MHA Today | March 14, 2017

March 14, 2017
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
Freeman Health System Nearly Doubles Sepsis Care Success
State House Advances Medical Liability Legislation
CBO Releases Cost Estimate Of ACA Repeal/Replace Proposed Legislation
Seema Verma Confirmed As CMS Administrator
OIG Finds Nantucket Cottage Hospital Reporting Errors
DHSS Clarifies Emergent Hospice Visits Standard
Board Of Pharmacy Chief Inspector Leads Webinar
Glassdoor Reports Four Out Of Five Top Paying Jobs Are In Health Care
MHA Offers Webinar On New Sleep Study Requirements

Spotlight


Freeman Health System Nearly Doubles Sepsis Care Success

Staff Contact: Toi Wilde Freeman Health System

This week is National Patient Safety Week, and today, MHA is featuring patient safety endeavors at Freeman Health System in Joplin. Sepsis safety is a top priority at Freeman Health, and their Code Sepsis response team helps ensure sepsis patients are receiving the bundled sepsis treatment they need. Code Sepsis alerts can be called by any team member in the hospital. Emergency department triage nurses are key members in helping identify patients who might present to the ED with sepsis. Because sepsis can strike fast, awareness is key, and Freeman’s staff has access to on-demand sepsis education materials. Freeman has nearly doubled their success with implementing the sepsis three-hour bundle (blood cultures, antibiotics and initial lactate level) since their sepsis care improvement initiative began in October 2015. Freeman’s sepsis oversight committee brings together key stakeholders, including staff who provide care at the bedside, to streamline sepsis care. This collaborative effort is a key part of Freeman’s success with sepsis treatment.

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Advocate
state and federal health policy developments


State House Advances Medical Liability Legislation

Staff Contacts: Rob Monsees or Ted Wedel

The state House of Representatives has given first-round approval to House Bill 452. It would revise medical liability law to reverse the Jefferson v. Missouri Baptist court ruling. The effect will be to narrow hospital liability for those who are not hospital employees. The House adopted an amendment promoted by MHA and others to refine the bill. Several hostile amendments were considered but not adopted.

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CBO Releases Cost Estimate Of ACA Repeal/Replace Proposed Legislation

Staff Contact: Andrew Wheeler

Yesterday, the Congressional Budget Office released cost estimates of enacting the proposed American Health Care Act. According to the report, the legislation would reduce federal deficits by $337 billion from 2017-2026. Outlays would be reduced by $1.2 trillion, and revenues would be reduced by $900 million. Although significant changes in premiums for individuals within certain age categories are expected, the CBO is estimating that premiums would begin to decrease starting in 2020. MHA has published an issue brief with additional information.

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Seema Verma Confirmed As CMS Administrator

Staff Contact: Andrew Wheeler

By a vote of 55 to 43, Seema Verma was confirmed as the Centers for Medicare & Medicaid Services Administrator. Verma is best known for her work on Medicaid reform in the state of Indiana. Verma replaces acting Administrator Andy Slavitt.

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OIG Finds Nantucket Cottage Hospital Reporting Errors

Staff Contact: Andrew Wheeler

The Office of Inspector General released a report stating that the Nantucket Cottage Hospital overstated the dollars paid to workers and understated hours worked within their wage data. Since Nantucket Cottage Hospital is the only rural hospital in Massachusetts, the state’s wage index floor is set by its wage data. Because of the reporting error, hospitals’ wage index increased from 1.2363 to 1.3336. This resulted in Medicare overpayments to 55 other hospitals in Massachusetts amounting to $133.6 million for fiscal year 2015 inpatient PPS and calendar year 2015 outpatient PPS services. Section 3141 of the Affordable Care Act, also known as the Bay State Boondoggle, established that the rural floor was to be paid by spreading the cost throughout the nation. The resulting effect of the $133.6 million in overpayments is that many hospitals in Missouri paid for the error.

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Regulatory News
the latest actions of agencies monitoring health care


DHSS Clarifies Emergent Hospice Visits Standard

Staff Contact: Sarah Willson

The Missouri Department of Health and Senior Services Bureau of Home Care and Rehabilitative Standards has issued a clarification letter addressing hospice one-hour emergent visit requirements. The clarification places a strong emphasis on the visit being made within one hour of the need being identified. The clarification that “the need for a visit may not be clear with the first phone call” is a significant statement. In addition, the clarification addresses the need to see the nurse’s clinical judgement and critical thinking skills, what was done to address the need, and follow-up to ensure the concern was addressed appropriately.

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Board Of Pharmacy Chief Inspector Leads Webinar

Staff Contact: Sarah Willson

The Board of Pharmacy is hosting a webinar with its Chief Inspector, Tom Glenski, R.Ph., on Thursday, March 30. Glenski will discuss the new drug take-back rule and the collection of non-controlled medication for destruction (20 CSR 2220-2.095). The offering is approved for one continued education unit through the Board of Pharmacy. Register online.

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Workforce News


Glassdoor Reports Four Out Of Five Top Paying Jobs Are In Health Care

Staff Contacts: Meredith Kenyon or Jill Williams

Glassdoor, a job and recruitment website, released its annual list of best-paying jobs in the U.S. Topping the list are jobs in the health care industry. According to Glassdoor Chief Economist Andrew Chamberlain, “High pay continues to be tied to in-demand skills, higher education and working in jobs that are protected from competition or automation.” For the third year in a row, physicians took the top slot followed by pharmacy manager (2), medical science liaison (4) and pharmacist (5). Other health care sector jobs also making the list include, physician assistant (7) and nurse practitioner (14). Visit MissouriHealthCareers.com to learn more about these careers.

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Noteworthy


MHA Offers Webinar On New Sleep Study Requirements

Staff Contact: Jim Mikes

MHA is hosting a webinar to highlight changes implemented by Wisconsin Physicians Service to the local coverage determination for hospital-based sleep studies. The webinar will present the background for changes to sleep study coverage and suggest actions that hospitals can take to request changes in the current policy. The webinar will be held at 3 p.m. Thursday, March 16. Registration is required.

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Consider This ...

Each year, an estimated 40 million people are in need of palliative care, and 78 percent of them live in low- and middle-income countries.

Source: World Health Organization