MHA Today | October 26, 2017

October 26, 2017
MHA Today: News for Healthcare Leaders

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October 26, 2017

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.

In This Issue
CBO Provides Cost Estimate For Proposed Subsidy Bill
Trump Administration Declares National Public Health Emergency For Opioid Crisis
AHA Releases Quality Advisory On IV Fluid Shortages
Resources And Strategies Available To Manage Saline Supply Shortages
CMS Updates Hospital Compare Website

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state and federal health policy developments


CBO Provides Cost Estimate For Proposed Subsidy Bill

Staff Contact: Andrew Wheeler

The Congressional Budget Office released a report that estimates the cost of the proposed Alexander-Murray bill. The Bipartisan Health Care Stabilization Act of 2017 would make changes to the state innovation waiver process, appropriate money for cost-sharing reductions, require many insurers to pay rebates to individuals and the federal government related to premiums in the nongroup health insurance market, allow anyone in the nongroup market to purchase a catastrophic plan, and require some existing funding for health insurance marketplace operations to be used specifically for outreach and enrollment activities. The CBO estimates the proposed legislation would decrease the deficit by $3.8 billion from 2018 to 2027. MHA published an issue brief with additional details.

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Quality and Population Health


Trump Administration Declares National Public Health Emergency For Opioid Crisis

Staff Contact: Alison Williams

Opioid Fact Sheet PreviewPresident Trump announced a national public health emergency, directing all agencies with authority to use available resources to fight the opioid epidemic. Several changes to federal laws and regulations, to reign in access to opioids and provide additional treatment options, were proposed. Trump indicated the administration would quickly take action on recommendations from his opioid task force when the report is delivered in the coming weeks.

MHA released a statement on the announcement along with an updated Missouri-specific opioid fact sheet. Additional resources are available on MHAnet, including an interactive toolkit for hospitals.

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AHA Releases Quality Advisory On IV Fluid Shortages

Staff Contact: Alison Williams

The American Hospital Association released a Quality Advisory entitled "Small-Volume Parenteral Medication Shortages: Strategies for Conservation." These national shortages were triggered by several factors, including continued pharmaceutical market consolidation and production interruptions at some manufacturing facilities due to serious quality issues. Sshortages have worsened dramatically as a result of Hurricane Maria’s impact on manufacturing plants in Puerto Rico. The most significant and severe shortage is for small-volume parenteral solutions, such as the 50 and 100 milliliter “minibags” of sodium chloride 0.9 percent, dextrose 5 percent and IV nutritional products made by Baxter.

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Resources And Strategies Available To Manage Saline Supply Shortages

Staff Contact: Jackie Gatz

In response to the recent saline supply shortages, the Food and Drug Administration is working with Baxter and other drug companies to mitigate the impact of the shortages and expedite the restoration of operations in areas impacted by the hurricanes. While the FDA has permitted Baxter to import supplies from international plants, it is not anticipated to resolve the current shortage, as full recovery and restoration of production sites in Puerto Rico will take several months.

To assist hospitals and health systems with the management of these supply shortages, the American Society of Health-System Pharmacists, in collaboration with the University of Utah Drug Information Service, has compiled the following document.

While MHA staff continue to monitor this shortage and share pertinent updates as available, hospitals are encouraged to reference the FDA drug shortage website for current information or directly contact the product manufacturers.

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CMS Updates Hospital Compare Website

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated the Hospital Compare website. Details are available.

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Consider This ...

In the U.S., currently one million people get shingles every year, and about one out of every three people will get shingles in their lifetime. About half of all cases occur in people 60 years or older.

Source: Centers for Disease Control and Prevention