November 8, 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
CMS Updates Appendix A
IV Fluid Shortage: Missouri’s Current Status And Mitigation Efforts
CMS Announces Change In Meaningful Use Attestations
HSHS St. Joseph’s Hospital Names New President & CEO
the latest actions of agencies monitoring health care
Staff Contacts: Sarah Willson or Jim Mikes
The Centers for Medicare & Medicaid Services released a revised version of the advanced copy of the Revisions to the State Operations Manual, Appendix A, which addresses the definition of a hospital according to standards of Medicare. The revised version clarifies questions asked of Medicare since the original release of the guidance. Updates to the memorandum are in red italicized font.
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Quality and Population Health
Staff Contact: Jaclyn Gatz
Nationally, mitigation activities continue in an effort to remedy the ongoing shortage of small volume parenteral solutions to include the 50 and 100 milliliter injection bags of sodium chloride 0.9 percent, dextrose 5 percent and intravenous (IV) nutritional products. Yesterday, the American Hospital Association wrote a letter to the Food and Drug Administration asking for action on both short- and long-term mitigation strategies.
Missouri Hospital Association continues to monitor the current IV fluid shortage in an effort to provide timely and appropriate information to our members and generate potential mitigation strategies. Last week, MHA initiated an ongoing query in EMResource to assess the statewide impact of the shortage. Of the 125 hospitals responding, 50 percent are reporting adequate supply, 25 percent have implemented conservation strategies, and 25 percent are experiencing or anticipating a shortage.
Hospital purchasing managers are strongly encouraged to maintain open lines of communication with their supply chain vendors and conduct appropriate projections planning to identify in advance when critical shortages will occur and disrupt the delivery of care. Baxter Healthcare Corporation also provided a summary of their production recovery efforts to their customers.
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Staff Contact: Sherry Buschjost
Beginning Tuesday, Jan. 2, 2018, eligible hospitals and critical access hospitals attesting to the Centers for Medicare & Medicaid Services will submit their 2017 Meaningful Use attestations through the QualityNet secure portal. Hospitals attesting to CMS must have an active and updated QualityNet account before submitting MU attestations.
Eligible hospitals and CAHs who are attesting to CMS and are new to the QualityNet system must enroll to create an account and select the MU option. Existing QualityNet users need to select the MU option in their QualityNet accounts. A step-by-step guide to enrolling in QualityNet and adding the MU option to an account is available.
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Staff Contact: Carol Boessen
Chris Klay was named president and CEO of HSHS St. Joseph’s Hospital in Breese, Ill., effective Sept. 11. He replaces Paulette Evans, who retired after having served as president and CEO since October 2014. A list of CEO changes is available online.
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About 177,000 older adults are hospitalized annually in the U.S. with an RSV infection, and about 14,000 of them die from it.
Source: Centers for Disease Control and Prevention