MHA Today | January 27, 2016

January 27, 2016
MHA Today: News for Healthcare Leaders
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In This Issue
House Committee Delays HMO High-Deductible Legislation
Committee Endorses Workforce Data Center
House Advances Newborn Screening Bill
Legislators Review Prescription Monitoring Bill
HIPAA Releases Rule Change For Reporting Mental Health Prohibitors
Medicare Learning Network Offers Infection Control Courses For Surveyors
Trajectories — Care Coordination
AHA Releases Principles To Achieve The Triple Aim

Advocate
state and federal health policy developments


House Committee Delays HMO High-Deductible Legislation

Staff Contact: Rob Monsees

House Bill 1592, health maintenance organization high-deductible legislation, was delayed from being voted on this morning by the House Health Insurance Committee. Special thanks goes out to hospital CEOs and government affairs representatives who pressed their local delegation to oppose the legislation. Facing a lack of support on the base bill, House sponsor Rep. Don Gosen (R-Ballwin), is trying to reach a compromise between providers and insurers.

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Committee Endorses Workforce Data Center

Staff Contact: Daniel Landon

A state House legislative committee has approved House Bill 1850. The bill authorizes the development of a center for compiling and analyzing data regarding the health care workforce.

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House Advances Newborn Screening Bill

Staff Contact: Daniel Landon

House Bill 1387 is state legislation that would add severe combined immunodeficiency to the list of genetic and metabolic disorders included in the state’s requirements for newborn disease screening. A House committee reviewed the bill and approved an amended version.

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Legislators Review Prescription Monitoring Bill

Staff Contact: Daniel Landon

A state House committee held a hearing on House Bill 1892, which authorizes the creation of a state prescription drug monitoring program. Missouri is the only state lacking such a system. MHA is part of a broad coalition that is promoting the bill.

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Regulatory News
the latest actions of agencies monitoring health care


HIPAA Releases Rule Change For Reporting Mental Health Prohibitors

Staff Contact: Jane Drummond

A recent HIPAA rule change allows certain covered entities to disclose information about individuals with federal mental health prohibitors to the National Criminal Intelligence Service. The rule is intended to prevent such individuals from acquiring a firearm; however, the rule has limited application for health care facilities and providers. First, the rule authorizes but does not mandate any disclosures. Second, it applies to only two types of covered entities: those with responsibility for adjudicating mental health commitments and those that serve as a designated repository for NCIS information. Such entities primarily include state or public agencies, such as mental and public health departments or public safety agencies. The rule does not apply to facilities or clinicians treating individuals who are involuntarily committed for mental health treatment.

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Medicare Learning Network Offers Infection Control Courses For Surveyors

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services has issued Survey and Certification Memo S&C: 16-06-ALL. Effective Jan. 22, the Medicare Learning Network sent the memo to survey and certification groups noting that surveyors have the opportunity to improve their knowledge of infection control standards through the many courses offered by the network. Any health care provider that creates an account also can access the modules. Instructions to register for an account are included in the memo.

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Quality and Population Health


Trajectories — Care Coordination

Staff Contact: Dana Downing

TrajectoriesThe January issue of Trajectories highlights the importance of enhancing quality of care through care coordination. Preventable hospitalizations are admissions that may have been avoided with more effective coordination of primary care and community-based resources. Trends indicate that three conditions drive 63 percent of preventable hospitalizations: pneumonia, heart failure and chronic obstructive pulmonary disease.

Managing chronic diseases is a difficult task when numerous providers in various locations are involved in a patient’s care. In addition to preventing unnecessary hospital visits, keeping patients out of the hospital when it is not required also is important to the patient and family members, as well as hospital leaders. Chronic disease measures, such as the heart failure preventable readmission rates and COPD or asthma in older adults, may be used to assess the coordination between the patient and primary care providers. These data reflect whether a patient’s care is received in the most appropriate setting. Coordination of care is a priority because good planning and communication can prevent a patient from being unnecessarily admitted to the hospital. These measures also are good indicators of the quality of health services within the community.

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AHA Releases Principles To Achieve The Triple Aim

Staff Contacts: Leslie Porth or Alison Williams

A new report from the 2015 American Hospital Association Committee on Research and Performance Improvement identifies seven principles for building a care delivery system to achieve the Triple Aim — improving the patient experience of care, improving the health of populations and reducing costs. The report illustrates how different types of hospitals can use a patient-centered care delivery approach with different payment models, and identifies policy recommendations targeted at stress points that impede the movement from volume- to value-based care.

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Consider This ...

More than 40 million Americans suffer from chronic, long-term sleep disorders, and an additional 20 million report sleeping problems.

Source: Anxiety and Depression Association of America



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