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In This Issue
MO HealthNet Managed Care Vendors Selected
TJC Announces Pioneers In Quality Expert-To-Expert Webinar
CDC Releases Health Advisory For Cardiac Surgery Patients
MHA’s 94th Annual Convention & Trade Show
Osage Beach, Mo.
state and federal health policy developments
Staff Contacts: Daniel Landon or Steve Renne
The Missouri Division of Purchasing has announced the three vendors selected to provide Medicaid managed care services beginning in May 2017. They were selected through a state bid solicitation. The successful bidders are Missouri Care, operated by Wellcare Health Plans; Home State Health Plan, operated by Centene; and United Healthcare. Missouri Care and Home State Health Plan are current vendors of Medicaid managed care services. United Healthcare is new to the market and replaces Aetna Better Health for Missouri — the current vendor with the largest Medicaid managed care enrollment. The vendors will cover Medicaid-eligible children and their low-income parents, with each plan offering statewide coverage in four regions.
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Quality and Population Health
Staff Contact: Sherry Buschjost
Pioneers in Quality is a program launched earlier this year by The Joint Commission to assist hospitals on their journey toward electronic clinical quality measure adoption. In continuing the eCQM conversation, TJC has scheduled an educational webinar at 11 a.m. Thursday, Oct. 27, to discuss Stroke 6, 8 and 10 measures. A Q&A session will be provided. Any questions to be addressed during the webinar should be emailed in advance. Registration is required. Space is limited and registration will close when maximum capacity has been reached. Recordings of prior Pioneers in Quality eCQM webinars are available online.
Staff Contacts: Sarah Willson, Jim Mikes or Jackie Gatz
On Oct. 13, the Centers for Disease Control and Prevention released a health advisory to hospitals instructing them to alert clinicians and patients who have undergone open-chest cardiac surgery in which the Stöckert 3T heater-cooler was used. There is concern of contamination with the rare bacteria Mycobacterium chimaera. M. Chimaera is a nontuberculosis mycobacterium commonly found in soil and water. Hospitals should assess their heater-cooler utilization and identify if any of their past and present patients could be at risk. One of the most complicating factors associated with the bacteria is its latency in appearance. The infection can lay dormant for years. Patients should seek immediate medical care if they have had open-chest cardiac surgery and are experiencing symptoms such as night sweats, muscle aches, weight loss, fatigue or unexplained fever. It is estimated that 60 percent of open-heart patients have had this equipment used in their case.
The Missouri Bureau of Communicable Disease Control and Prevention notes that testing for the bacteria in patients is complicated and requires a multilevel testing protocol. BCDCP will help providers arrange for testing, and can be reached at 800/392-0272. The CDC has released several tools to facilitate notification, including a Q&A toolkit, sample patient letter, sample provider letter, as well as a sample letter for patients to take to their health care provider.
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Addiction to prescription painkillers and heroin is a national crisis, and now is the leading cause of accidental death in America. In Missouri, more than 1,000 people die every year from this horrible epidemic.
Source: The Missouri Times