MHA Today | June 1, 2016

June 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.

In This Issue
MHA Distributes Analysis For FFY 2017 Proposed IRF PPS
CMS Announces IPFQR Webinar
HIIN Releases RFP

state and federal health policy developments

MHA Distributes Analysis For FFY 2017 Proposed IRF PPS

Staff Contact: Andrew Wheeler

MHA has made available an analysis that illustrates the estimated financial effect of the federal fiscal year 2017 proposed inpatient rehabilitation facility PPS rule. The analysis, which will be available online for authorized users of HIDI Analytic Advantage®, includes a summary for the nation, Missouri, health systems and individual hospitals. Hospitals have until Monday, June 20, to review the impact and submit comments about the rule to the Centers for Medicare & Medicaid Services. For Missouri, the overall effect of the proposed updates for FFY 2017 is an estimated increase of 0.8 percent. This increase does not reflect payment reductions from Medicare sequestration.

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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 11 a.m. Wednesday, June 8. The webinar, titled “IPFQR Program 101 and New Measures Review,” will provide an overview of the IPFQR Program, as well as review resources pertaining to specifications for the following measures. Registration is required.

  • Transition Record with Specified Elements Received and Discharged Patients
  • Timely Transmission of Transition Record
  • Screening for Metabolic Disorders

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HIIN Releases RFP

Staff Contact: Jessica Rowden

On May 25, the Centers for Medicare & Medicaid Services announced its intent to fund “Hospital Improvement Innovation Networks” for continued support of quality improvement patient safety efforts. The current HEN 2.0 contract is scheduled to end Friday, Sept. 23. CMS projects the HIIN contract would begin Friday, Sept. 30, and end Sept. 29, 2018. Depending on the outcomes and progress of the project through September 2018, CMS may or may not extend the project another 12 months. MHA plans to submit a proposal to CMS by Monday, June 27, as a subcontractor. CMS has set reduction goals of 20 percent all-cause harm and 12 percent all-cause readmissions. Beyond the educational and quality improvement support provided through past work, the HIIN contract serves as an opportunity to comply with upcoming federal regulations, as well as improve pay-for-performance program outcomes.

  • For plans beginning on or after January 2017, CMS’ 2017 Notice of Benefit and Payment Parameters require compliance with patient safety and quality improvement requirements for payors contracting with hospitals with more than 50 beds. Participation in the HIIN is given as an example of an evidence-based initiative.
  • Recent Missouri legislation requires hospitals to have a formal, written antibiotic stewardship program implemented by Aug. 28, 2017. An antibiotic stewardship program is a major component of the HIIN, and MHA will provide a guided immersion project to support development and implementation for its members.
  • The final rule for discharge planning requires comprehensive care coordination and formal efforts to engage patients and families. These concepts are important to the HIIN work and resources.

To date, HEN work has provided more than $5 million in financial support to further quality, safe care in Missouri hospitals. Memos are being sent to CEOs asking for preliminary commitment. MHA looks forward to the opportunity to provide further support to members for overall quality improvement and achievement of the Triple Aim.

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Consider This ...

About 1 in 4 men and nearly 1 in 5 women ages 35 to 44 has high blood pressure.

Source: Centers for Disease Control and Prevention