MHA Today | January 4, 2018

January 4, 2018
MHA Today: News for Healthcare Leaders

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January 4, 2018

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 And Three Physician Organizations Thank McCaskill For Anthem Inquiry
Gubernatorial Appointment Creates State Senate Vacancy
MHA Resolves Nurse Licensure Compact Glitch
DEA Imposes Highest Restrictions On Cyclopropyl Fentanyl
Analysis Of 2018 Medicare Clinical Lab Fee Schedule Available
MLN Connects Provider eNews Available
MHA Activates EMResource Query To Monitor Flu Activity In Missouri
CMS Announces OQR Education Session

Advocate
state and federal health policy developments


MHA And Three Physician Organizations Thank McCaskill For Anthem Inquiry

Staff Contact: Daniel Landon

The Missouri State Medical Association, the Missouri Association of Osteopathic Physicians & Surgeons, the Missouri College of Emergency Physicians and the Missouri Hospital Association sent a joint letter to U.S. Senator Claire McCaskill. The letter thanks Senator McCaskill for her recent inquiry into Anthem’s restrictions on hospital emergency department service coverage.

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Gubernatorial Appointment Creates State Senate Vacancy

Staff Contacts: Daniel Landon or Rob Monsees

Today, the Missouri Senate confirmed Governor Greitens’ appointment of State Senator Ryan Silvey to serve on the Missouri Public Service Commission. Silvey resigned from the Senate, and the vacancy will be filled by a special election. The resignation may initiate changes in the chairmanships of Senate committees. MHA Today will report on chairmanships of key legislative committees for 2018 once those changes are announced.

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MHA Resolves Nurse Licensure Compact Glitch

Staff Contact: Sarah Willson

The Enhanced Nurse Licensure Compact will be implemented Friday, Jan. 19. Oklahoma will enter as a compact state. MHA voiced concern to the State Board of Nursing that the transition would result in temporary loss of licensure for nurses who live in Oklahoma and work in Missouri. In response, the State Board of Nursing will extend a temporary option to preserve their licensure during the transition. A letter was sent to hospital directors of human resources and directors of nursing today.

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Regulatory News
the latest actions of agencies monitoring health care


DEA Imposes Highest Restrictions On Cyclopropyl Fentanyl

Staff Contacts: Daniel Landon or Leslie Porth

The federal Drug Enforcement Administration temporarily classified the synthetic opioid, cyclopropyl fentanyl, as a schedule I controlled substance. Schedule I drugs have a high potential for abuse, do not have an accepted medical use in the U.S. and lack accepted safety for use under medical supervision. They are the most stringently controlled drugs; examples include heroin and LSD. The order is effective through Jan. 4, 2020. Cyclopropyl fentanyl has pharmacological properties similar to medicinal fentanyl.

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Analysis Of 2018 Medicare Clinical Lab Fee Schedule Available

Staff Contact: Andrew Wheeler

Congress enacted the Protecting Access to Medicare Act of 2014, which changed how the rates paid under the Medicare clinical lab fee schedule are established. As directed by PAMA, the Centers for Medicare & Medicaid Services are basing the calendar year 2018 CLFS rates by using private payer information. This change in CLFS rates will reduce Medicare lab payments to Missouri hospitals by an estimated 8.7 percent in 2018. MHA is providing an analysis of the effect of this change. Policy and analytic studies are available for download to authorized users of HIDI Analytic Advantage®. If you need a user ID and password or have questions about accessing these reports, email HIDI.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • Patients over Paperwork: Get updates on burden reduction
  • quality payment program resources, qualified registries and new data submission system
  • Hospice Compare update
  • low volume appeals settlement option call — Tuesday, Jan. 9

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Quality and Population Health


MHA Activates EMResource Query To Monitor Flu Activity In Missouri

Staff Contact: Jackie Gatz

Missouri is reporting high influenza-like illness activity, according to the Centers for
Disease Control and Preventions’ most recent national flu report. High inpatient surge and early conservation of antiviral medications are two indicators currently taking place in many Missouri hospitals. MHA activated a query in EMResource to gather information Flu Report
related to current bed capacity, medical countermeasures and personal protective equipment supply levels. The query was activated today and will run through the morning of Friday, Jan. 5. Based on the data collected, future queries may be scheduled to inform statewide surge planning efforts.

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CMS Announces OQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Outpatient Quality Reporting Program has been scheduled on Wednesday, Jan. 17. The webinar, “Hospital Outpatient Quality Reporting Program 2018 Specifications Manual Update,” is offered at 9 a.m. and 1 p.m. Registration is required.

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Consider This ...

January is Cervical Health Awareness Month. The American Cancer Society estimates approximately 13,240 new cases of invasive cervical cancer will be diagnosed, and about 4,170 women will die from cervical cancer in 2018.

Source: American Cancer Society