MHA Today | September 16, 2016

September 16, 2016

MHA Today: News for Healthcare Leaders

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Herb Kuhn, MHA President & CEO Sunday was the 15th anniversary of the Sept. 11, 2001, terrorist attacks. There have been very few aspects of our lives that have not been touched by the events of that day. For members of the hospital community, the changes have been profound.

Natural and man-made disasters, including 9/11, Hurricane Katrina and the Joplin tornado, among others, have increased attention to the central role hospitals play in emergency response. Beginning in 2002, federal resources were directed to expand hospitals’ readiness. Since then, MHA has subcontracted with the Missouri Department of Health and Senior Services to invest in the Hospital Preparedness Program funding from the U.S. Department of Health & Human Services’ Office of the Assistant Secretary for Preparedness and Response. The grant has helped establish a foundation for hospital readiness — including hospitals’ efforts to equip, plan and exercise their systems to be ready for all hazards.

MHA’s approach to HPP funding has been to invest in resources that support hospitals’ acquisition of basic and advanced skills, interoperable equipment, deployable resources and robust, mutually supportive community partnerships. The funding was not used to simply purchase supplies, but rather build systems of response.

Missouri’s strategic investments have increased readiness locally. In addition, our state’s system is creating a model for investments elsewhere. Within the last two months, Missouri has been recognized by HHS for the MHA Healthcare Coalition Guidance developed for nonurban areas. The Region H Emergency Preparedness Healthcare Coalition will be presenting the model at the National Healthcare Coalition Preparedness Conference in Washington, D.C. In addition, this coalition is 1 of 6 nationally invited to evaluate new Federal Emergency Management Agency training for regional coordination at the Center for Domestic Preparedness in Anniston, Ala.

Although HPP funding has been available since 2002, HHS has only recently begun to formally incorporate readiness into the regulatory framework. For more than a decade, the Centers for Medicare & Medicaid Services has been conceptualizing how to integrate hospital readiness into the regulatory system. In 2013, CMS released a proposed rule to recognize and cement hospitals’ position as the center of community medical emergency response, including bringing this emergency function into CMS’ Conditions of Participation. The final rule was issued Sept. 8 and is formally published in today’s Federal Register.

The Missouri hospital community’s strategic investments are producing dividends. The state’s hospitals are well-positioned for compliance with the new rules. In fact, in advance of the final rule, many hospitals have indicated that their current policies and systems achieve compliance with the expected standards — a testament to their commitment to preparedness.

Using the HPP grant, MHA recently released a four-part on-demand educational video series that hospitals and other stakeholders can use to understand the rule and ensure compliance. The video explains foundational aspects of emergency preparedness, the interrelated regulatory framework of preparedness programs, the proposed rule and a to-be-released video on the final rule. I encourage you to share the videos among your staff and with stakeholders.

Readiness requires ongoing investment. MHA’s annual Emergency Preparedness Conference is Oct. 13-14 in Camdenton, Mo. It’s an opportunity to hear from national experts about lessons learned from real world events, and emerging challenges for hospitals and health care facilities. Topics will include workplace and community violence, highly infectious diseases, and cybersecurity. As the threats change, so must investments. And, we’re proud to offer the conference at no cost to members.

In the meantime, September is Preparedness Month. To help support community and personal readiness, hospitals can share Ready In 3 program resources. These are designed to build individual readiness, which supports hospitals’ efforts to build community resiliency.

The familiar blue sign is a beacon of hope to Missourians in times of crisis. And today, Missouri’s hospitals are well prepared to serve when the unplanned, unforeseen or unthinkable occur.

Send me an email to let me know what you’re thinking.

P.S. — Late this week, we received responses to our health care questionnaire from Missouri’s two major-party gubernatorial candidates, Republican Eric Greitens and Democrat Chris Koster. I encourage you to review their responses and share them with your staff and members of your community. Find them under “The Candidates” on the Your Vote Matters section of Missouri Health Matters.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
Governor Restricts Selected State Spending
MO HealthNet Proposes Reduced Rates For Nonemergent ER Visits
CDC Releases Cybersecurity Discussion Guide

state and federal health policy developments

Governor Restricts Selected State Spending

Staff Contact: Daniel Landon

In response to the General Assembly’s votes on Wednesday to override his vetoes of several bills that will raise state spending, Gov. Jay Nixon announced spending restrictions for a number of items authorized in the state budget. The only spending item directly affecting health care is a $1.45 million restriction of a $5 million appropriation of state general revenue to fund specialized medical information technology for medical residents’ training at Truman Medical Centers, Inc., and University of Missouri Healthcare. Last July, another $3 million of the appropriation was restricted by the Governor.

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MO HealthNet Proposes Reduced Rates For Nonemergent ER Visits

Staff Contacts: Daniel Landon, Steve Renne or Sarah Willson

MO HealthNet has proposed a plan to reduce payment rates for emergency room visits for fee-for-service Medicaid recipients who use the ER for nonemergent reasons. The plan also presumes implementation by Medicaid managed care plans and lowers MO HealthNet payments to the plans accordingly. The plan is called the LANE (Low-Acuity Non-Emergency) initiative. MHA is collaborating with the Missouri chapter of the American College of Emergency Physicians and the Missouri State Medical Association to identify and respond to mutual concerns. Today, the organizations issued a joint statement regarding their intent to propose an alternative plan which would more effectively address the issue of nonemergent ER visits.

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HIDI Tech Connect

CDC Releases Cybersecurity Discussion Guide

Staff Contact: Theresa Roark

The Centers for Disease Control and Prevention has released the Healthcare Organization and Hospital Cybersecurity Discussion Guide. The guide provides scenarios and discussion questions to help health care organizations and hospitals in the development of cybersecurity preparedness and response planning. MHA is convening a cybersecurity workgroup in the fall to identify potential association initiatives to assist members in cybersecurity preparedness.

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Did You Miss An Issue Of MHA Today?

September 15, 2016
Legislators Override Veto Of Transparency, Medicaid Fee Legislation
MHA Distributes Analysis For The Update Notice To FY 2017 IPF PPS
CMS Posts Proposed Revisions To CJR Model Slide Deck
MO HealthNet Approves Provider Rate Increases
MLN Connects Provider eNews Available
Practitioner Licensure Board Releases Plan For Refunding Fees
CMS Announces OQR Webinar
HIDI Releases Third Quarter FFY 2016 Inpatient, Outpatient, Missouri Databases

September 14, 2016
FSD Changes Location For Submitting Paper Applications
U.S. Census Bureau Claims Decreases In Uninsured Rate
St. Louis Community Receives RWJF Culture Of Health Award
Putnam County Memorial Hospital Names New CEO

September 13, 2016
Congressional Committee Leaders Query CMS On Fraud Preventions
FSD Releases Presumptive Eligibility Plan
CMS Resumes Short-Stay Patient Status Reviews

September 12, 2016
CBO Projects Hospital Profit Margins In 2025
MHA Comments On Proposed Medicaid DSH Regulations
CMS And OCR Revise Civil Rights Clearance Procedure
MHA Updates Quality Reporting Guides

Consider This ...

September is Cholesterol Education Month. More than 102 million American adults (20 years or older) have total cholesterol levels at or above 200 mg/dL, which is above healthy levels. More than 35 million of these people have levels of 240 mg/dL or higher, which puts them at high risk for heart disease.

Source: Centers for Disease Control and Prevention