MHA Today | May 25, 2018

May 25, 2018
MHA Today: News for Healthcare Leaders

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May 25, 2018

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

Note: MHA Today will not be published Monday, May 28, in observance of Memorial Day. Publication will resume Tuesday, May 29.

In This Issue
CMS Selects Targeted Hospitals For IQR Program Validation
CMS Releases Hospital-Specific Reports
Three Missouri Schools To Offer Community Health Worker Courses

Quality and Population Health

CMS Selects Targeted Hospitals For IQR Program Validation

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services selected a targeted sample of hospitals for validation of chart-abstracted and healthcare-associated infection measures for the fiscal year 2019 annual payment update determination. The quarters included in FY 2019 inpatient validation are third quarter 2016, fourth quarter 2016, first quarter 2017 and second quarter 2017. CMS targeted hospitals based on the following.

  • failure to meet validation requirements in FY 2018
  • lower bound confidence interval less than or equal to 75 percent in FY 2018
  • failure to report at least half of the HAI events detected during FY 2018 to the National Healthcare Safety Network
  • rapidly changing data patterns
  • abnormal or conflicting data patterns
  • submission of data to NHSN after the IQR submission deadline
  • not having been validated in the previous three years

An updated list of the selected hospitals is available on QualityNet. Validation resources also are available.

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CMS Releases Hospital-Specific Reports

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services released hospital-specific reports for the following claims-based measures.

  • Medicare Spending per Beneficiary for the Hospital Value-Based Purchasing Program and the Hospital Inpatient Quality Reporting Program
  • Clinical Episode-Based Payment measures for the Hospital IQR Program
  • Hospital-Level, 30-Day, All-Cause, Risk-Standardized Mortality Rate Following Pneumonia Hospitalization for the Hospital VBP Program

The HSRs pertain to the fiscal year 2019 Hospital VBP Program Review and Correction Period or the Hospital IQR Program Preview Period. Details are available.

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Three Missouri Schools To Offer Community Health Worker Courses

Staff Contact: Stephen Njenga

Southeast Missouri State University, St. Louis Community College and Ozarks Technical College will be hosting community health worker courses in the coming months. Please view the respective links for additional information.

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Did You Miss An Issue Of MHA Today?

May 21, 2018
OIG Cites MO HealthNet For Failing To Recoup Hospital Payments For Preventable Conditions
Missouri Conducts Second Survey Of Rural Concerns
Scholarship Program Targets Psychiatric-Mental Health Field

May 22, 2018
MHA Publishes 2018 State Legislative Session Summary
State Board Of Nursing Issues LPN Licensure Reminder
CMS Announces IQR Education Session

May 23, 2018
House Passes “Right-To-Try” Bill
Trajectories: Advancing Population Health: Assessment And Action In Missouri Hospitals
CMS Releases July 2018 Hospital Compare HSRs

May 24, 2018
Medicaid Opioid Prescribing Initiative To Send New Round Of Practitioner Mailings
U.S. House And Senate Pass VA Bill
CMS Holds Conference Call About Expedited Medicare Appeals Settlements
MLN Connects Provider eNews Available
SFCC To Offer Online Community Health Worker Training
CMS Announces IQR Education Sessions

Consider This ...

There are about 5.4 million new cases of basal and squamous cell skin cancers diagnosed each year in about 3.3 million Americans.

Source: National Council on Skin Cancer Prevention