MHA Today | November 30, 2016

November 30, 2016
MHA Today: News for Healthcare Leaders

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

In This Issue
Organizations Petition Congress To Repeal IPAB
CMS Issues Biweekly Marketplace Enrollment Snapshot
OCR Alerts Covered Entities Of Phishing Scam
Trajectories — Missouri: Aim for Excellence
CMS Updates QRDA I Schematron For Hospital Quality Reporting

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state and federal health policy developments


Organizations Petition Congress To Repeal IPAB

Staff Contact: Daniel Landon

MHA is among the 600 organizations that signed a letter petitioning Congress to repeal the Affordable Care Act’s Independent Payment Advisory Board. The IPAB is an appointed board that is directed to develop Medicare spending reductions for Congress to authorize on a fast-track basis if Medicare spending exceeds a specified limit. If Congress fails to act, the IPAB proposal will be implemented by the secretary of the U.S. Department of Health & Human Services, with no recourse to administrative or judicial challenge.

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CMS Issues Biweekly Marketplace Enrollment Snapshot

Staff Contact: Daniel Landon

The Centers for Medicare & Medicaid Services has issued its biweekly assessment of marketplace enrollment data for weeks three and four of the open enrollment period (Nov. 13-26). It includes state-specific data — 61,615 people enrolled in Missouri from Nov. 1 to Nov. 26. Nationally, 2.14 million enrollees signed up during that period, with 520,000 first-time enrollees.

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HIDI Tech Connect


OCR Alerts Covered Entities Of Phishing Scam

Staff Contact: Bryant McNally

The U.S. Department of Health & Human Services Office for Civil Rights has issued an announcement warning covered entities and their business associates about a phishing email that disguises itself as an official communication from the department. The email prompts recipients to click a link regarding possible inclusion in the HIPAA Privacy, Security and Breach Rules Audit Program, and directs individuals to a nongovernmental website that markets a firm’s cybersecurity services. The phishing email originates from the email address OSOCRAudit@hhs-gov.us and directs individuals to a URL at www.hhs-gov.us. This is a subtle difference from the official email address for the HIPAA audit program, OSOCRAudit@hhs.gov. Covered entities and business associates should alert their employees of the issue and take note that official communications regarding the HIPAA audit program are sent to selected auditees from the email address OSOCRAudit@hhs.gov.

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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. Despite achieving significant quality and safety victories throughout the last several years, Missouri hospitals are always looking for what’s next. For quality and safety improvement to tackle the next level of change, several barriers will need to be addressed by leadership, staff and stakeholders. In a recent survey of MHA program leaders and hospital participants, the following challenges were identified as significantly impacting the ability to make improvements quickly and sustainably.

  • sustained leadership, staff and provider engagement and the adoption of an organizational culture of safety, evidence-based practice updates, and communication strategies to achieve defined outcomes
  • lack of resources — time, money, human — as well as knowledge management issues due to turnover and organizational changes
  • lack of interoperability of electronic health records and ability to mine data for meaningful quality improvement and population health
  • the need to streamline national metrics and the ability to manage the evolving value-based payment system requirements

MHA continues to support its members and is positioned to collaborate nationally in support of interventions to mitigate these barriers. As a member of the Institute for Healthcare Improvement’s Leadership Alliance, MHA is participating with national thought leaders and leading health systems to form the conversation to affect needed changes.

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CMS Updates QRDA I Schematron For Hospital Quality Reporting

Staff Contact: Sherry Buschjost

The pre-submission validation application tool assists hospitals and its vendors to identify and correct errors within the hospital’s Quality Reporting Document Architecture Category I files prior to data submission to the Centers for Medicare & Medicaid Services electronic clinical quality measure data receiving system. The hospital quality reporting 2016 CMS QRDA I schematron for the CMS receiving system and PSVA recently was updated with the 2016 CMS QRDA I schematron version 2.3 for HQR. Version 2.3 includes a correction to the schematron rules that will prevent the inappropriate rejection of files using non-Logical Observation Identifiers Names and Codes. The PSVA tool will not require users to download a new version. When users open PSVA, the application will run a check against the schematron that is stored on the server. PSVA will identify that a new schematron is available and will prompt users to download the new one to their workstation.

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Consider This ...

November is Pancreatic Cancer Awareness Month. Pancreatic cancer is a leading cause of cancer death largely because there are no detection tools to diagnose the disease in its early stages when surgical removal of the tumor is still possible.

Source: Hirshberg Foundation for Pancreatic Cancer Research