October 31, 2017
MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.
NOTE: MHA Today will not be published Wednesday, Nov. 1, or Thursday, Nov. 2, during the 95th Annual MHA Convention and Trade Show. Publication will resume on Friday, Nov. 3.
In This Issue
U.S. House To Debate CHIP Reauthorization Bill
The Joint Commission Issues Pre-Publication Emergency Preparedness Standards
FEMA Refreshes National Incident Management System
Supplemental Document For Inpatient Specifications Manual Version 5.2b Available
state and federal health policy developments
Staff Contact: Daniel Landon
Republicans in the U.S. House of Representatives released their version of legislation to reauthorize the Children’s Health Insurance Program, as well as various other expiring or expired federal programs. The House is expected to begin debate of the bill on Friday, Nov. 3. The proposed legislation also delays reductions in states’ Medicaid Disproportionate Share Hospital allocations for two years and changes the amount and distribution of future Medicaid DSH cuts. Previously, a one-year delay in Medicaid DSH allocations was proposed, which does not benefit Missouri hospitals.
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the latest actions of agencies monitoring health care
Staff Contacts: Jackie Gatz or Sarah Willson
In response to the Centers for Medicare & Medicaid Services Sept. 16, 2016 final rule on emergency preparedness, The Joint Commission is updating its emergency management standards.
The revised standards address all key areas of the CMS EM final rule, including the emergency plan, policies and procedures, communication plan, training and testing, and integrated health care systems. Hospitals and critical access hospitals have an additional emergency and standby power system requirement, and hospitals have an additional transplant center requirement.
TJC will begin surveying its accredited deemed hospitals, ambulatory surgical centers, critical access hospitals, home health agencies and hospices to the updated EM requirements as of the rule’s Wednesday, Nov. 15 implementation date.
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Quality and Population Health
Staff Contact: Jackie Gatz
The Federal Emergency Management Agency refreshed the National Incident Management System doctrine, effective Oct. 17. This system, established in 2004, provides a common, nationwide approach to adequately prepare for and respond to all threats and hazards affecting the community. The 2017 revisions incorporate lessons learned from exercises and real-world incidents, best practices, and changes in national policy. FEMA is hosting several webinars to discuss the update and answer questions from participants.
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Staff Contact: Sherry Buschjost
The Centers for Medicare & Medicaid Services and The Joint Commission determined that a supplemental document is required for Specifications Manual for National Hospital Inpatient Quality Measures, version 5.2b, for implementation of the ICD-10 code updates. The release is effective with Oct. 1 discharges. Updates have been made to Appendix A based on discrepancies found within the document and include the following items of special interest.
The revised Appendix A and associated release notes are available on QualityNet.
As many as six million children in the U.S. have some sort of food allergy, with the most common being peanut and milk allergies.
Source: American College of Allergy, Asthma & Immunology