New Hampshire
Q&A: President of New Hampshire Hospital Association Steve Ahnen – NH Business Review
Steve Ahnen
Steve Ahnen joined the New Hampshire Hospital Association as president in October 2008 after serving in various roles at the American Hospital Association in Washington, D.C., for 16 years. The association serves as the primary advocate for the Granite State’s acute care community and specialty hospitals.
Ahnen holds a bachelor of arts degree in political science and German from the University of Kansas, and an executive MBA in health administration from the University of Colorado.
He recently appeared as a guest on the “Down to Business” podcast with NH Business Review’s editor, Mike Cote, and managing editor, Amanda Andrews. This article was adapted from the interview. Listen to the podcast at nhbr.com or on your favorite streaming service.
Q. You spent 16 years in Washington with the American Hospital Association, and more than that here. What brought you to New Hampshire, and how does it compare to working at the national level?
A. Working in Washington was a great experience and opportunity. But we often spent more time in Washington arguing over the size and shape of the table than we did the problems that we were trying to address.
As I thought about moving out of Washington and looking at different parts of the country of where I might want to go, I had the opportunity to see regions of the country, and many were very polarized.
My experience in New England was very different. New England didn’t necessarily seem to run to government to solve problems. They didn’t run away from government, but they tried to find ways to partner, to work together. How do we solve problems? Sometimes government can help. Sometimes government gets in the way, and things should be done in the private sector.
New Hampshire was a very unique opportunity. It was a state that was small enough that you could put 26 to 30 hospital executives around a table and try to come to consensus on some big challenges. That’s certainly what we’ve tried to do since I’ve been here.
Q. Colleges have been working directly with hospitals to increase the health care workforce. What are the challenges that you’re still seeing in that regard?
A. We have had a workforce challenge for many years prior to the pandemic; the pandemic certainly exposed those and has exacerbated them. Workforce shortages and vacancies have come down a little bit since the pandemic. They’re still significantly high. We have a vacancy rate of almost 17% for nurses. That’s over 600 vacancies in hospitals across the state.
That means we have to bring temporary contract traveler staff so that we can meet the demand in patient care. And it’s not just nurses; it goes across the spectrum. That drives up the cost of providing care. We’ve seen labor costs go up about 36% since the pandemic. I don’t necessarily see that turning around anytime soon as we continue to see significantly high demand for care in New Hampshire.
There was a study that came out of UCLA earlier this year that tracked nationally that hospital capacity prior to the pandemic was about 64%. Since the pandemic, it’s 75%. Well, what we’re seeing in New Hampshire is closer to 90% plus.
It’s workforce shortages out in the community. People can’t access care on an ongoing basis. Maybe they don’t have a primary care physician. Maybe they can’t get in to see a specialist. And so those conditions worsen and they end up in the emergency room.
But it’s also a problem on the back end.
Nursing homes, skilled nursing facilities, home health agencies struggle with staffing, so when a patient is ready to be discharged and they don’t need inpatient care anymore … we can’t move them.
The other piece of that is we’re no longer getting reimbursed for that patient who no longer needs hospital level care, so we’re losing out in that sense.
Q. Cost pressures have been pushing consolidation among hospitals, which is affecting rural areas. What do you think the state needs to do?
A. I think we need to make some stronger investments in (maternity, women health) but we also need to find ways to partner and collaborate. Smaller hospitals can work with larger hospitals who offer those services.
New Hampshire
N.H. lawmakers to vote on increasing tolls, civil rights, and k-12 education – The Boston Globe
One proposal (Senate Bill 627) would generate more than $53 million per year in estimated revenue for turnpike projects by essentially doubling what certain cars pay on the state’s toll roads.
The cash fare for Hampton’s main toll booth on Interstate 95, for example, would jump from $2 to $4 for cars and pickup trucks. The toll wouldn’t increase at all for motorists who use New Hampshire’s E-ZPass transponders.
“Surrounding states already have the same in-state discount structure in place,” Democratic Representative Martin Jack of Nashua wrote on behalf of a House committee that unanimously recommended the bill.
A potential hitch: Governor Kelly Ayotte. She’s expressed opposition to the whole toll-hiking idea, and proven she’s not afraid to use her veto pen.
Modifying civil rights standard
Another proposal (Senate Bill 464) would add a few words to the state’s Civil Rights Act. Instead of addressing conduct that is merely “motivated by” a legally protected characteristic, the proposed revision would address conduct that is “substantially motivated by hostility towards the victim’s” protected characteristic (such as their race, color, religion, national origin, ancestry, sexual orientation, sex, gender identity, or disability).
The prime sponsor, Republican Senator Daryl Abbas, an attorney, testified the change was small and aligned with the law’s intent. But the attorney who oversees the Civil Rights Unit at the New Hampshire Department of Justice, Sean Locke, testified in opposition, saying the proposal could reduce protections, especially since the meaning of “substantially” is somewhat vague.
The House is also weighing a proposed amendment that would add a few more words than Abbas’s version, potentially narrowing the Civil Rights Act’s applicability a bit further.
Open enrollment for K-12 schools
A third proposal up for a vote on Thursday (Senate Bill 101) would make every K-12 public school in New Hampshire an “open enrollment” school. That way, students could freely choose to transfer to a district other than the one where they live.
The proposed policy is controversial, partly because of how schools are funded. Districts rely mostly on local property taxes to cover their costs, as the state government chips in relatively little, and property tax rates vary widely from one community to the next. That generates concern about who will foot the bill when a student transfers.
In light of those concerns, Republicans are offering a compromise amendment to SB 101 that would require the state to provide more money per pupil that a district receives via open enrollment, as the New Hampshire Bulletin reported. Democrats are offering their own amendment to establish a study commission on this topic, rather than adopt the proposed policy now.
Lawmakers have until May 14 to take action on the bills that came from the other chamber, though they have until June 4 to iron out any discrepancies.
Amanda Gokee of the Globe staff contributed to this report.
This story appears in Globe NH | Morning Report, a free email newsletter focused on New Hampshire, including great coverage from the Boston Globe and links to interesting articles elsewhere. Sign up here.
Steven Porter can be reached at steven.porter@globe.com. Follow him @reporterporter.
Boston MedFlight often touches down at the scene of some of the worst tragedies in New England – where minutes can mean life or death for a victim. The critical care transport operation is now expanding with a new base in New Hampshire.
The organization is hosting an open house at the new Manchester location on Thursday.
Boston MedFlight flies a critical care transport paramedic and nurse on every flight. Jaik Hanley-McCarthy says their helicopters and ground vehicles are equipped to handle just about any emergency medical procedure.
“Anything that can be done in the ICU,” explained Hanley-McCarthy. “We have a mobile lab so we can draw blood and run labs in real time.”
Boston MedFlight now has five bases across the region.
“Having a base in Manchester just expands this Boston-level care even further north to the more remote areas of the state,” said Hanley-McCarthy.
Boston MedFlight operates as a network of bases and some of the locations are staffed 24 hours.
Chief Executive Officer Maura Hughes says the nonprofit operation survives on public and private donations.
“We provide about $7 million in free care every year to patients,” said Hughes. “Not every hospital can be everything to every patient. We’re really the glue that keeps the health care system together.”
Heather Young says her daughter, Teighan, is still alive because she was flown for a critical assessment and procedure after falling off a truck and hitting her head.
“She should not be driving and walking and talking and all the things she’s doing as quickly as she is,” said Young.
Teighan just turned 18 and plans to go to college to study the medical field.
“I want to be a nurse and help other people,” she said.
It’s stories like this that keep the men and women who work Boston MedFlight focused on their mission.
“I think we just go call by call and try to do the best we can,” said Hanley-McCarthy. “I think when we stop and truly think about it, I think that weight is pretty heavy.”
Boston MedFlight also has a yearly reunion where patients and the team get together here in Bedford to meet and check in on their progress. It really shows you how connected they are to the people they help.
New Hampshire
Hiker who set out in warm spring weather found dead after snowstorm in New Hampshire mountains
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A Massachusetts hiker who set out in warm spring weather was found dead deep in New Hampshire’s White Mountains after a snowstorm dumped several inches of snow in the area, authorities said.
Kent Wood, 61, of West Roxbury, was discovered Tuesday evening on a remote section of the Kinsman Pond Trail in Franconia Notch, about 5.5 miles from his vehicle, according to New Hampshire Fish and Game.
Wood had driven to Franconia Notch on April 17 for a weekend camping and hiking trip, and set out on a hike the next morning in warm, clear weather, officials said. Family and friends last heard from him Saturday afternoon.
When he failed to return or make contact for two days, officials said relatives reported him missing Tuesday morning, prompting a large-scale search.
HIKER IDENTIFIED, POPULAR TRAIL CLOSED AFTER DEADLY FALL A UTAH’S ZION NATIONAL PARK
An aerial view of Franconia Notch State Park in New Hampshire, where a hiker was found dead on Tuesday. (Joseph Sohm/Universal Images Group, File)
Rescuers quickly learned Wood had packed for mild conditions, not the three to five inches of snow that fell in the area between Sunday and Monday.
Fog hovers over a narrow road through Franconia Notch in the White Mountain National Forest in New Hampshire on Dec. 27, 2021. (Andrew Lichtenstein/Corbis)
Search teams from Fish and Game, PEMI Valley Search and Rescue, and the Army National Guard launched a coordinated effort, focusing on the Lonesome Lake and Kinsman Pond areas.
FAMILY’S SPRING BREAK HIKE TURNS INTO LIFE-OR-DEATH RESCUE AFTER PARENT FALLS 70 FEET OFF UTAH CLIFF
Conservation officers located Wood’s body around 7:41 p.m. Tuesday. Crews carried him out overnight, reaching the trailhead shortly after 1 a.m. Wednesday.
Franconia Notch and the Appalachian Trail are seen in New Hampshire on Sept. 21. (Carol M. Highsmith/Buyenlarge/Getty Images)
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Since Friday, six hikers from Massachusetts have been rescued in the White Mountains, Fish and Game said.
Officials are reminding hikers that winter conditions still grip the mountains, with snow, freezing temperatures and rapidly changing weather.
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