MHA Today | May 11, 2016

May 11, 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
State Legislators Expand Access To Opioid Overdose Antidote
New Enactment Affects Pharmacy And Insurance Regulation
MHA Develops Acute Care And Critical Access QAPI Guide
CMS Hosts Health Care Fraud Awareness Symposium
Region 7 Releases “The Pulse of CMS” Newsletter
Trajectories — Hospital Preparedness
FDA Panel: Physician Opioid Training Should Be Mandatory

Advocate
state and federal health policy developments


State Legislators Expand Access To Opioid Overdose Antidote

Staff Contact: Daniel Landon

The newly-enacted House Bill 1568 gives greater authority to dispense and possess naloxone, which is used in emergency situations as an antidote to an opioid overdose. Those administering the drug must immediately contact emergency personnel. The bill limits criminal and civil liability and professional licensure discipline for those providing or using naloxone as specified in the legislation.

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New Enactment Affects Pharmacy And Insurance Regulation

Staff Contact: Daniel Landon

Senate Bill 865 has been enacted by the General Assembly. The final version of the bill revises the regulation of pharmacists and pharmacies, allows pharmacists some flexibility in dispensing quantities of maintenance medications, requires insurers to offer medication synchronization services and sets standards for contracts with pharmacy benefit managers. The bill also creates new laws governing transparency of insurance premium rates, modifies several other insurance regulatory standards and authorizes a palliative care advisory council. The governor will review the enacted bill.

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Regulatory News
the latest actions of agencies monitoring health care


MHA Develops Acute Care And Critical Access QAPI Guide

Staff Contacts: Sarah Willson or Dana Dahl

MHA has developed an acute care and critical access quality assurance/performance improvement guide which is designed to help key hospital leaders recognize and understand the major components of the QAPI initiative. The 58-page guide will support organizations’ quality improvement efforts, and is designed for professionals who are new to their position, organization or level of responsibility.

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CMS Hosts Health Care Fraud Awareness Symposium

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services is hosting the “Health Care Fraud Awareness Symposium” on Wednesday, June 8, at North Kansas City Hospital. The purpose is to educate physicians and other health care providers on how to safeguard and protect their professional and medical identity, as well as their medical practice, patients and clients from fraud. The agenda features national speakers from CMS, the Federal Bureau of Investigation and other agencies. Topics include contractor auditing practices, a health care fraud panel discussion and CMS’ efforts to combat fraud. Registration is required.

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Region 7 Releases “The Pulse of CMS” Newsletter

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services’ Region 7 has issued the May edition of The Pulse of CMS. The newsletter highlights the following.

  • marketplace updates
  • UnitedHealthcare operations update
  • new and improved summary of benefits and coverage template
  • reminders for a smooth transition from the marketplace to Medicare coverage
  • small business health options program marketplace resources for agents and brokers
  • final rule on fire safety requirements
  • proposed Medicare Access and Children’s Health Insurance Program requirement summary


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Quality and Population Health


Trajectories — Hospital Preparedness

Staff Contact: Jackie Gatz

TrajectoriesThe May issue of Trajectories highlights the importance of hospital preparedness. Hospital preparedness has significantly evolved throughout the past 15 years. In Missouri, the lessons of the Joplin tornado continue to drive planning and improvement. Nationally, the lessons learned from the Sept. 11, 2001, terrorist attacks and Hurricane Katrina prompted The Joint Commission to establish an emergency management chapter in 2009 and a requirement of stronger leadership engagement in 2014. It was the recurrence of critical health care operational failures during Superstorm Sandy, however, that drove the Centers for Medicare & Medicaid Services to propose new emergency preparedness conditions of participation for 17 provider and supplier groups in December 2013.

The new CoPs identify the need for all health care organizations to develop a comprehensive emergency management program, to include policies, education and evaluation ensuring staff competency to deliver safe and effective care during a disaster.

The proposed rule is divided into the following five categories.

  • risk assessment and planning
  • policies and procedures
  • communications plan
  • training and testing
  • emergency and standby power systems

Throughout the rule, hospitals are identified as critical in all elements of a community-based response. “Additionally, since Medicare-participating hospitals are required to evaluate and stabilize every patient seen in the emergency department and evaluate every inpatient at dis-charge to determine his or her needs and to arrange for post-discharge care as needed, hospitals are in the best position to coordinate emergency preparedness planning with other providers and suppliers in their communities.”

The rule was delivered to the Office of Management and Budget on Nov. 4, 2015, and currently is under fiscal review. By statute, the rule must be finalized before December 2016 — three years from its introduction. MHA currently is developing programming to assist hospital staff with the anticipated requirements.

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FDA Panel: Physician Opioid Training Should Be Mandatory

Staff Contacts: Leslie Porth or Alison Williams

During a recent U.S. Food and Drug Administration advisory panel meeting, it was concluded that physician training on the risks of prescription opioids should be mandatory and include information on immediate-release, extended-release and long-acting formulations. The FDA’s Drug Safety and Risk Management Advisory Committee and the Anesthetic and Analgesic Drug Products Advisory Committee unanimously voted to modify the extended-release/long-acting opioid analgesic risk evaluation and mitigation strategies. Prescriber education is just one of the recommended strategies to reduce the opioid epidemic.

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Consider This ...

This week is National Hospital Week. There are 97,848 registered nurses in Missouri.

Source: Missouri State Board of Nursing