MHA Today | June 13, 2016

June 13, 2016
MHA Today: News for Healthcare Leaders




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In This Issue
CDC Collaborates On New Opioid Patient Education Tool
HIDI HealthStats — Mental Health In Missouri
CMS Alerts Hospitals To Error In HAC Hospital-Specific Reports
CMS Develops Checklist On Submitting eCQM’s File Testing Data
CMS Announces Submission Deadline For First Quarter 2016 HCAHPS Surveys
CMS Hosts IQR Education Session

What You Need To Know This Week

  • Three comment letters are being filed by MHA this week — the Inpatient Rehabilitation Facility PPS for Federal Fiscal Year 2017, the Inpatient PPS for Acute Care Hospitals and the Long-Term Care Hospital PPS for FFY 2017 Rates, and the Hospice Wage Index and Payment Rate Update and Hospice Quality Reporting Requirements.
  • The MHA Management Services Corporation Board of Directors meets Tuesday.

Regulatory News
the latest actions of agencies monitoring health care


CDC Collaborates On New Opioid Patient Education Tool

Staff Contacts: Sarah Willson or Leslie Porth

The Centers for Disease Control and Prevention and the American Hospital Association have released a collaborative patient education resource about prescription opioids. Across the nation, hospitals are working to reduce the opioid epidemic. The two-page document provides evidence-based information for providers and patients about the risks and side-effects of, and alternatives for, opioids. In addition, hospitals and medical staffs should review their policies and procedures to ensure opioids are properly handled.

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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. One in 10 Missouri adults have a serious mental illness, and 40 percent of those adults go without treatment. Nearly 1 in 10 children between the ages of 12 and 17 in Missouri experienced a depressive episode during the previous year. Despite the need for mental health services among a large portion of the population, the average wait time to see a psychiatrist is 10 to 30 days for adults in Missouri and up to six months for children and teens. Access to inpatient psychiatric care also is becoming scarce. In 1990, Missouri had more than 1,400 additional psychiatric hospital beds as compared to 2012, a decrease in capacity of 32 percent. The net effect of this decline in capacity leaves Missouri with 22.2 psychiatric beds per 100,000 total Missouri population — fewer than half of the recommended minimum of 50 per 100,000. Movement toward community-based and away from inpatient-based mental health care is a goal shared by Missouri hospitals and freestanding inpatient psychiatric hospitals; however, success hinges on resource availability in Missouri’s communities that is adequate to meet the growing need for these services. June 2016 HealthStats Mental Health Figure 1A 2016 Missouri Hospital Association survey found that 61.3 percent of reporting hospitals had to temporarily board behavioral health patients in the emergency department during the previous week while attempting to stabilize the patient and locate placement in an appropriate setting. Three quarters of the boarded patients were between the ages of 21 and 64, and the majority (69 percent) had to be boarded for more than four hours. Forty percent remained in an ED bed for longer than eight hours and 9 percent remained for more than 24 hours. For 95 percent of respondents, the most common reason for extended ED stays for behavioral health patients was difficulty in finding a receiving facility for the patient because of the scarcity of psychiatric beds.

Better detection systems have identified an alarming mental health trend. Throughout the last decade, hospital diagnosis of suicide ideation for all Missouri residents increased 433 percent, with a nearly 900 percent increase among children and adolescents (pictured). Missouri has the second highest suicide rate in the Midwest.

Accessing inpatient psychiatric care can be particularly limited for low-income working-age adults. During the formation of the Medicaid program, Congress included a policy known as the Institution for Mental Disease, or IMD exclusion, which prohibits federal Medicaid payments to specialty inpatient facilities with more than 16 beds for adults ages 22 to 64. The policy was designed to shift the cost associated with treatment to state and local governments, but has largely limited access for these individuals.

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Quality and Population Health


CMS Alerts Hospitals To Error In HAC Hospital-Specific Reports

Staff Contacts: Dana Dahl or Stephen Njenga

The Centers for Medicare & Medicaid Services alerted hospitals to an error in some hospital-specific reports for hospital-acquired conditions that were distributed June 9 to hospitals. The reports had the wrong hospital name in Table 2, but all of the data was correct for the hospital receiving the report. Corrected reports will be redistributed to the affected hospitals. Hospitals should review their HSRs, including discharge-level data, and submit any questions by 1:59 p.m. Tuesday, July 12, to drahac@lantanagroup.com with the subject line: DRA HAC Preview Period Inquiry. The reports should not be emailed as they include personally identifiable information and protected health information.

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CMS Develops Checklist On Submitting eCQM’s File Testing Data

Staff Contacts: Dana Dahl or Stephen Njenga

The Centers for Medicare & Medicaid Services has developed the “CY 2016 Inpatient Quality Reporting — Electronic Health Record Alignment Preparation Checklist for eCQM Reporting — QRDA I File Testing Instructions” in response to provider need. The checklist outlines the steps needed to prepare for the submission of eCQM test file data.

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CMS Announces Submission Deadline For First Quarter 2016 HCAHPS Surveys

Staff Contacts: Dana Dahl or Stephen Njenga

The Centers for Medicare & Medicaid Services has announced that Wednesday, July 6, is the submission deadline for the Hospital Consumer Assessment of Healthcare Providers and Systems patient perspectives on care survey data for first quarter 2016 discharges (Jan. 1 to March 31, 2016).

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CMS Hosts IQR Education Session

Staff Contacts: Sherry Buschjost

The next outreach and education webinar for participants in the Inpatient Quality Reporting Program is scheduled at 1 p.m. Monday, June 27. The webinar, titled “Overview of NHSN Analysis,” will provide an understanding of the scope and structure of the National Healthcare Safety Network’s data entry and analysis functions. The information presented will increase attendees’ proficiency in conducting basic analyses within the application and teach them how to customize analyses output available in NHSN. Registration is required.

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Consider This ...

Approximately 750 accountable care organizations are in operation today, covering some 23.5 million lives covered under Medicare, Medicaid and private insurers.

Source: Hospitals & Health Networks