MHA Today | April 6, 2016

April 6, 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
CMS Offers IRF QRP Training
TJC Releases 2015 Most Cited Standards List
CMS Accepts Primary Source Verification For Laboratories
Department Of Social Services Engages Contractor To Conduct Audits
ONC Offers New Website Resources To Manage Opioids
JAMA Study Notes Increase In Average Price Of Insulin

Regulatory News
the latest actions of agencies monitoring health care


CMS Offers IRF QRP Training

Staff Contact: Jim Mikes

The Centers for Medicare & Medicaid Services will be hosting a two-day train-the-trainer event May 18-19, in Dallas. The training is open to all inpatient rehabilitation facility providers, associations and organizations. The focus of the event is to provide IRFs with assessment-based data collection instructions and updates associated with the changes in the Oct. 1, 2016, release of the IRF-Patient Assessment Instrument Version 1.4 and other reporting requirements of the IRF Quality Reporting Program. Email PACTraining@econometrica.com to receive registration information.

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TJC Releases 2015 Most Cited Standards List

Staff Contact: Sarah Willson

The Joint Commission’s latest list of most-cited standards was dominated by safety issues. Following a multiyear trend, eight of the top 10 cited standards came from the environment of care, life safety or infection control chapters, with most of them changing places within the top 10.

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CMS Accepts Primary Source Verification For Laboratories

Staff Contacts: Sarah Willson or Jim Mikes

The Centers for Medicare & Medicaid Services has had many requests from laboratories, accreditation organizations and other health care facilities to accept primary source verification of education, training, experience and licensure in laboratory services to demonstrate compliance with regulatory requirements. Effective immediately, CMS surveyors will accept PSV documentation as evidence of laboratory compliance with the personnel requirements stated in 42 CFR, Part 493, Subpart M. It should be noted that the PSV company is not responsible for determining whether a given individual meets the personnel requirements under clinical laboratory improvement amendments. Learn more in CMS’ survey and certification memo 16-18-CLIA.

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Department Of Social Services Engages Contractor To Conduct Audits

Staff Contacts: Sarah Willson, Steve Renne or Andrew Wheeler

HMS will soon conduct credit balance audits on behalf of the Missouri Department of Social Services, MO HealthNet Division and Missouri Medicaid Audit and Compliance. Before receiving correspondence from HMS, MMAC will send a letter notifying a hospital or nursing home when an audit is scheduled. MMAC also will notify MHA, the Missouri Health Care Association and LeadingAge Missouri.

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Quality and Population Health


ONC Offers New Website Resources To Manage Opioids

Staff Contacts: Leslie Porth or Alison Williams

The Office of the National Coordinator for Health Information Technology has developed a new Web page, which provides information on how health IT solutions are being used to address the opioid crisis. The page provides links to a variety of health IT solutions that address prescription drug misuse, abuse and diversion.

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JAMA Study Notes Increase In Average Price Of Insulin

Staff Contacts: Leslie Porth or Alison Williams

A recent study in the Journal of the American Medical Association shows that the average price per milliliter of insulin increased by 197 percent between 2002 and 2013 to $12.92. The authors analyzed individual and prescription-level data from the Medical Expenditure Panel Survey to compare trends in expenditure and price of anti-hyperglycemic medications in the U.S. from 2002 through 2013. Based on a sample of 27,878 people treated for diabetes, average annual spending for insulin per patient increased from $231 to $736 during the period.

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Consider This ...

April is Alcohol Awareness Month. An estimated 32 percent of fatal car crashes involve an intoxicated driver or pedestrian.

Source: National Council on Alcoholism and Drug Dependence