MHA Today | June 14, 2016

June 14, 2016
MHA Today: News for Healthcare Leaders




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In This Issue
MHA Distributes Analysis For FFY 2017 Proposed LTCH PPS
CMS Issues Proposed CoP Changes
MHA Comments On Proposed Rules For Medicare IPPS And Long-Term Care Hospitals
CMS Postpones IPFQR Measure Data Collection
CMS Posts Summary Of Sepsis Changes
AMA Names Barbe President-Elect


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Friday, July 22
Osage Beach, Mo.


Advocate
state and federal health policy developments


MHA Distributes Analysis For FFY 2017 Proposed LTCH PPS

Staff Contact: Andrew Wheeler

MHA has made available an analysis that illustrates the financial effect of the federal fiscal year 2017 Medicare proposed PPS rule for long-term care hospitals. For Missouri, the overall effect of the proposed updates for FY 2017 is a 7.5 percent decrease in payments. The analysis, which will be available online for authorized users of HIDI Analytic Advantage®, includes a summary for the nation, Missouri, health systems and individual hospitals. Although footnoted, this analysis does not include reductions as a result of the 2 percent Medicare sequestration. Hospitals have until Friday, June 17, to review the impact and submit comments to the Centers for Medicare & Medicaid Services.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Proposed CoP Changes

Staff Contacts: Sarah Willson, Andrew Wheeler or Jim Mikes

The Centers for Medicare & Medicaid Services has announced proposed updates to the Conditions of Participation for hospitals and critical access hospitals. The agency released a fact sheet outlining changes and clarifications to the current requirements. The proposed rule would prohibit discrimination, reduce hospital-acquired conditions and promote antibiotic stewardship in hospitals. The proposed rule also supports other CMS priorities, such as reducing readmissions, reducing barriers to care, reducing the incidence of hospital-acquired conditions, improving the use of antibiotics, addressing workforce shortage issues and improving patient outcomes. CMS estimates that the cost to revise the infection control CoPs to be between $773 million and $1.1 billion. Further estimates reveal that the proposed rule would save CMS $284 million. Hospitals and CAHs are encouraged to review the proposed changes and make comments, which are due 60 days after the date of publication in the Federal Register, expected to be Thursday, June 16. MHA has published an issue brief with additional details.

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MHA Comments On Proposed Rules For Medicare IPPS And Long-Term Care Hospitals

Staff Contact: Daniel Landon

MHA has submitted a comment letter regarding the Centers for Medicare & Medicaid Services’ proposed Medicare regulatory changes for inpatient PPS and long-term care hospitals. The proposed changes are for fiscal year 2017 and affect a variety of topics. The proposed rules were issued in late April and MHA published an issue brief. Public comments can be electronically submitted to CMS until 4 p.m. Friday, June 17.

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Quality and Population Health


CMS Postpones IPFQR Measure Data Collection

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has postponed data collection for the following three measures in the Inpatient Psychiatric Facility Quality Reporting Program.

  • Transition Record With Specified Elements Received by Discharged Patients
  • Timely Transmission of Transition Record Measures
  • Screening for Metabolic Disorders


Inpatient psychiatric facilities originally were required to begin collecting the measures starting Friday, July 1. The revised date for starting measure collection is Jan. 1, 2017, and will apply to the fiscal year 2019 payment determination. IPFs will be required to report all four quarters of data or face a payment reduction. Reporting periods for all other measures remain unchanged.

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CMS Posts Summary Of Sepsis Changes

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services recently posted a summary of changes made to the Early Management Bundle, Severe Sepsis/Septic Shock (SEP-1) measure set for implementation with acute inpatient discharges from Friday, July 1, to Saturday, Dec. 31, 2016, on QualityNet. The “Summary of Changes to SEP-1 Measure for Version 5.1” provides a high-level overview of the changes from version 5.0b to version 5.1 for the SEP-1 measure and its data elements. CMS recommends that hospitals review the information in conjunction with the specifications manual and other SEP-1 documentation.

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Noteworthy


AMA Names Barbe President-Elect

Staff Contact: Dave Dillon

Barbe The American Medical Association has announced that David O. Barbe, M.D., MHA, will serve as President-Elect. Barbe, a family physician from Mountain Grove, Mo., was first elected to the AMA board in June 2009. He has been a member of AMA, the Missouri State Medical Association and the American Academy of Family Physicians for 30 years. He has continuously served on the MSMA board for more than 25 years, serving as chair in 2003 and president in 2005.

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Consider This ...

Missouri has the 17th highest suicide rate in the country, and is second highest only to North Dakota in the Midwestern region. One in 10 Missouri adults have a serious mental illness, and 40 percent of those adults go without treatment.

Source: June 2016 edition of HIDI HealthStats