MHA Today | December 16, 2016

December 16, 2016

MHA Today: News for Healthcare Leaders

twitter linkedin MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.


Herb Kuhn, MHA President & CEO

Throughout 2016, MHA has been celebrating hospitals’ work. Our “H” campaign helped remind Missourians that their hospitals are more than brick-and-mortar institutions.

Although the effort was designed to help build connections and goodwill in advance of a 2017 push for Medicaid expansion and other priorities — and it was highly successful in that regard — the landscape has shifted. As I’ve written several times since the November election, no one knows for sure what changes will occur for hospitals or the nation’s health care system. That’s unsettling.

It would be easy for members of the hospital community to head into the holiday season expecting a lump of coal in our stocking. We shouldn’t.

The heart and soul of hospitals will remain, no matter what policies are implemented. Thousands of Missourians will spend part of their holiday in our care. And, many dedicated hospital employees will spend part of their holiday season in the service of patients and their families.

Throughout our “H” campaign, Missourians shared their stories about members of the hospital community — doctors and nurses, volunteers, and staff from all parts of hospital organizations — who helped support them during difficult times. The message was clear. Hospitals aren’t buildings. They are collections of dedicated, talented people doing important — often lifesaving — work.

No matter what happens in Washington, D.C., or Jefferson City in 2017 and beyond, hospitals will continue to serve, improve and build a stronger and healthier Missouri.

Change will be disruptive. It could influence how hospitals provide services. It will not fundamentally change what hospitals are, or the importance of hospitals to those who are served. Missourians know that when they are at their worst — even in the middle of the night or on a holiday — their hospital will be at its best.

Change often leads to opportunity. A lump of coal, with the right amount of pressure and temperature, can become a diamond.

That’s my message for the holiday and my hope for 2017.

Send me a note to let me know what you’re thinking.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
AHRQ Reports Opioid-Related Inpatient And ED Utilization Continue To Rise
Missouri Ranks 37th In Annual Health Rankings Report
CMS Reminds Users About PQRS Timeline
CMS Hosts MACRA Webinar
Liekweg Promoted To President Of BJC HealthCare

Quality and Population Health

AHRQ Reports Opioid-Related Inpatient And ED Utilization Continue To Rise

Staff Contacts: Leslie Porth or Mat Reidhead

A new report from the Agency for Healthcare Research and Quality evaluates trends in hospital utilization for opioid overuse by state. The study found that the rate of opioid-related inpatient utilization increased 64 percent in the U.S. between 2005 and 2014, while emergency department utilization nearly doubled with a cumulative growth rate of 99.4 percent. In 2014, across all states included in Healthcare Cost and Utilization Project data, Missouri was below the national rate for opioid-related inpatient and ED utilization; however, the rate of growth between 2009 and 2014 was significantly higher in Missouri. With a five-year increase of 87.5 percent, Missouri experienced the eighth-highest increase in opioid-related ED visits in the nation.

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Missouri Ranks 37th In Annual Health Rankings Report

Staff Contact: Leslie Porth

The United Health Foundation has released the 2016 Annual Report of America’s Health Rankings. Rankings are determined by a health outcomes category and four categories of health determinants: behaviors, community and environment, policy, and clinical care. Missouri ranked 37th this year, down from 36th in 2015. Excessive drinking, obesity and diabetes all increased in 2016, while the rate of preventable hospitalizations continues to decrease.

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CMS Reminds Users About PQRS Timeline

Staff Contacts: Andrew Wheeler or Peter Rao

The Centers for Medicare & Medicaid Services is reminding users that the Physician Quality Reporting System Program is still in effect, and that the PQRS timeline is available for download. The 2016 PQRS program year ends Saturday, Dec. 31, for group practices and individuals. There will be a 2 percent penalty imposed on PQRS eligible professionals in 2018 for unsatisfactory reporting or nonparticipation during the 2016 reporting period.

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CMS Hosts MACRA Webinar

Staff Contact: Jim Mikes

The Centers for Medicare & Medicaid Services is hosting a webinar at 2 p.m. Monday, Dec. 19, titled “MACRA Summary and the QPP Program: Considerations in Electing MIPS vs. APMs.” CAPG, the leading U.S. professional association for physician organizations practicing capitated, coordinated care, will provide insight from members who plan to participate in the quality payment program, including considerations underlying the election of either a merit-based incentive payment system or alternate payment models. Presenters include David Nilasena, M.D., Chief Medical Officer from the CMS regional office in Dallas. Registration is required.

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Liekweg Promoted To President Of BJC HealthCare

Staff Contact: Carol Boessen

BJC HealthCare in St. Louis has promoted Richard Liekweg, Executive Vice President, to the role of President. Liekweg joined BJC in 2009 as President of Barnes-Jewish Hospital and Barnes-Jewish West County Hospital, and BJC group president. He will continue his responsibility of advancing operational and clinical excellence at BJC’s hospitals, service organizations and service departments. Steve Lipstein will continue his role as CEO.

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Did You Miss An Issue Of MHA Today?

December 15, 2016
MLN Connects Provider eNews Available
CMS Confirms Accuracy Of IPFQR Facility, State And National Data

December 14, 2016
CMS Issues Biweekly Marketplace Enrollment Snapshot
VA Rule Allows Full Scope Of Practice For Certain APRNs
CMS Launches IRF Compare And LTCH Compare Websites
MHA Provides Missouri ED Prescribing Guidelines Update
HIDI Releases Report On 2015 Average Hospital Charges For Medicare Patients

December 13, 2016
Congressional Query Probes EpiPen Misclassification
MHA Provides Analysis Of Medicare Spending Per Beneficiary
CMS Announces Person And Family Engagement Strategy

December 12, 2016
CMS Releases CJR SNF Three-Day Rule Waiver Guidance
CMS Provides Update To Patient Status Denial Settlement Opportunity

Consider This ...

Heroin use has increased more than 60 percent in recent years. The heroin and prescription opioid epidemics could lead to new HIV outbreaks.

Source: Centers for Disease Control and Prevention