MHA Today | April 1, 2016

April 1, 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. Connect with us on LinkedIn.


Herb Kuhn, MHA President & CEO

It’s a poorly kept secret that Missouri has a primary care provider shortage. In fact, MHA has issued several reports on primary care physicians in rural and urban areas, and annually identifies trends in the hospital workforce throughout Missouri. This work has helped drive the debate and inform policymaking.

On Monday, the newly-formed Missouri Health Workforce Coalition will hold a Primary Care Summit in Jefferson City to outline the challenge, review current policy and begin planning for efforts to strengthen the state’s primary care workforce. MHA is a founding member of the coalition.

The shortage is profound. For example, it’s a lot easier to talk about the places that are not a primary care health professional shortage area than to list those that are. Of Missouri’s 114 counties plus the City of St. Louis, 95 percent are designated primary care HPSAs. All but three of Missouri’s 101 counties designated as “rural” are primary care HPSAs. Approximately 2.3 million Missourians live in these rural areas.

Interestingly, and in contrast, Missouri is blessed with abundant medical school capacity. Missouri is home to six medical schools and will have eight campuses in the years ahead. Currently, the state is ranked third nationally in allopathic and osteopathic enrollment per 100,000 population, and could lead the nation when the two new campuses — one in Joplin and one in Springfield — come online. However, even with the current school of medicine graduation rate of approximately 1,000 students annually, Missouri has too few residency slots to offer students educated here. We’re currently the second highest net exporter of medical school graduates in the nation, and without additional residency slots in the state — there are currently 725 — we’ll be growing the gap. Moreover, of all first-year residency slots in Missouri, only 381 are in primary care.

The problem isn’t limited to the physician community. However, physicians are essential to the other parts of the system functioning.

Unfortunately, there isn’t a silver-bullet solution. Missouri already has a diverse set of programs that are designed to support the workforce, including some specifically targeted to HPSAs. Nonetheless, the supply and demand gap remains.

The white paper the group will be using at Monday’s meeting outlines the problems I’ve mentioned, as well as policy issues that influence practice in Missouri. In addition, it provides a set of opportunities for collaboration, partnership and solutions to some of the known issues.

As I said, there isn’t one solution. It will require continued investment, better and more targeted use of workforce resources, and a commitment from stakeholders to work collaboratively. It also will require identifying the right potential workforce entrants and removing the roadblocks to their career choices.

Monday’s meeting is a sign that we’re moving in the right direction. Unfortunately, the pipeline can’t develop a physician, nurse practitioner, registered nurse or allied health worker overnight. Think about it — a student graduating from a Missouri high school this year with an eye toward becoming a primary care physician will complete their residency program in 2027, at the earliest. Addressing the problem requires a commitment to taking the long view and investing for the long term.

The secret isn’t that a shortage exists. It is that solving it will require aggressive, coordinated action and targeted, long-term commitment.

Let me hear from you on this issue.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Reminds LTCHs Of New Reporting Requirements
CMS Announces IPFQR Webinar
MHA Releases Grow Your Own Health Care Workforce Programs Compendium
April Marks National Donate Life Month

Regulatory News
the latest actions of agencies monitoring health care

CMS Reminds LTCHs Of New Reporting Requirements

Staff Contact: Jim Mikes

The Centers for Medicare & Medicaid Services is reminding long-term care hospitals that the LTCH Continuity Assessment Record and Evaluation Data Set Version 3.00 takes effect today. The LTCH Quality Reporting Manual Version 3.0 offers guidance to LTCHs regarding the collection, submission and reporting of quality data to CMS for compliance with the LTCH Quality Reporting Program.

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Quality and Population Health

CMS Announces IPFQR Webinar

Staff Contact: Sherry Buschjost

The next national provider webinar for hospitals participating in the Inpatient Psychiatric Facility Quality Reporting Program is scheduled at 1 p.m. Monday, April 18. The webinar, titled “Overview of the 30-Day All-Cause Unplanned Readmission Following Psychiatric Hospitalization in an Inpatient Psychiatric Facility Measure,” will discuss the background and development process for the measure, final measure specifications, and how the measure compares to existing readmission measures. Registration is required.

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Workforce News

MHA Releases Grow Your Own Health Care Workforce Programs Compendium

Staff Contact: Meredith Kenyon

MHA has released a compendium of lessons learned from the Grow Your Own health care workforce program. The GYO grant program has provided nearly $2 million to 39 Missouri hospitals throughout the past two years to help hospitals develop and expand their health care workforce according to locally-defined needs. Stories in the compendium include how hospitals have used funding to implement tailored recruitment, retention and leadership development programs. The GYO programs provide ideas for consideration and customization that may be useful to others looking to innovate and strengthen their workforce.

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April Marks National Donate Life Month

Staff Contact: Michael Dunaway

April is National Donate Life Month. Mid-America Transplant Services, Midwest Transplant Network and other organ donation organizations across the country are sharing the importance of donation and transplantation to raise awareness, educate and motivate individuals to become donors. Currently, 51 percent of the U.S. adult population are registered donors; fifty-nine percent of Kansas residents and 70 percent of Missouri residents are registered donors. More than 122,000 people are waiting for a transplant and a second chance at life. To become an organ, eye and tissue donor, visit Donate Life Missouri's website.

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Did You Miss An Issue Of MHA Today?

March 31, 2016
State House Advances Telemedicine Bill
Medicaid Issues Federal Upper Limits And Medicaid Covered Outpatient Drug Final Rule
CMS Provides Additional RHC Billing Guidance
MLN Connects Provider eNews Available
State And Federal Agencies Release Zika Virus Resources
AHRQ Releases Report: Improving Cultural Competence To Reduce Health Disparities

March 30, 2016
MHA Provides Analysis Of Medicare Spending Per Beneficiary
House Approves Hospital Construction Regulatory Relief Bill
Committee Reviews Child Abuse Training Requirement
Oklahoma Medicaid Proposes 25 Percent Provider Payment Cut
Report Assesses Prescription Drug Monitoring Laws
CMS Releases Mental Health Parity Rule
MDIFP Announces Hearing For Aetna’s Proposal To Acquire Humana
Proposed Federal Rule Would Expand Access To Opioid Addiction Treatment
Trajectories — Opioids: A Population Health Dilemma
AHRQ Releases Special Emphasis Notice And Final Reports

March 29, 2016
Senate Appropriations Begins Work On FY2017 Budget
Report Assesses Behavioral Health Effects Of Medicaid Expansion

March 28, 2016
CBO Releases 10-Year Updated Budget Projections
RHC Qualifying Visit List Expands
CMS Posts Second Quarter 2015 Benchmarks Of Care
MHA Reminds Hospitals Of Quality Measure Revisions

Consider This ...

April is National Donate Life Month. On average, 22 people die each day because the organ they need is not donated in time.

Source: Donate Life Missouri