MHA Today | February 4, 2016

February 4, 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
House Committee Reviews APRN Bills
Missouri Senate Approves Palliative Care Bill
Senate Advances Infection Control Legislation
State House Approves Mental Health Measures
Senate Veterans Affairs And Health Committee Hears Helicopter Barrier Bill
House Select Committee Approves Health Care Workforce Analysis Legislation
MHA Distributes Wage Index, Occupational Mix Data For Review
State Releases January 2016 General Revenue Report
CMS Announces eCQM Program Education Webinar
MLN Connects Provider eNews Available
RWJF Publishes Tools On How To Increase Nursing Workforce Diversity

Advocate
state and federal health policy developments


House Committee Reviews APRN Bills

Staff Contact: Rob Monsees

The state House Professional Registration and Licensing committee heard testimony on four bills to revise practice standards for advanced practice registered nurses. House Bill 1465 would make modest changes to supervision requirements for collaborative practice arrangements between APRNs and physicians. House Bill 1866 would make far more sweeping changes, such as removing most of the restrictions on an APRN’s capacity to prescribe and creating a separate licensure system and scope of practice for APRNs. House Bill 1697 would allow a physician to supervise more APRNs through collaborative practice agreements and loosens standards for geographic proximity of the physician and APRN. House Bill 2275 indicates that a physician cannot supervise more than three practitioners through a collaborative practice arrangement. Current law has a cap of three practitioners for each of the three types of providers – APRNs, assistant physicians and physician assistants.

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Missouri Senate Approves Palliative Care Bill

Staff Contact: Daniel Landon

Senate Bill 635 has received final approval from the Missouri Senate, and now advances to the Missouri House of Representatives. The bill creates an advisory “Palliative Care and Quality of Life Interdisciplinary Council” and authorizes a program to educate consumers and health practitioners about palliative care.

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Senate Advances Infection Control Legislation

Staff Contact: Daniel Landon

The Missouri Senate has given first-round approval to legislation that would update state laws governing infection control. Senate Bill 579 is a slightly updated version of a 2015 negotiated accord that would curtail duplicative state and federal reporting. MHA supports the bill.

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State House Approves Mental Health Measures

Staff Contact: Daniel Landon

The Missouri House of Representatives has given its final approval to two legislative proposals relating to behavioral health issues. House Bill 1619 creates a two-year statute of limitations for malpractice liability claims against mental health providers. House Bill 1658 promotes awareness and research of the prevalence of and responses to depression and suicide among medical students. The bills now move to the Missouri Senate.

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Senate Veterans Affairs And Health Committee Hears Helicopter Barrier Bill

Staff Contact: Rob Monsees

Senate Bill 988, sponsored by Sen. Will Kraus (R-Lee’s Summit), states that the Missouri Department of Health & Senior Services shall not require hospitals to have a fence or other barriers around a hospital helipad. The bill was presented to the Senate Veterans Affairs and Health committee today. Testifying in support were a number of people from ambulance and life flight services, and MHA. There was no opposition.

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House Select Committee Approves Health Care Workforce Analysis Legislation

Staff Contact: Rob Monsees

Today, the House Select Committee on Social Services met to consider House Bill 1850, which relates to health care workforce analysis and planning. With substantial shortages in certain health care professions in Missouri, the bill authorizes funds from the State Board of Nursing, Board of Pharmacy, Missouri Dental Board, State Committee of Psychologists and the Board of Healing Arts to use their license fee moneys to collect and analyze workforce data in their respective professions. Added by amendment were the professions of occupational therapists, optometrists and chiropractors. HB 1850 was approved by a vote of 9-0 as amended.

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MHA Distributes Wage Index, Occupational Mix Data For Review

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released revised public-use files that will be used to develop the federal fiscal year 2017 Medicare wage index. Hospitals can review their hospital-specific data and request any revisions until Tuesday, Feb. 16. Requests and supporting documentation for revisions should be directed to the Medicare Administrative Contractor. Requests for revisions are limited to error corrections in the Jan. 29 public-use file or for revisions of desk review adjustments to wage index data. MHA has posted these files to HIDI Analytic Advantage® for your review.

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State Releases January 2016 General Revenue Report

Staff Contact: Steven Renne

State general revenue collections in January 2016 increased 7.7 percent compared to January 2015. Fiscal year 2016 general revenue collections increased by 3.4 percent compared to last year.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Announces eCQM Program Education Webinar

Staff Contact: Sherry Buschjost

The next outreach and education webinar for participants in the electronic Clinical Quality Measure Program is scheduled at 1 p.m., Tuesday, Feb. 16. The webinar, titled “CY 2016: Aligning Hospital IQR and EHR Incentive Programs Through eCQMs,” will provide participants with an overview of the calendar year 2016 eCQM requirements for the Hospital Inpatient Quality Reporting Program and its alignment with the Medicare Electronic Health Record Incentive Program clinical quality measure requirement. Registration is required.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • Medicare quality reporting program webinar: what eligible providers need to know in 2016
  • Medicare advance beneficiary notices booklet revisions
  • proposed improvements to the Medicare Shared Savings Program
  • 2015 physician quality reporting system data submission deadlines
  • FAQs on applying for an electronic health record hardship exception

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Workforce News


RWJF Publishes Tools On How To Increase Nursing Workforce Diversity

Staff Contact: Meredith Kenyon

A new Robert Wood Johnson Foundation report shares strategies that have effectively increased nursing workforce diversity, highlights lessons learned and offers a list of resources to support future efforts. Studies show that Americans tend to receive better quality care when health professionals mirror the ethnic, racial and linguistic backgrounds of their patients. The report aims to bridge the demographic gap between the nursing workforce and the population as a whole.

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Consider This ...

Today is World Cancer Day. By 2025, 19.3 million new cancer cases are expected to be diagnosed each year.

Source: Centers for Disease Control and Prevention



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