MHA Today | September 7, 2017

September 7, 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 Releases CHIP Fact Sheet
U.S. Senate Appropriations Subcommittee Approves Budget Bill
CMS Issues Revisions To SOM Appendix A For Hospitals
MLN Connects Provider eNews Available
Beterra Health, Inc., Offers Safety Culture Webinars
CMS Extends Chemotherapy Measure Dry Run
HRSA Announces Delay In 340B Recertifications


Hurricane Harvey


Hurricane Irma


Advocate
state and federal health policy developments


MHA Releases CHIP Fact Sheet

Staff Contact: Brian Kinkade

MHA has created a fact sheet explaining the significance of the federal Children’s Health Insurance Program for Missouri’s health care safety net for children and pregnant women. Federal funding for the CHIP program expires Saturday, Sept. 30, and funding for the program must be approved for it to continue. CHIP has bipartisan support, and favorable Congressional action is anticipated. However, CHIP is one item on a remarkably long list of major issues that Congress currently is facing, so aggressive advocacy for its reauthorization is warranted.

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U.S. Senate Appropriations Subcommittee Approves Budget Bill

Staff Contact: Daniel Landon

Yesterday, the U.S. Senate Labor, Health and Human Services, and Education Appropriations Subcommittee approved a funding bill for federal fiscal year 2018. The committee is chaired by Sen. Roy Blunt (R-Mo.). A summary describes highlights of the spending plan, which for hospitals include increases for children’s graduate medical education, rural health care programs and area health education centers. The bill also funds substantial increases for opioid abuse programs and medical research. The subcommittee’s work is slated to be reviewed by the Senate Appropriations Committee today.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Revisions To SOM Appendix A For Hospitals

Staff Contacts: Sarah Willson or Jim Mikes

The Centers for Medicare & Medicaid Services has issued revised guidance to the State Operations Manual Appendix A for hospitals. CMS released a survey and certification memo that clarifies guidance to address the definition of a hospital as being primarily engaged in providing inpatient services. The revised guidance does not apply to critical access or psychiatric hospitals.

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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.

  • Inpatient rehabilitation facility and long-term care hospitals
    • Preview reports: review by Saturday, Sept. 30
    • Compare quarterly refresh
  • 2015 inpatient and outpatient hospital utilization and payment data available
  • October 2017 average sales price files available
  • Mapping Medicare disparities tool: 2017 enhancements released
  • Medicare diabetes prevention program: audio recording and transcript

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Quality and Population Health


Beterra Health, Inc., Offers Safety Culture Webinars

Staff Contacts: Alison Williams or Mary Shackelford

MHA’s chosen partner for culture of safety improvement, Beterra Health, Inc., is offering two complimentary improvement webinars. Hospitals do not have to be enrolled in MHA’s SafeCulture Accelerator project to attend.



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CMS Extends Chemotherapy Measure Dry Run

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services has extended the national chemotherapy measure dry run of admissions and emergency department visits to Friday, Sept. 29, for patients receiving the outpatient chemotherapy measure (OP-35, PCH 30/31) for hospital outpatient departments and PPS-exempt cancer hospitals. The deadline was extended because of errors identified in initial facility-specific reports related to the measure calculation.

  • When data was processed for the measure, admissions outcomes were over-counted, and ED visit outcomes were undercounted in situations where a patient had both outcomes following outpatient chemotherapy.
  • There were inaccuracies for outcomes in Table 3 of the FSR (titled “Patient-Level Information for Admissions and ED Visits for Patients Receiving Outpatient Chemotherapy Measure”).

Because of the errors, CMS is recalculating the outcome rates for both inpatient admissions and ED visits, and reproducing all FSRs. Updated FSRs will be available through the QualityNet Secure Portal beginning Friday, Sept. 8.

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Noteworthy


HRSA Announces Delay In 340B Recertifications

Staff Contact: Jim Mikes

The Health Resources and Services Administration Office of Pharmacy Affairs is transitioning to a new information system. The implementation is causing a delay in the 340B covered entity recertification process. A webinar for covered entities that must register and recertify to participate in the 340B program will be available after Wednesday, Sept. 13. Specific questions may be directed to Apexus Answers at 888/340-2787.

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Consider This ...

Sepsis is the most expensive in-hospital condition in the U.S., costing more than $20 billion each year counting just acute care in-hospital costs.

Source: Centers for Disease Control and Prevention