MHA Today | September 19, 2016

September 19, 2016
MHA Today: News for Healthcare Leaders

Your Vote Matters Icon

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.

Information about the Nov. 8 election is available on the Your Vote Matters page of Hospitals can help educate their communities about the election using the resources on MHAnet.

In This Issue
Your Vote Matters
Trajectories — Sepsis
CMS To Update PSVA Tool
This Week Marks Prescription Opioid And Heroin Epidemic Awareness Week
CDC Releases Influenza Season Update

What You Need To Know This Week

  • Your Vote Matters! The Missouri gubernatorial candidates’ responses to an MHA survey on health care have been posted on Missouri Health Matters. You are encouraged to review and widely share this information — see story below.
  • President Obama has declared Sept. 18-24 as "Prescription Opioid and Heroin Epidemic Awareness Week." MHA has numerous resources available — see story below.
  • A decision must be made by Sept. 23 on whether three initiatives currently facing court challenges will go on the November ballot — Raise Your Hand for Kids (tobacco tax), campaign finance and medical marijuana.

state and federal health policy developments

Your Vote Matters

Staff Contact: Mary Becker

MHA has a number of nonpartisan voter resources on the Missouri Health Matters website including the gubernatorial candidates’ responses to an MHA survey about health care in Missouri. Resources include suggested questions for candidates on health care issues, links to gubernatorial candidates’ websites, information on health care-related ballot initiatives and issues, and links to important deadlines, polling places, and more.

Please share this information widely with members of your staff. It is important to understand candidates’ stances on issues that are important to hospitals’ financial stability, access to health care and the health care workforce of the future. You also can post the Your Vote Matters image on your website with a link to to make it easy to share these resources.

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Quality and Population Health

Trajectories — Sepsis

Staff Contact: Jessica Rowden

trajectories - SepsisThe September 2016 issue of Trajectories discusses how to spot, treat and survive sepsis. Without early recognition and treatment, sepsis will progress and claim vital organs, such as the brain, lungs, heart, kidneys or intestines. Patients with septic shock have a mortality rate that increases by 7.6 percent for each hour that effective treatments are delayed. With greater awareness — learning to recognize and treat the infection sooner — the chances of sepsis becoming life-threatening are diminishing. Within health care organizations, early recognition and treatment of sepsis involves a collaborative approach among multiple health care professionals. Similar to polytrauma, acute myocardial infarction or stroke, commonly referred to as time critical diagnoses, the speed and appropriateness of therapy administered in the initial hours after severe sepsis develops are likely to influence outcomes.

Sepsis complications, such as organ failure, are reasons why caring for sepsis patients is so expensive. In 2013, sepsis represented the following.

  • the most costly inpatient hospital treatment
  • 3.6 percent of hospital stays
  • 6.2 percent of the overall costs of hospital stays — $23.7 billion in 2013
trajectories - Figure 1_Sepsis

MHA and the Kansas Healthcare Collaborative have identified sepsis as a priority. According to data in Figure 1, an upward trend is observable in overall sepsis and hospital-acquired sepsis throughout the last five federal fiscal years of Kansas and Missouri inpatient data. The Centers for Disease Control and Prevention suggests that this sustained surge in prevalence could be because of the increasing average age of the population, an increased prevalence of chronic illness, heightened awareness and tracking of sepsis by medical professionals, the proliferation of antibiotic-resistant microbes, and rising trends of patients receiving more invasive procedures, immunosuppressive pharmaceuticals, chemotherapy and organ transplantation.

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CMS To Update PSVA Tool

Staff Contact: Sherry Buschjost

The Pre-Submission Validation Application Tool assists hospitals and their vendors to identify and correct errors within their Quality Reporting Document Architecture Category I files prior to data submission to the Centers for Medicare & Medicaid Services electronic clinical quality measure data receiving system. An updated version of the PSVA Tool (1.2) will be available for download from the secure file exchange area on the QualityNet Secure Portal beginning late September 2016. Details of the changes are available.

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This Week Marks Prescription Opioid And Heroin Epidemic Awareness Week

Staff Contacts: Leslie Porth or Alison Williams

Addiction to prescription opioids or heroin touches many of our Missouri communities and devastates families, while stressing the capacity of the health care system and others, such as law enforcement. MHA, in collaboration with federal, national and state partners, is addressing this issue through innovative partnerships and resource development. With increased awareness, advocacy and a proactive approach, health care providers can reduce the harmful effects of opioid misuse. Each day this week, MHA will highlight opioid-related publications and patient education resources in the “What’s Trending” area on MHAnet. The presidential proclamation can be found online.

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CDC Releases Influenza Season Update

Staff Contacts: Alison Williams or Jessica Rowden

The influenza season, typically recognized October through April, is approaching rapidly. Hospitals and providers should be aware of new updates to the 2016-2017 recommendations for flu vaccinations from the Centers for Disease Control and Prevention. Additional information and resources can be found on CDC’s website. Key changes include the following.

  • Only injectable flu shots are recommended for use this season.
  • Flu vaccines have been updated to better match circulating viruses.
  • Some new vaccines are on the market this season.
  • The recommendations for vaccination of people with egg allergies have changed.

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Consider This ...

About 1 out of 5 women in America will experience depression in her lifetime, twice the rate for men.

Source: Kaiser Health News/Women's Day