MHA Today | July 12, 2017

July 12, 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
State Agency Solicits Regulatory Reform Comments
Governor Signs Bill On Emergency Services
Trajectories — Opioid Use Disorder
Deadline Approaches For Readmission Immersion Project
CMS Issues Additional Guidance Regarding IPFQR PY 2018 Reporting
Pemiscot Memorial Health Systems Names New CEO

Advocate
state and federal health policy developments


State Agency Solicits Regulatory Reform Comments

Staff Contact: Daniel Landon

The state Department of Insurance, Financial Institutions and Professional Registration is soliciting public comments about the agency’s administrative regulations. The review is part of a broader gubernatorial initiative to assess whether state regulations are ineffective, unnecessary or unduly burdensome. Comments and suggestions can be submitted by mail or online through Monday, Oct. 2, or at two public hearings. The department’s jurisdiction includes the Department of Insurance and the Division of Professional Registration. The latter encompasses almost all of the state licensure boards for health professionals and practitioners.

Back To Top


Governor Signs Bill On Emergency Services

Staff Contact: Daniel Landon

Gov. Eric Greitens has approved Senate Bill 503 from the 2017 state legislative session. The legislation makes several changes concerning emergency medical services.    

Back To Top


Quality and Population Health


Trajectories — Opioid Use Disorder

Staff Contact: Leslie Porth

The July 2017 edition of Trajectories highlights the issue of opioid use and abuse. Opioid abuse has consequences beyond the individual patient. Financial, social and communitywide effects have been documented because of addiction issues. Children often are the unwitting victims of opioid addiction. As noted in the May 2017 HIDI HealthStats, the rate of neonatal abstinence syndrome in Missouri alone rose more than 500 percent in less than a decade. NAS, when a newborn experiences symptoms of withdrawal, affects newborns whose mothers have used one or more controlled or illicit drugs during pregnancy. Anecdotally, the rate is believed to be significantly higher, and improved documentation and coding could enhance understanding of the significance of the issue. opioid stats

A Centers for Disease Control and Prevention 2015 Morbidity and Mortality Weekly Report issue noted that more than one-third of reproductive age women on Medicaid and more than one-quarter of those with private insurance had filled an opioid prescription every year from 2008-2012, with a disproportion of those to non-Hispanic white women. Opioid use in early pregnancy can lead to birth defects, such as congenital heart disease, as well as lead to months of care in a NICU setting. Evidence supports the use of methadone and buprenorphine in pregnant and postpartum women to support the health of both the mom and the baby. A collaborative decision between a patient and the provider should occur to best decide the need for inpatient treatment.

Back To Top


Deadline Approaches For Readmission Immersion Project

Staff Contact: Toi Wilde

MHA is launching the Readmissions Reduction/Care Transitions Immersion Project – Cohort 2 Tuesday, Aug. 15. The project focuses on decreasing readmissions and improving care transitions for hospital-based patients. The project timeline starts Aug. 15 and ends Sept. 7, 2018. Registration will close at 5 p.m. Friday, July 14. Registration is limited to 20 Missouri hospital participants. Complimentary registration is available for Hospital Improvement Innovation Network participating hospitals through contract funds. Non-HIIN participating hospitals can contract through Quality Works to participate according to the fee schedule. For more information, a project flyer and intent to participate are available.

Back To Top


CMS Issues Additional Guidance Regarding IPFQR PY 2018 Reporting

Staff Contact: Sherry Buschjost

On June 20, the Centers for Medicare & Medicaid Services’ Inpatient Psychiatric Facility Quality Reporting Program educational webinar provided guidance on how to successfully meet the fiscal year 2018 IPFQR program requirements. CMS has prepared an FAQ document in response to inquiries received regarding the global sampling questions at the bottom of the non-measure data/population counts data entry page of the web-based data collection tool. 

Back To Top


CEO Announcements


Pemiscot Memorial Health Systems Names New CEO

Staff Contact: Carol Boessen

James L. Marshall Jr. has been named CEO/Administrator of Pemiscot Memorial Health Systems in Hayti, effective Tuesday, Aug. 1. Marshall has more than 25 years of health care administration experience and most recently served as CEO of Pickens County Medical Center in Carrolton, Ala. He replaces former CEO Mark Davis, who resigned Dec. 31, 2016. Kerry Noble, who served as Interim CEO, left June 30. Jonna Green, Chief Operating Officer, is serving as primary contact until Marshall begins in August. A list of CEO changes is available online.

Back To Top



Consider This ...

Twenty-two percent of residential care communities in the U.S. have dementia special care units.

Source: Centers for Disease Control and Prevention