MHA Today | November 10, 2016

November 10, 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.

In This Issue
MHA Distributes FFY 2019 Medicare SNF VBP Projection
MLN Connects Provider eNews Available
Trajectories — Missouri: Aim for Excellence
CMS Announces Unavailability Of Web-Based Data Collection Application
HRSA Opens Application Period For Rural Grant
Faircloth Announces Retirement From Twin Rivers Regional Medical Center

Advocate
state and federal health policy developments


MHA Distributes FFY 2019 Medicare SNF VBP Projection

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services recently finalized a new Medicare value-based purchasing program for skilled nursing facilities. MHA is providing an analysis to illustrate the projected effects of the program. The projections are based on historical data from Nursing Home Compare. The data that will be used for the 2019 SNF VBP program is not yet available. Policy and analytic studies are made available for download to authorized users of HIDI Analytic Advantage.®

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Regulatory News
the latest actions of agencies monitoring health care


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.

  • comments are due by Thursday, Nov. 17, for the Improving Medicare Post-Acute Care Transformation Act of 2014 cross-setting quality measure on pressure ulcers
  • quality payment program presentations available
  • compliance program basics
  • value modifier: informal review request period open through Wednesday, Nov. 30
  • proposed rule on fire safety requirements for applicable dialysis facilities

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Quality and Population Health


Trajectories — Missouri: Aim for Excellence

Staff Contact: Alison WilliamsNovember 2016 Trajectories

The November 2016 issue of Trajectories highlights Missouri hospitals' successes in achieving the Triple Aim of better health and better care at lower costs. While, in theory, the Triple Aim seems achievable, the complexity of the health care delivery system creates many challenges. The clinical, operational and financial implications of shifting from a volume- to value-based delivery system have been equated to having one foot in the boat and one on the dock — a precarious situation at best. Tasked with managing resources through a fee-based model while testing volume-based models of care and being accountable for outcomes through government and private sector pay-for-performance programs, hospitals and health care providers are at the tipping point. However, Missouri hospitals and providers are on the leading edge of meeting this challenge.

MHA strives to support members through these transitions by providing education, and direct technical and adaptive support. Efforts led by MHA, and largely funded by federal and state grants and contracts since 2002, have supported Missouri hospitals and providers in meeting the challenges of transforming the health care delivery system. Reducing patient and worker harm, reducing preventable readmissions while improving care transitions, achieving stronger critical access hospital performance and ensuring preparedness for emergency situations, are key drivers of success in this new environment.November 2016 Trajectories

Three critical programs include the Assistant Secretary for Preparedness and Response Hospital Preparedness Program, the Medicare Rural Hospital Flexibility Program and the newly coined Hospital Improvement Innovation Network (Figure 1). These programs have enabled hospitals to generate urgency and momentum, provided hospitals with resources and direct funding, and expanded the capability and capacity of health care staff and providers. To date, these programs have provided nearly $60 million toward quality improvement and emergency preparedness work in Missouri. As MHA works to provide greater alignment of these programs, participating members will have better results in outcomes and an even larger impact.

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CMS Announces Unavailability Of Web-Based Data Collection Application

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services announced that the web-based data collection application on the QualityNet Secure Portal has been intermittently unavailable for the submission of second quarter 2016 perinatal care elective delivery measure (PC-01) data. CMS is working to resolve the issue and will provide additional information when available.

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Noteworthy


HRSA Opens Application Period For Rural Grant

Staff Contact: Jim Mikes

The Health Resources and Services Administration has announced a funding opportunity for the Rural Health Network Development Planning Program. Applicants can request up to $100,000 to support the development of rural integrated health care networks. Additional information is available on Grants.gov.

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CEO Announcements


Faircloth Announces Retirement From Twin Rivers Regional Medical Center

Staff Contact: Carol Boessen

Gerald Faircloth, CEO of Twin Rivers Regional Medical Center in Kennett, Mo., announced his retirement, effective Wednesday, Nov. 30. Faircloth has served as CEO since November 2014. A search for a permanent replacement is underway, and the Board of Trustees, medical staff and administration will be involved in the selection process. A list of CEO changes is available online.

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Consider This ...

More than 800,000 people commit suicide every year. It is the second leading cause of death in 15 to 29-year-olds.

Source: World Health Organization