MHA Today | September 29, 2016

September 29, 2016
MHA Today: News for Healthcare Leaders

twitter linkedin
Your Vote Matters Icon MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

Information about the Nov. 8 election is available on the Your Vote Matters page of MissouriHealthMatters.com. Hospitals can help educate their communities about the election using the resources on MHAnet.

In This Issue
Medicaid Directors Recap IMD Issues
Congress Enacts New Law On Sexual Assault Forensic Evidence
TJC To Delete 51 Elements Of Performance
CMS Issues Final Rule Improving Care, Safety And Consumer Protections
MLN Connects Provider eNews Available
CMS Awards $347 Million To Continue Progress Towards A Safer Health Care System

Advocate
state and federal health policy developments


Medicaid Directors Recap IMD Issues

Staff Contacts: Daniel Landon or Sarah Willson

The National Association of Medicaid Directors has sent a memorandum to congressional staff regarding Medicaid’s coverage exclusion for nonelderly adults treated in Institutions for Mental Disease ― facilities with more than 16 beds whose services predominately are behavioral. Several Missouri hospitals participated in a Medicaid Emergency Psychiatric Demonstration that waived the payment prohibition for IMDs. It lapsed, but in 2015 Congress reauthorized the demonstration with a possibility of expansion, with the caveat that the Centers for Medicare & Medicaid Services would need to attest to its federal budget neutrality. CMS actuaries recently said no state could demonstrate budget neutrality and the states’ IMD reauthorizations were denied.

Back To Top


Congress Enacts New Law On Sexual Assault Forensic Evidence

Staff Contact: Daniel Landon

The U.S. Senate has completed congressional enactment of legislation creating new standards for forensic medical examinations and evidence in federal criminal cases involving allegations of sexual assault. It establishes various new rights for the victim, including a role in the disposition of the medical forensic evidence, as well as obligations for providing notice of those rights. Federal grants to states regarding sexual violence programs will require distribution of notification materials to hospitals, law enforcement and others involved in sexual assault incidents.

Back To Top


Regulatory News
the latest actions of agencies monitoring health care


TJC To Delete 51 Elements Of Performance

Staff Contact: Sarah Willson

The Joint Commission has implemented a multiphased review of its elements of performance to reduce duplication and streamline hospital accreditation standards. They have completed Phase II of the review, and effective Jan. 1, 2017, 51 EPs are slated for deletion. The deletions fall into one of three categories: They are duplicative; they are adequately addressed in law or some other regulatory venue; or they have been vetted for a period of time in which they have become a routine part of operations and do not need to be listed separately.

Back To Top


CMS Issues Final Rule Improving Care, Safety And Consumer Protections

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced a final rule intended to improve the care and safety of residents in long-term care facilities. The final rule includes policies to reduce unnecessary hospital readmissions and infections, improve the quality of care, and strengthen safety measures for residents. CMS Acting Administrator Andy Slavitt stated, “The health and safety of residents of long-term care facilities are our top priorities. The advances we are announcing today will give residents and families greater assurances of the care they receive.”

Back To Top


MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • social security number removal initiative
  • Improving Medicare Post-Acute Care Transformation Act of 2014 cross-setting quality measure on major falls: comments due Friday, Oct. 14
  • evaluation and management: billing the correct level of service
  • 2015 physician quality reporting system feedback reports and 2015 annual quality and resource use reports available
  • emergency preparedness requirements call — Wednesday, Oct. 5
  • electronic health record incentive programs: 2016 exclusions and alternate exclusions


Back To Top

 


Quality and Population Health


CMS Awards $347 Million To Continue Progress Towards A Safer Health Care System

Staff Contact: Jessica Rowden

The Centers for Medicare & Medicaid Services issued a press release outlining the award of $347 million to 16 national, regional or state hospital associations, quality improvement organizations and health system organizations to continue efforts in reducing hospital-acquired conditions and readmissions in the Medicare program. The Hospital Improvement and Innovation Network contracts build upon the collective momentum of the hospital engagement networks and QIOs to reduce patient harm and readmissions. Be on the lookout for press releases, memos and contracts that will be sent next week.

Back To Top



Consider This ...

The birth rate for U.S. teenagers hit an all-time low in 2015, the seventh straight year a new record has been set. Overall, there were 22.3 births for every 1,000 young women between 15 and 19 — an 8 percent drop in just one year.

Source: Los Angeles Times