MHA Today | August 26, 2016

August 26, 2016

MHA Today: News for Healthcare Leaders

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Herb Kuhn, MHA President & CEO Good ideas generally aren’t born in Jefferson City or Washington D.C. Sometimes they make their way here. Too often they don’t. That’s unfortunate, because what happens in our capital cities matters. Law and regulation shape how hospitals are reimbursed for care, how care is delivered and the environment for care-delivery, in addition to a whole host of other system, technology and operational requirements.

In 2012, I wrote about the work of a task force MHA convened that had evaluated the state’s hospitals licensure standards. After two year’s work, their efforts resulted in recommendations to revise and rescind the majority of the 48 rules they reviewed. Since that time, many of the recommendations have been adopted through legislation or rulemaking.

Our work to streamline the regulatory process continues. For example, MHA supported efforts to eliminate duplicate data submission for the state’s designated centers for stroke and ST-elevation myocardial infarction. Under newly adopted legislation, the state’s stroke and STEMI centers can submit data to national registries — which the state can then access — rather than to both state and national databanks. Similarly, MHA supported a newly adopted law that will allow stroke centers to certify through The Joint Commission or another national certification process, rather than through both national and state certification.

For more than a decade, Missouri has collected infection data. However, federal data collection has advanced significantly since the state law was adopted, creating another duplicate reporting system. Working with lawmakers, MHA was able to streamline the reporting system and set standards for what type of infections will be monitored in the future.

We’ve made progress in helping shape federal laws and regulations as well. From Recovery Audit Contractor system reform to wage index manipulation repeal, our ongoing pursuit of fair federal policies are shaping the national conversation.

These are examples of what happens when problems are identified. Unfortunately, many laws and regulations that are unnecessary, overly burdensome, duplicative or inconsistent with other federal or state requirements, remain. The challenge is finding them.

MHA’s Streamlining Government Initiative is designed to ensure that good ideas make it to the halls of power. We’ve provided a way for hospital leaders to identify the state and federal regulatory challenges that add to the cost and complexity of hospital operations with little or no discernable value. We’re crowd-sourcing regulatory reform. I encourage you to participate.

I don’t expect the initiative to grab front-page headlines. What I anticipate is incremental change that will allow hospitals to refocus limited resources on activities that add value to health care.

One final note. MHA has scheduled a seminar, “How to Navigate the New Quality Payment Programs and Beyond,” to help hospitals maximize the value of quality-linked payment programs. Please consider sending the link to a member of your team … or just sending a member of your team!

Send me a note to let me know what you think.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
MHA Comments On Medicare Appeals Proposed Rule
MO HealthNet Prepares To Open State-Level Registry For Meaningful Use
CMS Updates Appendix I-Life Safety In State Operations Manual
CMS Announces Review Period Deadline

state and federal health policy developments

MHA Comments On Medicare Appeals Proposed Rule

Staff Contacts: Daniel Landon or Andrew Wheeler

MHA has submitted comments regarding a proposed federal regulation to revise the management of appeals of Medicare payment and coverage decisions. The proposed rule was issued in late June. The deadline for submitting public comments is 4 p.m. Monday, Aug. 29.

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Regulatory News
the latest actions of agencies monitoring health care

MO HealthNet Prepares To Open State-Level Registry For Meaningful Use

Staff Contact: Bryant McNally

Missouri’s state-level registry for program year 2015 will open for eligible hospitals starting Thursday, Sept. 1, and remain open through Wednesday, Nov. 30. In addition, the SLR will open for PY 2016 attestations for eligible professionals starting Sept. 1 and remain open through March 31, 2017. At this time, the SLR will only accept applications for EPs attesting to either adopt, implement or upgrade, or their first year of meaningful use in PY 2016.

The Centers for Medicare & Medicaid Services has issued a proposed rule that would change the electronic health record reporting period to 90 days for PY 2016 for all EPs returning to attest MU for at least their second time (years three through six). The date that the SLR will accept applications for EPs returning to attest MU will be announced following the outcome of the proposed rule.

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CMS Updates Appendix I-Life Safety In State Operations Manual

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services has released a survey and certification letter announcing updates to Appendix I-Life Safety in the State Operations Manual. There are two updates noted in the letter. First, language previously included and erroneously omitted related to information gathering was reinstated. Second, exit interview guidance was updated to reflect appropriate communications during the exit interview process. The letter denotes the changes in red. The changes will not be updated simultaneously in the online manual.

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Quality and Population Health

MHA Comments On Medicare Appeals Proposed Rule

Staff Contacts: Dana Dahl or Stephen Njenga

The Centers for Medicare & Medicaid Services announced that following the Aug. 1 release of the fiscal year 2017 hospital value-based purchasing percentage payment summary reports, hospitals have 30 days to review and request recalculation of their performance scores on each condition, domain and total performance score. Reports are available on the QualityNet Secure Portal. All calculation requests must be submitted to CMS no later than 1:59 a.m. Thursday, Sept. 1.

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Did You Miss An Issue Of MHA Today?

August 25, 2016
MLN Connects Provider eNews Available
HIDI Hosts Monthly Focus Session Highlighting PPS Reports
NRHA Announces 340B Audit Webinar

August 24, 2016
CBO Releases Budget And Economic Outlook Update
CMS Hosts Episode Payment Models Webinar
Region 7 Releases “The Pulse of CMS” Newsletter
CDC Updates Zika Considerations For Health Care Settings
Putnam County Memorial Hospital Names New Executive Team Chairman

August 23, 2016
Commonwealth Fund Publishes Chronic Disease Study
Eiler Represents Mental Health At AHA
State Board Of Nursing Executive Director Receives Award

August 22, 2016
HIDI HealthStats — Sepsis Hospitalization Five-Year Trends In Kansas And Missouri
HIDI Releases Analytic Tool To Assess Wage Index Reclassification
MHA Releases Missouri Price And Quality Transparency Update
HSAG Encourages Report Review
Deadline Approaches For Quality IPF Reporting
RWJF Opens Call For Applications
Hospitals Test Emergency Response Capabilities In National Exercise

Consider This ...

Allergies, including allergic rhinitis, affect an estimated 40 million to 50 million people in the U.S. Some allergies may interfere with day-to-day activities or lessen the quality of life.

Source: American College of Allergy, Asthma & Immunology