MHA Today | March 10, 2017

March 10, 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

I’m originally from Kansas, and if you’ve ever traveled all the way across the state by car — as I have many times — you know it’s a very long ride. Along the way, there are wheat fields, feed lots and roadside attractions — some serious, some quirky, like the world’s largest ball of twine in Cawker City. However, it can seem like an endless, formless journey if you are only looking through the windshield, intently focused on Kansas City to the East or the Colorado line to the West.

An optimist might keep one eye on the rear-view mirror. Because, when you’re doing something hard, seeing progress helps the traveler focus on the importance of the journey and joy of arriving at a destination.

Next week is National Patient Safety Week. I’d encourage you to find time during NPSW to take a rest stop. Protecting patients is an everyday focus for hospitals — with each patient is one opportunity to pass a milestone. NPSW provides an opportunity to pause to celebrate the progress evident through the rear-view mirror and recommit to the journey ahead.

MHA has partnered with many of the state’s hospitals through the Hospital Engagement Network, HEN 2.0, and now on the Hospital Improvement Innovation Network, to improve care. We worked collaboratively with hospitals and other providers to support statewide patient safety initiatives for the last decade. Today, through MHA, Missouri hospitals have a strong partnership with Vizient™ Patient Safety Organization to carefully monitor and reduce events that may cause patient harm. In addition, hospitals are participating in immersion projects — time-limited, focused and sequenced improvement efforts targeting high-value interventions to protect patients in ways that couldn’t have been imagined only a decade ago.

Hospitals have a right to be proud of the progress that’s been made. A collective focus on improvements in patient care — infection mitigation, never events and a whole host of potential patient harms — have led to a safer hospital experience. Patient safety starts at the front line, and front-line caregivers have committed to processes, checklists and countless evidence-based practices that have improved quality and safety. However, the highest quality and safest organizations have a commitment that includes every hospital team member — from housekeeping to the boardroom.

Next week, MHA will highlight some of these hospitals in our daily publications and on social media. Where you are working to tell your hospital’s story, we’ll do our best to share it. The work that hospitals have done, and the targets you’ve set for improved quality and patient safety, are making a difference for patients. Your communities deserve to know it.

Hospitals’ hard work is paying dividends. The long journey toward better, safer care — embodied by our embrace of the Triple Aim — continues.

Each year, hundreds of thousands of patients need hospital care. They place their trust in hospitals and the thousands of dedicated employees who make these organizations essential community assets. You’re earning it.

Kansas can seem like an endless, formless journey. It isn’t. As you get back on Highway 70 with Goodland’s “World’s Largest Easel” in the rear-view mirror, you’ll know that the journey was about more than the milestones. It’s about being in the moment and seeing the people.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
House Approves Bill On Medical Records And Consent To Treatment
House Authorizes Change In County Hospital Tax Levies
MHA Releases Webinar Series On Medicare Pay-For-Performance Programs
CMS Releases MOON FAQ Document
CMS Releases Region 7 Updates
MLN Connects Provider eNews Available
CMS Updates Known Issues Documents
AHA Unveils New Trustee Services Website

state and federal health policy developments

House Approves Bill On Medical Records And Consent To Treatment

Staff Contact: Daniel Landon

The state House of Representatives has passed legislation addressing the release of a deceased patient’s medical records to his or her family or guardian. House Bill 381 was amended to create new standards for the process of gaining consent for treatment of those incapacitated to make their own decisions. The bill now moves to the Senate for review.

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House Authorizes Change In County Hospital Tax Levies

Staff Contact: Daniel Landon

The state House of Representatives has given its final approval to House Bill 193. The original version of the bill authorizes Barton County Memorial Hospital in Lamar to convert its county property tax levy to a sales tax, upon voter approval to do so. The House expanded this authorization to encompass county hospitals in third-class counties.

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Regulatory News
the latest actions of agencies monitoring health care

MHA Releases Webinar Series On Medicare Pay-For-Performance Programs

Staff Contact: Andrew Wheeler

MHA has made available on-demand webinars about the various Medicare pay-for-performance programs. Each webinar is approximately 10 minutes in length, with the exception of value-based purchasing 201. Other webinar topics include hospital readmission reduction and hospital-acquired condition programs. Downloadable documents also are available.

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CMS Releases MOON FAQ Document

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released an FAQ document about the Medicare Outpatient Observation Notification. Acute inpatient PPS and critical access hospitals must provide the notice to all Medicare patients who receive outpatient observation services for more than 24 hours within the first 36 hours of observation treatment. The MOON must be implemented no later than Wednesday, March 8.

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CMS Releases Region 7 Updates

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services’ Region 7 has released updates about upcoming issues and news, which includes the following.

  • Affordable Care Act/marketplace updates
    • proposed rule to increase patients’ health insurance choices for 2018
    • tax season spotlight
    • equitable relief for beneficiaries dually enrolled in Medicare and the marketplace
  • uninsured rate decreases to an all-time low
  • Medicare Access and Children’s Health Insurance Program Reauthorization Act of 2015/quality payment program updates
  • upcoming webinars and events

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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.

  • social security number removal initiative new details
  • new release of “program for evaluating payment patterns electronic report” for short-term acute care hospitals
  • April 2017 average sales price files available
  • Medicare accountable care organization Track 1+ model webinar – Wednesday, March 22
  • Improving Medicare Post-Acute Care Transformation Act of 2014: standardized patient assessment data activities call – Wednesday, March 29
  • open payments: prepare to review reported data call – Thursday, April 13

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Quality and Population Health

CMS Updates Known Issues Documents

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has updated the known issues documents associated with the electronic health record and ambulatory surgical center quality reporting programs. The documents have been updated with issue resolutions and newly identified issues, and are available on QualityNet.

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AHA Unveils New Trustee Services Website

Staff Contacts: Meredith Kenyon or Dana Dahl

The American Hospital Association has unveiled a new website for hospital/health system boards and leadership. Tools and resources for governance practices and thought leadership on what it means to be a high-performing board are featured on the site, including a library of webinars for in-boardroom education.

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Did You Miss An Issue Of MHA Today?

March 9, 2017
U.S. House Committees Approve American Health Care Act
Missouri Senate Revises Bill To Speed Up Newborn Blood Sample Deadline
House Committee Reviews Any Willing Provider Legislation
HSCC Issues Updated Active Shooter Planning And Response Guide
CMS Reminds Hospitals Of Fourth Quarter 2016 HCAHPS Data Submission Deadline
CMS Announces OQR Education Session
Cooper County Memorial Hospital Names Interim CEO

March 8, 2017
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

March 7, 2017
House Committees Release ACA Repeal Legislation
Bill Authorizes Change In County Hospital Tax Levies
House Advances Legislation On Medical Records And Consent To Treatment

March 6, 2017
MHA Distributes FFY 2018 Medicare VBP Projection
MHA Announces Visionary Leadership Award Call For Nominations
CMS Releases Updated QRDA Category I Conformance Statement Resource
HIDI Releases Enhanced Quality Reports
March 5-11 Marks Severe Weather Awareness Week
CMS Schedules Call To Discuss PAC Patient Assessment

Consider This ...

March is National Kidney Month. Kidney diseases are the ninth leading cause of death in the U.S.

Source: Centers for Disease Control and Prevention