MHA Today | June 5, 2017

June 5, 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.

In This Issue
MHA Distributes Analysis For FFY 2018 Proposed LTCH PPS
CMS Releases Interpretive Guidelines For EP Rule
CMS Announces Delay In Hospital Compare Update For Certain Measures
U.S. Supreme Court Rules For Hospitals In Church Plan Dispute

What You Need To Know This Week

  • Friday is the American Hospital Association’s Hospitals Against Violence or “#HAVHope Campaign” national day of awareness. All week, look for stories on social media about what hospitals can do to help reduce violence in the communities they serve.

Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes Analysis For FFY 2018 Proposed LTCH PPS

Staff Contact: Andrew Wheeler

MHA has made available an analysis that illustrates the financial effect of the federal fiscal year 2018 Medicare proposed PPS rule for long-term care hospitals. For Missouri, the overall effect of the proposed updates for FY 2018 is estimated to be a 3.7 percent decrease in payments. The analysis, which will be available online for authorized users of HIDI Analytic Advantage,® includes a summary for the nation, state, health systems and individual hospitals. Although footnoted, this analysis does not include reductions as a result of the 2 percent Medicare sequestration. Hospitals have until Tuesday, June 13, to review the impact and submit comments to the Centers for Medicare & Medicaid Services.

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Quality and Population Health


CMS Releases Interpretive Guidelines For EP Rule

Staff Contact: Stacie Hollis

The Centers for Medicare & Medicaid Services has released an advanced copy of the interpretive guidelines and survey procedures for the emergency preparedness final rule in the State Operations Manual. The guidelines and procedures apply to all 17 providers and suppliers included in the final rule.

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CMS Announces Delay In Hospital Compare Update For Certain Measures

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has identified data issues that affect three measures that are reported on Hospital Compare and included in the overall hospital quality star ratings. As a result, CMS will not update the overall hospital quality star ratings on Hospital Compare in July 2017 as scheduled for the following measures in the safety measure group score:

  • Healthcare Associated Infection-1 — National Healthcare Safety Network Central line-associated Bloodstream Infection Outcome Measure (National Quality Forum #0139)
  • Healthcare Associated Infection-6 — NHSN Facilitywide Inpatient Hospital-onset Clostridium difficile Infection Outcome Measure (NQF #1717)
  • Patient Safety Indicator-90 — Complication/patient safety for selected indicators composite measure (NQF #0531)

CMS anticipates updating the measures along with the Hospital Compare overall star ratings in October 2017. Additional information is available.

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Health Law Insight


U.S. Supreme Court Rules For Hospitals In Church Plan Dispute

Staff Contact: Jane Drummond

Today, the U.S. Supreme Court ruled that employee pension plans maintained by church-affiliated hospitals are exempt from Employee Retirement Income Security Act requirements. While such plans had long been treated that way by the Department of Labor and Internal Revenue Service, several groups of hospital employees filed class actions maintaining that a statutory amendment to the definition of a church plan required that the plan be established by a church, not a church affiliate. The plaintiffs’ hospital employers had both established and maintained the plans at issue. Three separate appellate circuits ruled that the plans are subject to ERISA; however, the Supreme Court concluded that they are exempt.

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Consider This ...

An estimated 1 in 9 Medicare beneficiaries are diagnosed with chronic obstructive pulmonary disease. According to the Centers for Disease Control and Prevention, in 2014, COPD was the third-leading cause of death in the country.

Source: Kaiser Health News/NPR