Topic: Scope of Practice Health care professionals
Interview of Tom Bell, March 6, 2026
Interviewed by Robert St. Peter
Tom Bell served as CEO of the Kansas Hospital Association from 2012 - 2020 when he retired. As the leader of the trade association representing Kansas hospitals, he provided education and advocacy for the 120 hospitals that were his association's members. Bell describes his work mainly as advocating for hospitals in the Kansas Legislature and with the Kansas Congressional Delegation on federal issues. During his interview he identifies several big state issues that impacted his members: Certificate of Need, scope of practice, rural hospitals, medicaid expansion and reimbursements (DRG's). The passage of the Critical Access Hospital Show Morelegislation saved a lot of hospitals and helped solve some problems. Bell said he was constantly looking for ways to balance the competing interests of all the parts of the health care system. He also noted the COVID pandemic had huge, negative impacts that are still being felt. The interview looks at the advantages or disadvantage of being a non-profit hospital vs a for-profit model. It also discussed the need for a state health planning agency to set policy. In response to the question, what are the "top issues that you think we as a state need to be addressing right now for the well-being of hospitals... and the community", Bell indicated workforce was at the top of the list as well as reimbursement and how to help the community access the best level of health care. He concluded the interview by saying, "...what's good for the hospital ought to be what's good for a particular community." Show Less
Interview of Cynthia Hornberger, April 10, 2026
Interviewed by Robert St. Peter
Dr. Cynthia Hornberger is a nurse-leader in nursing education and health care. In this 2026 interview she explains how nursing education evolved at Washburn University, and how the status and competency of nurses has grown in hospitals across the country. Hornberger sees advanced practice-trained nurses as critical components of the health care team and critical to delivering health care in rural settings. Today the demand for nurses often exceeds the supply. She traces the history of the development of nursing programs in Kansas to the Axtell Hospital, Axtell, Kansas and overall, to Lillian Wald who in 1893 who Show Moreadvised Dr. Samuel Crumbine, Kansas' most famous public health official. When asked why Kansas is slipping in health rankings compared to other states, she suggests Kansas lacks access to services to prevent, monitor and treat illnesses. Shortage of health care professionals is another cause. She notes there are political ramifications - politicians who do not prioritize the health and well-being of infants and children or people who are socioeconomically challenged. The discussion of how the role of nursing changed over time reflects changing attitudes about gender roles and nurses' desire for more training and a larger leadership role. Hornberger believes some things in health care eventually will be replaced by artificial intelligence (AI), such as diagnostics. The interview ends with her summarizing of her 50 years in nursing and describing her passion for gardening.
Highlights -- short excerpts from the interview