MHA Today | July 18, 2016

July 18, 2016
MHA Today: News for Healthcare Leaders

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In This Issue
MedPAC Releases June 2016 Health Care Spending And Medicare Program Data Book
State Publishes Medicaid Managed Care RFP Addendum 5
CMS Publishes QRDA Resources
NHSN Announces Quality Reporting Reminders
HRET Releases CHNA Process Guide

What You Need To Know This Week

  • On Friday, Sen. Claire McCaskill, Secretary of Agriculture Thomas Vilsack and Delta Regional Authority Federal Co-Chairman Chris Masingill, will hold a regional town hall in Columbia, Mo., to discuss the heroin and prescription opioid epidemic and resources needed to curb the epidemic. MHA is participating as a panelist.

Advocate
state and federal health policy developments


MedPAC Releases June 2016 Health Care Spending And Medicare Program Data Book

Staff Contact: Andrew Wheeler

The Medicare Payment Advisory Commission released the June 2016 health care spending and Medicare program data book, which provides information about national health care, as well as Medicare spending. The report also highlights Medicare beneficiary demographics, dual-eligible beneficiaries, quality of care in the Medicare program and more. Highlights of the report include the following.

  • $2.6 trillion was spent on health care
  • Medicare remains the largest single purchaser of health care, amounting to 23 percent of total spending or $580 billion
  • 34 percent of health care spending was purchased through private health insurance payers
  • 30 percent of Medicare spending was spent on hospital inpatient and outpatient services
  • average Medicare spending per enrollee is the lowest in more than 40 years
  • from 2010 to 2014, Medicare spending per beneficiary has increased 1.2 percent per year
  • projections indicate that Medicare spending will exceed $1 trillion by the early part of the next decade
  • the top 25 percent of costliest beneficiaries accounted for 83 percent of Medicare fee-for-service spending


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State Publishes Medicaid Managed Care RFP Addendum 5

Staff Contact: Steve Renne

Addendum 5 was added to the Medicaid managed care request for proposal. Updates include changes to rate schedules. Mercer, the state’s actuary, found issues related to the processing of fee-for-service inpatient claims. Bids are due Monday, Aug. 1.

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Quality and Population Health


CMS Publishes QRDA Resources

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has published the 2017 CMS Quality Reporting Document Architecture Hospital Quality Reporting Implementation Guide, schematrons and sample files. The information is posted in CMS’ eCQM library and eCQI resource center. The guide provides technical instructions for QRDA Category I reporting for the Hospital Inpatient Quality Reporting Program and the Medicare Electronic Health Record Incentive Program. An outline of high-level changes from the 2016 implementation guide and changes that affect eligible hospitals and critical access hospitals is available.

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NHSN Announces Quality Reporting Reminders

Staff Contacts: Dana Dahl or Stephen Njenga

The National Healthcare Safety Network has announced the following reminders and deadlines.

Acute Care Hospitals

All acute care hospitals that participate in the Centers for Medicare & Medicaid Services Hospital Inpatient Quality Reporting Program must report the following first quarter (Jan. 1 to March 31) 2016 data to NHSN by the Monday, Aug. 15, reporting deadline.

  • central line-associated bloodstream infection and catheter-associated urinary tract infection data
    • all neonatal and intensive care unit locations (CLABSI only)
    • adult and pediatric medical, surgical and medical/surgical wards
  • inpatient colon surgery and abdominal hysterectomy surgical site infection data
  • methicillin-resistant staphylococcus aureus bacteremia and C. difficile LabID Events (FacWideIN, all health care onset and community onset)


Cancer Hospitals

Cancer hospitals that participate in the PPS-Exempt Cancer Hospital QRP must report the following first quarter 2016 data to NHSN by Aug. 15.

  • CLABSI and CAUTI data (all bedded inpatient care locations)
  • inpatient COLO and HYST SSI data
  • NEW: MRSA bacteremia and C. difficile LabID Events (FacWideIN, all HO and CO)


Long-Term Acute Care Facilities

Long-term acute care facilities that participate in the LTCH QRP must report the following first quarter 2016 data to NHSN by Aug 15.

  • CLABSI and CAUTI data (all bedded inpatient locations)
  • MRSA bacteremia and C. difficile LabID Events (FacWideIN, all HO and CO)
  • NEW: ventilator-associated event data (all bedded inpatient locations)

 



Inpatient Rehabilitation Facilities

Inpatient rehabilitation facilities that take part in the IRF QRP must report the following first quarter 2016 data to NHSN by Aug. 15.

  • CAUTI data (all bedded inpatient locations)
  • MRSA bacteremia and C.difficile LabID Events (all HO and CO)
    • Freestanding IRFs: Reporting by FacWideIN
    • IRF units within acute care or critical access hospitals should report by each CMS IRF unit


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HRET Releases CHNA Process Guide

Staff Contacts: Dana Dahl or Stephen Njenga

The Health Research & Educational Trust has released a community health needs assessment guide, titled “Applying Research Principals to the Community Health Needs Assessment Process.”

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Consider This ...

Every year, at least 430 people die in the U.S. from accidental carbon monoxide poisoning, and approximately 50,000 people visit the emergency department because of accidental CO poisoning.

Source: Centers for Disease Control and Prevention