MHA Today | August 25, 2017

August 25, 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
On Monday, the moon crossed the path of the sun. There was a brief window when everything we expect about mid-day changed. The “Great American Eclipse” was spectacular; it was a rare opportunity. However, there is another very rare convergence I want to point out this week.

Gov. Eric Greitens has committed to a broad review of the state’s regulatory climate with the goal of reducing burdensome regulations. MHA has been working through our “Streamlining Government Initiative” to raise awareness of the governor’s efforts and solicit examples of regulations that are duplicative, irrelevant or unnecessary.

Talking about reducing regulations is a common campaign pledge. However, it is seldom a front-burner issue after an election. That’s not the case for Gov. Greitens. He’s working to make good on his promise by forcing his administration to open the Code of State Regulations and justify why the multivolume set is necessary to govern. The effort is great news for highly regulated hospitals — and all other entities that operate under state authority and guidelines.

If Greitens stopped at this review and reduction process, it would be a great victory. However, his commitment to understanding the importance of rules extends further.

On Aug. 11, I wrote in this column about the eclipse. However, that edition of MHA Today included an article about an emergency regulation issued by the Missouri Department of Health and Senior Services related to the state’s stroke center application process. This is significant.

In July, MHA wrote a letter to Gov. Greitens about the stroke and STEMI system, the law, and its effect on hospital care. The letter addressed the department’s lack of rulemaking on a law enacted in 2016, and how hospitals designated for stroke by The Joint Commission were being by-passed because of state inaction. The emergency rule, effective Aug. 17, addresses the disconnected law and administrative authority. Under the emergency rule, hospitals with a stroke designation from The Joint Commission can apply for state stroke designation, implementing the explicit intent of the 2016 legislation.

Earlier this month, we thanked Gov. Greitens for his action on the emergency rule. The rule is powerful evidence on his commitment to make actionable ideas that will improve the regulatory climate in Missouri. Greitens’ administration continues to accept input on regulations, and public hearings are still taking place. There’s still time to participate in the public process or submit your thoughts to MHA.

It’s a truly rare opportunity when a governor is committed to regulatory reform in this depth. Moreover, he understands that rules aren’t exclusively a barrier. Sometimes they are necessary to deliver efficient and effective care. The stroke center designation is an example; it required an additional state regulation.

It’s a convergence. Perhaps, it’s a once in a lifetime opportunity. In any case, seeing it happen is spectacular.

Let me know what you’re thinking.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
MO HealthNet Modifies Approval Standards For Selected Wheelchairs
MO HealthNet Allows Schools To Bill Direct Services Of Certified School Psychologists
MHA Submits Comments Regarding State DSH Allotment Reductions
CMS Posts Summary Of SEP-1 Changes To QualityNet

state and federal health policy developments

MO HealthNet Modifies Approval Standards For Selected Wheelchairs

Staff Contact: Brian Kinkade

Modified standards for MO HealthNet approval for certain wheelchairs and wheelchair cushions will take effect Friday, Sept. 1. The equipment to which the new standards will apply include reclining back wheelchairs that were rented for three months or less for patients younger than 20; certain wheelchair cushions; and certain heavy duty and power wheelchairs for nursing facility residents.

Back To Top

MO HealthNet Allows Schools To Bill Direct Services Of Certified School Psychologists

Staff Contact: Brian Kinkade

MO HealthNet has added certified school psychologists to the list of providers that school districts can bill when behavioral health services are delivered through a student’s individualized education plan. Reimbursement is available for services delivered on and after Aug. 1. As with other direct IEP services, the school district is paid only the federal share of the allowable reimbursement rate. 

Back To Top

MHA Submits Comments Regarding State DSH Allotment Reductions

Staff Contacts: Daniel Landon or Kim Duggan

Today, MHA submitted comments regarding a proposed federal regulation to implement states’ disproportionate share hospital allotment reductions. As a reminder, comments are due to the Centers for Medicare & Medicaid Services by 5 p.m. on Monday, Aug. 28.

Back To Top

Quality and Population Health

CMS Posts Summary Of SEP-1 Changes To QualityNet

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has posted a summary of changes to the Early Management Bundle, Severe Sepsis/Septic Shock (SEP-1) measure, version 5.3, for implementation with acute inpatient discharges from Jan. 1 to June 30, 2018. The summary provides a high-level overview of the changes from version 5.2a to version 5.3. CMS recommends reviewing the summary in conjunction with version 5.3 of the Inpatient Quality Reporting Program Specifications Manual. 

Back To Top

Did You Miss An Issue Of MHA Today?

August 24, 2017
MHA Solicits Feedback On Anthem ED Experiences
MHA Distributes Analysis For FFY 2018 Final IRF PPS
AHA Offers Guide On Housing Strategies To Improve Community Health

August 23, 2017
MHA Distributes Analysis Of Final Updates To 2018 Medicare SNF PPS
TJC Announces Pioneers In Quality Webinar
HealthCurve Analytics And Apervita Host Webinar

August 22, 2017
MHA Distributes Analysis For Proposed Updates To CY 2018 Medicare Home Health PPS
IRS Sets Maximum Tax Penalty for Uninsured
CDC Offers NHCSs As Meaningful Use Stage 3 Opportunity
CMS Revises Notification Of Termination Process
Mercy Hospital St. Louis Names New President

August 21, 2017
HIDI HealthStats — Population Health
HIDI Analytic Tool Assesses Wage Index Reclassification For FFY 2019
TJC Modifies 2017 ORYX Requirements, Releases 2018 ORYX Reporting Requirements
CMS Provides eCQM Submission Status Report Update

Consider This ...

Since 1999, the age-adjusted drug-poisoning death rate has more than tripled, from 6.1 per 100,000 in 1999 to 16.3 per 100,000 in 2015.

Source: Centers for Disease Control and Prevention