MHA Today | March 8, 2018

March 8, 2018
MHA Today: News for Healthcare Leaders

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March 8, 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
Behavioral Health Fact Sheet Available
Committee Approves Organ Donation Measure
House Approves Hospice Death Investigation Bill
Mental Health Parity Measure Advances
Senate Committee Considers Telemedicine Proposal
MLN Connects Provider eNews Available
Emergency Department Data Show Rapid Increases in Opioid Overdoses
Tools Show County-Level Hospitalization Rates For Opioids, Other Drugs
CMS Announces OQR Education Session
Federal Court Issues Memorandum Opinion In DSH Suit
Five Missouri Colleges And Universities Receive Nursing Education Grants
Hicks Announces Retirement From Overland Park Regional Medical Center

Advocate
state and federal health policy developments


Behavioral Health Fact Sheet Available

Staff Contact: Sarah Willson

Behavioral Health AccessMany Missourians have limited access to behavioral health providers and services. Federal Substance Abuse and Mental Health Services Administration data indicate Missouri is below the national average for behavioral health providers. MHA released a fact sheet focusing on behavioral health access challenges in Missouri.

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Committee Approves Organ Donation Measure

Staff Contacts: Daniel Landon or Rob Monsees

A state House committee approved a revised version of House Bill 2129. It requires that public high school students receive at least 30 minutes of instruction regarding organ, eye and tissue donation before they graduate. MHA expressed support for the bill.

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House Approves Hospice Death Investigation Bill

Staff Contacts: Rob Monsees or Sarah Willson

The state House of Representatives approved House Bill 1895 by a vote of 138-3. It removes the requirement that a coroner or medical examiner investigate a hospice patient’s death if the death is certified by the treating physician or hospice medical director. The bill also extends the deadline for notifying the coroner or medical examiner of the death of a hospice patient. MHA is promoting the legislation, which now moves to the Missouri Senate.

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Mental Health Parity Measure Advances

Staff Contacts: Daniel Landon or Rob Monsees

A state House committee approved House Bill 2384, which would revise state law governing parity of insurance benefits for mental health services.

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Senate Committee Considers Telemedicine Proposal

Staff Contacts: Daniel Landon or Rob Monsees

A Senate committee held a hearing on House Bill 1617, which expands providers’ capacity and flexibility to use telemedicine in the Missouri program. The House of Representatives previously passed the measure.

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Regulatory News
the latest actions of agencies monitoring health care


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.

  • new Medicare card transition begins in less than a month
  • electronic health record incentive programs FAQs
  • Program for Evaluating Payment Patterns Electronic Reports for short-term acute care hospitals
  • inpatient rehabilitation facility and long-term care hospital compare refresh
  • April 2018 average sales price files

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Quality and Population Health


Emergency Department Data Show Rapid Increases in Opioid Overdoses

Staff Contacts: Leslie Porth or Shawn Billings

Data from emergency departments show that the U.S. opioid overdose epidemic continues to worsen according to the latest vital signs report by the Centers for Disease Control and Prevention. Data for the Midwestern region suggest opioid overdoses increased 70 percent from July 2016 through September 2017.

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Tools Show County-Level Hospitalization Rates For Opioids, Other Drugs

Staff Contacts: Leslie Porth or Shawn Billings

A new online tool from the Agency for Healthcare Research and Quality allows users to compare county-level hospitalization rates for opioids and other drugs. The agency also updated its map showing trends and variation in opioid-related hospital stays to include county-specific data for 32 states, including Missouri.

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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, March 21. The webinar, “Getting Your Ducks in a Row: Addressing Common Issues in Quality Reporting,” is offered at 9 a.m. and 1 p.m. Registration is required.

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Health Law Insight


Federal Court Issues Memorandum Opinion In DSH Suit

Staff Contact: Jane Drummond

The federal judge that enjoined the 2017 Disproportionate Share Hospital audit rule last week issued a memorandum opinion explaining the reasons for his ruling. Similar to the analysis adopted by the federal district court in Missouri, the court concluded that the rule requiring Medicare and third-party payments to offset costs in calculating a hospital’s Medicaid DSH limit was contrary to the plain text of the Medicaid statute.

The court vacated the rule in its entirety, meaning the nullification of the rule has nationwide effect. The court did not address the FAQ guidance that was challenged by the same plaintiffs in a prior, undecided case. The FAQ guidance was invalidated by the Missouri district court, and therefore, cannot be imposed on Missouri hospitals unless a higher court overturns that decision.

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Workforce News


Five Missouri Colleges And Universities Receive Nursing Education Grants

Staff Contact: Jill Williams

The Department of Higher Education and the Missouri State Board of Nursing have awarded $690,000 in grant funding to five Missouri colleges and universities to expand their nursing education programs. The grant recipients plan to utilize their awards to increase enrollment through adding nursing faculty, enhancing simulation resources, utilizing technology to augment student learning and developing an adjunct faculty academy. The following colleges were awarded funding.

  • Columbia College – $150,000
  • Goldfarb School of Nursing – $150,000
  • Missouri State University – $148,233
  • St. Luke’s College of Health Sciences – $95,750
  • State Fair Community College – $149,370

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CEO Announcements


Hicks Announces Retirement From Overland Park Regional Medical Center

Staff Contact: Carol Boessen

Kevin Hicks, chief executive officer of Overland Park Regional Medical Center in Overland Park, Kan., will retire, effective Monday, April 9. He has been with HCA Midwest since 1993, starting in 1987 with HCA Healthcare in El Paso, Texas, where he served as CEO of two HCA Health facilities. Matt Sogard, CEO of Lee’s Summit Medical Center, has been named Hicks’ successor, effective April 9. Sogard has been with HCA for more than 13 years and has served in his current role since 2014. A search is being conducted for Sogard’s replacement at Lee’s Summit Medical Center, and Pat Kueny, chief operating officer, will act as interim CEO until a permanent replacement is named. A list of CEO changes is available online.

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Consider This ...

Missouri is below the national average for behavioral health providers. There are 65 counties in Missouri without access to a psychologist and 50 counties without access to a psychiatrist.

Source: Missouri Hospital Association