MHA Today | May 4, 2016

May 4, 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.

In This Issue
Legislators Block Wage Increase For Personal Care Workers
State Releases April 2016 General Revenue Report
Trajectories — Hospital Preparedness
HIDI Releases First Quarter FFY 2016 Update To Discharge Data-Based Quality Indicators

state and federal health policy developments

Legislators Block Wage Increase For Personal Care Workers

Staff Contact: Daniel Landon

The General Assembly has voted to override Gov. Nixon’s veto of Senate Concurrent Resolution 46. The resolution blocks a proposed state regulation mandating wage increases for personal care attendants. In May 2015, a legislative committee concluded that the proposed regulation violated state law and recommended that the General Assembly block it in the 2016 legislative session. The General Assembly did so, triggering the expected gubernatorial veto. MHA previously expressed opposition to the regulation.

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State Releases April 2016 General Revenue Report

Staff Contact: Steve Renne

State general revenue collections in April 2016 decreased 4.6 percent compared to April 2015. Fiscal year 2016 general revenue collections increased by 2.7 percent compared to last year.

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Quality and Population Health

Trajectories — Hospital Preparedness

Staff Contact: Jackie Gatz

TrajectoriesThe May issue of Trajectories highlights the importance of hospital preparedness. It is a high-stakes endeavor, and communities look to their hospitals as a beacon of safety, security and support when emergencies arise. Yet, hospitals must prepare to remain operational throughout these same emergencies.

Five years ago this month, an EF-5 tornado devastated parts of Joplin, Mo., critically damaging Mercy Hospital and challenging the capacity of the local health care infrastructure. Throughout the five years since the tornado, the Joplin community rebuilt and reinvested — including significant investment in a new hospital. From the destruction, the lessons of the Joplin tornado have helped shape the hospital community’s planning, training and resource allocation strategies.

For more than a decade, hospitals — and the Missouri Hospital Association through a grant from the Missouri Department of Health and Senior Services — have worked to build preparedness through various investments in equipment, training and collaboration. These investments and activities have been framed around an “all-hazards” approach that is flexible enough to coordinate response and recovery in the event of a natural or man-made emergency.

The list of challenges for all-hazards readiness continues to expand. Emerging threats are diverse. Novel and known infectious diseases, and domestic and international cyber criminals present distinct challenges for readiness, response and recovery.

Further, the Centers for Medicare & Medicaid Services is finalizing new preparedness-related Conditions of Participation that could, by the end of 2016, require hospitals and 16 other providers and suppliers to make significant investments in preparedness. This will increase hospitals’ preparedness requirements and could lead to increased integration of preparedness functions into hospital operations.

This edition of Trajectories investigates changes to federal payments for preparedness, the status of preparedness in Missouri, including hospital and community resiliency, emerging threats and advice for hospitals about how to integrate preparedness into hospital operations.

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HIDI Tech Connect

HIDI Releases First Quarter FFY 2016 Update To Discharge Data-Based Quality Indicators

Staff Contact: Shane VanOverschelde

Data on readmissions, hospital-acquired conditions and the Agency for Healthcare Research and Quality’s quality indicators have been refreshed on HIDI Analytic Advantage® PLUS to include measure calculations based on discharge data from the first quarter of federal fiscal year 2016. The quality data updates can be found in various reports in the following Analytic Advantage PLUS locations.

  • Quality > Benchmarking
  • Quality > Readmissions
  • Quality > Strategic Quality Initiatives
  • Executive Reports


Technical questions regarding the measures should be directed to Shane VanOverschelde. For questions about accessing the website or running reports, contact HIDI.

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Consider This ...

May is Stroke Month. Eighty percent of all strokes are preventable. Every 40 seconds someone in the U.S. has a stroke.

Source: American Stroke Association