MHA Today | March 2, 2016

March 2, 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
House Advances Infection Control Measure
Committee Approves Certificate Of Need Bill
VA Announces Efforts To Improve Timely Payment To Community Providers
HHS Announces Proposed Rule To Support Certified Health IT
Region 7 Releases “The Pulse of CMS” Winter Edition
Trajectories – Opioids: A Population Health Dilemma
CMS Announces eCQM Program Education Webinar
HHS Releases Comprehensive Zika Virus Resource

Advocate
state and federal health policy developments


House Advances Infection Control Measure

Staff Contact: Daniel Landon

The state House of Representatives has given first-round approval to House Bill 1855. The bill would update state laws governing infection control, and is a slightly updated version of a 2015 negotiated accord that would curtail duplicative state and federal reporting. MHA supports the bill. An identical bill already has passed the state Senate and is pending in the House.

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Committee Approves Certificate Of Need Bill

Staff Contact: Daniel Landon

Current state law exempts state-owned health facilities from certificate of need review. House Bill 2441 would repeal that exemption for state-operated licensed hospitals other than state psychiatric hospitals of the Department of Mental Health. A House committee has approved the bill with changes that preserve and clarify the exemption for medical equipment acquired for research or teaching purposes.

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VA Announces Efforts To Improve Timely Payment To Community Providers

Staff Contact: Daniel Landon

The U.S. Department of Veterans Affairs has announced administrative changes designed to reduce payment delays for community providers serving veterans in the Veterans Choice program. The VA’s initiative includes a 121-page plan to consolidate various community care programs.

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Regulatory News
the latest actions of agencies monitoring health care


HHS Announces Proposed Rule To Support Certified Health IT

Staff Contact: Andrew Wheeler

The U.S. Department of Health & Human Services and the Office of the National Coordinator For Health Information Technology proposed a rule that would modify the health IT certification program to reflect the adoption of certified electronic health records and the fast pace of innovation in the health IT market. The proposed rule further enhances the safety, reliability, transparency and accountability of certified health IT for users. The rule focuses on enabling the ONC to directly review certified health IT products, increasing ONC oversight of health IT testing and providing results of surveillance of certified health IT programs to the public. Comments are due by 4 p.m. 60 days after publication in the Federal Register.

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Region 7 Releases “The Pulse of CMS” Winter Edition

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services’ Region 7 released its winter edition of The Pulse of CMS. The newsletter highlights the following.

  • Affordable Care Act results in premium rebates
  • transforming clinical practice initiative
  • durable medical equipment, prosthetics, orthotics and supplies update
  • comprehensive care for joint replacement update


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Quality and Population Health


Trajectories – Opioids: A Population Health Dilemma

Staff Contact: Alison Williams

TrajectoriesThe March issue of Trajectories discusses how opioids are a population health dilemma not only in Missouri, but also nationwide.

As health care providers are challenged to address patient care issues at a population health level, much work has focused on reducing patient harm. Missouri hospitals have addressed many patient safety issues and reduced harm across clinical topics throughout the last several years. One key issue has been in the area of adverse drug events, with particular emphasis on managing outcomes for patients receiving opioids as part of a treatment plan.

Recent Hospital Industry Data Institute analyses of opioid use in Missouri hospitals throughout the last decade indicate the following.

  • opioid misuse has increased significantly in Missouri throughout the last 10 years, particularly among white males younger than the age of 30 and the uninsured
  • hospital utilization for opioid overuse in Missouri increased 137 percent between 2005 and 2014

Maps from the Center for Behavioral Health Statistics and Quality show the significant increase in hospital admissions for primary non-heroin opiates/synthetics admission rates by state (per 100,000 population ages 12 and older) from 2001 to 2011. Missouri notes a five-fold increase in admissions (see Figure 2 in this month’s edition).

Of interest, the top 10 diagnosis codes included on emergency department visit and hospital admission records in Missouri from 2005 to 2014 can be categorized into three common themes — withdrawal symptomatology, poisoning and mental health-associated disorders. Identification of opioid abuse “hot spots” can help population health planners understand opioid-related abuse and mortality, and allocate resources to reduce them. According to HIDI analyses, the St. Louis metropolitan area shows the highest rates statewide of hospital utilization for opioid overuse (see Figure 3 in this month’s edition); however, the largest increases during the last 10 years mostly have been in the rural Northeast and Southeast regions of the state.

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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. Thursday, March 10. The webinar, titled “PSVA Demonstration and eCQM Program Q&A Session,” will provide a live demonstration of the pre-submission validation application followed by an open Q&A session focused on the eCQM program requirements for calendar year 2016. Registration is required.

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HHS Releases Comprehensive Zika Virus Resource

Staff Contacts: Alison Williams or Jackie Gatz

The U.S. Department of Health & Human Services’ Office of the Assistant Secretary for Preparedness and Response has released a new comprehensive resource on Zika virus for clinicians and emergency response personnel. “Zika: Resources at Your Fingertips” includes an overview of the virus — its epidemiology, symptoms, where it is found and how it is transmitted. The guide will be updated as new information or guidance becomes available. Additional information can be found at www.cdc.gov/zika and www.aha.org/zika.

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Consider This ...

Nationally, opioid-related stays increased 31 percent from 1993 to 2012, and more than half of patients were insured with Medicare and Medicaid.

Source: Trajectories — March 2016 edition