MHA Today | May 16, 2016

May 16, 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 Offers Provider Training For Presumptive Eligibility
CMS Issues New Survey And Certification Guideline
TJC Releases Standards Clarification
Opioid Epidemic: Making Progress
AHRQ Releases Opioid Disorder Management Draft Report
SAMHSA Kicks Off 5th Annual National Prevention Week

What You Need To Know This Week


Advocate
state and federal health policy developments


State Offers Provider Training For Presumptive Eligibility

Staff Contact: Steve Renne

The Family Services Division and the MO HealthNet Division are offering interactive web-based training sessions for presumptive eligibility for MO HealthNet recipients. FSD will cover the provider training requirements associated with issuing the PE for MO HealthNet recipients, and MHD will answer billing questions. Six training sessions are being offered beginning Tuesday, May 17, through Tuesday, May 31.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues New Survey And Certification Guideline

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services has released a new survey and certification memo for solid transplant programs. Medicare Conditions of Participation require that each solid organ transplant program maintain patient and graft survival rates that are within certain CMS tolerance limits. Outcomes between 150 and 185 percent of the risk-adjusted expected number would constitute a “standard level” deficiency, which requires improvement efforts, but by itself, does not put a program’s Medicare participation at risk. One-year, post-transplant patient deaths or graft failures that exceed 185 percent of the expected number generally will be classified at the more serious “condition-level” if such a finding occurs in more than one report.

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TJC Releases Standards Clarification

Staff Contact: Sarah Willson

Recently, The Joint Commission updated its primary source verification requirements. Organizations are required to verify and document education and experience only when specific minimum requirements are written into the job description. Organizations determine how verification and documentation of education and experience will be managed. TJC has provided PSV clarification for hospitals and hospital clinics, ambulatory health care, critical access hospitals and home care.

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Quality and Population Health


Opioid Epidemic: Making Progress

Staff Contacts: Daniel Landon or Leslie Porth

The U.S. Senate passed American Hospital Association-supported opioid abuse legislation in March, and this week, the House of Representatives, with an overwhelming bipartisan majority, enacted a series of AHA-supported measures, including the following provisions.

  • encouraging the use and distribution of opioid overdose reversal drugs
  • permitting partial filling of prescriptions to avoid overuse
  • creating a Food and Drug Administration advisory committee to review opioids without abuse-deterrent properties before approval


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AHRQ Releases Opioid Disorder Management Draft Report

Staff Contacts: Leslie Porth or Alison Williams

The Agency for Healthcare Quality and Research released a draft report, titled “Medication-Assisted Treatment Models of Care for Opioid Use Disorder in Primary Care Settings.” Comments on the report are welcome.

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Noteworthy


SAMHSA Kicks Off 5th Annual National Prevention Week

Staff Contact: Sarah Willson

The Substance Abuse and Mental Health Services Administration has kicked off National Prevention Week, held May 15-20. National Prevention Week is dedicated to increasing public awareness of, and action around, mental and/or substance use disorders. This year’s theme is “Strong As One. Stronger Together.” A free webinar, “Preventing Youth Marijuana Use: Changing Perception of Risk,” is being held on Thursday, May 19. Register online.

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Consider This ...

Mood disorders, including major depression, dysthymic disorder and bipolar disorder, are the third most common cause of hospitalization in the U.S. for both youth and adults ages 18 to 44.

Source: National Alliance on Mental Illness