MHA Today | February 17, 2016

February 17, 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. Connect with us on LinkedIn.

In This Issue
MHA Releases Community Investment Report
House Approves Collaborative Practice Legislation
Senate Advances Tort Reform Measure
TJC Announces New Requirements For Diagnostic Imaging Services
CMS Provides Information On Data Entry And Public Reporting Of OP-31
FDA Releases Fact Sheet About New Opioid Action Plan
ACGME Announces Funding Opportunity For Physician And Resident Education

Advocate
state and federal health policy developments


MHA Releases Community Investment Report

Staff Contact: Mary Becker

MHA has released the annual Community Investment Report detailing hospitals’ community benefit and economic impact contributions, individually and statewide. This year’s report found that in 2014 the state’s hospitals provided $1.3 billion in uncompensated care, including $723 million in charity care and $593 million in bad debt. Between 2004 and 2014, uncompensated care costs at Missouri hospitals increased 469 percent. Hospitals also absorb the unpaid costs of treating beneficiaries of Medicare and Medicaid, help educate and train the health care workforce, offer clinic services, and donate to local causes. When these benefits are added to the uncompensated care total they exceed $2.75 billion. The report also identifies hospitals’ economic value through its workforce and infrastructure investments. In 2014, Missouri’s hospital workforce of nearly 148,000 received $9.6 billion in payroll and benefits. In addition, hospitals invested more than $1.6 billion in capital improvement projects. The report and hospital-specific and statewide data are available at www.focusonhospitals.com.

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House Approves Collaborative Practice Legislation

Staff Contact: Daniel Landon

A House committee has approved a new version of House Bill 1866, which revises the standards for collaborative practice arrangements between advanced practice registered nurses and physicians. The initial version of the bill would have severed many of the required ties to a collaborating physician and engendered significant opposition. After the committee adopted an amendment to narrow the scope of the bill’s changes, the revised measure was approved by a 16-2 vote.

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Senate Advances Tort Reform Measure

Staff Contacts: Daniel Landon or Rob Monsees

The Missouri Senate has given first-round approval to legislation that would revise the collateral source rule, which defines how medical costs will be considered in liability lawsuits. The debate of Senate Bill 847 involved an all-night filibuster culminating in a compromise accord approved around 6 a.m.

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Regulatory News
the latest actions of agencies monitoring health care


TJC Announces New Requirements For Diagnostic Imaging Services

Staff Contacts: Sarah Willson or Jim Mikes

The Joint Commission has recently approved and released new prepublication standards for accredited hospitals, critical access hospitals and ambulatory care organizations (including those that have achieved Advanced Diagnostic Imaging certification) that provide diagnostic imaging services. The new requirements specify minimum qualifications for technologists who perform diagnostic computed tomography exams.

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CMS Provides Information On Data Entry And Public Reporting Of OP-31

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has provided information regarding data entry for measure OP-31 (cataracts – improvement in patient’s vision function within 90 days following cataract surgery) and how it affects the payment update and public reporting. Submission of OP-31 is voluntary in 2016. An incomplete status for OP-31 in QualityNet has no effect on calendar year 2017 payment determination; however, any numeric value entered that results in a measure rate for OP-31 will be publicly reported. Guidelines on how OP-31 Web-based data will be displayed on QualityNet and publicly reported on Hospital Compare are available.

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Quality and Population Health


FDA Releases Fact Sheet About New Opioid Action Plan

Staff Contacts: Sarah Willson or Leslie Porth

Amidst the growing opioid epidemic, the Food and Drug Administration has released details about its opioid action plan. The fact sheet includes the agency’s policy changes and the outcomes it hopes will result. Expanding the use of advisory committees, the FDA will convene an expert advisory committee before approving any new drug application for an opioid. More importantly, it is the FDA’s philosophy to involve outside participants to make the best decisions.

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ACGME Announces Funding Opportunity For Physician And Resident Education

Staff Contact: Alison Williams

Today, the Accreditation Council for Graduate Medical Education launched an initiative to transform clinical training for residents and physicians who pursue formal specialty and subspecialty training at ACGME-accredited institutions. The initiative is in partnership with the American Hospital Association and other organizations. As part of the program, ACGME will provide up to $75,000 a year for four years to as many as eight sponsoring institutions. In an AHASTAT blog post, AHA Chief Medical Officer John Combes, M.D., wrote “ACGME’s focus on pursuing excellence in the clinical learning environment will assist hospitals and health systems in becoming true learning organizations, improving clinical care and patient outcomes, while at the same time developing the next generation of clinicians and health care leaders.”

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Consider This ...

In 2014, Missouri hospitals provided more than $1.3 billion in uncompensated care and $2.75 billion in total community benefit, while employing nearly 148,000 workers and investing $1.6 billion in capital projects.

Source: MHA's Annual Community Investment Report