MHA Today | May 3, 2018

MHA Today: News for Healthcare Leaders

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May 3, 2018

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

Congressional Column


MHA invited each member of Missouri’s Congressional Delegation to share a column outlining their health care priorities.

Congressman Emanuel Cleaver, IIFully addressing positive health outcomes requires concerted focus on access to and affordability of care, social factors contributing to well-being, prevention and intervention education, and quality research. Our nation has complex challenges that must be addressed by looking across disciplines and to public, private, and non-profit partnerships.

My focus over these seven terms has necessarily involved a wide aperture on systemic issues that include:

  • health care access and literacy;
  • preventive and palliative care;
  • equity and transparency; and
  • ensuring safety and accountability through standards and evidence-based evaluation.

Body, mind, justice, community and the environment all intersect. Health disparities cross rural and urban geographies, income, gender, race, ethnicity and disability. Physical and mental illness, substance abuse diseases, suicides, violence, and pollution do not respect these categories. A diverse constituency informs my health priorities, which include co-sponsorship of such bills as rural access to hospice, mental health and addiction treatment; suicide prevention; climate change health protection; transparency in drug pricing; test screening access; and doctor-patient weighted determinacy in step protocols. My resolve to make civility more contagious has intensified, so we in Congress strive as statesmen to work across differences.

The previous Surgeon General, Vivek Murthy, spoke about the importance of social connection noting that isolation contributes to addiction, heart disease, diabetes, depression and other chronic illnesses, as this audience knows too well. Social isolation also impacts isolated viewpoints and the inability to work across differences, regions and belief systems. Health and social well-being require us to lead across specialties, across urban and rural hospitals, across politics and self-interest to see the whole and act together for the greater good.

I applaud MHA’s service to Missouri communities for nearly a century and look forward to continuing to work together to improve health care for Missourians.

Warm regards,

Congressman Emanuel Cleaver, II



In This Issue
Committees Advance Hospital Regulatory Reform Bills
Committee Reworks Managed Care Accreditation Bill
Committee Reviews Nursing Licensure Change
NFPA Releases Standard For Active Shooter/Hostile Event Response Program That May Affect Hospitals
CMS Announces Webinar For Quality Payment Program Participation Criteria
MLN Connects Provider eNews Available
CMS Announces IQR Education Session
MHA Releases Issue Briefs For 2019 CMS Proposed Payment Systems

Advocate
state and federal health policy developments


Committees Advance Hospital Regulatory Reform Bills

Staff Contacts: Rob Monsees or Daniel Landon

A Senate committee approved House Bill 2183, and a House committee approved a Senate counterpart, Senate Bill 951. The bills allow state hospital licensure regulations to automatically update to be in sync with the Centers for Medicare & Medicaid Services’ standards. MHA developed the legislation to dovetail with a 2017 enactment that curtails duplication of federal and state hospital inspection standards. Both bills also expand the definition of a hospital’s premises, as well as revise a certificate of need standard limited to nursing homes. Senate Bill 951 includes another MHA proposal to clarify standards of consent for drawing blood to gather evidence to prosecute drunk driving.

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Committee Reworks Managed Care Accreditation Bill

Staff Contacts: Rob Monsees or Daniel Landon

A House committee revamped an uncontroversial bill on managed care accreditation to include proposals to expand Medicaid coverage of telemedicine and revise standards for insurance coverage of emergency services and out-of-network providers. MHA is promoting the additions. The underlying bill is Senate Bill 575; the new version is the House Committee Substitute for SB 575.

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Committee Reviews Nursing Licensure Change

Staff Contacts: Rob Monsees or Sarah Willson

A House committee held a hearing on 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.

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Regulatory News
the latest actions of agencies monitoring health care


NFPA Releases Standard For Active Shooter/Hostile Event Response Program That May Affect Hospitals

Staff Contacts: Sarah Willson or Jackie Gatz

The National Fire Protection Association published NFPA 3000: Standard for an Active Shooter/Hostile Event Response (ASHER) Program. Referencing a comprehensive ASHE regulatory advisory, “The new standard provides communities with a tool to develop a coordinated response to community active shooter and hostile events.” While the standard is focused on communities, there are provisions that hospital and health system leaders and security departments should understand.” MHA staff will review the standard and provide detailed guidance and more information to appropriate hospital staff.

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CMS Announces Webinar For Quality Payment Program Participation Criteria

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services is hosting a webinar about the participation criteria used to determine inclusion in the Merit-based Incentive Payment System and Advanced Alternative Payment Models. Discussions will include how CMS determines the status of MIPS at the individual and group level, criteria for how to become a Qualifying APM Participant, review of the Advanced APMs all-payer combination option, how to check participation status for the 2018 performance year, and more. The webinar is scheduled for noon on Wednesday, May 9. Registration is required.

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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.

  • new Medicare card: you can use Medicare Beneficiary Identifiers right away
  • Hospital Quality Reporting Center Spring 2018 newsletter
  • Patients Over Paperwork April newsletter
  • new strategy to fuel data-driven patient care, transparency
  • comparative billing report on critical care services webinar Wednesday, June 6

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Quality and Population Health


CMS Announces IQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Inpatient Quality Reporting Program is scheduled for 1 p.m. Wednesday, May 16. The presentation will provide an overview of the proposals in the recently released fiscal year 2019 inpatient prospective payment system proposed rule related to electronic clinical quality measure reporting requirements for the IQR program. Registration is required.

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Spotlight


MHA Releases Issue Briefs For 2019 CMS Proposed Payment Systems

Issue_brief_logoThe Centers for Medicare & Medicaid Services released proposed rules for 2019 payment systems. Learn more about each in payment system-specific MHA Issue Briefs.


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Consider This ...

May is Skin Cancer Awareness Month. Before age 50, melanoma incidence rates are higher in women than in men, but by age 65, rates are twice as high in men.

Source: American Academy of Dermatology