MHA Today | April 4, 2016

April 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. Connect with us on LinkedIn.

In This Issue
Report Assesses 2014 Commercial Insurance Market
State Releases March 2016 General Revenue Report
TJC Revises Deemed Program Requirement For Psychiatric Hospitals
HIDI HealthStats — Diabetes And Health Equity
TJC Announces Pioneers In Quality Program Education Session


Upcoming SEMINAR
MHA's 7th Annual Behavioral Health Conference: Hope in an Era of Skepticism
Thursday, April 14, to Friday, April 15


Advocate
state and federal health policy developments


Report Assesses 2014 Commercial Insurance Market

Staff Contact: Daniel Landon

A new report reviews changes in commercial health insurance markets in 2014, the first year of marketplace offerings created by the federal Affordable Care Act. The report was created by Milliman, an actuarial consulting firm.

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State Releases March 2016 General Revenue Report

Staff Contact: Steve Renne

State general revenue collections in March 2016 increased 13.5 percent compared to March 2015. Fiscal year 2016 general revenue collections increased by 4.2 percent compared to last year.

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Regulatory News
the latest actions of agencies monitoring health care


TJC Revises Deemed Program Requirement For Psychiatric Hospitals

Staff Contact: Sarah Willson

The Joint Commission has approved a revision to the deemed program requirement for psychiatric hospitals, which will be published in the next semiannual update to print manuals, as well as in the online E-dition. Effective today, the Provision of Care, Treatment and Services Standard PC.01.03.01 will read as follows, “Elements of Performance for PC.01.03.01 (C6) for psychiatric hospitals that use Joint Commission accreditation for deemed status purposes: The written plan of care includes the following: 1) A substantiated diagnosis (The substantiated diagnosis is the diagnosis identified by the treatment team to be the primary focus upon which treatment planning will be based. It evolves from the synthesis of data from various disciplines. The substantiated diagnosis may be the same as the initial diagnosis, or it may differ, based on new information and assessment.); 2) Documentation to justify the diagnosis and the treatment and rehabilitation activities carried out; 3) Documentation that demonstrates all active therapeutic efforts are included; and 4) The specific treatment modalities used to treat the patient.”

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HIDI Tech Connect


HIDI HealthStats — Diabetes And Health Equity

Staff Contact: Mat Reidhead

HIDI HealthStats, April 2016 The April issue of HIDI HealthStats discusses how diabetes affects Missouri communities differently and the opportunities that arise to promote health equity. Health disparities and inequalities occur when notable differences in health factors or health outcomes are observed between different populations. In the U.S., significant differences exist between populations of different demographic, socioeconomic and geographic strata in key health outcomes, such as average life expectancy. The study of health disparities dates to 1714 Italy, when Bernardino Ramazzini observed and documented an abnormally high incidence of breast cancer among a group of Catholic nuns compared to married women. The first known linkage of health disparities to social determinants of health occurred in 1840 when statistician Edwin Chadwick quantified significantly lower life expectancy for the working poor in Liverpool, England.

Although the U.S. spends more on health care than any other World Health Organization member nation — 17 percent of gross domestic product in 2012 — health parity remains elusive. The U.S. consistently ranks last in an annual comparison of the health systems of 11 developed countries in terms of quality, access, efficiency, expenditures, health-related quality of life and health equity. Health disparities are powerful determinants of poor health outcomes and excessive health expenditures in the U.S. A notable health disparity in Missouri is that black patients are overrepresented in hospital utilization compared to the total population.

Diabetes has a significant direct and indirect role in health disparities. Cardiovascular disease is the most common cause of death for the entire population in the U.S. The risk of premature death from heart disease or stroke is 50 percent higher for black males than for white males. Moreover, there is a strong correlation between diabetes and cardiovascular health. Cardiovascular death rates are 2 to 4 times higher for individuals with diabetes, and the primary cause of death for 65 percent of all patients with diabetes is heart disease or stroke.

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Quality and Population Health


TJC Announces Pioneers In Quality Program Education Session

Staff Contact: Sherry Buschjost

The Joint Commission launched the Pioneers in Quality program earlier this year to assist hospitals on their journey towards electronic clinical quality measure adoption. The primary goal of the program is to help hospitals accurately reflect the patient care they provide while gaining clarity on how to be a "top performer" with new measurement requirements. The second webinar in the educational series has been scheduled at 11 a.m. Tuesday, April 26. The session, titled “The ABCs of eCQMs: Acronyms and Resources You Need to Know,” will review common eCQM terms, tools and resources for eCQM reporting, as well as terminologies and value sets used to represent eCQM data elements. Registration is required. Space is limited; registration will close when maximum capacity is reached.

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Consider This ...

This week is National Public Health Week. Air pollution is responsible for triggering thousands of U.S. preterm births, resulting in more than $4 billion in health care costs and economic losses.

Source: American Public Health Association