MHA Today | February 3, 2017

February 3, 2017

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

The news release headline said it all — “Opioid Crisis’ Youngest Victims.” That was the lead on Tuesday when MHA released new Hospital Industry Data Institute research on the state’s opioid crisis. In addition to updating data from the October 2015 HIDI HealthStats, researchers reviewed diagnostic codes indicative of newborns’ withdrawal symptoms stemming from maternal drug use. They found a 538 percent increase in neonatal abstinence syndrome between 2006 and 2016.

The impact of the national opioid crisis has been well reported. The toll it takes on innocent newborns — who spend their first days, weeks and, in some cases, months in withdrawal — has been less investigated.

It’s clear that opioid addiction is a significant problem. The U.S. Department of Health & Human Services refers to it as an “epidemic,” pointing to the fact that drug overdose deaths are the leading cause of injury death in the U.S. In 2015, more than 1,000 Missourians died from opioid overdose. That’s tragic. It’s also tragic that a growing number of babies are born in Missouri suffering from opioid withdrawal.

This week, The Kansas City Star editorialized about the state’s opioid crisis and encouraged citizens to weigh in on efforts to create a prescription drug monitoring program. On Tuesday, Cole County followed several other counties and municipalities and passed an ordinance authorizing a county-level PDMP. On Wednesday, the Springfield News-Leader covered Greene County’s PDMP discussions.

Yesterday, as part of his state fiscal year budget recommendations, Gov. Greitens announced that his administration will pursue funding to reduce the number of opioid-related overdose deaths. This is good news. In addition, we have several strong partners in the General Assembly. MHA coordinated the release of research with Rep. Holly Rehder of Sikeston. She has offered legislation to establish a statewide PDMP.

Rehder is a fierce advocate for addressing the state’s opioid crisis and statewide PDMP establishment. For her, it’s personal. Her family has suffered the effects of opioid addiction. She’s seen the high price in her community and legislative district. And, her passion about the issue has made her the right leader at the right time.

It seems almost profane to talk about costs when the human toll of the opioid crisis is so high. Nonetheless, HIDI research suggests that the cost to Medicaid to treat NAS is at least $10 million annually. Beyond the immediate costs of care, there are downstream costs — follow-up clinical services or social services, such as foster care — and the potential long-term health consequences of being born with NAS.

In December 2015, the provider community came together to issue recommendations for emergency department opioid prescriptions, and the MHA Board of Trustees developed a set of strategies to reduce the misuse of opioids. The response to the recommendations has been significant.

Unfortunately, providers can’t solve this problem alone. It will take partners at the state and local level. The actions at the county level are heartening. It’s clear that we must do more.

Send me an email with your thoughts.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
MLN Connects Provider eNews Available
CMS Seeks Hospitals To Field Test Proposed IPFQR Chart-Based Measures
Harrison County Community Hospital Names Interim CEO
Twin Rivers Regional Medical Center Names New CEO

Regulatory News
the latest actions of agencies monitoring health care

MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services issues updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • hospital discharge day management services compliance
  • teaching hospitals receive full-time equivalent resident caps due to hospital closures
  • updated clinical lab fee schedule webinar
  • inpatient rehabilitation facility PPS fact sheet revision

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Quality and Population Health

CMS Seeks Hospitals To Field Test Proposed IPFQR Chart-Based Measures

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services is seeking inpatient psychiatric facilities to participate in the field testing of two chart-based measures currently in development for future consideration of inclusion in the Inpatient Psychiatric Facility Quality Reporting Program. Through the support contractor, Health Services Advisory Group, up to nine IPFs will be enrolled per measure to serve as field-testing sites. Participation as a test site is not mandated, and IPFs will not be penalized if they do not participate. IPFs may participate in the testing of as many measures as desired. HSAG will compensate each participating test site in accordance with the number of measures tested.

Participating test sites will be asked to provide HSAG with manually abstracted data from a sample of medical records. The testing period for the measures is tentatively scheduled for March through July. Test sites will receive calculated measure scores and have the opportunity to provide feedback on the measure specifications. Interested IPFs may submit their information for consideration by completing the IPF test site nomination form. For additional information about project participation, including compensation and the measures to be tested, please contact HSAG.

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CEO Announcements

Harrison County Community Hospital Names Interim CEO

Staff Contact: Carol Boessen

Christina “Tina” Gillespie was named Interim CEO of Harrison County Community Hospital in Bethany, effective Jan. 30. Gillespie is Chief Operating Officer and replaces Kelly Pottorff, who served as CEO since December 2014. A list of CEO changes is available online.

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Twin Rivers Regional Medical Center Names New CEO

Staff Contact: Carol Boessen

Christian “Chris” Jones has been named CEO of Twin Rivers Regional Medical Center in Kennett, effective Feb. 6. He most recently served as Chief Operating Officer at Wilkes-Barre General Hospital in Wilkes-Barre, Pa., and prior to that he served as CEO of Moberly Regional Medical Center from 2011 to 2015. He replaces Gerald Faircloth, who retired in November 2016. A list of CEO changes is available online.

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Did You Miss An Issue Of MHA Today?

February 2, 2017
State Legislative Committees Review, Approve Bills
General Assembly Enacts “Right To Work” Law
State Legislative Chambers Exchange Tort Reform Bills
MO HealthNet Authorizes New Pediatric Asthma Services
2018 Medicare Advantage Plans To See .25 Percent Increase In Payments
TJC Extends Deadline To Submit ORYX Measure Selections
February Is American Heart Month

February 1, 2017
MHA And Missouri Chamber Convey Joint ACA Message
Bill Enhances Penalties For Violence Against Emergency Personnel
MMAC Extends Attestation Deadline For Women’s Health Services Funding
MHD Files DSH Proposed Rule
NASEM Releases Integration Of FDA And NIOSH Processes
CMS Schedules Open Door Forum To Discuss IMPACT Act
Missouri Board Of Healing Arts Accepts Applications For Assistant Physicians

January 31, 2017
HIDI Releases Research Investigating Opioid Crisis’ Influence On Newborns
State House Approves Tort Reform Bills
Marketplace Open Enrollment Ends Today
White House Sends 340B Drug Discount Guidance Back To HHS
Mercy Hospital Lebanon Names Interim Administrator

January 30, 2017
Trump Signs “One-In, Two-Out” Executive Order
Prescription Drug Monitoring Legislation Moves In State Senate
HIDI HealthStats — Medicaid Utilization
CMS Announces OQR Education Session
CMS Extends Feb. 1 Submission Deadline

Consider This ...

At least $41 billion a year in Medicare costs could be saved if beneficiaries adopted at least five heart-healthy habits.

Source: American Heart Association