and benefits, technology, public policy, reimbursement and other operations and risk management concerns. Her insights on these and other related matters appear in the Health Care Compliance Association, Atlantic Information Service, Bureau of National Affairs, The Wall Street Journal, Business Insurance, the Dallas Morning News, Modern Health Care, Managed Healthcare, Health Leaders, and a many other national and local publications.

A Fellow in the American College of Employee Benefit Counsel, the American Bar Foundation and the Texas Bar Foundation, Ms. Stamer also shares her thought leadership, experience and advocacy on these and other related concerns by her service in the leadership of the Solutions Law Press, Inc. Coalition for Responsible Health Policy, its PROJECT COPE:  Coalition on Patient Empowerment, and a broad range of other professional and civic organizations including North Texas Healthcare Compliance Association, a founding Board Member and past President of the Alliance for Healthcare Excellence, past Board Member and Board Compliance Committee Chair for the National Kidney Foundation of North Texas; former Board President of the early childhood development intervention agency, The Richardson Development Center for Children (now Warren Center For Children);  current Vice Chair of the ABA Tort & Insurance Practice Section Employee Benefits Committee, current Vice Chair of Policy for the Life Sciences Committee of the ABA International Section, Past Chair of the ABA Health Law Section Managed Care & Insurance Section, a current Defined Contribution Plan Committee Co-Chair, former Group Chair and Co-Chair of the ABA RPTE Section Employee Benefits Group, past Representative and chair of various committees of ABA Joint Committee on Employee Benefits; a ABA Health Law Coordinating Council representative, former Coordinator and a Vice-Chair of the Gulf Coast TEGE Council TE Division, past Chair of the Dallas Bar Association Employee Benefits & Executive Compensation Committee, a former member of the Board of Directors of the Southwest Benefits Association and others.

Ms. Stamer also is a highly popular lecturer, symposium and chair, faculty member and author, who publishes and speaks extensively on health and managed care industry, human resources, employment and other privacy, data security and other technology, regulatory and operational risk management. Examples of her many highly regarded publications on these matters include “Protecting & Using Patient Data In Disease Management: Opportunities, Liabilities And Prescriptions,” “Privacy Invasions of Medical Care-An Emerging Perspective,” “Cybercrime and Identity Theft: Health Information Security: Beyond HIPAA,” as well as thousands of other publications, programs and workshops these and other concerns for the American Bar Association, ALI-ABA, American Health Lawyers, Society of Human Resources Professionals, the Southwest Benefits Association, the Society of Employee Benefits Administrators, the American Law Institute, Lexis-Nexis, Atlantic Information Services, The Bureau of National Affairs (BNA), InsuranceThoughtLeaders.com, Benefits Magazine, Employee Benefit News, Texas CEO Magazine, HealthLeaders, the HCCA, ISSA, HIMSS, Modern Healthcare, Managed Healthcare, Institute of Internal Auditors, Society of CPAs, Business Insurance, Employee Benefits News, World At Work, Benefits Magazine, the Wall Street Journal, the Dallas Morning News, the Dallas Business Journal, the Houston Business Journal, and many other symposia and publications. She also has served as an Editorial Advisory Board Member for human resources, employee benefit and other management focused publications of BNA, HR.com, Employee Benefit News, Insurance Thought Leadership and many other prominent publications and speaks and conducts training for a broad range of professional organizations.

For more information about Ms. Stamer or her health industry and other experience and invlvements, see here or contact Ms. Stamer via telephone at (469) 767-8872 or via e-mail here.

About Solutions Law Press, Inc.™

Solutions Law Press, Inc.™ provides human resources and employee benefit and other business risk management, legal compliance, management effectiveness and other coaching, tools and other resources, training and education on leadership, governance, human resources, employee benefits, data security and privacy, insurance, health care and other key compliance, risk management, internal controls and operational concerns. If you find this of interest, you also be interested reviewing some of our other Solutions Law Press, Inc.™ resources here such as

• Trump Blue Print To Reduce Drug Costs Announced 
• Remind Employees To Update Withholding
• ACA Liabilities Still Require Management  3/30 Deadline To Comment On New Vet Business Preference Rules 
• OCR HIPAA Resolution Agreement Against Bankrupt Business Associate Signals Growing Exposures, Need for Tighter HIPAA Compliance By Health Plans & Business Associates 
• New HHS Webpage Highlights HHS Administrative Actions to Empower Patients
• $400K HIPAA Settlement Shows Need To Conduct Timely & Appropriate Risk Assessments
• NLRB Ruling Shows Healthcare Employers Face Uphill Battle Before NLRB
• Long-Term Care Hospitals Should Review Their Latest HHS Quality Data Reports
• IRS Warns About Payroll Data Scam
• Trump Administration Grants Fiduciary Rule Prohibited Transaction Relief
• Read Latest Version of Republican Health Reform Bill
• Teach Patients To Protect Against Healthcare Associated Illnesses
• Update CMS Bookmarks By April 3
• $5.5M Memorial HIPAA Resolution Agreement Shows Need To Audit
• Learn From Children’s New $3.2M+ HIPAA CMP For “Knowing” Violation of HIPAA Security Rules
• Applications Open For Grants to Improve Public Health Cross-Jurisdictional Sharing
• Court Stays HHS 1557 Regs
• New CMS Rules Targets Dialysis Provider Private Health Plan Steering
• Prepare For Changing IRS Tax-Exempt Org & Employee Plan Audit & Exam Info Request Rules
• 2017 CMS Hospital OPPS & ACS Payment System UProposed Determinationates Released
• $2.7M OCR Settlement Warns HIPAA Covered Entities To Clean Up Compliance
• $2.4M+ St. Joseph Health HIPAA Settlement Teaching Lesson For Other HIPAA-Covered Entities & Business Associates
• Healthcare Fraud Exposures Significant & Rising For Owners, Execs & Other Leaders
• New Rule Gives ONC More Power Over Electronic Health Record Providers
• CMS Publishes Final MACRA Rule
• Tenet To Pay $513M For Anti-kickback Law Guilty Plea
• NY AG Opens Antitrust Investigation Into EpiPen Maker Mylan Pharmaceuticals Inc.
• HHS, HUD and DOJ Letter Warns State/Local Agencies Against Denying Immigrants Life & Safety Benefits 
• Colleges post 2016 can pay student health premiums without triggering ACA penalty
• New ACA Student Health Insurance Guidance Allows College Payment Of Working Students’ Student Health Insurance Premiums Post 2016
• FTC, state law deceptive trade practices
• ERISA Violations Cost More Now
• CMS Clarifies Home Health Form CMS-10280 Effective Date
• New Rule Gives ONC Power To Pull Noncompliant EHR Products
• IRS Qualified Plan Correction Procedures Changing 1/1/17
• Govt & payer mis-“management” increase
• DOL Invites FLSA Section 14(c) Certificateholders Test Prototype Application
• William Cowen New NLRB Regional Director In Southern California
• EBSA Gives ERISA Regulatory Relief To Louisiana Storm Victim
• Manage Retaliation Risks In Response To UProposed Determinationated EEOC Enforcement Guidance, Rising Retaliation Claims
• OSHA Helping Whistleblowers Win $$$ Faster With New Expedited Case Pilot Program
• All Covered Entities Should Learn Lessons From Mississippi Medical Center’s $2.75 Million HIPAA Resolution Agreement
• Chandy New Head Of HHS OCR Civil Rights Division
• Providers, Health Plans Should Confirm Copy Charges Comply With New OCR HIPAA Guidance
• $2 Million+ HIPAA Settlement, FAQ Warn Providers Protect PHI From Media, Other Recording Or Use
• Provider Pays $750K To Settle HIPAA Business Associate Rule Breach Charges
• Redesigned OCR Website Launched
• Civil Rights Settlement Highlights Health Industry Discrimination Risks As OCR Prepares To Broaden Requirements
• Use Free Cyber Security Awareness Month Resources To Boost HIPAA & Other Cyber Security Training & Skills
• NLRB 29 Unfair Labor Practice Charges Against Community Health Systems, Inc. Shows Industry Labor Risks
• Health Insurer/Vendor’s Claims & Appeals Deficiencies Could Trigger Significant Employer Excise Tax Liability
• HIPAA Settlement Warns Health Plans, Sponsoring Employers & Business Associates To Manage HIPAA Risks

If you or someone else you know would like to receive future updates about developments on these and other concerns, please be sure that we have your current contact information including your preferred e-mail by creating  your profile here.

©2018 Cynthia Marcotte Stamer. Non-exclusive right to republish granted to Solutions Law Press, Inc.™  All other rights reserved.   For information about republication or other use, please contact Ms. Stamer here.