MHA Today | October 20, 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.


Herb Kuhn, MHA President & CEO
Several weeks ago, I shared a letter that MHA sent the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services asking for assistance in efforts to address the problem of violence in hospitals. This week, we sent a letter to Gov. Eric Greitens seeking support at the state level.

Violence in hospitals poses a threat to providers’ ability to deliver care, and staff and administrators’ requirement to protect patients, families and the workforce. There aren’t easy solutions. And, hospitals cannot solve the problem of violence in the hospital setting alone.

In the letter, I shared a story I heard recently from a hospital executive in southwest Missouri. At that hospital, seven of the beds in the hospital’s 14-bed emergency department were filled with patients awaiting a behavioral health transfer or placement. Sadly, this isn’t uncommon. I also shared research from 2016 claims data which revealed that mental health and substance abuse patients spent more than 550,000 combined hours in Missouri’s emergency departments waiting for stabilization and discharge or transfer to an appropriate care setting. This is the equivalent of 63.1 years.

The crisis in behavioral health care isn’t the only driver of increased violence in hospitals. Other problems, including the opioid and drug abuse crisis and community-based toxic stress, add to the challenge. In 2017, 66 Missouri hospitals — half of all survey participants in MHA’s hazard vulnerability analysis — indicated that violence was one of their top three internal threats.

MHA staff has been conducting a listening tour to understand how violence is permeating hospitals, and what strategies should be put in place to minimize or eliminate these risks for staff, patients and visitors. More than 225 hospital leaders have participated. We’ll have a clearer view of the actionable and aspirational goals when the results are compiled.

The listening tour, our outreach to state and federal leaders, and the ongoing S.A.F.E.R. Initiative — a program that provides resources to strengthen patient, workplace and community safety — are the beginning of what will be a long-term effort. Our emergency preparedness programs have included programming and planning to safeguard workers and patients, and the Hospital Improvement and Innovation Network programs include a worker safety component.

It was clear from our recent MHA District Council meetings that this issue is a high priority for hospitals. Now, we need to build a coalition of stakeholders to help address causes and solutions. Success will require support from law enforcement, behavioral health and community leaders, among others.

Violence in hospitals poses a threat to the strength of the workforce, jeopardizes the ability of caregivers to safely provide quality care and exposes hospital organizations to significant regulatory scrutiny. Doing nothing isn’t an option. However, we can’t do it alone.

We’ll be sharing more information as the partners and our strategies unfold.

Let me know what you think.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
Congress Reauthorizes And Expands Child Deafness Programs
MO HealthNet Updates Hospice Rates
DHSS Publishes CCHD Final Rule

state and federal health policy developments

Congress Reauthorizes And Expands Child Deafness Programs

Staff Contacts: Daniel Landon or Brian Kinkade

Earlier this month, Congress enacted legislation to reauthorize and expand federal programs to detect and respond to hearing problems in infants and young children. President Trump signed S. 652 into law.

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MO HealthNet Updates Hospice Rates

Staff Contact: Brian Kinkade

MO HealthNet updated rates for hospice care for dates of service on or after Oct.1. The update includes separate rate schedules based on providers' compliance with CMS’ quality data reporting requirements.

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Regulatory News
the latest actions of agencies monitoring health care

DHSS Publishes CCHD Final Rule

Staff Contact: Sarah Willson

On Oct. 2, the final rule concerning critical congenital heart disease was published in the Missouri Register. As noted in the final rule, no changes were made from the proposed rule filed in May. The rule goes into effect Thursday, Nov. 2. MHA is hosting a webinar on the CCHD reporting requirements on Thursday, Nov. 9. The Missouri Department of Health and Senior Services indicates compliance with reporting through MoEVR will be expected for every newborn beginning Thursday, Nov. 30.

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Did You Miss An Issue Of MHA Today?

October 19, 2017
Physician Compare Preview Period Opens
MLN Connects Provider eNews Available
Participate In National Prescription Drug Take Back Day On Oct. 28
National Flu Vaccination Campaign Underway
Mercy And Washington County Memorial Hospital Expand Management Agreement

October 18, 2017
Health Literacy Month Focuses Providers On Communication
Kindred Hospital Northland Names New CEO

October 17, 2017
HealthCurve Analytics And SpectraMedix Host MIPS And APM Webinar
International Infection Prevention Week Underway
HHS Declares Wildfire Public Health Emergency; CHA Establishes Hospital Employee Relief Fund

October 16, 2017
MO HealthNet To Begin Denying Claims For Unregistered OPR Providers
MedPAC Updates Its Payment Basics Series
VA Proposes Prosthetic And Rehabilitative Device Rules

Consider This ...

The most joyful, productive, engaged staff feel both physically and psychologically safe, appreciate the meaning and purpose of their work, have some choice and control over their time, experience camaraderie with others at work, and perceive their work life to be fair and equitable.

Source: Institute for Healthcare Improvement