MHA Today | October 14, 2016

October 14, 2016

MHA Today: News for Healthcare Leaders

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Herb Kuhn, MHA President & CEO Families and communities can have a powerful effect on health, well-being and longevity. These influences can be remarkably positive or negative and have long-term effects.

On Wednesday, MHA released the most recent HIDI HealthStats in partnership with the Kansas Hospital Association.

This edition unfolds how adverse childhood events can impact physical and mental health, and identifies communities in both states at high risk for ACEs. This first of its kind research from the Hospital Industry Data Institute can help hospitals and community partners look upstream of the individual health care intervention. Put another way, researchers identified how the powerful individual ACE measure could be converted to a community-based measure to support population health investments by hospitals and other stakeholders.

There’s a well-established link between damage caused by childhood abuse and neglect, a troubled home, or toxic stress, and an individual’s health, well-being and longevity. Hospitals and health care providers generally have been on the downstream side of these problems as they manifest in physical and behavioral health problems. ACE solutions are upstream.

A glance at the statewide maps makes it clear that ACEs aren’t a rural or urban problem — they occur in both environments. Although this childhood trauma can and does occur in all communities, when viewed at the ZIP-code level there are several regions — from the Missouri boot heel and into areas of southern Missouri — that are clustered. In addition, there are strong correlations between the ZIP-code level risk of ACEs and an area’s social determinants of health and socioeconomic deprivation.

Communities with high gun violence were found to be highly correlated with negative childhood experiences. Between 2006 and 2015, rates of gun-related hospital utilization and pediatric stress diagnosis in the top-20 Missouri ZIP codes were significantly higher than the statewide rate. The top-20 ZIP codes for gun violence had an 845 percent higher rate than the statewide rate. Childhood stress diagnosis in these top-20 ZIP codes was 75 percent higher.

The research includes two vignettes explaining how hospitals and community partnerships are working to manage the results of ACE and prevent them — including one from Truman Medical Center-Behavioral Health in Kansas City and the second from Mercy Hospital in St. Louis. These programs are working to address the downstream challenges and intervene in upstream, high ACE-risk communities. The research is important because as hospitals expand their population health activities, they will be looking off campus at the upstream causes of individual and community health. Identifying high-value targets for investment and establishing new community partners will be essential to progress.

MHA recently launched another effort to support and promote safety — inside the hospital walls and in communities that hospitals serve. The S.A.F.E.R. initiative is designed to help hospitals improve safety in the care environment, among staff and in the community. The goal in assembling these resources is to create a one-stop shop for tools and best practices that support safe hospitals and resilient communities.

S.A.F.E.R. offers an expanding set of resources under five pillars: Safety programs, Approaches to safer care, Facts to inform decision-making, Educational programming and Regulatory requirements. Our regulatory, quality improvement and emergency preparedness staff are coordinating to find, build and deliver information to support hospitals’ efforts on and off campus.

Hospitals are increasingly being recognized as the center of safety and community health improvement. We’re working to support these efforts with research and tools that support the Triple Aim of better health, better care and lower cost.

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

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
HHS Finalizes MACRA MIPS, APM And Criteria For Physician-Focused Payment Models
CMS Reminds IPFs About Flu Season Data Collection
CMS Announces IQR Webinar

Regulatory News
the latest actions of agencies monitoring health care

HHS Finalizes MACRA MIPS, APM And Criteria For Physician-Focused Payment Models

Staff Contact: Andrew Wheeler

The U.S. Department of Health & Human Services announced the release of a final rule regarding the new payment system for Medicare clinicians. The rule finalizes the Medicare merit-based incentive payment system, the alternative payment model incentive under the physician fee schedule and criteria for physician-focused payment models. HHS Secretary Sylvia Burwell stated, “Today, we’re proud to put into action Congress’s bipartisan vision of a Medicare program that rewards clinicians for delivering quality care to their patients. Designed with input from thousands of clinicians and patients across the country, the new Quality Payment Program will strengthen our health care system for patients, clinicians and the American taxpayer.” CMS is providing many documents, videos and webinars about the program, including the following.

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Quality and Population Health

CMS Reminds IPFs About Flu Season Data Collection

Staff Contact: Sherry Buschjost

The flu season data collection period began Oct. 1. The Centers for Medicare & Medicaid Services recommends that participating inpatient psychiatric facilities verify their National Healthcare Safety Network enrollment and Healthcare Personnel Safety component activation status without delay. In preparation for the spring 2017 Influenza Vaccination Coverage Among Health Care Personnel measure data submission period, IPFs are encouraged to review resources for guidance on NHSN enrollment, adding the IPF CMS certification number and HCP measure data submission processes.

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CMS Announces IQR Webinar

Staff Contact: Sherry Buschjost

An outreach and education webinar for participants in the Hospital Inpatient Quality Reporting Program is scheduled at 1:30 p.m. Wednesday, Oct. 26. The webinar, titled “NHSN: Transition to the 2015 Re-Baseline Guidance for Acute Care Facilities,” will provide an overview of the new health care-associated infection models, discuss the implications that the 2015 re-baselining has on acute care hospitals and review the new structure of NHSN output options. Registration is available on the Quality Reporting Center website.

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Did You Miss An Issue Of MHA Today?

October 13, 2016
CMS Announces New Initiative To Increase Clinician Engagement
CMS Releases 2017 Star Ratings For Medicare Advantage And Prescription Drug Plans
MLN Connects Provider eNews Available

October 12, 2016
Report Assesses Inpatient Drug Costs
HIDI HealthStats — Adverse Childhood Experiences
CMS Hosts Rural Health Solutions Summit

October 11, 2016
MHA Distributes FFY 2017 Medicare VBP Projection
MHD Posts Amended HCBS Waiver Transition Plan
CMS Regional Office Releases Provider Updates
MHA Launches Hospital Workplace Violence Immersion Project

October 10, 2016
CMS Contractor Evaluates IMD Demonstration
CMS Releases Hospice Transparency Data Tool

Consider This ...

Most healthy adults may be able to infect others with the flu beginning one day before symptoms develop and up to five to seven days after becoming sick.

Source: Centers for Disease Control and Prevention