MHA Today | November 6, 2017

November 6, 2017

 

 

MHA Today: News for Healthcare Leaders

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November 6, 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
Issue Briefs Available For 2018 CMS Rules On Quality, Physician Pay And Home Health
HIDI HealthStats — Hospital Super-Utilizers
CMS Extends Question Deadline Related To Dry Run Reports For The IPFQR Readmission Measure
CMS Announces IQR Webinar
Mercy Springfield Communities Names Interim President

What You Need To Know This Week

  • MHA released a series of issue briefs outlining the Centers for Medicare & Medicaid Services final payment and policy rules for 2018.
  • Saturday, Nov. 11 is Veterans Day. The American Hospital Association offers resources and support for veterans and military families, including additional resources for hiring veterans in health care.

 

Regulatory News
the latest actions of agencies monitoring health care


Issue Briefs Available For New 2018 CMS Rules

Staff Contact: Andrew Wheeler

MHA released three issue briefs related to final rules promulgated by the Centers for Medicare & Medicaid Services for calendar year 2018 payment policies. The Quality Payment Program rule defines new policies for eligible clinicians participating in either the Advanced Alternative Payment Models or Merit-based Incentive Payment System. The final rule implements policies for “Quality Payment Program Year 2.” Additionally, an issue brief is available on CMS’ final rule setting payment policies and rates under the Medicare Physician Fee Schedule. Finally, an issue brief is available outlining CMS’ update to the Home Health PPS payment rates — including the national, standardized 60-day episode payment rates, the national per-visit rates, and the non-routine medical supply conversion factor.

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HIDI Tech Connect


HIDI HealthStats — Hospital Super-Utilizers

Staff Contact: Mat Reidhead

HIDI HealthStats - Hospital Super-Utilizers The November edition of HIDI HealthStats discusses hospital super-utilizer predictive risk models.

Programs designed to intervene with hospital super-utilizers commonly rely on predictive models to identify patients at the highest risk of excess future hospital utilization, target scarce interventional resources, and provide supplemental clinical and social decision support.

While various criteria are used to identify hospital super-utilizers, it is estimated they collectively account for 4 to 8 percent of all patients and 21 to 28 percent of all emergency department utilization.

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Quality and Population Health


CMS Extends Question Deadline Related To Dry Run Reports For The IPFQR Readmission Measure

Staff Contact: Sherry Buschjost

As discussed in the Oct. 25 issue of MHA Today, the Centers for Medicare & Medicaid Services is providing inpatient psychiatric facilities a report that contains results on the 30-Day All-Cause Unplanned Readmission Following Psychiatric Hospitalization in an Inpatient Psychiatric Facility measure. Additional information about the measure dry run, including how to download the report, measure specifications and submit questions, is available on the QualityNet inpatient psychiatric facilities measures page. Questions regarding the report results may be submitted to PQM@hsag.com until Friday, Nov. 24.

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CMS Announces IQR Webinar

Staff Contact: Sherry Buschjost

An outreach and education webinar for participants in the Inpatient Quality Reporting Program is scheduled at 1 p.m. Tuesday, Nov. 14. Registration is required for the webinar, “Sepsis Efforts at Bellevue Hospital and SEP-1 Early Management Bundle, Severe Sepsis/Septic Shock: v5.0b through v5.2a Analysis Results.”

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CEO Announcements


Mercy Springfield Communities Names Interim President

Staff Contact: Carol Boessen

Alan Scarrow, M.D., who served as president of Mercy Springfield Communities since January 2015, returned to practicing full-time as a neurosurgeon at Mercy Hospital Springfield, effective Nov. 1. Jon Swope, president of Mercy Central Region, will serve as interim president of Mercy Springfield Communities and Mercy Hospital Springfield until a permanent replacement is named. Swope has been with Mercy for 37 years. A list of CEO changes is available online.

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Consider This ...

Obesity puts individuals at risk for more than 30 chronic health conditions, and an estimated 112,000 excess deaths per year are associated with obesity.

Source: The Obesity Society