MHA Today | February 29, 2016

February 29, 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
HIDI HealthStats — Sociodemographic Factors In Risk-Adjusted Readmission Measures
Two Rivers Behavioral Health System Names New CEO
Western Missouri Medical Center Names New President And CEO


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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.

Compared to the standard Centers for Medicare & Medicaid Services’ approach, the sociodemographic status-enriched models produced significant reductions in the measured quality differences in each of the six measures evaluated for Missouri hospitals with 25 or more cases during the 36 months ending in May 2015. Table 3 in this month’s edition shows the minimum and maximum assessments for each condition measured by both the CMS and SDS-enriched methodological approaches. The percent change in variance represents the relative difference in the range for each assessment method. At a 35 percent relative reduction, the acute myocardial infarction measure was least sensitive to the included SDS factors, while total hip and knee arthroplasty was most sensitive with a relative variance reduction of more than 80 percent.

Table 4 in this month’s edition includes the distribution of impacted hospitals under each assessment method by the average poverty rate of patients’ census tracts and the percentage of patients with Medicaid listed as primary payer on the discharge record. Hospitals with reduced (improved) assessments with the SDS-enriched models had higher rates of SDS-disadvantaged patients compared with hospitals receiving increased assessments. The relationship was more pronounced for hospitals with assessed risk-standardized readmission ratios that were greater than one (higher than expected) under the CMS models to less than one (below expected) with SDS-enrichment.

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CEO Announcements


Two Rivers Behavioral Health System Names New CEO

Staff Contact: Carol Boessen

Terry Trafton has been named CEO/Managing Director of Two Rivers Behavioral Health System in Kansas City, effective Feb. 29. Trafton most recently served as Associate Administrator of Truman Medical Center in Kansas City and worked in the Truman Behavioral Health Division since 1997. He replaces Cara Macaleer, who resigned in December. A list of CEO changes is available online.

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Western Missouri Medical Center Names New President And CEO

Staff Contact: Carol Boessen

Western Missouri Medical Center in Warrensburg has named Darinda J. Reberry as President and CEO, effective Feb. 26. Reberry joined the hospital in October 2013 as Vice President of Patient Care Services/Chief Nursing Officer. She has served as Interim President and CEO since September 2015, succeeding Susan Stiles. A list of CEO changes is available online.

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Consider This ...

Missouri's state government spends more than $636 million annually for psychiatric services for the mentally ill, most of it funded by general revenue and federal Medicaid dollars.

Source: Southeast Missourian