MHA Today | August 7, 2017

August 7, 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
CMS Issues Psychiatric PPS Updates For FY 2018
Emergency Rule Takes Effect For Class J Pharmacies
CMS Removes Pain Questions In Final IPPS Rule
HIDI HealthStats — Population Health
HealthCurve Analytics Announces Partnership With SpectraMedix
Jennifer Tidball Named Acting MO HealthNet Director

What You Need To Know This Week

  • CMS has issued a series of proposed and final rules related to Medicare policy and payment rates. Issue briefs have been released on several of the rules, and more will follow this week — including the 2018 inpatient PPS rule.

Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Psychiatric PPS Updates For FY 2018

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services has issued a notice with comment period and fact sheet regarding its Medicare inpatient psychiatric facility PPS for fiscal year 2018. CMS projects a $45 million increase in payments for FY 2018. Some notable payment revisions include an increase in the PPS per diem rate from $761.37 to $771.35, and an increase to ECT payments from $327.78 to $332.08 per treatment. Comments about the proposed updates are due Friday, Oct. 6. MHA has published an issue brief with additional information.   

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Emergency Rule Takes Effect For Class J Pharmacies

Staff Contact: Sarah Willson

Effective today, an emergency rule promulgated by the Board of Pharmacy regarding standards for Class J: Shared Services pharmacy licensure, is in effect. Many hospitals in Missouri have a Class J license that allows dispensing of a prescription from one pharmacy to another. Class J pharmacies that operate in compliance with the emergency rule are exempt from the requirements of 20 CSR 2220-2.120 and 20 CSR 2220-6.030(4) when transferring prescription information. There are other changes regarding Class J pharmacies that are subject to normal rule review and processing. Those changes could take several months.

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CMS Removes Pain Questions In Final IPPS Rule

Staff Contact: Sarah Willson

In the 2018 hospital inpatient PPS final rule, the Centers for Medicare & Medicaid Services will eliminate three pain-related questions on the Hospital Consumer Assessment of Healthcare Providers and Systems survey, which focus on how well a patient’s pain was controlled while in the hospital. Instead, questions will be revised to focus on the patient’s perception of how well the hospital communicated with them regarding their pain during their stay. Hospitals and patients can expect these changes in January 2018.

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HIDI Tech Connect


HIDI HealthStats — Population Health

Staff Contact: Mat Reidhead HIDI HealthStats

The August edition of HIDI HealthStats discusses using hospital data to measure community health needs at the ZIP-code level. The places where we live, work, learn and play affect our health. The more that is known about these places, the better clinicians and community-based partners can identify and address the influence of these factors on health.

Population health improvement requires communitywide partnerships to address the social, economic, environmental, clinical and behavioral factors that affect health and lead to poor health outcomes. In standardized comparative measures across these domains, Missouri has been ranked below the national average for overall health since 1990.

Significant data is available on health factors and outcomes at the county level. However, these political subdivisions often are too large to effectively identify population health challenges. Increased attention is being given to geographic variation in health at the subcounty level.

The Affordable Care Act expanded emphasis on population health, transitioning the model of health care beyond the hospital campus and into patients’ communities. As a result, providers are focusing on upstream social, environmental and contextual determinants of health that often result in poor physical and emotional downstream health outcomes. The ACA has accomplished a great deal in moving traditional health care toward an intersection with the disciplines of public health. Read more.

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HealthCurve Analytics Announces Partnership With SpectraMedix

Staff Contacts: Brian Waterman or Theresa Roark

MHA’s subsidiary, HealthCurve Analytics, now is partnering with SpectraMedix. SpectraMedix partners with hospitals, health systems, provider organizations, health information exchanges and payers to improve care delivery and support their transition to value-based payment models. MHA members will have access to vital merit-based incentive payment system and alternate payment model solutions for the Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015 through the SpectraMedix eMeasures360™ Platform. An informational webinar is scheduled for Tuesday, Aug. 22. Register online.

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Noteworthy


Jennifer Tidball Named Acting MO HealthNet Director

Staff Contact: Brian Kinkade

Jennifer Tidball will serve as acting MO HealthNet Director following the resignation of Jay Ludlam on Aug. 5. Ludlam is now the Assistant Secretary for Medicaid Transformation with the North Carolina Department of Health and Human Services. Tidball is the current Deputy Director of the Missouri Department of Social Services.

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Consider This ...

According to 2011-2013 data, nearly 8 in 10 babies in the U.S. are breastfed.

Source: Centers for Disease Control and Prevention