MHA Today | February 3, 2016

February 3, 2016
MHA Today: News for Healthcare Leaders


MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
MHA Launches New Price And Quality Data On Focus On Hospitals Website
Committee Reviews Infection Control Update Bill
Committee Considers Ban On Non-Compete Contracts
MHA Comments On 0.2 Percent IPPS Reduction Because Of 2-Midnight Rule
CMS Updates IPFQR Resources
TJC Announces Pioneers In Quality Program
HIDI HealthStats — Sociodemographic Factors In Risk-Adjusted Readmission Measures
President Proposes $1.5 Billion In Funding To Address Opioid Abuse And Heroin Epidemic

Advocate
state and federal health policy developments


MHA Launches New Price And Quality Data On Focus On Hospitals Website

Staff Contacts: Mary Becker or Leslie Porth

Today, MHA launched hospital-specific price and quality information on Focus on Hospitals. A news release and media briefing were held to walk news media through data and what it means for consumers. More than 80 percent of MHA-member hospitals are participating in the voluntary transparency initiative.

In conjunction with the transparency initiative, MHA also released new data on readmissions at the state’s hospitals, presenting for the first time what the rates would be with risk-adjustment for sociodemographic status. Numerous organizations have voiced concern that the risk-adjustment methodology used by the Centers for Medicare & Medicaid Services in the Medicare Readmission Reduction Program fails to adequately consider sociodemographic status when adjusting for excess readmissions. The SDS-enriched data represented in the MHA release builds on CMS’ risk-adjustment methodology by adding patient-level sociodemographic status factors, such as Medicaid eligibility and poverty, as well as risk factors attributable to patients’ communities. Five national hospital associations all released statements of support for the risk-adjustment effort.

Back To Top


Committee Reviews Infection Control Update Bill

Staff Contact: Daniel Landon

The state House committee held a hearing on House Bill 1855. The measure updates state laws governing infection control. It is a slightly updated version of a 2015 negotiated accord that would curtail duplicative state and federal reporting. MHA supports the bill. A companion Senate bill awaits debate by the Senate.

Back To Top


Committee Considers Ban On Non-Compete Contracts

Staff Contact: Daniel Landon

The House Health and Mental Health Policy committee held a hearing on House Bill 1660. The bill would prohibit the use of covenants not to compete in contracts between nonprofit hospitals and physicians. It also would impose new restrictions on their use in other physician contracts. The legislative sponsor chairs the committee and is a physician. Various physician organizations expressed support for the bill. MHA testified in opposition. Similar proposals have been considered in previous legislative sessions.

Back To Top


MHA Comments On 0.2 Percent IPPS Reduction Because Of 2-Midnight Rule

Staff Contact: Andrew Wheeler

In response to a court order, the Centers for Medicare & Medicaid Services released a notice with information about how the 0.2 percent payment reduction to the inpatient PPS was calculated. The data and information released by CMS are insufficient to allow full assessment or accurately replicate CMS’ methodology. MHA commented on the notice and expressed concerns that the payment reduction is unwarranted and lacks reasonable justification. The American Hospital Association also submitted comments and believes that “the agency must reverse its 0.2 percent reduction in full.”

Back To Top


Regulatory News
the latest actions of agencies monitoring health care


CMS Updates IPFQR Resources

Staff Contact: Sherry Buschjost

Updated resources now are available on the Quality Reporting Center website to assist facilities participating in the Inpatient Psychiatric Facility Quality Reporting Program. The IPFQR Program Manual provides a comprehensive overview of the IPFQR Program and measure specifications, as well as step-by-step guidance on QualityNet secure portal registration, data submission using the web-based measures application and preview report processes. Key updates to the manual include the following.

  • measure requirements and program timelines for the fiscal year 2017 and 2018 payment determination years
  • descriptions of the new transition record with specified elements received by discharged patients, timely transmission of the transition record and the screening for metabolic disorders measures
  • additional guidance for abstraction of data for the transition record and screening measures

In addition, the paper tools for discharge measures have been updated for the following measures: Hospital-Based Inpatient Psychiatric Services (HBIPS)-2, -3, -5; Immunization (IMM)-2; Substance Use (SUB)-1, -2/-2a; and Tobacco Use (TOB)-1, -2/-2a, -3/-3a.

Back To Top


TJC Announces Pioneers In Quality Program

Staff Contact: Sherry Buschjost

The Joint Commission’s decision to take a hiatus from the top performer programs provides an opportunity for TJC to re-evaluate the program in terms of how the national performance measurement environment has evolved during the last two years. In keeping pace with the evolution to electronic clinical quality measures, TJC has announced the launch of “Pioneers in Quality,” a new program to assist hospitals on their journey towards eCQM adoption. The program includes a series of educational webinars. The first webinar, titled “Time to Get Back to eCQM 101 — A Breakdown of the Basics,” is scheduled at 11:30 a.m. Tuesday, Feb. 23. The objective of the webinar is to discuss key components of the Pioneers in Quality program and provide information to improve a hospital’s basic eCQM knowledge. Registration is required. Space is limited and registration will close when maximum capacity is reached.

Back To Top


HIDI Tech Connect


HIDI HealthStats — Sociodemographic Factors In Risk-Adjusted Readmission Measures

Staff Contact: Mat Reidhead

TrajectoriesThe February issue of HIDI HealthStats highlights the importance of including sociodemographic factors in risk-adjusted readmission measures. Risk adjustment for publicly-reported health outcome measures is intended to allow for meaningful comparisons of measured quality differences between hospitals that are attributable to characteristics of the hospitals, as opposed to differing characteristics of their patients or random variation. Risk adjustment for patient-level clinical acuity and basic demographic factors, such as age and gender, are commonplace. However, a growing body of research is emerging around individual- and community-level social factors associated with hospital readmission risk. In August 2014, an expert panel convened by the National Quality Forum made recommendations to include social determinants in risk-adjustment models used for public reporting and other accountability applications. Today, MHA launched Focus on Hospitals, a public transparency website that reports readmission rates for participating hospitals that are adjusted for patients’ sociodemographic status. Specifically, the models include Medicaid status and the poverty rate of a patient’s home census tract. The models also are designed to account for community-level risk factors by nesting the data at the census-tract level.

Back To Top


Noteworthy


President Proposes $1.5 Billion In Funding To Address Opioid Abuse And Heroin Epidemic

Staff Contact: Alison Williams

President Obama’s proposal to address prescription opioid abuse and the heroin epidemic is two-pronged. The proposal includes $1 billion in new mandatory funding throughout two years to expand access to treatment for prescription drug abuse and heroin use. The funding will boost efforts to help individuals with an opioid use disorder to seek treatment, successfully complete the treatment and sustain recovery. The budget proposal also includes approximately $500 million — an increase of more than $90 million — to continue building current efforts across the Department of Justice and the U.S. Department of Health & Human Services to expand state-level prescription drug overdose prevention strategies, increase the availability of medication-assisted treatment programs, improve access to the overdose-reversal drug naloxone and support targeted enforcement activities.

Back To Top



Consider This ...

February is American Heart Month. Diseases of the heart are the No. 1 cause of death in America. Stroke ranks No. 5.

Source: American Heart Association



Missouri Hospital Association • P.O. Box 60 • Jefferson City, MO 65102
Phone: 573/893-3700 • Fax: 573/893-2809
MHAnetUnsubscribeContact UsPrivacy Policy