MHA Today | February 5, 2016

February 5, 2016
MHA Today: News for Healthcare Leaders

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


Herb Kuhn, MHA President & CEOIf you aren’t driving change, you’re reacting to it. And, if you’re reacting, your options are a lot more limited.

This week, MHA rolled out new data on the consumer-focused website, For the first time, our state’s hospital community published data on hospital pricing in addition to quality. Getting to Wednesday’s launch wasn’t easy. The process was thoughtful and deliberate. And, to change minds about price transparency, we had to change our own first.

Focus on Hospitals is designed for consumers. However, it is essential to shaping the policy debate about hospital quality and price in Missouri. We all know that the nation’s health care payment system is byzantine, and that no single effort or system could encompass price information for every consumer. However, we know that change is coming — consumers have a larger financial stake in their care and a conversation about hospitals’ prices is occurring. This will continue whether we’re participating or not.

The site included another component designed to foment change. We believe that the present methodology for the Centers for Medicare & Medicaid Services’ Hospital Readmission Reduction Program fails to account for an important nonclinical co-morbidity — poverty. We’ve been working with researchers and policymakers to call attention to the pernicious effect of poverty on readmissions. The HIDI HealthStats released this week outlines the case for inclusion of sociodemographic status in readmission risk adjustment. The website delivers the results of SDS adjustment on the readmission scores, placing the SDS results beside observed and CMS-adjusted rates for comparison.

Getting the numbers right matters. Not factoring in patient and community data could perpetuate disparities in access to care and health outcomes.

Our data release was publicly lauded by the Association of American Medical Colleges, America’s Essential Hospitals, American Hospital Association, Catholic Health Association and Federation of American Hospitals. In addition, our ability to deliver research, and our ongoing advocacy, is pushing a national conversation about SDS risk-adjustment forward.

There’s one more change I want to talk about. Last Friday, Beth Morell retired from MHA. Beth had coordinated our education programs and convention for the last 15 years. Her responsibilities will be taken over by Meredith Kenyon, who joined MHA last year.

Today, was Sharon Burnett’s last day in the office, retiring after more than 15 years of service. During her tenure, she helped shape — and helped hospitals comply with — the myriad regulations that influence how hospitals provide care every day. Her responsibilities are being assumed by Sarah Willson, who brings a wealth of operational, clinical and regulatory experience to the table.

Change is hard. But, it’s full of opportunity.

Let me know what you think.

Herb B. Kuhn
MHA President and CEO

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In This Issue
Congressional Committee Leaders Seek Input On Site-Neutral Payments
FDA Releases Opioid Action Plan
Perinatal Regulatory Standards Bill Advances
CMS Announces IPFQR Program Webinar
HIDI Releases Fourth Quarter FFY 2015 Inpatient, Outpatient Databases
December MUR Available On HIDI Analytic Advantage®
NHSN Posts 2016 Patient Safety Manual

state and federal health policy developments

Congressional Committee Leaders Seek Input On Site-Neutral Payments

Staff Contact: Daniel Landon

The chairmen of the U.S. House Energy and Commerce Committee and its Health Subcommittee are requesting comments from the “health care community” regarding site-neutral payments in the Medicare program. A recent change in federal law expanded the use of site-neutral payments, affecting payment in some hospital outpatient treatment settings. A broader expansion has been discussed in Congress and by the Centers for Medicare & Medicaid Services. The deadline for providing comments is Friday, Feb. 19.

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FDA Releases Opioid Action Plan

Staff Contact: Daniel Landon

The U.S. Food and Drug Administration has issued an action plan to address the “growing epidemic of opioid abuse, dependence and overdose in the United States.”

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Perinatal Regulatory Standards Bill Advances

Staff Contact: Daniel Landon

A Missouri House committee has given first-round approval to House Bill 1875. It would create a committee to develop standards for perinatal care delivery and divide the state into neonatal and maternal care regions. The bill now advances to a second level of review by the Select Committee on Social Services.

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Regulatory News
the latest actions of agencies monitoring health care

CMS Announces IPFQR Program Webinar

Staff Contact: Sherry Buschjost

The next outreach and education webinar for participants in the Inpatient Psychiatric Facility Quality Reporting Program is scheduled at 1 p.m., Thursday, Feb. 18. The webinar, titled “NHSN Enrollment and HCP Measure Refresher,” will include a brief overview of the steps required to complete the National Healthcare Safety Network enrollment process and the reporting requirements for the Influenza Vaccination Among Healthcare Personnel measure. During the second part of the webinar, members of the NHSN team and the IPFQR Program project lead will answer questions from attendees in a live forum. Attendees will have the unique opportunity to ask questions and receive answers from Centers for Disease Control and Prevention subject matter experts. Attendees are asked to review the following resources and come prepared with questions. Registration is required.

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HIDI Tech Connect

HIDI Releases Fourth Quarter FFY 2015 Inpatient, Outpatient Databases

Staff Contact: Shane VanOverschelde

The fourth quarter federal fiscal year 2015 inpatient and outpatient databases, including HIDI-reporting Hospitals in Missouri, Illinois and Kansas City, Kan., are now available for download to subscribers of the Premier Data Package on HIDI Analytic Advantage®. The databases include a patient-level limited dataset, including all HIDI-reported discharges and visits to hospitals. Files are delivered as both text files and ready-to-query Microsoft Access database files. The files are located in the “Strategic Planning/Premier Data” section and are organized in the following categories.

  • Q1-Q4 FFY2015, Inpatient
  • Q1-Q4 FFY2015, Outpatient Classified
  • Q1-Q4 FFY2015, Outpatient Unclassified
  • Q1-Q4 FFY2015, Outpatient Classified (CPTs converted to ICD-9)
  • Q1-Q4 FFY2015, Outpatient Unclassified (CPTs converted to ICD-9)

Hospitals interested in subscribing to the 2016 HIDI Premier Data Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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December MUR Available On HIDI Analytic Advantage®

Staff Contact: Cerise Seifert

Data for the December 2015 monthly utilization report have been posted on HIDI Analytic Advantage® and are available to download for distribution or placement in a network folder. HIDI Analytic Advantage® PLUS has been updated to include this data. The contacts from the participating hospitals have been notified by email, and they may download and save the Excel worksheet to a secure location on their networks or PCs. The data are encrypted on the site and also during the transmission from HIDI. Once the data have been transferred, it must be secured according to the hospital’s security procedures. January 2016 data are being collected now and are scheduled to be available Monday, March 7.

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Quality and Population Health

NHSN Posts 2016 Patient Safety Manual

Staff Contacts: Dana Downing or Stephen Njenga

The National Healthcare Safety Network patient safety manual for 2016 has been posted on NHSN’s website. The document also can be found in the “Related Links” section throughout the website.

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Did You Miss An Issue Of MHA Today?

February 4, 2016
House Committee Reviews APRN Bills
Missouri Senate Approves Palliative Care Bill
Senate Advances Infection Control Legislation
State House Approves Mental Health Measures
Senate Veterans Affairs And Health Committee Hears Helicopter Barrier Bill
House Select Committee Approves Health Care Workforce Analysis Legislation
MHA Distributes Wage Index, Occupational Mix Data For Review
State Releases January 2016 General Revenue Report
CMS Announces eCQM Program Education Webinar
MLN Connects Provider eNews Available
RWJF Publishes Tools On How To Increase Nursing Workforce Diversity

February 3, 2016
MHA Launches New Price And Quality Data On Focus On Hospitals Website
Committee Reviews Infection Control Update Bill
Committee Considers Ban On Non-Compete Contracts
MHA Comments On 0.2 Percent IPPS Reduction Because Of 2-Midnight Rule
CMS Updates IPFQR Resources
TJC Announces Pioneers In Quality Program
HIDI HealthStats — Sociodemographic Factors In Risk-Adjusted Readmission Measures
President Proposes $1.5 Billion In Funding To Address Opioid Abuse And Heroin Epidemic

February 2, 2016
CMS Reminds Hospitals Of IP Submission Deadlines
CMS Updates OP-33 Measure Information Form
CMS Issues Survey And Certification Letter

February 1, 2016
CMS Proposes Update To ACO Benchmark Methodology
CMS Requests Public Comments For Two Quality Measures
MO HealthNet Changes Precertification Requirements

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