MHA Today | April 5, 2016

April 5, 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
Bill Restricts Bail Bond Recovery Arrests In Hospitals
Bill Advances With Hospital Regulatory Relief Amendment
MO HealthNet Issues 2016 Outpatient Radiology Fee Schedule
February MUR Available On HIDI Analytic Advantage®
CMS Adjusts Medicare Advantage Plans Based On Dually-Eligible
Stakeholders Meet To Improve Diabetes Care, Health Outcomes And Health Equity
CMS Reminds Hospitals Of IQR Reporting Deadlines
CMS Releases Quality Reporting Checklists
HRSA Hosts Webinar On New GME Tool For Rural Areas

Advocate
state and federal health policy developments


Bill Restricts Bail Bond Recovery Arrests In Hospitals

Staff Contact: Daniel Landon

A state House committee has reviewed legislation to prevent bail bond agents from apprehending a patient or resident in a hospital or long-term care facility.

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Bill Advances With Hospital Regulatory Relief Amendment

Staff Contact: Daniel Landon

In debating House Bill 2376, the state House of Representatives added an amendment that would revise hospital licensure standards to reflect updated life safety and construction codes and reduce the burden of complying with differing state and federal regulations. It was developed in consultation with the Missouri Society of Hospital Engineers.

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Regulatory News
the latest actions of agencies monitoring health care


MO HealthNet Issues 2016 Outpatient Radiology Fee Schedule

Staff Contacts: Daniel Landon or Steve Renne

The MO HealthNet Division has posted its outpatient radiology fee schedule for 2016 on its website under the “General Information” heading. MHD notes that the “revised fee schedule contains rates effective Jan. 1, 2014, through 2016 dates of service.”

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HIDI Tech Connect


February MUR Available On HIDI Analytic Advantage®

Staff Contact: Cerise Seifert

Data for the February 2016 monthly utilization report have been posted on HIDI Analytic Advantage® and are available to download for distribution or placement in a network folder. HIDI Analytic Advantage® PLUS has been updated to include this data. The contacts from the participating hospitals have been notified by email, and they may download and save the Excel worksheet to a secure location on their networks or PCs. The data are encrypted on the site and also during the transmission from HIDI. Once transferred, the data must be secured according to the hospital’s security procedures. March 2016 data are being collected now and are scheduled to be available Thursday, May 5.

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Quality and Population Health


CMS Adjusts Medicare Advantage Plans Based On Dually-Eligible

Staff Contacts: Leslie Porth, Mat Reidhead or Andrew Wheeler

Yesterday, The Centers for Medicare & Medicaid Services announced that it will begin to adjust Medicare Advantage and Part D quality metrics to reflect differences stemming from social determinants of health. MHA has published an issue brief with additional details. The move is designed to “improve the accuracy of payments to Medicare Advantage plans that serve vulnerable populations, such as dually-eligible or low-income beneficiaries.” As noted by David Nash, M.D., Founding Dean of the Jefferson College of Population Health, “Your zip code is your health care destiny.”

While this modification for the MA plan star rating system may be viewed by some as a bellwether for future action by CMS on risk adjustment for sociodemographic factors in the fee-for-service quality outcomes measurement systems, recent action at the National Quality Forum to test the effects of social determinants on the FFS measures suggest policy change for programs, such as the Hospital Readmission Reduction Program, may be a more distant goal for the agency. NQF recently endorsed three, 30-day episodic cost measures without adjustment for SDS factors, and the readmission measure developers at Yale recently proposed endorsement for the acute myocardial infarction and coronary artery bypass grafting readmission measures used in the HRRP without SDS adjustment.

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Stakeholders Meet To Improve Diabetes Care, Health Outcomes And Health Equity

Staff Contact: Leslie Porth

On Friday, MHA and a coalition of stakeholder organizations held a meeting to begin addressing the growing diabetes problem in Missouri. Today, the coalition partners issued a news release announcing their commitment to work collaboratively to improve care, patient outcomes and increase health equity for patients with diabetes. This month’s HIDI HealthStats addresses diabetes disparities — even among nearly adjacent ZIP codes — and demonstrates Missouri’s chasms in health equity, both geographically and demographically.

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CMS Reminds Hospitals Of IQR Reporting Deadlines

Staff Contact: Sherry Buschjost

Eligible inpatient quality reporting hospitals with an active IQR Notice of Participation are required to complete the structural measures, data accuracy and completeness acknowledgement form, and perinatal care (PC-01) web-based measures between April 1 and Sunday, May 15. Data must be submitted using the inpatient web-based measures data entry tool through the QualityNet Secure Portal. Additional deadlines include the following.

  • Wednesday, April 6 – Hospital Consumer Assessment of Healthcare Providers and Systems
  • Sunday, May 1 – population and sampling
  • Sunday, May 15 – clinical data, health care-associated infection, QualityNet security administrator, influenza vaccination coverage among health care personnel


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CMS Releases Quality Reporting Checklists

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services recently released fourth quarter 2015 inpatient and outpatient quality reporting checklists. The reports will assist hospitals in determining necessary steps for submitting data and running reports to review data submissions.

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Noteworthy


HRSA Hosts Webinar On New GME Tool For Rural Areas

Staff Contacts: Jim Mikes or Meredith Kenyon

The Health Resources and Services Administration is hosting a webinar at 2 p.m. Monday, April 11, to introduce a new graduate medical education eligibility tool. The tool is designed for rural hospital administrators, and local and state rural stakeholders who are interested in developing and sustaining residency programs in rural areas. Staff from the Centers for Medicare & Medicaid Services will discuss rural hospital eligibility to qualify for Medicare GME payments. Register online. Dial 888/566-6189 and enter passcode 1587594 to participate.

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Consider This ...

This week is National Public Health Week. More than 24 million homes have lead-based paint hazards, which put children at risk of lead poisoning.

Source: American Public Health Association