MHA Today | May 24, 2016

May 24, 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
Commonwealth Fund Releases Cost-Sharing In Marketplace Plan Report
OCR Provides Guidance About Patient Safety Work Product
AHRQ Releases Patient And Family Engagement Toolkit
Upcoming Educational Offerings For Rural Hospitals

Upcoming Event
MHA 2016 Leadership Forum
June 8-10
Chateau on the Lake, Branson, Mo.

state and federal health policy developments

Commonwealth Fund Releases Cost-Sharing In Marketplace Plan Report

Staff Contact: Andrew Wheeler

The Commonwealth Fund released a study comparing consumer cost-sharing between plans sold in the marketplace. In 2016, gold-level plans cost-sharing was about the same as in employer plans. Non-preferred brand drug copay amounts increased the most between 2015 and 2016, amounting to 13.6 percent. Generic drug copay amounts decreased 3.2 percent. The report points to the plan mix offered within each rating area as a significant contributor to the amount of cost-sharing responsibility and increases.

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Quality and Population Health

OCR Provides Guidance About Patient Safety Work Product

Staff Contacts: Jane Drummond or Leslie Porth

In light of several legal challenges threatening the confidentiality of Patient Safety Work Product, the Agency for Healthcare Research and Quality and the Office for Civil Rights have issued guidance as to what materials are protected under the Patient Safety and Quality Improvement Act of 2005. The agencies caution that the PSQIA was not intended to restrict access to records already available to regulators and patients, but rather was intended to protect additional materials created strictly for the purpose of patient safety activities. The guidance provides several examples of materials that would be considered protected PSWP and those that would not. Where records are maintained both within a patient safety evaluation system and for an external regulatory obligation, only those documents used for patient safety activities are protected. Providers may not use the PSES to protect from disclosure records required to be maintained by state or federal regulatory requirements.

The guidance provides additional clarification for the Feb. 29 Centers for Medicare & Medicaid Services’ final rule on 2017 notice of benefit and payment parameters. Flexibility in the rule reports that involvement in state and national evidence-based initiatives to improve quality may be sufficient to meet the requirements. CMS stated in the PSO final rule that qualified health plan issues must verify with their contracted hospitals that have more than 50 beds to either:

  • use a PSO and implement a mechanism for comprehensive person-centered hospital discharge, or
  • implement an evidence-based initiative to improve health care quality — specific to patient safety events that reduce all-harm, prevent readmissions and improve care coordination.

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AHRQ Releases Patient And Family Engagement Toolkit

Staff Contact: Jessica Rowden

Yesterday, the Agency for Healthcare Research and Quality released a toolkit to help clinicians and leaders communicate with patients and families when something goes wrong with their care. Prepared by the American Hospital Association’s Health Research & Educational Trust affiliate, the customizable toolkit uses an AHRQ-developed communication and resolution process called “communication and optimal resolution,” or CANDOR. The toolkit will be incorporated into the MHA Hospital Engagement Network resources and guidance to improve patient and family engagement.

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Upcoming Educational Offerings For Rural Hospitals

Staff Contact: Jim Mikes

The following educational offerings may be of interest to rural hospitals and clinics.

  • The National Fire Protection Association has posted a video recording of the presentation, “CMS Adoption of the 2012 Edition of NFPA 101 and NFPA 99: NFPA 101 and NFPA 99 – Changes from 2000 to 2012.” The presentation describes the changes that will be incorporated into the Centers for Medicare & Medicaid Services’ Conditions of Participation.
  • The Rural Health Research Gateway will present a webinar on findings of a recent study, “Exploring Rural and Urban Mortality Differences.” The webinar is scheduled at noon, Wednesday, June 8. Participation is limited to the first 200 people. Dial 888/942-9541 and enter passcode 7614037 to participate.
  • The National Organization of State Offices of Rural Health is presenting a three-part virtual conference on grant writing for emergency medical services. The first conference will be held at 2 p.m. Wednesday, June 15. Registration and a fee are required.

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Consider This ...

Epilepsy affects about 2.4 million adults in the U.S.

Source: Centers for Disease Control and Prevention