MHA Today | November 7, 2017

November 7, 2017

 

MHA Today: News for Healthcare Leaders

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November 7, 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
GAO Assesses Medicare Oversight Of Opioids
CMS Administrator Encourages States' Use Of 1115 Medicaid Waivers, Announces Transparency Reporting Initiative
September MUR Available On HIDI Analytic Advantage®
CMS And TJC Release Addendum To Inpatient Specifications Manual Version 5.3a
CMS Announces HAC Reduction Program ListServe
CMS Reports Issue With IQR CART Application
Freeman Names Interim CEO At Nevada Regional Medical Center


Upcoming SEMINAR
Medical Staff Leadership Credentialing and Privileging Workshop
8:30 a.m. to 4 p.m., Friday, Nov. 17
Missouri Hospital Association
Jefferson City, Mo.


Advocate
state and federal health policy developments


GAO Assesses Medicare Oversight Of Opioids

Staff Contacts: Daniel Landon or Leslie Porth

The U.S. Government Accountability Office issued a report on the Medicare program’s oversight of opioid use, along with a summary. GAO concludes that CMS’ “approach misses some who could be at risk of harm, based on Centers for Disease Control and Prevention guidelines.”

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CMS Administrator Encourages States' Use Of 1115 Medicaid Waivers, Announces Transparency Reporting Initiative

Staff Contact: Brian Kinkade

The Centers for Medicare & Medicaid Services Administrator Seema Verma announced initiatives that she says will encourage state innovation and accountability. Verma says CMS has given new direction to encourage states to use Section 1115 demonstration waivers to implement evidence-based practices that promote “upward mobility and independence” for Medicaid participants, especially those who are able-bodied. To promote states’ use of the 1115 waivers, Verma announced changes to the waiver process to make approval quicker and easier for states and to consider projects of up to 10 years. Finally, Verma announced the development of state “scorecards” that will increase transparency and provide insight into the positive health care outcomes derived from Medicaid coverage.

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HIDI Tech Connect


September MUR Available On HIDI Analytic Advantage®

Staff Contact: Cerise Seifert

Data for the September 2017 monthly utilization report have been posted on HIDI Analytic Advantage® and are available to download for distribution or placement in a network folder. HIDI Analytic Advantage® PLUS has been updated to include this data. The contacts from the participating hospitals have been notified by email, and they may download and save the Excel worksheet to a secure location on their networks or PCs. The data are encrypted on the site and also during the transmission from HIDI. Once the data have been transferred, it must be secured according to the hospital’s security procedures. October 2017 data are being collected now and are scheduled to be available Tuesday, Dec. 5.

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Quality and Population Health


CMS And TJC Release Addendum To Inpatient Specifications Manual Version 5.3a

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services and The Joint Commission have determined that an addendum is required for Specifications Manual for National Hospital Inpatient Quality Measures, version 5.3a, for implementation with acute inpatient discharges, effective Jan. 1 through June 30, 2018. The addendum has been posted to QualityNet. Items of special interest include:

  • Appendix A
    • Table 7.01: Mental Disorders
    • Table 12.3: Pregnancy
    • Table 13.2: Drug Dependence
  • Appendix F

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CMS Announces HAC Reduction Program ListServe

Staff Contact: Sherry Buschjost

A new Hospital-Acquired Condition Reduction Program ListServe is now available. The Centers for Medicare & Medicaid Services encourages hospitals and other stakeholders to subscribe to the HAC Reduction Program ListServe, as CMS will use this resource to distribute program-specific email notifications.

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CMS Reports Issue With IQR CART Application

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services confirmed an issue with the Inpatient Quality Reporting Program CMS Abstraction and Reporting Tool application, version 4.20. Some ICD-10 codes that should be available for selection do not appear in this version of the application. These codes do not impact calculation of IQR measures but should be available for selection per the ICD-10 master code list. The ICD-10 codes are available for selection using the 4.19.1 version of the CART application. Participants may use this version as a workaround, if necessary. CMS is pursuing a resolution for this issue with an updated version of the CART application to be released mid-to-late November.

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CEO Announcements


Freeman Names Interim CEO At Nevada Regional Medical Center

Staff Contact: Carol Boessen

Freeman Health System in Joplin named Wes Braman as interim CEO at Nevada Regional Medical Center. Braman is Freeman’s vice president of business development and replaces Kevin Leeper, who served as CEO since July 2014. Freeman assumed management of the hospital, effective Nov. 1, under a two-year contract with the City of Nevada. A list of CEO changes is available online.

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Consider This ...

Globally, pneumonia kills nearly one million children younger than five years of age each year.

Source: Centers for Disease Control and Prevention