MHA Today | March 30, 2018

March 30, 2018


MHA Today: News for Healthcare Leaders

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March 30, 2018

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.


Herb Kuhn, MHA President & CEO

Lawmakers returned to Jefferson City this week, opening the unofficial second half of the 2018 legislative session. The House finalized its version of the state fiscal year 2019 budget on Thursday. The same day, the Senate adopted a supplemental budget, adding approximately $700 million for SFY 2018 — much of which is spending for Medicaid. The Senate is expected to take up the House budget bills quickly to meet the May 11 deadline for completion. The supplemental budget is headed to Gov. Greitens.

Budgets are about priorities. As a result, they are among the most important bills each session. However, there’s a powerful argument that another bill — one that will receive little attention outside of Jefferson City — ranks as important. That bill reauthorizes the Federal Reimbursement Allowance and other provider taxes. It also updates the FRA law’s hospital payment protections.

For nearly 30 years, the FRA has allowed the state to minimize its general revenue share of the state-federal partnership, freeing up GR for other priorities like elementary and secondary education, highways, and public safety. It has been reauthorized regularly. This year is a renewal year.

When on Thursday the Senate sent the supplemental budget to Gov. Greitens, the Associated Press’ coverage indicated that the appropriation was “primarily to fund higher-than-expected costs in the Medicaid health care program for low-income residents.” The story was factual, if not contextual.

Although Medicaid is a large component of the state’s budget, the share of the Medicaid program budget supported by the FRA — 17.19 percent in 2017 — actually is larger than the 17.06 percent supported by GR. When other provider taxes are added, the provider-supported portion is 23.66 percent — nearly one quarter of the cost overall. The federal share is 51.37 percent. For those without a calculator handy, that’s 75.03 percent. The balance is supported by GR and other funds.

It’s worth mentioning that in 2016, hospitals also incurred $623,503,119 in unpaid costs for treating Medicaid enrollees. That’s on top of $1.26 billion in uncompensated care to support the state’s safety net.

Lawmakers have been advancing bills that are important to hospitals. These include regulatory reforms, curbs on insurance company practices like Anthem’s attack on the prudent layperson standard, and tort reform. Good progress is being made in these areas.

Nonetheless, the most important accomplishment for hospitals and the state will be a budget that is fair, balanced and doesn’t penalize hospitals for participating in the FRA, and an FRA reauthorization that recognizes and protects the long-term, mutually beneficial relationship. Nothing is as important.

As I said, budgets are about priorities. We’ll now be taking that message to the state Senate.

Send me your thoughts.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
The Joint Commission Issues Advisory On Preventing Newborn Falls In Hospitals
NQF Issues Evidence-Based Guidance On Opioid Stewardship
CMS Announces Fourth Quarter 2017 HCAHPS Survey Data Submission Deadline Extension
MOHEC Offers Healthy Lives-Healthy Communities Conference And Preconference Workshop


Regulatory News
the latest actions of agencies monitoring health care

The Joint Commission Issues Advisory On Preventing Newborn Falls In Hospitals

Staff Contacts: Sarah Willson or Alison Williams

The Joint Commission issued a safety advisory for hospitals on preventing newborn falls. The advisory encourages hospitals to develop a tool for assessing newborn fall risk and educating parents based on the assessment, ensure hourly rounding by staff to help drowsy mothers or other caregivers place their newborn in a bassinet, promote maternal rest, develop signage for the patient room or crib card to reinforce infant fall risks, develop a standardized reporting and debriefing tool for infant falls, and provide emotional support to the family or caregiver in the event of a fall.

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Quality and Population Health

NQF Issues Evidence-Based Guidance On Opioid Stewardship

Staff Contacts: Leslie Porth or Shawn Billings

The National Quality Forum released the National Quality Partners Playbook™: Opioid Stewardship, providing guidance to health care organizations and clinicians across community-based care settings in safely managing patients’ pain. The NQP Playbook identifies strategies to support evidence-based, sustainable opioid stewardship, including the following.

  • promoting health care leadership engagement
  • advancing clinical knowledge, expertise and practice in pain management and opioid prescribing guidelines
  • educating patients and family caregivers about the risks and benefits of pain management strategies
  • tracking, monitoring and reporting performance data on opioid stewardship
  • promoting a culture of opioid stewardship
  • supporting community collaboration to achieve maximum impact

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CMS Announces Fourth Quarter 2017 HCAHPS Survey Data Submission Deadline Extension

Staff Contact: Sherry Buschjost

The submission deadline for the Hospital Consumer Assessment of Healthcare Providers and Systems patient perspectives on care survey data for fourth quarter 2017 discharges (Oct. 1 – Dec. 31) has been extended to Wednesday, April 11.

The review and correction period is April 12-18, during which time participating hospitals have the opportunity to access and review the HCAHPS data review and correction report. New data are not accepted into the warehouse during this period, but errors in data accepted into the warehouse by the April 11 deadline can be corrected and resubmitted.

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MOHEC Offers Healthy Lives-Healthy Communities Conference And Preconference Workshop

Staff Contacts: Stephen Njenga or Peter Rao

The Missouri Health Equity Collaborative is offering a Healthy Lives-Healthy Communities conference on Friday, April 27, in Columbia, Mo. There also will be a preconference workshop titled, “Interrupting Racism” on Thursday, April 26. Registration for both events is required. For scholarship information, please call Ioana Staiculescu at 573/882-1491.

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Did You Miss An Issue Of MHA Today?

March 26, 2018
New Report Available On The Economic Costs Of The Opioid Crisis At The County Level

March 27, 2018
Committee Revises, Approves Certificate Of Need Bill
Health Care Tort Reform Measures Advance
Legislators Consider Enhanced Powers For Hospital Pharmacy Technicians
Legislators Endorse Regulatory Reform Proposal
State House Approves Medicaid Coverage Of Post-Partum Substance Abuse Treatment
Williams Announces Retirement From Centerpoint Medical Center

March 28, 2018
Committee Reviews Helmet Law Repeal
Legislators Advance Bills On Sexual Assault Exam Kit Processing
Legislators Consider Hospice Death Investigation Bill
Trajectories: Broadening The Culture Of Safety: Addressing Workplace Violence
KFF Releases HIV And Opioid Epidemic Report
Parkland Health Center — Bonne Terre Names New Administrator

March 29, 2018
Bill Expands Physical Therapists’ Autonomy
Committee Considers Bill On Post-Discharge Caregivers
Hospital Regulatory Reform Measure Advances
Legislators Act On Voluntary Prescription Abuse Registry
Missouri House Passes FY 19 State Budget
Missouri Senate Approves FY 18 Supplemental Budget Bill
Proposal Regulates Medical Residency Placements

Consider This ...

Fresh eggs, even those with clean, uncracked shells, may contain bacteria called Salmonella that can cause foodborne illness. The U.S. Food and Drug Administration estimates that 79,000 cases of foodborne illness and 30 deaths each year are caused by eating eggs contaminated with Salmonella.

Source: U.S. Food and Drug Administration