MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.
In This Issue
JCT Estimates Impact Of Repeal And Replace Legislation
Trajectories — Infection Control Strategies
CDC Releases Chronic Conditions Mapping Tool
CMS Takes Steps To Alleviate Slow Processing Of eCQM Data
CMS Announces Next Open Door Forum
state and federal health policy developments
Staff Contact: Andrew Wheeler
Proposed legislation that would repeal and replace parts of the Affordable Care Act surfaced late Monday. The Joint Committee on Taxation has now released estimates that the American Health Care Act would cost nearly $600 billion in lost revenue throughout a 10-year period. The single largest reduction in revenue amounts to approximately $158 billion because of the proposed elimination of net investment income tax on certain high-income individuals. The American Health Care Act also would repeal the annual fee on branded prescription pharmaceutical manufacturers, annual fee on health insurance providers, the tanning tax, deduction limit on remuneration from health insurance providers and more. The Congressional Budget Office estimated implications of the proposed legislation are expected soon. MHA has published an issue brief with additional details about the revenue offsets.
Back To Top
Quality and Population Health
Staff Contacts: Alison Williams or Jessica Rowden
The March 2017 issue of Trajectories highlights integrated infection control strategies. Combating patient infection is a goal of every hospital. Health care-associated infection is one of the most preventable causes of mortality in the U.S. To reduce HAIs, reduction programs have focused on high-value infection-mitigation targets, including catheters, central lines and surgical sites, among others. One reason for hospital success in reducing infections is the increased use of evidence-based practice protocols.
A growing number of infections are present upon admission. As a result, hospitals are increasingly adopting programs to identify and mitigate community-acquired infections. These infections can present an entirely different set of challenges, especially in the case of sepsis — a systemwide infection that can quickly lead to organ failure and death. Researchers have found that sepsis is commonly diagnosed in the emergency department setting. Successfully reducing infections — HAIs and those present upon admission — requires a much broader focus.
Back To Top
Staff Contact: Leslie Porth
The Centers for Disease Control and Prevention has released a mapping tool that allows users to view the prevalence of certain chronic conditions, behaviors and risk factors that have a substantial effect on people’s health for 500 of the nation’s largest cities. The data available on CDC’s website can help providers develop targeted strategies to improve health.
Back To Top
Staff Contact: Sherry Buschjost
The Centers for Medicare & Medicaid Services has taken actions to help alleviate the slow processing times for electronic health record hospital reports related to electronic clinical quality measures. The slow processing times are a result of a large backlog of reports in the QualityNet Secure Portal production system (sometimes referred to as ‘long running’ reports). Effective March 3, CMS removed all requests for the eCQM submission summary report and the eCQM performance summary report currently in the queue, and also disabled access to the reports in the feedback and submission categories within the Secure Portal. Any pending requests for these reports will no longer display in a user’s report queue, and no additional requests for these reports will be processed. This action is temporary, and CMS anticipates allowing access to these reports after the close of the eCQM submission period on Monday, March 13.
CMS recommends that acute care and critical access hospitals and their vendors use the eCQM submission status report to confirm program status for eCQM submissions. The report should indicate “Y” for the “Successful MU Submission” field and the “Successful IQR-EHR Submission” field to signal successful electronic reporting. The report is a snapshot in time. CMS recommends re-generating the report if any changes are made. Hospitals and vendors that use the submission detail report should run the report for specific batches and “failed” file status to resolve QRDA Category I file rejection errors.
Back To Top
Staff Contact: Jim Mikes
The Centers for Medicare & Medicaid Services has scheduled the next Rural Health Open Door Forum at 1 p.m. Thursday, March 9. Dial 800/837-1935 and enter passcode 56388799 to participate. Agenda topics include the following.
Adults with arthritis can decrease pain and improve function by about 40 percent by being physically active.
Source: Centers for Disease Control and Prevention