MHA Today | July 17, 2017

July 17, 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
Governor Issues Executive Order On Opioid Abuse
Greitens Approves Health Legislation
Governor Vetoes Legislation On Involuntary Medication Hearings
CMS Issues Changes To PFS And Other Part B Services
CMS Releases Proposed CY 2018 OPPS And ASC Payment And Policy Updates
CMS Announces IQR Education Session
CMS Releases October 2017 Hospital Compare Preview Reports
CMS Releases OQR Times Newsletter

What You Need To Know This Week

  • The Senate has delayed a vote on a new version of the Better Care Reconciliation Act, which allows additional time for concerns about the bill to be shared with Sens. Blunt and McCaskill.

Advocate
state and federal health policy developments


Governor Issues Executive Order On Opioid Abuse

Staff Contacts: Daniel Landon or Leslie Porth

Today, Gov. Eric Greitens announced his executive order concerning opioid abuse. The executive order creates what is described as a “multi-phase prescription drug monitoring program.” The first phase involves the Department of Health and Senior Services contracting with Express Scripts, and potentially other pharmacy benefit managers, to analyze prescribing and dispensing data. This will be used to identify and investigate inappropriate prescribing or dispensing. The department will refer incidents of concern to practitioner licensure boards and/or law enforcement. A second phase will require dispensers to submit controlled substance prescribing and dispensing data to state government. Also, the department is to engage “innovative technology and software” to monitor controlled substance data. 

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Greitens Approves Health Legislation

Staff Contacts: Daniel Landon or Rob Monsees

Gov. Eric Greitens has approved Senate Bill 501 from the 2017 state legislative session. The legislation addresses a number of health care topics, including hospital licensure standards, a state registry for advanced directive, practitioner licensure, substance abuse and medical records disclosure. 

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Governor Vetoes Legislation On Involuntary Medication Hearings

Staff Contact: Daniel Landon

Gov. Greitens has vetoed Senate Bill 128 from the 2017 state legislative session. A large bill broadly related to judicial topics, the legislation had been amended to allow Department of Mental Health attorneys to seek, and participate in, hearings regarding involuntary medication of patients committed to the department because of a lack of mental fitness to stand trial for a criminal offense.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Changes To PFS And Other Part B Services

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services has issued a proposed rule regarding revisions to payment policies and payment rates under the Medicare physician fee schedule for calendar year 2018. MHA has published an issue brief with additional information.

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CMS Releases Proposed CY 2018 OPPS And ASC Payment And Policy Updates

Staff Contact: Andrew Wheeler

Last week, the Centers for Medicare & Medicaid Services released calendar year 2018 proposed payment and policy updates to the outpatient PPS and ambulatory surgical center payment systems. CMS is continuing to solicit feedback with additional requests for information about ways to improve transparency, flexibility, program simplification and innovation. The major changes within the proposed rule include a 2 percent payment increase for OPPS, payment reductions under the 340B program, two-year extension of the non-enforcement of direct supervision for critical access and small rural hospitals and a 1.9 percent payment increase for ASCs. Comments about the proposed rule must be received no later than 4 p.m. Monday, Sept. 11. MHA has published an issue brief with additional details.

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Quality and Population Health


CMS Announces IQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Hospital Inpatient Quality Reporting Program is scheduled at 1 p.m. Wednesday, July 26. The topic is SEP-1 Early Management Bundle, Severe Sepsis/Septic Shock. The presentation will clarify guidance related to abstraction of the SEP-1 measure for version 5.2a of the specifications manual and discuss revisions to the measure in version 5.3 of the manual. Registration is required. 

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CMS Releases October 2017 Hospital Compare Preview Reports

Staff Contact: Sherry Buschjost

October 2017 inpatient and outpatient Hospital Compare preview reports are available on the QualityNet Secure Portal. Hospitals are encouraged to access and download reports early in the preview period, which ends Sunday, Aug. 13. Additional information is available. 

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CMS Releases OQR Times Newsletter

Staff Contact: Sherry Buschjost

The July OQR Times quality reporting newsletter has been released by the Centers for Medicare & Medicaid Services.

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Consider This ...

According to the Bureau of Labor Statistics, registered nursing is among the top occupations in terms of job growth, with projections taking the number of positions from 2.7 million in 2014 to 3.2 million in 2024.

Source: The Joplin Globe