MHA Today | December 4, 2017

December 4, 2017

MHA Today: News for Healthcare Leaders

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December 4, 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
MHA Distributes Analysis For Final Updates To CY 2018 Medicare Home Health PPS
CMS Launches New LTC Survey Process
FDA Issues Supply Chain Update Post Hurricane
Osage Beach Center For Cognitive Disorders Names New CEO
Poplar Bluff Regional Medical Center Names New CEO

What You Need To Know This Week

  • Watch for Trajectories to be released Wednesday, focusing on appropriate use of the ED and featuring hospital best practices.
  • The health care marketplace open enrollment period ends next Friday, Dec. 15, to purchase health insurance for 2018.

Regulatory News
the latest actions of agencies monitoring health care


CMS Launches New LTC Survey Process

Staff Contact: Sarah Willson

Changes are being made in how certification surveys are conducted. The Centers for Medicare & Medicaid Services issued a memo last week outlining changes for long-term care and skilled facilities. As of Nov. 28, Appendix P is no longer accessible to surveyors or facilities. The appendix is being replaced with major revisions to the State Operations Manual, Chapter 7. In the meantime, there is a survey guide available. Surveyors now have laptops, which are brought to surveys preloaded with patient Minimum Data Sets and issues for investigators to navigate. MHA is aware of one LTC facility who underwent the new process last week. The new process may change some of the processes currently in place regarding transition of patients from the hospital to such facilities. The accuracy of MDS data on the facility side is imperative. If you have questions or concerns, please contact Sarah Willson.

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MHA Distributes Analysis For Final Updates To CY 2018 Medicare Home Health PPS

Staff Contact: Andrew Wheeler

A comprehensive analysis of the calendar year 2018 final payment and policy updates to the Medicare home health PPS has been published by MHA. The analysis includes a summary of the final rule, a description of the methods underlying the analysis and assessments of the financial implications. The financial implications include effects of the CY 2018 marketbasket updates, the productivity reduction mandated by the Affordable Care Act, home health resource group case-mix, budget-neutrality increase and wage index changes. The effect of the final home health rule is estimated to increase payments in Missouri by 1.2 percent, or $502,600.

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Quality and Population Health


FDA Issues Supply Chain Update Post Hurricane

Staff Contact: Jackie Gatz

Hurricane Maria's landfall on Puerto Rico drastically impacted drug manufacturing facilities on the island, creating an ongoing shortage of several medical supplies including IV fluid. According to a statement released last week from Food and Drug Administration Commissioner Scott Gottlieb, restoring Baxter’s productions operations and approving IV solution products from Fresenius Kabi and Laboratorios Grifols will assist in shortage improvement before the end of 2017.

Baxter also had their aminos acid production facilities impacted by Hurricane Maria. The FDA currently is working with Baxter to facilitate the temporary importation of amino acids for pediatric and adult formulations of IV amino acids from their facilities in the United Kingdom and Italy, as amino acids are "of critical need for patients, including children and infants, who are not able to eat and need to receive their nutrition intravenously.”

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CEO Announcements


Osage Beach Center For Cognitive Disorders Names New CEO

Staff Contact: Carol Boessen

Tom Flanagan was named CEO of the Osage Beach Center for Cognitive Disorders, effective Nov. 27. He has over 30 years’ experience providing management services to behavioral health organizations throughout the U.S. He succeeds Lorri Steffen, who has taken on the role of Director of Nursing at the hospital. A list of CEO changes is available online.

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Poplar Bluff Regional Medical Center Names New CEO

Staff Contact: Carol Boessen

Bryan S. Bateman has been named CEO of Poplar Bluff Regional Medical Center, effective Monday, Dec. 18. Bateman most recently served as CEO at Christus Lake Area Hospital in Louisiana, and has more than 30 years of health care experience. He succeeds Larry Rodgers, who has served as CEO since April 2016, and announced his resignation in November. A list of CEO changes is available online.

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Consider This ...

This week is National Influenza Vaccination Week. As of Nov. 25, 1,545 laboratory-positive influenza cases have been reported in Missouri this season. If you haven't received a flu vaccine yet, now's the time. An annual flu vaccine is the first and best way to protect against the flu.

Source: Missouri Department of Health & Senior Services