MHA Today | June 8, 2016

June 8, 2016
MHA Today: News for Healthcare Leaders




MoHospitals Logo 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
House Of Representatives Passes “Helping Hospitals Improve Patient Care Act”
CMS Announces Delay In JW Modifier Requirement
CMS Releases Proposed Rule That Strengthens Marketplace
HIDI HealthStats — Mental Health In Missouri
April MUR Available On HIDI Analytic Advantage®
MHA Provides Orientation Resources For Quality Staff
AHA And CDC Issue Patient Education Resource On Prescription Opioids
MHA Selects New Patient Safety Organization Vendor

Advocate
state and federal health policy developments


House Of Representatives Passes “Helping Hospitals Improve Patient Care Act”

Staff Contact: Andrew Wheeler

The U.S. House of Representatives’ Ways and Means Committee recently announced proposed legislation that would modify Medicare payment rules for certain hospital services. The House now has passed H.R. 5273, also known as the “Helping Hospitals Improve Patient Care Act of 2016,” by unanimous voice vote. The legislation now moves to the Senate.

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CMS Announces Delay In JW Modifier Requirement

Staff Contact: Andrew Wheeler

Yesterday, the Centers for Medicare & Medicaid Services announced the effective dates of July 1, 2016, to Jan. 1, 2017, for requiring the JW modifier to be reported when Medicare Part B drugs and biologicals were not used completely. Although CMS has not yet placed it in writing, representatives on an open door forum call stated that an FAQ document soon will be released along with a new change request. MHA continues to investigate the implications of the JW modifier requirement with pharmacists, finance staff, CMS and the Wisconsin Physicians Service Insurance Company.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Proposed Rule That Strengthens Marketplace

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a proposed rule that will enhance the marketplace by strengthening the marketplace risk pool. The proposed rule is aimed at “curbing abuse of short-term limited duration plans.” CMS also announced additional actions, including improving the risk-adjustment program, helping consumers who turn 65 make the transition to Medicare, beginning full implementation of the special enrollment confirmation process and continuing efforts to reduce data-matching issues.

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HIDI Tech Connect


HIDI HealthStats — Mental Health In Missouri

Staff Contacts: Mat Reidhead or Sarah Willson

June 2016 HealthStats Mental Health The June issue of HIDI HealthStats discusses the limited access, increasing demand and tragic consequences of mental health in Missouri. Mental health disorders are pervasive and often chronic conditions. Nearly 20 percent of all adults in the U.S. and Missouri experience a diagnosable mental health disorder each year, and nearly half will experience a mental health disorder during their lifetime. Seven in 10 Americans experience the physical and emotional symptoms of stress, and fewer than 4 in 10 believe they can adequately manage their stress. Research suggests that mental health disorders are a leading cause of mortality globally, and that significant preventive opportunities exist to limit the global burden of premature death caused by mental health-related diseases and disorders. A major contributor to mental health-related mortality is suicide, which has been characterized as an epidemic in the U.S. In 2014, there were 42,773 deaths by suicide in the U.S., making it the 10th leading cause of death among adults and the third leading cause of death among people ages 10 to 24. Suicide costs society more than $44.6 billion in combined medical and work loss costs annually in the U.S.June 2016 HealthStats Mental Health Figure 1

Missouri data suggest that a cyclical relationship exists between access to mental health services, hospital utilization for mental health disorders and adverse outcomes, such as suicide and suicidal thoughts.

  • Access to mental health services are particularly limited in Missouri where 90 percent of counties are federally-designated mental health shortage areas and 61 percent have no licensed psychiatrists.
  • The growth rate of hospital utilization for mental health disorders in Missouri more than doubled the rate of hospital utilization for all other conditions combined during the previous 10 years.
  • Hospital visits by Missouri residents with diagnosed suicide ideation quadrupled between 2006 and 2015, and the death rate for suicide increased 34 percent between 2003 and 2014 (Figure 1). Missouri has the 17th highest suicide rate in the country, and is second highest only to North Dakota in the Midwestern region.


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April MUR Available On HIDI Analytic Advantage®

Staff Contact: Cerise Seifert

Data for the April 2016 monthly utilization report have been posted on HIDI Analytic Advantage® and are available to download for distribution or placement in a network folder. HIDI Analytic Advantage® PLUS has been updated to include this data. The contacts from the participating hospitals have been notified by email, and they may download and save the Excel worksheet to a secure location on their networks or PCs. The data are encrypted on the site and also during the transmission from HIDI. Once transferred, the data must be secured according to the hospital’s security procedures. May 2016 data are now being collected and are scheduled to be available Tuesday, July 5.

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Quality and Population Health


MHA Provides Orientation Resources For Quality Staff

Staff Contacts: Sarah Willson or Dana Dahl

Orientation resources for hospital staff that are new to a quality department or process improvement team can be found on MHA’s Regulatory Web page. Resources include a Quality Assurance Performance Improvement Guide, Survey Manual and Quality Regulatory Orientation Guide. Quality Reporting Guides are available on the Quality Initiatives Resources Web page.

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AHA And CDC Issue Patient Education Resource On Prescription Opioids

Staff Contacts: Leslie Porth or Alison Williams

The American Hospital Association and the Centers for Disease Control and Prevention have released a one-page prescription opioid resource to help hospital patients understand the risks and benefits of opioid medications.

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MHA Selects New Patient Safety Organization Vendor

Staff Contact: Leslie Porth

Following a thorough review and based on MHA-member feedback, MHA has selected Vizient™ as the new patient safety organization vendor for Missouri hospitals, effective July 1. The following telephone conferences have been scheduled to provide more information.

  • 9 a.m. Thursday, June 23 — 844/266-5442 (Conference ID# 26697670)
  • 2 p.m. Thursday, June 23 — 844/266-5442 (Conference ID# 26697669)


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Consider This ...

About 11 million U.S. adults with high blood pressure aren't aware they have it and are not receiving treatment to control it.

Source: Centers for Disease Control and Prevention