MHA Today | October 10, 2017

October 10, 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.

In This Issue
340B Payment Cut Decision Appears Imminent
FFY 2018 Medicare VBP Projection, HAC Projection And Pay-For-Performance Measure Trends Available
Baxter Announces Saline Shipments Disrupted
CMS Updates EHR Known Issues Documents
QRDA Reference And Implementation Guides Available At eCQI Resource Center
Landmark Hospital Of Cape Girardeau Names New CEO


Upcoming SEMINAR
Chargemaster Coding Updates And Implementation For 2018
7:30 a.m. to 3:30 p.m., Thursday, Nov. 30
Missouri Hospital Association
Jefferson City, Mo.


Advocate
state and federal health policy developments


340B Payment Cut Decision Appears Imminent

Staff Contact: Daniel Landon

The Centers for Medicare & Medicaid Services sent the federal Office of Management and Budget its final rule governing the Medicare Outpatient PPS for calendar year 2018. The OMB is a final stage of regulatory review before public release. CMS’ proposed OPPS rule included a 28.5 percent payment cut for drugs purchased using the 340B drug discount program. MHA opposed the proposed 340B payment cut in its comment letter and in recent congressional advocacy. In the U.S. House of Representatives, 228 members endorsed a Sept. 27 letter of concern about the 340B payment cuts; seven of Missouri’s eight U.S. Representatives were among them. Fifty-seven members of the U.S. Senate signed an Oct. 6 letter regarding the 340B cuts. The MHA Board of Trustees has approved a process to authorize MHA litigation if CMS implements the 340B payment cuts.

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Regulatory News
the latest actions of agencies monitoring health care


FFY 2018 Medicare VBP Projection, HAC Projection And Pay-For-Performance Measure Trends Available

Staff Contacts: Andrew Wheeler or Peter Rao

MHA posted an analysis of the second quarter 2017 data from the Centers for Medicare & Medicaid Services’ Hospital Compare database to help hospitals prepare for the effects of future Medicare pay-for-performance reimbursement changes. The analysis projects the effects of the federal fiscal year 2018 Medicare value-based purchasing and hospital-acquired conditions programs. These data also are used to update the quality program measure trends analysis.

The latest release indicates that the effect of VBP on prospective payment hospitals’ finances in Missouri is estimated to increase operating payments by $626,600. The projected effects of HAC will reduce payments by $8,611,300. These results are based on the latest available VBP data, which uses different baseline and performance date ranges than the actual FFY 2018 program.

Policy and analytic studies are available for download to authorized users of HIDI Analytic Advantage®.

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Quality and Population Health


Baxter Announces Saline Shipments Disrupted

Staff Contact: Jackie Gatz

Baxter International Inc. lost multiple production days in hurricane-wracked Puerto Rico, delaying its ability to restore shipments of dextrose and sodium chloride — also known as saline. The two products already are in short supply on the U.S. mainland. The versions made in Puerto Rico primarily are for mixing with medications. All of the Baxter sites sustained some damage but repairs are underway. Baxter hopes to resume limited production soon.

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CMS Updates EHR Known Issues Documents

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated the known issues documents associated with the Electronic Health Record Program. The new document, which is available on QualityNet, includes newly identified issues and issue resolutions.

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QRDA Reference And Implementation Guides Available At eCQI Resource Center

Staff Contact: Sherry Buschjost

Effective Oct. 1, the Centers for Medicare & Medicaid Services moved the CMS Quality Reporting Document Architecture reference and implementation guides from the eCQM library page to the QRDA page of the Electronic Clinical Quality Improvement Resource Center. The eCQM library page will sunset at the end of the year and be replaced with a redirect link to the eCQI Resource Center. CMS publishes QRDA guides for use in electronic clinical quality measure reporting for the following programs.

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CEO Announcements


Landmark Hospital Of Cape Girardeau Names New CEO

Staff Contact: Carol Boessen

Debbie Sabella has been named CEO of Landmark Hospital of Cape Girardeau, effective Friday, Oct. 13. She replaces Donna Mansard, who served as CEO since May 2017. Sabella joined Landmark in July 2006 as CEO of Landmark Hospital of Cape Girardeau. In 2009, she was named CEO of Landmark Hospital of Columbia. In July 2012 she was promoted to Corporate Director at Landmark Management Services, LLC, in Cape Girardeau. She returned to Landmark Hospital of Columbia as CEO in August 2013 and served in that role until November 2016 when she resigned to move back to Cape Girardeau. A list of CEO changes is available online.

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Consider This ...

October is Beast Cancer Awareness Month. Other than skin cancer, breast cancer is the most common cancer among American women.

Source: Centers for Disease Control and Prevention