MHA Today | April 12, 2016

April 12, 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
Governor Orders State Agencies To “Ban The Box”
Senate Approves Helipad, Prescription Refill Bills
House Advances Health Bills
HIDI HealthStats — Diabetes And Health Equity
CMS Announces Availability Of Hospital-Specific Reports For 2017
USPSTF Releases Recommendations Linking Aspirin Use To CVD And CRC Prevention
QRC Announces VBP Program Webinar

Advocate
state and federal health policy developments


Governor Orders State Agencies To “Ban The Box”

Staff Contact: Daniel Landon

Gov. Jay Nixon has issued an Executive Order directing Missouri state agencies to revise their first-level employment applications to remove questions about the applicant’s criminal history. Those questions can be asked later in the application review process. Also, the standard won’t apply to jobs in which a criminal history would render the applicant ineligible for employment. The so-called “Ban the Box” policy will take effect in 90 days.

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Senate Approves Helipad, Prescription Refill Bills

Staff Contact: Daniel Landon

The Missouri Senate has given final approval to two bills and sent them to the House of Representatives. Senate Bill 988 bars the Missouri Department of Health and Senior Services from requiring fencing or other barriers around a hospital helipad or otherwise regulating hospital helipad construction or operation. Hospitals must ensure their helipads are free of obstruction and safe for use while a medical helicopter is approaching, taking off or on the helipad. Senate Bill 973 expands the authority of pharmacists to refill prescriptions of maintenance medications other than controlled substances.

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House Advances Health Bills

Staff Contact: Daniel Landon

Three health-related bills were given final approval by the state House of Representatives. House Bill 2135 sets new standards for emergency medical personnel and transport, including transport of behavioral health patients. House Bill 2202 restricts access to records of investigations of sexual abuse of children. House Bill 1466 sets criteria for considering proposals to create new types of state occupational licensure. Each bill now moves to the Senate.

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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. The burden of diabetes is disproportionately high for racial and ethnic minorities in the U.S. In addition to behavioral and physiological factors, social determinants of health such as income, education, housing and access to nutritious food are key drivers of the extreme growth in the incidence of Type 2 diabetes in the U.S., particularly among racial and ethnic minorities. It is estimated that 26 million adults ages 20 and older in the U.S. live with diabetes. In 2010, the age-adjusted prevalence of diabetes for non-Hispanic blacks was 11.3 percent and for Hispanics, the prevalence was 11.5 percent — nearly 70 percent higher than the prevalence for non-Hispanic whites at 6.8 percent. For individuals with less than a high school education, the prevalence was 11.6 percent — twice the rate of individuals with a college degree (5.8 percent).

Last year in Missouri, 6.8 percent of the black adult population ages 18 and older were diagnosed with diabetes during an inpatient hospitalization or emergency department visit. In relative terms, that is 71 percent higher than the 4 percent of white adults diagnosed in a hospital setting. Stratifying diabetes-related hospital patients by age, race and gender revealed that black patients had significantly higher rates of diagnosis in every sub-population evaluated. The largest observed disparity in the prevalence of hospital-based diabetes diagnoses was among black women ages 65 and older. For this group, 17.2 percent of the total population in Missouri experienced a diabetes diagnosis in a hospital setting last year. That is nearly twice the rate experienced by other women in the same age group.

The overall rate of growth for disparities in hospital-based diabetes diagnoses also is growing for black Missourians. One adverse outcome of uncontrolled diabetes is extremity amputation. Last year in Missouri, black men ages 35 and older accounted for just 2.4% of the total population and 11.9% of diabetes-related limb amputations — a health disparity factor of 5x.

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Quality and Population Health


CMS Announces Availability Of Hospital-Specific Reports For 2017

Staff Contacts: Dana Downing or Stephen Njenga

The Centers for Medicare & Medicaid Services has made available hospital-specific reports for the fiscal year 2017 hospital Value-Based Purchasing Program review and correction period for the following claims-based measures: 30-day risk-standardized mortality measures for acute myocardial infarction, heart failure and pneumonia. The Agency for Healthcare Research and Quality PSI-90 composite measure will be available for hospitals today. Users can access the reports on the QualityNet Secure Portal.

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USPSTF Releases Recommendations Linking Aspirin Use To CVD And CRC Prevention

Staff Contact: Leslie Porth

Today, the U.S. Preventive Services Task Force released a final recommendation statement on aspirin use for the primary prevention of cardiovascular disease and colorectal cancer.

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QRC Announces VBP Program Webinar

Staff Contacts: Dana Downing or Stephen Njenga

The Quality Reporting Center is hosting a webinar titled, “Patient Safety Series: MRSA/CDI,” for hospital Value-Based Purchasing Program participants. The webinar is scheduled at 1 p.m. Tuesday, April 26. Registration is required.

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Consider This ...

April is National Autism Awareness Month. Autism spectrum disorder occurs in all racial, ethnic and socioeconomic groups, but is about 4.5 times more common among boys than among girls.

Source: Centers for Disease Control and Prevention