2013 Issue 1

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Our Corporate Sponsors

We gratefully acknowledge the commitment of our Corporate Sponsors who assist in the funding of the Chapter's programs and activities

Presidential
Ernst & Young LLP
FirstCredit Inc.(FCI)/RevCare
Howard, Wershbale & Co.
Human Arc
JP Recovery Services, Inc

Platinum
Alta Partners, LLC
Deloitte & Touche LLP
Fenner
Fifth Third
McGladrey
Plante & Moran, PLLC

Gold

HBCS
KPMG
Net Revenue
PNC Healthcare

Silver
Credit Adjustments, Inc.
KeyBanc Capital Markets
The ROI Companies

Bronze
Avadyne Health
BKD, LLP
Blue & Co., LLC
Bruner-Cox
Calfee, Halter & Griswold LLP
Crowe Horwath LLP
Emrhein & Associates
Etactics
HMC Group
Meridian Leasing Corporation
Quadax, Inc.
the MASH program
The Wellington Group, LLC
UCB, Inc.
Wise Management Services, Inc
Wolfskill & Associates


2012-2013
HFMA Northeast Ohio
Chapter Officers

President
Lisa Hilling

President-Elect
Justin R. Williams

Vice President
Donald B. Urbancsik

Chapter Secretary/Treasurer
Geoffrey A. Himes, FHFMA, MBA

Chairman
Diane Lilko, CPA

Chapter Coordinator
Kathleen A. Much

Board of Directors
John Beirne
Melissa Hoch
Chuck Josey
Stanley Kasmarcak, CPA
Kelly R. Linson
Mary Kaye Verbiar


Visit HFMA National at:
www.hfma.org

Visit HFMA Northeast Ohio at:
www.neohfma.org

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President’s Message

Diane LilkoDoing Whatever It Takes

Doing Whatever It Takes - this is the chosen theme from our current chair, Steve Rose. I find this symbolic for my year as president, as this has been a favorite theme of mine for the last ten years. As we each face challenges in both our personal and professional lives, I believe this is the attitude that differentiates the good from the great. Just as this is the attitude that takes our chapter from good to great.

Over the past few months, I have attended many HFMA events, both local and national. As I work with more and more of you, and speak to past leaders, I find that our chapter is on a continual path to great. I am very excited about the leadership team of our chapter, and look forward to working with more of you in the upcoming year. You can help our chapter continue the path to greatness, with the whatever it takes attitude.

As Steve says in his message, the “Whatever It Takes” attitude best describes the mindset that healthcare professionals will need to meet the difficult challenges in the year to come. It is also this attitude that helps each of us achieve the personal and professional greatness that we possess.

Thanks for being a part of our chapter!

Sincerely,

Lisa Hilling
President
Northeast Ohio Chapter of HFMA


New Members - Welcome to NEOHFMA!

Please welcome our newest members to the Northeast Ohio Chapter of HFMA. Look for them at our next meeting and welcome them to our organization.

Susan J. Moore
OmniClaim

Robert P. Murray
The MetroHealth Medical Center

Cory Guy
Cleveland Clinic

James Coyne
The MetroHealth Medical Center

Steven Cook

Kristian Barr

Mark Paine
Cleveland Clinic

April Herner
Mercy Medical Center

Eileen Klein
The MetroHealth Medical Center

Dan E. Clark
McGladrey

Martha Muhammad
The MetroHealth Medical Center

George Jeney
The Center for Health Affairs

Simpson Huggins, III
The MetroHealth Medical Center

Christi Caister
Robinson Memorial Hospital

Lisa Hagee
University Hospitals

Connie Smith
Mercy Medical Center

Coleen A. Andrews
University Hospitals

James P. Sacher
Skoda Minotti

Mary B. Bondy

Denton Wolf
TruAcuity

David Hewitt
TruAcuity

 
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Welcome Back!

HFMA Members that have reinstated their Membership

Dion A. Giordano
Summa Health System
Barberton Hospital

Rebecca A. Boytos
Humility of Mary
Health Partners

Elisa L. Jones, CRCR
The MetroHealth Medical Center

Heidi Kodicovic
University Hospitals

Julie Minnie
Akron Children’s Hospital

Andrey Dubrovsky
University Hospitals

Vicky M. Snyder
Medina Hospital

Lori D. Labanc
Cleveland Clinic

Phillip Brooks
St. Vincent Health
Christopher E. Remark
Aultman Hospital

Sharon Martin
University Hospitals Health System

 

Certified Healthcare Financial Professional (CHFP) — Did You Know?

By: Kelly Linson, MBA, CPA, CHFP
Description: http://12for2012.files.wordpress.com/2012/01/blood.jpg
Did you know?……that HFMA’s certification program enables you to demonstrate a mastery of a variety of topics within the healthcare finance industry. Meeting the HFMA certification requirements helps to prepare you for increasingly responsible positions in the healthcare industry and demonstrates your dedication to professional development and a higher standing.

Did you know? … that the 4‐hour 150 question CHFP exam tests candidates in management‐level issues in healthcare finance in the following six knowledge areas: revenue cycle (21‐25% of the exam); disbursements (4‐8%); budgeting and forecasting (18‐22%); internal Controls (15‐19%); financial reporting (16‐20%); contract management (13‐17%).

Did you know?.....for the CHFP examination, there is preparation material (Core Curriculum Online Study) designed to identify and examine the fundamental concepts and skills expected of an experienced mid‐level healthcare finance manager. The Healthcare Finance Core Curriculum online study preparation for the CHFP examination is available for purchase. The cost for study materials is $249 ($299 for non-members). The materials are available for one calendar year from date of purchase. CHFP study materials are recommended but not required for CHFP testing candidates.

Did you know?……….that only about 6% of local NEOHFMA chapter members and less than 8% of national members have achieved the certification. This presents a tremendous opportunity for you to differentiate yourself, add credibility to your resume, secure a job, or increase your earning power. Certification can provide you with a competitive edge in one of the most challenging and dynamic times for all healthcare professionals.

Did you know?…….that our Chapter has a Certification Scholarship Program. Through the program a maximum of 5 awards of $ 200.00 each are available for successful completion of the CHFP exam when employer reimbursement is not available. You can find more information in the NEO Chapter Certification Scholarship Program policy: http://www.neohfma.org/chapter_policies.html.

Did you know?……..that you can learn more about earning the CHFP designation by visiting http://www.hfma.org/chfp/ or contacting Brian Nestor (Brian.Nestor@UHhospitals.org; 216-844-7797) or Kelly Linson (KLinson@swgeneral.com; 440-816-8071).

Program Recaps

Gerry Haggerty Annual Leadership Institute

The 2013 GHALI was held at the Bertram Inn Hotel & Conference Center in Aurora, OH. The Bertram Inn is one of northeast Ohio’s most elegant hotel and banquet venues, combining international ambiance with outstanding cuisine and superior service.

The theme for this year’s event was “Leadership Matters: Innovation & Execution”. The full 3-day conference offered 19 hours of Ohio CPE credit and boasted the following keynote speakers:

  • Reform Update & Minimizing Impact of Reimbursement Cuts
    Seth Edwards, MHA
    Manager of Federal Affairs, Premier
  • Hot Topics in Healthcare
    Charles Cataline
    Senior Director of Health Policy, Ohio Hospital Association
  • Innovation
    Ralph Lawson, FHFMA, CPA
    EVP & CFO, Baptist Health South Florida
    National Chair, HFMA
  • ICD-10 Preparations
    Achieving Your Desired Results and Keeping Them – Alignment & Execution
    Speaker and Coach, The Studer Group

Choluteca BridgeRalph Lawson presented a stunning analogy to the current changes in the healthcare environment when describing the Choluteca Bridge in Honduras. The bridge was constructed to withstand the strongest of catastrophes and was unscathed after Hurricane Mitch ravaged the area in November 1998. Though the bridge was intact, the force of the storm and subsequent flooding altered the path of the river, rendering the bridge useless. The images reminded us that the current path of healthcare Post Hurricaneis causing changes all around us and need to be proactive to avoid a fate of irrelevance.

Networking Events:
Wednesday night was highlighted by a wine tasting social at the nearby ThornCreek Winery & Gardens. The evening was capped off with a Texas Hold’em poker tournament, hors d’oeuvres and assorted games like Left, Center, Right and pong.

Thursday evening kicked off with several fabulous prize raffles from our vendor fair sponsors and was followed by our annual Casino Night and prize raffle. The GHALI entertainment committee gathered over 12 great prize baskets for this year’s raffle.

Friday afternoon networking activities afforded attendees the option of Golf at Signature of Solon, Spa services at Mario’s International Spa or a Cooking Class at the Leopard Restaurant.

“The Education Roadshow Continues”

Akron Roadshow participantsJune 25th, marked the date of the June Roadshow series, for the NEOHFMA chapter. Akron Children’s Hospital in Akron, Ohio, proudly hosted this event which comprised of topics in Medicaid, healthcare trends and The Affordable Care Act.

Michael Dalton, Manager of Advocacy, for Summa Health System began the program with a presentation on “Medicaid Expansion & the Impact of the State Budget.” A very intriguing topic for all to hear about in which he shared the potential increase in coverage to more people in Ohio. This expansion would allow for greater coverage to those low-income families that are in need. Additionally, Mr. Dalton, briefed us on some commentary from our State politicians, which would include increased costs to the State, if expanded.

The second speaker of the morning was Sonda Kunzi, Associate Director, Healthcare Operations at Cohen & Company provided, us with interesting information on “Healthcare Trends Affecting Physician Practices Today.” She highlighted areas such as, compliance of coding challenges and revenue integrity. And warned the NEOHFMA attendees, with several examples of physician practices, where abuse and fraud cases pertaining to Medicare incentive programs occurred.

Thomas Campanella, Director Healthcare MBA and Associate Professor of Health Economics at Baldwin-Wallace College in Berea, Ohio rounded out that morning with “The Affordable Care Act (ACA): Where Do We Go From Here?” This is an interesting perspective into understanding the law further and knowing that more Americans/families have better access and affordability to preventative care in family planning and other related services. Professor Campanella brought his Economics perspective to us and potential concern the ACA may have on jobs/employment rate.

Overall, the program was an educational, comprehensive look into government’s involvement with healthcare in our Nation.

ANI Recap

HFMA Chair: Be Committed to Doing Whatever It Takes

ANIA Women of Chapter 6“Making the changes necessary to move forward in this environment is going to require massive amounts of time, energy, and creativity on the part of everyone here,” HFMA Chair Steve Rose told attendees of ANI: The HFMA National Institute on Monday morning. “However, I’m firmly convinced that if we remain committed to doing whatever it takes, we will meet our goals and achieve astonishing results.”

Region 6 and Regional ExecRose, CFO, Conway Regional Health System, Conway, Ark., and a longtime HFMA volunteer and leader, acknowledged that much will be asked of healthcare finance professionals as the landscape continues to shift toward value, population health management, and preventive care.

Rose finds inspiration in the deep dedication of his colleagues at Conway Regional, just as he did when he joined the organization’s team 22 years ago.

“Everyone had a remarkable sense that they were making a contribution to a greater cause,” Rose said, recalling his early days at the hospital. “One of the reasons I stay where I am is that I’ve been able to see the positive impact that can be created when passionate, committed people work together.”

That shared sense of mission has helped Conway Regional face and overcome many challenges over the past two decades, Rose said, including a major expansion and the development of new partnerships with physicians and others.

On a personal level, Rose demonstrated his commitment to a “whatever-it-takes” attitude by losing 30 pounds in six months, a challenge he had set for himself last November. Both on an individual level and when working together with colleagues to accomplish large, organization wide tasks, a will-do spirit has been “a pivotal part” of making his work successful, Rose said.

He encouraged healthcare finance professionals to adopt a similar approach: “When addressing challenges—either inside or outside of the healthcare finance arena—I believe this attitude can be the most powerful asset you have.”

Although the challenges facing the healthcare industry are unprecedented and will require leadership from all of us, Rose concluded, healthcare finance professionals are up to the task. “We know our work matters,” he said. “We know it impacts people’s lives. And only by holding firm to a commitment to do whatever it takes—for our organizations, our colleagues, and for those who use healthcare services—can we face the challenges that the coming years will surely bring.”

View Rose’s full presentation at ANI and listen as he describes the importance of a “Whatever it takes” culture and the evolving healthcare environment.

Save the DateUpcoming NEOHFMA and National HFMA Programs

Log onto the NEOHFMA Website (http://neohfma.org/events_calendar.html) for more information on our upcoming programs:

NEO Volunteer Appreciation Outing
Program Date: August 22, 2013
Program Location: Quail Hollow, Concord, OH


Upcoming Live Webinars

Take a look at the upcoming Webinars offered by HFMA and consider sitting in on one as an easy way to get the information you need on pressing healthcare finance topics. From the comfort of your office, you can participate in a Webinar and find the strategies and tools you need to help your organization achieve success. Log onto the HFMA Website (www.hfma.org) to sign up or get more information about the topic. The following Webinars are free to HFMA members.

High-Impact Service Contracts:
Balancing Risks and Savings to Lower Costs

(Thursday, August 8, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • Loretta Loncoske, Senior Clinical Analyst, MD Buyline
  • Rachel Bennett, Clinical Analyst, MD Buyline

What will be covered:

  • Understand financial impact of service contracts.
  • Determine where costs can be reduced.
  • Understand how to utilize break-even calculators.
  • Identify the type and amount of coverage needed.
  • Understand CMS’s regulations regarding equipment service requirements.
  • Identify the major concerns for administrators and plant and clinical engineers.

Leveraging the Latest RFID Technology to Support Your Supply Chain, Manage Costs, and Improve Clinician Workflow
(Thursday, August 15, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • Joe Pleshek, CEO/President, Terso Solutions, Inc.
  • Wendy Mullan, Product Specialist, McKesson

What will be covered:

  • Better manage high-dollar IMD supply inventory.
  • Leverage the latest RFID technology to support these needs and manage costs
  • Terso white paper

Managing the Transition from Volume to Value
(Thursday, August 22, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • David Swieskowski, MD, MBA, CEO, Mercy ACO, Mercy Medical Center
  • Jonathan M. Niloff, MBA, MD, Chief Medical Officer, MedVentive (now part of McKesson)
    VP, Executive Medical Director, Population Management, McKesson Technology Solutions

What will be covered:

  • Transition a value-based payment system that delivers quality care while effectively manages costs.
  • Use data to support improved population health.
  • Assess a population, identify patients with chronic conditions, and identify gaps of care and necessary interventions.
  • Explore partnerships with other providers and insurers who share their vision of better outcomes and a healthier population.
  • White Paper: "Becoming an ACO: 7 Steps to Better Patient Health"


Strategies to Increase and Accelerate
Patient Payment at the Point of Care

(Tuesday, August 27, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • David Dyke, Vice President of Revenue Cycle Solutions, RelayHealth

What will be covered:

  • Learn a framework for implementing financial patient engagement, from estimation and financial counseling through point-of-service and post-service collections.
  • Discuss tips for implementing difficult process and culture changes to help ensure success.
  • Understand best practices and lessons learned from hospitals that have improved collections and the patient experience through financial patient engagement.
  • A white paper titled "Credible, Defensible Estimates" that describes an estimation maturity model

Transform Budgeting, Capital Planning, and
Performance Reporting to Support Strategic Business Decisions

(Wednesday, August 28, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • Amanda Hoffman, Accounting Manager, Mary Lanning Healthcare
  • Jay Spense, VP of Healthcare Solutions, Axiom EPM

What will be covered:

  • Identify concrete ways to improve budgeting and forecasting processes and support decision-making.
  • Streamline your capital planning process including the initiation, evaluation, approval, and ongoing tracking of capital projects.
  • Leverage performance reporting and impact analysis to reduce costs or increase revenue.
  • Articulate the benefits of a sound financial planning and performance management framework.
  • Whitepaper, "Linking Strategy and Execution in Health Care"
  • Sample reports currently used by Mary Lanning Healthcare

Leveraging Your Organization’s Enterprise
Resource Planning (ERP) System Investment

(Tuesday, September 10, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • Regine Villain, Corporate Supply Chain Director, Medical University Hospital Authority

What will be covered:

  • Identify gaps in your ERP related to real-time data visibility and linking your ERP, OR, or CDM
  • Enhance the value of your ERP investment
  • Manage cloud-based data for key decision support
  • Reduce cost with requisition process extension and automation
  • Best-in-class process flows

Understanding the Impact of Consumable Costs
that Exceed their Capital Investments

(Wednesday, September 11, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • LeAnne Smith, Consumable Analyst, MD Buyline
  • Lee Barnhart, RN Clinical Analyst, MD Buyline
  • Maria C. Hernandez, MBA, BSMT (ASCP), Clinical Analyst, MD Buyline
  • Kathey Leibold, RRT, Senior Clinical Analyst, MD Buyline

What will be covered:

  • Understand the impact of consumables on your bottom line
  • Know the most likely areas where consumable costs will exceed original capital outlay
  • Understand the consumable market for the clinical laboratory, cardiology, respiratory and nursing fields
  • Considerations when negotiating your consumable volume agreement
  • Sample of a consumable contract review
  • Break-even calculator for consumables
  • Price breakdown for the top five most costly consumables

Predicting the Unpredictable:
Using Analytics to Match Staffing-to-Patient Demand

(Thursday, September 12, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • Karin Olson, RN, Executive Director, Clinical and Systems Transformation, Vancouver Coastal Health, Vancouver, BC
  • Nick Burns, Director, Capacity Management, McKesson Corporation

What will be covered:

  • Describe the inputs needed to accurately predict patient demand.
  • Leverage forecasted demand to lower baseline and optimize variable staffing levels.
  • Use a predictive analytics model to smooth inpatient surgical census between two hospitals.
  • Understand potential impact of predictive modeling on financial performance.

Control High-Cost Supplies from Value Analysis to Point-of-Use
(Thursday, October 17, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • Scott E. Pruyn, Product Manager, Strategic Supply Sourcing, McKesson Provider Technologies

What will be covered:

  • Better control supplies from standardization to point-of-use.
  • Implement a comprehensive "circular logic" approach for all areas of high variability.
  • Improve value analysis compliance throughout your organization.

Understand How Predictive Tools Help Expedite Value Analysis
(Thursday, December 12, 2013 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • Scott E. Pruyn, Product Manager, Strategic Supply Sourcing, McKesson Provider Technologies
  • Phil Oaten, President & CEO, Meperia, LLC

What will be covered:

  • Transition your product evaluation committee into an expedited value analysis team.
  • Discuss predictive tools available to support broadening the consolidation model.
  • Expand your value analysis efforts to a sustainable, repeatable process

How to Develop and Maintain Supply Chain Transparency and Control
(Thursday, February 20, 2014 - 3:00 – 4:30 p.m. Eastern Time)
Speakers:

  • Scott E. Pruyn, Product Manager, Strategic Supply Sourcing, McKesson Provider Technologies
  • Phil Oaten, President & CEO, Meperia, LLC

What will be covered:

  • Perpetually reduce supply item proliferation.
  • Develop sustainable methods to improve transparency.
  • Control procurement with formulary-based requisitioning methods.

2013 HFMA Virtual Conference

October 16th

HFMA's Virtual Conference includes live sessions, offers all new content, and is FREE to Members.

Earn up to 12 CPEs for attending the live presentations. You can attend from the convenience of your home or office.

Each date offers new education content including a keynote session, a session that presents the latest findings from HFMA's Value Project, and a real-world case study that provides solutions to improve the quality of care and reduce costs.
Visit www.hfma.org/virtualconference for more information and to register for this free educational event.

On-Demand Webinars

HFMA also offers on-demand webinars, which do not provide CPEs but do qualify for DCMS hours. Most on-demand webinars are free (or are only $49) for members. There are multiple webinars available in all of the following areas of interest:

  1. Accounting and Financial Reporting
  2. Finance and Business Strategy
  3. Legal and Regulatory Compliance
  4. Operations Management
  5. Payment, Reimbursement, and Managed Care
  6. Revenue Cycle
  7. Technology
  8. HFMA 2012 Virtual Healthcare Finance Conference Recorded Programs

See national website for registration (http://www.hfma.org


Sponsor's Corner

Bruner-Cox

A smart team, focused on you.

Bruner-Cox LLP is a full-service accounting and business consulting firm with offices in Akron, Canton and Cleveland. One of the largest and fastest-growing accounting firms in Northeast Ohio, Bruner-Cox LLP maintains attention to detail and devotion to clients – the hallmark of our company since 1925.

As a client, you gain a smart team that listens, gives sound advice and strengthens your organization.
We are an established, traditional firm with vision. Our mission is to stay ahead of trends and technology, but filter everything through the lens of our experience. Our energy and philosophy are fueled by our collaborative culture with clients, partners and associates.

When you work with Bruner-Cox LLP, you are working with experienced professionals trained to see beyond the numbers and recognize the “big picture.” Bruner-Cox LLP listens to concerns, recognizes opportunities and challenges, and serves as a sounding board… providing ideas, guidance and inspiration.

Healthcare Expertise
The financial situation for healthcare providers is changing at an unprecedented rate. Bruner-Cox LLP understands these issues, and as a result, offers clients the expertise of the BC Healthcare Services Group.
Bruner-Cox LLP is a trusted business partner to more than 80 healthcare industry-related clients, providing services such as:

  • Analysis and Negotiation of Payor Contracts
  • Board Governance
  • Benchmark Surveys, including Salary and Production Analysis
  • Cash-Flow Management
  • Coding Analysis
  • Compensation Studies for Nonphysicians
  • Fee Schedule Analysis
  • Financial Feasibility Studies
  • HMO/PPO Negotiation Assistance
  • Hospital Care Assurance Program (HCAP) Data Reviews
  • Integration Plans for Physician Practices
  • Internal Controls
  • Ohio Recovery Audit Contractor (RAC) Consulting
  • Physician Compensation Plans
  • Physician Practice Consulting
  • Preparation of Budgets
  • Systems Utilization Analyses
  • Tax-Exempt and For-Profit Taxation
  • Third-Party Reimbursement and Regulations
  • Revenue Enhancement
  • Internal Audit
  • Operations Review

For more information on Bruner-Cox LLP’s healthcare services, please contact Kenneth J. Douglas, CPA, Assurance Services Partner or Lisa M. Hilling, CPA, Assurance Services Partner at 330.376.0100.

4505 Stephen Circle,
NW, Suite 200; Canton, Ohio 44718 ▪ 330.497.2000
AES Campus Building 388
South Main Street Suite 403; Akron, Ohio 44311 ▪ 330.376.0100
www.brunercox.com


HFMA Sponsors -
Do not forget to get your company’s spotlight & new products & services mentioned in the Newsletter. Please contact Chris Maeder (Christopher.Maeder@uhhospitals.org) for publication in future newsletter


UCB ad


Kudos!

Congratulations to Sandra J. Wolfskill, on being her new position as director of healthcare finance policy, revenue cycle, and MAP for HFMA. She was previously president of Wolfskill & Associates, Inc. in Chardon.

Congratulations to Rebecca Baytos from Girard, Ohio for recently earning the HFMA’s Certified Healthcare Financial Professional (CHFP) certification. Rebecca is one of only 26 HFMA members across the nation to earn the certification in the month of May, 2013.


Puzzle

Four HFMA members need to cross a bridge at night to get to their after-hours party. They have only one flashlight and 17 minutes to get there. The bridge must be crossed with the flashlight and can only support two members at a time. The Accountant can cross in 1 minute, the Revenue Cycle Director can cross in 2 minutes, the CFO can cross in 5 minutes and the Physician takes 10 minutes to cross. How can they all make it to the meeting in time?

E-mail your answer to Rhonda Ridenour at rridenour@avitahs.org. All correct entries will be included in a drawing and one lucky entrant will receive a $25 gift certificate.

Previous Puzzle Answer:

On a dark night Andrew and Martha were sitting together. Andrew was watching a movie while his wife Martha was reading a mystery book. Suddenly the power went out and Andrew decided to go to bed, but strangely Martha kept on reading. There was no artificial light (including candle or battery operated Kindle light) in their home, but Martha kept on reading. How come ?

Martha is blind. She reads books written in Braille. There is no light needed for her to read, and it also explains why she wasn’t watching the movie in the first place.

Winner:
George Jeney, Project Manager for The Center for Health Affairs


 

 

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