MHA Today | April 18, 2018

MHA Today: News for Healthcare Leaders

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April 18, 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 Celebrates National Healthcare Volunteer Week
Committee Advances Hospital Regulatory Reform Legislation
Legislators Advance Differing Versions Of Newborn Eye Drops Bill
Legislators Consider Bills On Post-Discharge Caregivers
Senate Approves Bill On Insurer Coverage And Payment Standards
MHA Posts Recording Of MO HealthNet Division Hospital Cost Containment Call
HIDI Releases First Quarter FFY 2018 Inpatient, Outpatient, Databases
CMS Reminds IPFs About HCP Measure Data Submission Deadline
CDC Issues Spanish Version Of Antibiotic Stewardship Materials
TJC Announces Pioneers In Quality Webinar

Spotlight


MHA Celebrates National Healthcare Volunteer Week

SSM Health St. Mary's Jefferson City In honor of National Healthcare Volunteer Week, MHA is featuring the 2017 hospital auxiliaries and auxilian of the year award winners. Today, we recognize SSM Health St. Mary’s Hospital – Jefferson City Auxiliary. The auxiliary was recognized at MHA’s annual convention for its volunteer activities as an auxiliary representing a hospital with more than 300 licensed beds.

Between June 2016 and May 2017, 239 members of the auxiliary volunteered more than 31,631 hours in hospital and community-based service. In support of the community, the auxiliary supported the Medical Explorer’s Program and Summer Student Intern Program. In addition, the auxiliary awarded two scholarships in December 2016, and five in 2017, totaling $4,200. The auxilians participate in various programs in the hospital. One project, “Code Lavender Cart,” is specifically designed to support caregivers and medical staff experiencing stress from unanticipated patient events and outcomes. In total, they contributed $44,900 to hospital- and community-focused projects.

Highlight your hospital's auxiliary or an auxilian during National Healthcare Volunteer Week by submitting an Auxiliary of the Year Award or Outstanding Auxilian Award nomination form by Monday, July 16.

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Advocate
state and federal health policy developments


Committee Advances Hospital Regulatory Reform Legislation

Staff Contacts: Daniel Landon or Rob Monsees

A House committee approved a new version of Senate Bill 951. It allows state hospital licensure regulations to automatically update to be in sync with the Centers for Medicare & Medicaid Services’ standards. MHA developed the bill and a House counterpart to dovetail with a 2017 enactment that curtails duplication of federal and state hospital inspection standards. The legislation also expands the definition of a hospital’s premises. It was amended to address several other topics, including an MHA proposal to clarify standards for drawing blood as evidence for prosecution of impaired driving.

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Legislators Advance Differing Versions Of Newborn Eye Drops Bill

Staff Contacts: Ted Wedel or Sarah Willson

The state House of Representatives gave final approval to House Bill 2117 by a vote of 126 to 2. The bill moves to the Senate for review. It changes the reporting and standards of consent for required administration of eye drops for newborns. MHA is promoting the legislation to resolve conflicts between a 1909 state law and more modern patient consent practices. Earlier in the day, a House committee added a different version of the bill as an amendment to Senate Bill 951.

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Legislators Consider Bills On Post-Discharge Caregivers

Staff Contacts: Ted Wedel or Daniel Landon

A House committee approved a new version of House Bill 2293. Promoted by the American Association of Retired Persons, the bill creates standards for those admitted to a hospital or treated at an ambulatory surgical center to designate a caregiver to perform post-discharge tasks. The committee revised the bill to allow hospitals and ambulatory surgical centers to use their current patient communication forms. Representatives of ambulatory surgical centers opposed the bill, arguing that they should be exempted. MHA asserts that comparable medical services should be subject to the same regulatory requirements, regardless of setting. Also, a Senate committee reviewed the Senate counterpart.

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Senate Approves Bill On Insurer Coverage And Payment Standards

Staff Contacts: Daniel Landon or Rob Monsees

The state Senate gave first-round approval to a new version of Senate Bill 982. The underlying bill is MHA’s proposal to clarify how the prudent layperson law applies to insurers’ coverage restrictions on hospital emergency department services. It now includes a provider-insurer negotiated agreement on direct provider payment for out-of-network services, insurer review of emergency care claims and billing standards for out-of-network providers in in-network facilities. It also addresses insurers’ provider directories.

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MHA Posts Recording Of MO HealthNet Division Hospital Cost Containment Call

Staff Contact: Brian Kinkade

MHA recorded a telephone conference call that the MO HealthNet Division held on Monday, April 16, to discuss its plans to cut Medicaid reimbursement for hospitals. MHD hosted the call and limited access to selected health care systems. MHD Acting Director Jennifer Tidball discussed the division’s current plan to cut an estimated $99 million from hospital reimbursements, as well as hospital-specific details for reimbursement cuts for bariatric and lumbar/spinal surgeries, lab, radiology, and pharmacy. MHA has aggressively advocated against the department’s cost-cutting actions arguing that the department’s plan is disproportionally directed at hospital spending and that the department has not presented the plan to the General Assembly or hospitals in a way that allows for fair and full public review.

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HIDI Tech Connect


HIDI Releases First Quarter FFY 2018 Inpatient, Outpatient, Databases

Staff Contact: Shane VanOverschelde

The first quarter federal fiscal year 2018 inpatient and outpatient databases, including HIDI-reporting hospitals in Missouri, Illinois and Kansas City, Kan. now are available for download to subscribers of the Premier Data Package on HIDI Analytic Advantage®. The databases consist of a patient-level limited dataset, including all HIDI-reported discharges and visits to hospitals. Files are delivered as both text files and ready-to-query Microsoft Access database files. The files are located in “Strategic Planning/Premier Data” and are organized in the following categories.

  • Q1 FFY2018, Inpatient
  • Q1 FFY2018, Outpatient Classified
  • Q1 FFY2018, Outpatient Unclassified

Hospitals interested in subscribing to the 2018 HIDI Premier Data Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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Quality and Population Health


CMS Reminds IPFs About HCP Measure Data Submission Deadline

Staff Contact: Sherry Buschjost

Inpatient psychiatric facilities participating in the Inpatient Psychiatric Facility Quality Reporting Program are reminded that the deadline to submit influenza vaccination coverage among health care personnel measure data for the 2017/2018 season (October 2017 – March 2018) is Tuesday, May 15. IPFs that are part of an acute care or critical access hospital must submit IPF-specific measure data separately from the data submitted by the main hospital for the Hospital Inpatient Quality Reporting Program. The Centers for Medicare & Medicaid Services encourages all participating IPFs to submit data through the National Healthcare Safety Network application at least two days before the deadline to allow time to address any submission issues. Resources are available.

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CDC Issues Spanish Version Of Antibiotic Stewardship Materials

Staff Contact: Jessica Stultz

The Centers for Disease Control and Prevention released Spanish versions of its most popular materials to educate health care providers and consumers about appropriate use of antibiotics and to prevent the spread of antibiotic-resistant bacteria. Print materials also can be ordered.

Additional tools to prevent antibiotic resistance, including an antimicrobial stewardship toolkit, are available.

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TJC Announces Pioneers In Quality Webinar

Staff Contact: Sherry Buschjost

The Joint Commission will share insights regarding the 2016 electronic clinical quality measure data received and analyzed during a Pioneers in Quality™ program webinar, scheduled for 11 a.m. Wednesday, May 2. Registration is required and will close when maximum capacity is met.

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Consider This ...

In general, people who live in rural America get cancer less often but die from it at higher rates. Those living in rural areas are more likely to get cancers linked to tobacco use (such as lung cancer) and those that have screening tests (such as colorectal and cervical cancers).

Source: Centers for Disease Control and Prevention