MHA Today | April 26, 2016

April 26, 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
General Assembly Enacts New Infection Control And Telemedicine Laws
State Legislators Enact Tort Reform Law
CMS Issues Final Rule On Medicaid Managed Care
CMS Clarifies Computed Tomography Compliance
CMS Releases Policy Clarification On Acceptable Control Materials
Missouri Hospitals’ Safety Scores Improve
CMS Announces IQR Education Session


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General Assembly Enacts New Infection Control And Telemedicine Laws

Staff Contact: Daniel Landon

The General Assembly has completed its enactment of Senate Bill 579. The legislation updates state laws governing infection control. It is a slightly updated version of a 2015 negotiated accord that would curtail duplicative state and federal reporting. The final version of the bill also includes new state laws designed to clarify and expand the use of telemedicine. MHA supports the bill, which now will go to the governor for his review and action.

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State Legislators Enact Tort Reform Law

Staff Contact: Daniel Landon

With the state House of Representatives’ ratification of a bill that previously was the subject of an extended Senate filibuster, Senate Bill 847 is enacted. The legislation changes the “collateral source rule” governing how medical costs are considered in calculating potential damages in liability lawsuits. MHA, other provider and business organizations, insurers, and other tort reform proponents support the bill. The House of Representatives approved the measure with 95 “yes” votes; 109 votes are needed to override a likely gubernatorial veto of the legislation.

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CMS Issues Final Rule On Medicaid Managed Care

Staff Contacts: Daniel Landon or Steve Renne

The Centers for Medicare & Medicaid Services has issued a display copy of its final rules governing managed care in the Medicaid and CHIP programs. The agency published various fact sheets, available under the “Final Rule” tab on the website, as well as a table of implementation dates. The rules officially will be published in the May 6 Federal Register. MHA will publish an issue brief once available.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Clarifies Computed Tomography Compliance

Staff Contacts: Sarah Willson, Jim Mikes or Andrew Wheeler

Radiologists, hospital administrators, medical physicists and individual institutions have raised concern regarding the uncertainty of determination and documentation of compliance to the NEMA XR-29 “Standard Attributes on CT Equipment Related to Dose Optimization and Management” (MITA SmartDose) Standard. In response, the Centers for Medicare & Medicaid Services has compiled an FAQ document to clarify reimbursement changes for noncompliant systems and information regarding billing, coding and payment rates. The FAQs clarify stakeholder uncertainty and include aspects of payment reductions if computed tomography systems are found noncompliant.

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CMS Releases Policy Clarification On Acceptable Control Materials

Staff Contacts: Sarah Willson, Jim Mikes or Andrew Wheeler

The Centers for Medicare & Medicaid Services has released a survey and certification memo, titled “Policy Clarification on Acceptable Control Materials Used When Quality Control is Performed in Laboratories.” The memo provides clarification regarding acceptable control materials, function checks and procedural controls, and guidance for surveyors.

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Quality and Population Health


Missouri Hospitals’ Safety Scores Improve

Staff Contact: Alison Williams

The Leapfrog Group has released the most recent round of hospital safety scores. The scores provide consumers with information to make health care decisions based on multiple criteria focused around safe patient care. The scores include specific Hospital Consumer Assessment of Healthcare Providers and Systems survey questions and track methicillin-resistant staphylococcus aureus and C. difficile hospital-acquired infection rates. According to Leapfrog, changes to the survey and methodology resulted in movement across the letter grade scoring system for many hospitals. Missouri hospitals improved during the past two years — moving from D or F scores — and noted the highest number of surveyed organizations scoring an A or B. Hospitals’ improvements reflect their focused work throughout the past five years in reducing patient harm and improving quality of care and outcomes.

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CMS Announces IQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education webinar for participants in the Inpatient Quality Reporting Program has been scheduled at noon, Monday, May 9. The webinar, titled “2017 Hospital IPPS Proposed Rule,” will provide participants with the fiscal year 2017 Inpatient PPS Quality Program proposals, as well as an overview of how to log comments to become a matter of record and be responded to in the final rule. It also will address the rule’s impact on the Hospital-Acquired Condition Reduction Program and the Hospital Readmissions Reduction Program. Registration is required.

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Consider This ...

An estimated 33,439 lives could be saved each year if all hospitals had the same performance as those receiving an A grade on the hospital safety score survey.

Source: Healthcare IT News