MHA Today | August 22, 2016

August 22, 2016
MHA Today: News for Healthcare Leaders

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In This Issue
HIDI HealthStats — Sepsis Hospitalization Five-Year Trends In Kansas And Missouri
HIDI Releases Analytic Tool To Assess Wage Index Reclassification
MHA Releases Missouri Price And Quality Transparency Update
HSAG Encourages Report Review
Deadline Approaches For Quality IPF Reporting
RWJF Opens Call For Applications
Hospitals Test Emergency Response Capabilities In National Exercise

What You Need To Know This Week

  • Today, updated quality outcomes and price data will be available on Focus on Hospitals.
  • This week, Missouri is participating in the “Show-Me Mass Care” exercise, which involves more than 50 state and federal partner agencies.

HIDI Tech Connect


HIDI HealthStats — Sepsis Hospitalization Five-Year Trends In Kansas And Missouri

Staff Contacts: Shane VanOverschelde or Brian Waterman

HIDI HealthStats The August edition of HIDI HealthStats explores the prevalence of septicemia and sepsis in Missouri and Kansas hospitals. As displayed in Table 1, observable disparities exist in sepsis prevalence in Kansas and Missouri by age, gender and admission type. From October 2014 to September 2015, sepsis prevalence for patients ages 18 to 39 was 2.73 percent, but for patients ages 40 to 64, and 65 and older, it was 7.10 percent and 8.74 percent, respectively. Similar disparities are seen for hospital-acquired sepsis, with patients ages 18 to 39 at .22 percent, ages 40 to 64 at .76 percent and ages 65 and over at .92 percent. The positive correlation between age and sepsis risk has been well established. Factors including elevated comorbidity prevalence, compromised health status associated with aging and institutionalization contribute to age-related disparities.

Analyzing sepsis prevalence by gender revealed that males experienced a higher rate of sepsis (8.04 percent) than females (5.81 percent). The findings were more disparate for hospital-acquired sepsis prevalence, where male prevalence of .92 percent was nearly double that of female patients at .53 percent. HIDI HealthStatsResearch indicates that these prevalence disparities likely are due to multiple factors, including access to health care, economic and social factors, the type or source of infection, and hormonal differences. Lower rates of primary care utilization by males may influence or explain higher rates of hospitalizations and mortality. This is consistent with the theory that males may react slower to troublesome symptoms, where the delayed pursuit of care contributes to poorer outcomes and gender disparity in hospitalizations for sepsis.

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HIDI Releases Analytic Tool To Assess Wage Index Reclassification

Staff Contact: Shane VanOverschelde

The Hospital Industry Data Institute has made available an analytic tool that allows hospitals to test their potential ability to achieve a Medicare hospital wage index reclassification. To be reclassified for federal fiscal year 2018, applications must be submitted to the Medicare Geographic Classification Review Board by Thursday, Sept. 1. This tool, which is being distributed to HIDI Premier Reporting subscribers, also will allow hospitals to assess whether or not to pursue reclassification in the future. Hospitals interested in subscribing to the HIDI Premier Report Package available on HIDI Analytic Advantage® should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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Quality and Population Health


MHA Releases Missouri Price And Quality Transparency Update

Staff Contacts: Mary Becker or Dana Dahl

The Missouri transparency initiative’s price and quality outcome data have been updated on Focus on Hospitals. Resources, including a tutorial, FAQs, measure list and technical manual, which outline data stewards and methodology for quality measures, are posted on MHA’s website. Pricing data have been updated to include federal fiscal year 2015, and reflect October 2014 to September 2015 data. Quality outcome data was updated to include April 2015 to March 2016 figures for infections and harm, and March 2013 to February 2016 data for all readmission measures.

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HSAG Encourages Report Review

Staff Contacts: Dana Dahl or Stephen Njenga

The October Hospital Compare overall star rating preview period ended Friday, Aug .19. The Health Services Advisory Group encourages hospitals to download their October 2016 inpatient and outpatient preview reports to review information that will be displayed on Hospital Compare in the October release. Reports are accessible on the QualityNet Secure Portal.

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Deadline Approaches For Quality IPF Reporting

Staff Contacts: Sarah Willson or Dana Dahl

Friday, Aug. 26, is the submission deadline for fiscal year 2017 inpatient psychiatric facility quality reporting. The Centers for Medicare & Medicaid Services encourages all participating hospitals to submit data at least two days before the deadline to allow time to address any submission issues. All IPF PPS providers must submit required data to receive their annual payment update. Data is reported using the QualityNet Secure Portal. Questions should be directed to the outreach and education support team online or by calling 866/800-8765.

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RWJF Opens Call For Applications

Staff Contacts: Dana Dahl or Stephen Njenga

The Robert Wood Johnson Foundation is accepting applications for organizations that have implemented successful health care initiatives in their communities. Successful applicants will receive up to $25,000.

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Hospitals Test Emergency Response Capabilities In National Exercise

Staff Contact: Jackie Gatz

This week, Missouri is participating in the “Show-Me Mass Care” exercise, which involves more than 50 state and federal partner agencies in what is known as a National Mass Care Exercise Series. Participants will evaluate evacuation and sheltering plans for victims in the event of a New Madrid Seismic Zone earthquake. Health and medical providers are focusing on the impact of such an event to the delivery system. Health care coalition members will test their communications capability, focus on rapidly expanding medical surge capacity and evaluate recovery plans. Throughout the week, exercise updates are available in EMResource®.

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Consider This ...

The day of birth is potentially the most dangerous time for mothers and babies. Every year, worldwide, 303,000 women die during pregnancy and childbirth, 2.7 million babies die during the first 28 days of life, and 2.6 million babies are stillborn.

Source: World Health Organization