MHA Today | May 6, 2016

May 6, 2016
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MHA Today: News for Healthcare Leaders

Celebrate Missouri Hospitals

National Hospital Week, May 8-14, marks the beginning of MHA’s new image campaign to help Missourians understand the value of, and connect with, hospitals. The familiar “H” will be the centerpiece of the campaign and a website has been created to help Missourians thank hospital staff and get involved. Visit to learn more.


Herb Kuhn, MHA President & CEO

Next week, May 8-14, is National Hospital Week. And, Monday, MHA will be launching a new awareness campaign that speaks to the essential nature of Missouri’s hospitals to the communities they serve.

The new campaign doesn’t promote a specific policy or talk about hospitals as an economic engine. It relies on a stronger, more personal narrative. It’s the story of the 150,000 hospital employees — from admissions clerks to X-Ray technicians — that are the hospital.

Resources to celebrate Hospital Week and join in the awareness campaign are available on MHAnet.

Hospital Week and the campaign provide a powerful lens for viewing the May edition of Trajectories. This edition reflects on the past investment in emergency preparedness and addresses emerging threats and regulatory changes that will affect hospitals in the future. Hospitals address individual, personal emergencies daily. History tells us that hospitals become essential community assets when the scope of an emergency is broad.

In May of 2011, a massive tornado cut a path through Joplin, Mo. Mercy’s Joplin hospital, then St. John's Regional Medical Center, was hit directly, incapacitating it in only minutes. More than 150 members of the Joplin community died, and thousands more were injured. Many looked to the community’s hospitals to bind their wounds and as a place of refuge. And, hospital employees from Mercy, Freeman Health System and Landmark Hospital of Joplin — many of whom were themselves victims of the tornado’s wrath — rushed to the city’s hospitals to help provide the massive amount of care they knew would be needed.

As awful as it all was, their heroic actions certainly saved lives. So did the emergency response systems hospitals — locally, statewide and regionally — had put in place to respond.

For more than a decade, MHA has worked with hospitals throughout the state to purchase equipment, build expertise and improve coordination to prepare for emergencies of all kinds. Beginning in 2002, MHA began receiving federal funds, passed through the Missouri Department of Health and Senior Services, to build readiness. What started out post-9/11 as a response to threats of terror, evolved into hospitals’ preparedness for all hazards. Today, those investments are the foundation of our system.

In 2013, the Centers for Medicare & Medicaid Services issued a rule to add preparedness functions to hospitals’ and 17 other suppliers' and providers’ Medicare and Medicaid Conditions of Participation. CMS views hospitals at the center of emergency management, saying in the rulemaking, “Hospitals are the focal points for health care in their respective communities; it is essential that hospitals have the capacity to respond in a timely and appropriate manner in the event of a natural or man-made disaster.” The rule is slated to be in place by December of this year.

The CoPs are a new requirement. However, there’s good news. MHA’s annual preparedness survey of Missouri’s hospitals found that 80 percent of survey participants’ current systems meet or exceed the CoP’s requirements.

The scope of “natural and man-made disasters” broadens constantly. Preparation for seasonal or pandemic influenza can help inform response to Ebola. A major earthquake or tornado can build our understanding of the challenges of urban unrest — as was experienced during the Michael Brown Grand Jury proceedings. Corporate data hacks help sharpen our focus on cybersecurity. All of these threats and many more loom. Thankfully, Missouri’s hospitals have a solid foundation, built on years of investment and a proven response framework.

Joplin reminds us that hospitals are essential to their communities in a time of crisis. The most compelling of these stories aren’t about buildings or equipment — they are about people. They are the stories of Joplin residents in a time of profound need and hospital employees rising to meet the greatest challenges most will ever see. It’s the story of retaining hospital workers and rebuilding the infrastructure that serves as their canvas.

It doesn’t happen without the people. That’s the hospital story.

* * *

MHA is soliciting nominations for the new Trustee of the Year award. After 30 years of recognizing trustees at the MHA Leadership Forum, the new award will recognize one urban and one rural trustee during the Installation and Recognition Banquet at MHA’s convention in November. To qualify, the trustee must currently be serving on a hospital or health system board.

Please consider an outstanding member of your hospital or system board for this recognition. Applications must be received by Friday, May 20.

Have a great National Hospital Week, and thank you for all you do to make Missouri and the communities you serve better.

Send me a note to let me know what you’re thinking.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Clarifies Care For Justice-Involved Individuals
March MUR Available On HIDI Analytic Advantage®
CDC Study Sites More Support For Antibiotic Stewardship Programming


Regulatory News
the latest actions of agencies monitoring health care

CMS Clarifies Care For Justice-Involved Individuals

Staff Contacts: Sarah Willson or Jim Mikes

On May 4, the Centers for Medicare & Medicaid Services released a new survey and certification letter, Ref: S&C: 16-21-ALL. The guidance to surveyors clarifies requirements for providing services to justice-involved individuals in numerous health care settings, including skilled nursing facilities, nursing facilities, hospitals, psychiatric hospitals, critical access hospitals and intermediate care facilities for individuals with intellectual disabilities. Specifically, the guidance seeks to guarantee high quality care that is consistent with essential patient rights and safety for all individuals.

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HIDI Tech Connect

March MUR Available On HIDI Analytic Advantage®

Staff Contact: Cerise Seifert

Data for the March 2016 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 transferred, the data must be secured according to the hospital’s security procedures. April 2016 data are being collected now and are scheduled to be available Monday, June 6.

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Quality and Population Health

CDC Study Sites More Support For Antibiotic Stewardship Programming

Staff Contacts: Alison Williams or Jessica Rowden

According to a study by the Centers for Disease Control and Prevention, an estimated 30 percent of the 154 million antibiotics prescribed in doctors’ offices and emergency departments in 2010-2011 may have been inappropriate. The White House National Action Plan for Combating Antibiotic-Resistant Bacteria calls for reducing inappropriate antibiotic use in the outpatient setting by 50 percent by 2020. Most of the inappropriate prescriptions were for respiratory conditions caused by viruses, which do not respond to antibiotics. In an AHA STAT blog post on the study, American Hospital Association Chief Medical Officer John Combes, M.D., notes that 65 percent of hospitals had an antimicrobial stewardship program last year, up from 45 percent in 2010.

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Did You Miss An Issue Of MHA Today?

May 5, 2016
CMS Publishes Medicare Part B Drug Payment Model Proposed Rule
FDA Issues New Tobacco Regulation Standards
CMS Releases Physician And Other Supplier Utilization And Payment Data
MLN Connects Provider eNews Available
CMS Releases OQR Times
Quality Institute Releases Report: Measures That Matter
QRC Hosts FY 2017 IPPS Proposed Rule Webinar

May 4, 2016
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

May 3, 2016
CMS Publishes Fire Safety Requirements Final Rule
CMS Reminds IPFs Of HCP Submission Deadline
Nursing, Pharmacy And Medical Schools Pledge To Educate On Opioid Crisis

May 2, 2016
MHA Distributes Wage Index, Occupational Mix Data For Review
MHD Posts Reminder For Inpatient Validation Review
CMS Updates IQR Program Known Issues Document
MO HealthNet Division Requires DiagnosticSite Certification
CMS Releases FY 2018 Quality Measures Document
SSM Health St. Mary’s Hospital – St. Louis Names New President

Consider This ...

National Nurses Week is May 6 to 12. By 2018, the country will need nurses to fill 581,500 new positions and will have to replace hundreds of thousands because of the aging workforce.

Source: AARP