March 17, 2017

March 17, 2017

MHA Today: News for Healthcare Leaders

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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

Several years ago, I wrote a St. Patrick’s Day column about the importance of the Irish in the establishment of health care and hospitals in Missouri. The next year, I followed up with bits of Irish wisdom that seemed appropriate mid-legislative session. Today being St. Patrick’s Day, I wanted to bring a bit of Irish humor into the serious debate about the nation’s health care system.

An American tourist was driving in County Kerry, when his motor stopped. He got out to see if he could locate the trouble. A voice behind him said, "The trouble is the carburetor." He turned around and only saw an old horse. The horse said again, "It's the carburetor that's not working." The American nearly died with fright, and dashed into the nearest pub, had a large whiskey, and told Murphy the bartender what the horse had said to him. Murphy said, "Well, don't pay any attention to him, he knows nothing about cars anyway."

Like health care, a car is a complex system. If a part doesn’t work as designed, the system can break down. As the repeal and replace legislation moves forward, we need to dismiss the neigh-sayers (sorry), and stay focused on finding and fixing what’s really broken.

Mick stops Liam in Dublin and asks for the quickest way to Cork. Liam asks, "Are you on foot or in the car?" Mick says, "In the car." Liam says, "That's the quickest way."

There are few easy answers in health care. We know from the Affordable Care Act experience, that providing the directions to a better functioning system is more complicated than identifying the system of conveyance.

Father O’Leary walks into a pub in Donegal, and says to the first man he meets, "Do you want to go to heaven?" The man said, "I do Father." The priest said, "Then stand over there against the wall."

The priest travels down the bar to a second man, "Do you want to go to heaven?" "Certainly, Father," says he. "Then stand over there against the wall," said the priest.

Then Father O’Leary walked up to O'Toole and said, "Do you want to go to heaven?" O'Toole said, "No, I don't Father. The priest said, "I don't believe this. You mean to tell me that when you die you don't want to go to heaven?" O'Toole said, "Oh, when I die, yes. I thought you were getting a group together to go on a trip right now."

Details matter.

The most common toast in Ireland is “Sláinte.” It’s Gaelic for “health.” Enjoy your St. Patrick’s Day and Sláinte to you, your hospital and the community you serve.

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
CRMC Approves Patient Safety Engagement Plan, Aims For Zero Preventable Harms
MHA Releases Estimates Of Coverage Losses Under AHCA
MO HealthNet Division Announces April Webinar Training Schedule


CRMC Approves Patient Safety Engagement Plan, Aims For Zero Preventable Harms

Staff Contact: Toi Wilde

To celebrate National Patient Safety Week, MHA is featuring patient safety efforts at hospitals. Today's feature includes work at Capital Region Medical Center in Jefferson City to create a culture of safety with the goal of eliminating patient harm.


This week at CRMC — as a fun and educational activity — staff are invited to tour the “Room of Horrors” and a virtual “Clinic of Horrors” to identify patient safety risks. These activities support CRMC’s continued goal of zero preventable harms.

In an ongoing effort to improve patient safety, the administration at CRMC recently approved a patient safety engagement plan to re-energize and re-engage employees in efforts to improve the culture of safety in order to become a high reliability organization. The plan includes implementation of Just Culture concepts, TeamSTEPPS and future CUSP teams. The plan will be phased in over the next two years, allocating the time and resources to ensure sustainability and success.

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state and federal health policy developments

MHA Releases Estimates Of Coverage Losses Under AHCA

Staff Contact: Daniel Landon

MHA has developed estimates of coverage reductions in the Affordable Care Act’s marketplace based on legislation to repeal aspects of the law and adoption of the American Health Care Act. Using data from the Congressional Budget Office and the Centers for Medicare & Medicaid Services, the analysis projects the state's markeplace coverage reductions in 2018, 2019, 2020 and 2026.

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Regulatory News
the latest actions of agencies monitoring health care

MO HealthNet Division Announces April Webinar Training Schedule

Staff Contact: Brian Kinkade

MO HealthNet has released its schedule of provider training webinars for the month of April. Registration is required. The training's two to four hour sessions include policy and billing training for the home health, nursing home, durable medical equipment, private duty nursing and in-home/personal care assistance programs, among others.

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Did You Miss An Issue Of MHA Today?

March 16, 2017
Ranken Jordan Keeps Children With Medical Complexities Safe While Improving Outcomes
President Trump Releases Proposed Budget
Missouri House Finalizes Medical Liability Legislation
CMS Announces Education Session
CMS Updates IQR Known Issues Document
MLN Connects Provider eNews Available
David Sindelar, CEO Of St. Anthony’s, Passes Away

March 15, 2017
PCRMC Sees Improved Patient Outcomes And Reduced Readmissions
MHA Distributes Medicare Final Episode Payment Model Analysis
Trajectories — Infection Control Strategies
MHA Updates CHNA Guidance Document
CMS Announces IQR-EHR Outreach And Education Webinar
NHSC Now Accepting Scholarship Applications

March 14, 2017
Freeman Health System Nearly Doubles Sepsis Care Success
State House Advances Medical Liability Legislation
CBO Releases Cost Estimate Of ACA Repeal/Replace Proposed Legislation
Seema Verma Confirmed As CMS Administrator
OIG Finds Nantucket Cottage Hospital Reporting Errors
DHSS Clarifies Emergent Hospice Visits Standard
Board Of Pharmacy Chief Inspector Leads Webinar
Glassdoor Reports Four Out Of Five Top Paying Jobs Are In Health Care
MHA Offers Webinar On New Sleep Study Requirements

March 13, 2017
Mercy Hospital Jefferson Highlights Patient Safety Week
CBO Releases Cost Estimate Of ACA Repeal/Replace Proposed Legislation
MHA Expresses Concern On Sleep Study Policy Change
MO HealthNet Schedules Claims Filing Workshops
OSHA Requests Provider Input On Workplace Violence
CMS Announces IPFQR Webinar
CMS Updates eCQM Document
IHI And NPSF Announce Merger
Bjelich Announces Retirement; Reese Named Successor Pending Approval

Consider This ...

In 2014, among 28 European Union Countries, Ireland had the highest percentage of the population reporting good or very good health.

Source: Irish Department of Health