December 19, 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
Congress Preparing To Enact Tax Reform Legislation
CMS Clarifies Proficiency Testing Referral
CMS Clarifies Ligature Risk Policy
MO HealthNet Ends Certificate Requirements For Certain Enteral Formula And Trachea Supplies
HIIN Lean Six Sigma Green Belt Project
Leading Utilization Review Practices from Access to Exit
Tuesday, March 13, 2018
7:30 a.m. - 4 p.m.
Holiday Inn Executive Center
Register by Tuesday, Feb. 27.
state and federal health policy developments
Staff Contact: Daniel Landon
Congress is preparing to complete its enactment of tax reform legislation. Negotiations between the U.S. Senate and House of Representatives have produced a compromise version to resolve differences between the two chambers. Congressional committees issued a high-level summary, and the American Hospital Association released an advisory bulletin. The measure was approved by the House of Representatives today by a vote of 227-203. Missouri’s six Republican members of the U.S. House voted “yes;" the two Democratic members voted “no.”
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the latest actions of agencies monitoring health care
Staff Contact: Sarah Willson
The Centers for Medicare & Medicaid Services posted a new survey and certification memo regarding Proficiency Testing Referral. The memo explains the three categories for PT Referral, which are based on severity and extent of the violation. This clarification of regulation surrounding the 2012 Taking Essential Steps for Testing Act is the final step in full implementation of the act and is effective immediately. CLIA-certified laboratories are impacted by this final regulation and should take steps to ensure laboratory staff and administration are fully aware of the implications of a PT Referral.
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Staff Contacts: Sarah Willson
A survey and certification memo on ligature risk has been released by the Centers for Medicare & Medicaid Services. The 13-page policy clarification is for the surveyors' use until CMS’ comprehensive ligature risk interpretive guidance is released. CMS states “the Regional offices, State Survey Agencies and accrediting organizations may use their judgment as to the identification of ligature and other safety risk deficiencies, the level of citation for those deficiencies, as well as the approval of the facility’s corrective action and mitigation plans to minimize risk to patient safety and remedy the identified deficiencies” until the release of the guidance, which is expected in 2018. An attachment titled “Facility Extension Request & Progress Updates,” which serves as the electronic follow-up report for any ongoing plans of correction also was included. MHA is working on a summary of the memo to facilitate hospital implementation.
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Staff Contacts: Brian Kinkade
For dates of service on or after Dec. 13, a certificate of medical necessity no longer is required for Missouri Medicaid claims for certain enteral formula and trachea supplies. Medical necessity must be documented and maintained in patients’ records.
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Quality and Population Health
Staff Contact: Amanda Keilholz
The Missouri Hospital Association is pleased to announce the Lean Six Sigma Green Belt Project, offered exclusively to Hospital Improvement Innovation Network-participating hospitals.
Lean Six Sigma is a performance improvement platform with roots originating in the production and manufacturing industry. Its methodology builds upon a five-step process — Define-Measure-Analyze-Improve-Control — with an intense focus on the removal of errors, defects or “waste,” described as any step, motion or resource that does not add value to the process.
Two cohorts are offered: one in the St. Louis metro area and one in the Kansas City metro area. Completing the eight-month intensive project, including in-person trainings covering the steps of Lean Six Sigma DMAIC methodology, will result in Green Belt certification. Each training will be followed by an implementation phase to apply the knowledge and skills learned toward a required hospital-based improvement project.
A recording of the informational webinar, a FAQ, the flyer and application for the Lean Six Sigma Green Belt Project are available to view on our website under the QI & Data Resources tab. Applications will be accepted through Friday, Jan. 12, 2018.
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The top cause of Christmas-related inuries occurring between November and January, 2011 - 2015, included accidents while putting up and taking down decorations. On Christmas Day, injuries from unwrapping gifts with knives and scissors are the most common.