MHA Today | April 19, 2018

April 19, 2018
MHA Today: News for Healthcare Leaders

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April 19, 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
Senate Committee Limits MO HealthNet Division Hospital Cuts
Legislative Committees Reject Or Restrict Prisoner Care Mandates
Committee Reviews Prudent Layperson Proposal
Committee Approves Expansion Of Short-Term Insurance Policies
Punitive Damages Legislation Advances
State Senate Advances Nursing Licensure Bill
House Approves Organ Donation Measure
TJC Initiates Sentinel Event Alert On Workplace Violence
HHS Awards States Second Year Of Funding To Combat Opioid Crisis
NSC Releases Report On The Status Of The Opioid Crisis
CMS Hosts Quality Measures Webinar Series

Spotlight


MHA Celebrates National Healthcare Volunteer Week

CoxHealth Auxiliary Springfield In honor of National Healthcare Volunteer Week, MHA is featuring the 2017 hospital auxiliaries and auxilian of the year award winners. Today, we recognize CoxHealth Auxiliary in Springfield. The auxiliary earned honors at MHA’s annual convention as an auxiliary representing a hospital with between 101 and 300 licensed beds.

The hospital’s 1,246 volunteering auxilians performed 188,000 hours of service. Although they provide assistance and support in areas throughout the hospital, they are especially dedicated to their nursing scholarship program. The program was first initiated by the auxiliary after its founding in 1949, and this year, the effort was on track to provide $91,880 in scholarships and $37,500 to support the nursing school. In all, the auxiliary programs raised $268,111 for programs that support the hospital and health services.

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


Senate Committee Limits MO HealthNet Division Hospital Cuts

Staff Contacts: Rob Monsees, Brian Kinkade or Daniel Landon

The Missouri Senate Appropriations Committee significantly has limited the Department of Social Services’ authority to impose Medicaid rate cuts on hospital services. The committee restored $49 million in cuts. More importantly, the fiscal year 2019 budget adopted by the committee includes language that caps the reductions the department can make to hospital reimbursement at $20.8 million. The department signaled its intent to cut hospital reimbursement by more than $100 million. MHA’s summary explains the Senate committee’s action in greater detail. Once ratified by the full Senate, the new Senate position will be a point of negotiation between the House and Senate as the final budget is crafted.

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Legislative Committees Reject Or Restrict Prisoner Care Mandates

Staff Contacts: Daniel Landon or Rob Monsees

Responding to opposition by MHA and its members, the Missouri Senate Appropriations Committee rejected an amendment to the fiscal year 2019 budget that would require hospitals to charge Corizon, the state’s prisoner health care manager, no more than the hospital’s Medicaid rate for treating state inmates. Meanwhile, a House committee approved a new scaled-back version of legislation promoted by Corizon. The committee’s first proposal was rejected by another committee charged with second-level review.

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Committee Reviews Prudent Layperson Proposal

Staff Contacts: Daniel Landon or Rob Monsees

A state House committee reviewed House Bill 2463. Developed and promoted by MHA, the bill clarifies how the state’s “prudent layperson” law applies to insurers’ coverage restrictions on hospital emergency department services. It is one of several such proposals pending in the General Assembly. Besides MHA, proponents at the hearing included the Missouri State Medical Association and the Missouri College of Emergency Physicians. No opposition testimony was offered. An insurer advocacy organization, America’s Health Insurance Plans, commented “for informational purposes.”

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Committee Approves Expansion Of Short-Term Insurance Policies

Staff Contacts: Daniel Landon or Rob Monsees

A Senate committee approved House Bill 1685, which would allow short-term major medical insurance policies to have a duration of less than one year. Currently, their term is less than six months. These short-term policies are exempt from most of the various insurance benefit mandates of state law. With less robust coverage, they are cheaper. A Senate version of the legislation has stalled for six weeks after its initial Senate debate.

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Punitive Damages Legislation Advances

Staff Contacts: Ted Wedel or Rob Monsees

The state House of Representatives approved House Bill 2119 and sent the bill to the Senate for review. It revises state standards for awarding punitive damages in civil lawsuits. One section raises the threshold of proof required to invoke punitive damages in cases involving medical malpractice or wrongful death. It was developed by MHA.

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State Senate Advances Nursing Licensure Bill

Staff Contacts: Daniel Landon or Sarah Willson

The state Senate gave final approval to Senate Bill 824. It adds to the grounds for disciplinary action against a nurse’s license, and it revamps the State Board of Nursing’s program for licensees or applicants impaired by substance abuse. The bill now moves to the House of Representatives.

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House Approves Organ Donation Measure

Staff Contact: Daniel Landon

The state House of Representatives gave final approval to House Bill 2129, sending the measure to the Senate for review. The legislation requires that public high school students receive at least 30 minutes of instruction regarding organ, eye and tissue donation before they graduate. MHA supports the bill.

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TJC Initiates Sentinel Event Alert On Workplace Violence

Staff Contacts: Sarah Willson or Jackie Gatz

The Joint Commission initiated Sentinel Event Alert 59 titled, "Physical and verbal violence against health care workers." While the alert focuses on physical and verbal violence, there is a whole spectrum of overlapping behaviors that undermine a culture of safety, addressed in Sentinel Event Alert issues 40 and 57. According to the Bureau of Labor Statistics, health care workers are four times more likely to be subject to violence in the workplace. MHA has prioritized this topic as an area of focus and has made resources available to members to assist with mitigating this risk. The March 2018 issue of Trajectories discusses this further.

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Quality and Population Health


HHS Awards States Second Year Of Funding To Combat Opioid Crisis

Staff Contacts: Leslie Porth or Shawn Billings

The Department of Health and Human Services recently released the second year of funding, totaling $485 million, to continue the nation’s efforts to combat the opioid crisis. The funding provided for in the 21st Century Cures Act will be provided through the State Targeted Response to the Opioid Crisis Grants administered by the Substance Abuse and Mental Health Services Administration. Funding will support a comprehensive array of prevention, treatment and recovery services for individuals struggling with Opioid Use Disorder. States and territories were awarded funds based on rates of overdose deaths and unmet need for opioid dependence treatment. Missouri will receive $10,015,898.

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NSC Releases Report On The Status Of The Opioid Crisis

Staff Contacts: Leslie Porth or Shawn Billings

National Safety Council experts conducted an extensive review of current literature, state legislation and data to create a comprehensive report on the status of the opioid crisis. The white paper evaluates each state's progress in fighting this epidemic, based on achievement of the following six key indicators.

  1. mandating prescriber education
  2. implementing opioid prescribing guidelines
  3. integrating prescription drug monitoring programs into clinical settings
  4. improving data collection and sharing
  5. treating opioid overdose
  6. increasing availability of Opioid Use Disorder treatment

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CMS Hosts Quality Measures Webinar Series

Staff Contact: Peter Rao

The Centers for Medicare & Medicaid Services will be holding the first of a two-part webinar series, covering an introduction to quality measures, measure development process, public involvement and the new Meaningful Measures initiative. The webinar will be held at noon on Thursday, April 26, and the same session will be offered again at 3 p.m. Wednesday, May 2. Registration is required.

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Consider This ...

April is National Autism Awareness Month. Autism is the fastest-growing developmental disability. The prevalence of autism in U.S. children increased by 119.4 percent from 2000 to 2010.

Source: Autism Society