MHA Today | October 31, 2016

October 31, 2016
MHA Today: News for Healthcare Leaders

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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 Missouri Health Matters. Hospitals can help educate their communities about the election using the resources on MHAnet.

In This Issue
CMS Releases Final Updates To CY 2017 ESRD PPS
CMS Releases Home Health Final Payment And Policy Updates
CMS Offers Webinar On Transition To NHSN Rebaseline
HIDI HealthStats — Adverse Childhood Experiences
MHA Releases Missouri Price And Quality Transparency Update
Wertz Announces Retirement From Golden Valley Memorial Healthcare

What You Need To Know This Week

  • It’s the last chance to pre-register for MHA’s annual convention and trade show – it starts Wednesday at Tan-Tar-A Resort in Osage Beach.
  • Open enrollment in the health insurance marketplace opens tomorrow, Nov. 1.
  • MHA has released an Issue Brief on the final CMS update to the CY2017 ESRD PPS.
  • Look for CMS to issue the final CY 2017 Outpatient PPS Rule and Medicare Physican Fee Schedule.

Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Final Updates To CY 2017 ESRD PPS

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released final payment and policy updates to the calendar year 2017 end-stage renal disease perspective payment system. The rule also finalizes and includes changes to the ESRD quality incentive program. CMS projects that the payment changes will increase the total payments to ESRD facilities by 0.73 percent and in aggregate, ESRD payments are expected to increase by approximately $80 million between 2016 and 2017. MHA has published an issue brief with additional details. The rule also finalizes the following.

  • home and self-dialysis training add-on payment adjustment
  • coverage and payment for renal dialysis services furnished to individuals with acute kidney injury
  • ESRD quality incentive program performance standards, payment reduction scale and domain weighting


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CMS Releases Home Health Final Payment And Policy Updates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services announced final changes to the CY 2017 Medicare home health prospective payment system. CMS estimates that CY 2017 Medicare payments to home health agencies will be reduced by $130 million or 0.7 percent. Major changes include the following.

  • Rebasing the 60-day episode rate
  • Case-mix growth updates
  • Updates to the negative pressure wound therapy
  • Change in methodology used to calculate outlier payments
  • Home health quality reporting program updates
  • Home health value based purchasing program updates

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CMS Offers Webinar On Transition To NHSN Rebaseline

Staff Contact: Jim Mikes

The Centers for Disease Control and Prevention is implementing a new national baseline for Healthcare-Associated Infections that are reported to the National Healthcare Safety Network. During this webinar, the CDC explains the new HAI models, as they relate to long-term care hospitals and inpatient rehabilitation facilities, and the reason HAI data in IRF and LTCH Preview Reports may not align with the data in the NHSN for the same target period. For more information, visit the IRF Quality Public Reporting and LTCH Quality Public Reporting webpages. The webinar will be held at noon, Nov. 16; registration is required.

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HIDI Tech Connect


HIDI HealthStats — Adverse Childhood Experiences

Staff Contact: Mat Reidhead

HIDI HealthStats October 2016The October issue of HIDI HealthStats reviews the importance of building resilience around trauma and adverse childhood experiences. The issue identifies high-risk communities in Missouri and Kansas.

In general, high ACE-risk ZIP codes were intermittently dispersed throughout both Missouri and Kansas. ACE risk does not appear to be exclusively associated with rural or urban communities. Portions of the largest cities included in the study area were found to have high ACE risk as were many rural ZIP codes.

The largest geographically contiguous high ACE-risk areas in Missouri were observed in south central Missouri into the bootheel, stretching from Ozark to Dunklin counties. The highest ACE-risk ZIP codes in the greater Kansas City metro area were observed in inner Kansas City stretching from portions of Jackson County, Mo., into much of Wyandotte County, Kan. The majority of ZIP codes in northern and western Jackson County were identified as high risk, with the exception of several communities around the affluent Country Club District in Jackson County and Mission Hills in Johnson County, Kan. In the St. Louis metro area,The highest ACE-risk ZIP codes were observed in most of the city of St. Louis, predominantly on the city’s north and south sides, north St. Louis County and East St. Louis in Illinois.

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Quality and Population Health


MHA Releases Missouri Price And Quality Transparency Update

Staff Contact: Mary Becker or Stephen Njenga

The Missouri transparency initiative’s price and quality outcome data have been updated on Focus on Hospitals. We encourage you to review the resources on MHA’s website, as they can help you better understand your quality data. Pricing data has been refreshed for federal fiscal year 2015, and reflects October 2014 to September 2015 data. Quality outcome data was updated to include July 2015 to June 2016 figures for infections and harm; and June 2013 to May 2016 data for all readmission measures.

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CEO Announcements


Wertz Announces Retirement From Golden Valley Memorial Healthcare

Staff Contact: Carol Boessen

Randy Wertz, CEO at Golden Valley Memorial Healthcare in Clinton, announced his retirement, effective July 2017. He has served as CEO for 28 years. Craig Thompson, Chief Operating Officer, will succeed Wertz upon his retirement. A list of CEO changes is available online.

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Consider This ...

Americans purchase 90 million pounds of chocolate for Halloween.

Source: Livestrong.com