MHA Today | October 4, 2016

October 4, 2016

MHA Today: News for Healthcare Leaders

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In This Issue
New Analysis Indicates 2.5 Million Could Qualify For Marketplace Tax Credits
$13.4 Million In Funding To Implement New Pediatric Quality Measures
HIDI Releases Third Quarter FFY 2016 Update To Discharge Data-Based Quality Indicators
CMS And TJC Release Supplements To Specifications Manuals
CMS Announces Availability Of IPF Reports And IPFQR Webinar


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New Analysis Indicates 2.5 Million Could Qualify For Marketplace Tax Credits

Staff Contact: Andrew Wheeler

The U.S. Department of Health & Human Services announced that 2.5 million who currently purchase health insurance outside the marketplace could qualify for tax credits. Secretary Sylvia Burwell stated “More than 9 million Americans already receive financial assistance through the Health Insurance Marketplace to help keep coverage affordable, but today’s data show millions more Americans could benefit. We encourage everyone to check out their options on HealthCare.gov or their state Marketplace and see if they qualify for financial assistance. Marketplace consumers who qualify for financial assistance usually have the option to buy coverage with a premium of less than $75 per month.” Marketplace open enrollment is scheduled to begin Nov. 1, 2016, for coverage in 2017.

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$13.4 Million In Funding To Implement New Pediatric Quality Measures

Staff Contact: Andrew Wheeler or Steve Renne

The Centers for Medicare & Medicaid Services announced an Agency for Healthcare Research and Quality award totaling $13.4 million in funding to six new Pediatric Quality Measures Program grantees focusing on implementing new pediatric quality measures by the PQMP Centers of Excellence. The funds are made available through MACRA. The aim of the program is to build knowledge and evidence to support performance monitoring and quality improvement for children in Medicaid and CHIP. AHRQ director Andy Bindman, M.D., stated, “the PQMP Centers of Excellence provide us with valid measures of children’s health care quality. This next step of research will help us test these measures in real-world settings. The ultimate goal is to improve children’s health through better health care, at lower costs, at both the federal and state level”.

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HIDI Tech Connect


HIDI Releases Third Quarter FFY 2016 Update To Discharge Data-Based Quality Indicators

Staff Contact: Josette Bax

The Readmissions data, the Hospital-Acquired Conditions data and the AHRQ Quality Indicators data have been refreshed within HIDI Analytic Advantage® PLUS to include measure calculations based on discharge data from the third quarter of federal fiscal year 2016. These quality data updates can be found in various reports in the following Analytic Advantage PLUS locations.

  • Quality > Benchmarking
  • Quality > Readmissions
  • Quality > Strategic Quality Initiatives
If you have technical questions regarding these measures, contact Josette Bax. For questions about accessing the website or running these reports, contact HIDI.

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Quality and Population Health


CMS And TJC Release Supplements To Specifications Manuals

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services and The Joint Commission have released a supplement to the Specifications Manual for National Hospital Inpatient Quality Measures, version 5.1, effective with acute inpatient discharges July 1 through Dec. 31, 2016. Updates are based on changes to the International Classification of Diseases, Tenth Revision (ICD-10) codes effective Oct. 1, 2016. The updated manual has been posted to QualityNet. A complete list of changes is available in the release notes to the supplement.

CMS also has released supplemental documents to the Hospital Outpatient Quality Reporting Specifications Manual version 9.1, which covers outpatient encounters July 1 through Dec. 31, 2016. Updates were made to tables 7.01, 8.0 and 9.0 in Appendix A to reflect the addition and removal of ICD-10-CM codes beginning with fourth quarter 2016 encounters. The supplemental documents are available on QualityNet.

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CMS Announces Availability Of IPF Reports And IPFQR Webinar

Staff Contact: Sherry Buschjost

The Inpatient Psychiatric Facility Participation and Facility, State and National (FSN) Reports are available on the QualityNet Secure Portal for providers participating in the Inpatient Psychiatric Facility Quality Reporting Program. State and national values appeared in the IPF FSN report effective Tuesday, Sept. 27. Section 7 of the IPFQR Program manual provides guidance on how to access and download the reports.

A detailed review of the data will be discussed in the next IPFQR webinar scheduled at 1 p.m. Thursday, Oct. 13. The webinar, titled “IPFQR Program Public Reporting and Fiscal Year 2017 Data Review,” will summarize the steps needed to access and review the December 2016 Hospital Compare preview report and provide an overview of the fiscal year 2017 program measure and non-measure results. Registration is required.

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Consider This ...

October is National Bullying Prevention Awareness Month. Twenty percent of high school students reported being bullied on school property, and 16 percent reported they have been cyber-bullied in the past 12 months.

Source: Centers for Disease Control and Prevention