MHA Today | June 6, 2018

June 6, 2018
MHA Today: News for Healthcare Leaders

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June 6, 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 Releases Policy Brief On Preventing Neonatal Abstinence Syndrome In Missouri
Issue Brief: Medicare Solvency Date Shortened To 2026
HIIN Members Convene In Columbia
ZIP Code-Level Data Assists Hospitals During Community Health Improvement Week

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state and federal health policy developments


MHA Releases Policy Brief On Preventing Neonatal Abstinence Syndrome In Missouri

Staff Contacts: Mat Reidhead, Brian Kinkade or Alison Williams
NAS Policy Brief
Today, MHA released a policy brief aimed at quantifying the incidence of Neonatal Abstinence Syndrome in Missouri using both conventional and novel surveillance techniques. The brief proposes a Medicaid policy-centered interventional approach aimed at reducing the number of infants born with opioid withdrawal in Missouri through an 1115 waiver that would expand coverage for substance use disorder treatment to low-income women of child-bearing age.

The brief evaluates rates of NAS in Missouri using traditional diagnostic coding methods, linkages of new and expectant mothers to hospital visits for opioid misuse, and a survey that was administered to Missouri’s 70 hospitals with labor and delivery services to generate first-hand data on the severity of NAS. The brief also provides a cost-effectiveness analysis of the proposed policy intervention for both state and federal Medicaid outlays.

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Issue Brief: Medicare Solvency Date Shortened To 2026

Staff Contact: Andrew Wheeler

Yesterday, the Boards of Trustees for Medicare released their 2018 annual report to Congress, which indicates that Medicare’s health insurance trust fund will be depleted in 2026. MHA published an issue brief with additional details.

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Quality and Population Health


HIIN Members Convene In Columbia

Staff Contact: Jessica Stultz

HIIN Quality Convening Members of the Hospital Improvement and Innovation Network are meeting in Columbia to discuss the UP Campaign, antibiotic stewardship, workplace safety and hospital violence, high reliability organizations, and managing behavioral health patients, among other topics. The HIIN attendees were thanked for their commitment to quality improvement partnership with MHA and the progress they have made that supported MHA’s recent recognition by the American Hospital Association as the recipient of the Dick Davidson Quality Milestone Award for Allied Association Leadership.

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ZIP Code-Level Data Assists Hospitals During Community Health Improvement Week

Staff Contact: Stephen Njenga

This week is Community Health Improvement Week, a national event that raises awareness, demonstrates impact, and celebrates the individuals and organizations that work to advance the health and well-being of their communities.

Where we live, work, learn and play affects our health. Access to data regarding health factors and health outcomes in the places where Missourians live provides communities and organizations with the information necessary to take action and create and sustain a healthy state. Effectively engaging communities to address the social, economic, environmental, clinical and behavioral factors that affect health is critical for improving population health outcomes.

In collaboration with the Washington University School of Medicine, Robert Wood Johnson Foundation, and County Health Rankings & Roadmaps, researchers at HIDI, MHA’s data company, released a new resource to support hospitals' understanding of, and investments in, community health improvement. The Missouri Foundation for Health partnership adds significant value through their commitment to the state’s county-level Behavioral Risk Factor Surveillance System.
exploreMOhealth
The platform, exploreMOhealth.org, assists hospitals with Community Health Needs Assessment secondary data analysis using county- and ZIP code-level data on health and social factors. Based on the County Health Rankings’ population health framework, this data offers community health practitioners a rich set of information to explore sub-county variation in health, and formulate targeted intervention strategies to deliver scarce population health improvement resources to areas in most need.

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Consider This ...

Neonatal Abinstinence Syndrome is estimated to occur in 55 to 94 percent of neonates among mothers who either misused or were prescribed opioids to manage pain during pregnancy. Depending on the severity of the mother's opioid use, 60 to 80 percent of newborns with NAS require pharmacological treatment to physically support the infant through the withdrawal until opioids are out of the system.

Source: Missouri Hospital Association