June 13, 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
Opioid Legislation Advances In Congress
CMS Announces Plans For Next Round Of Pre-Claim Reviews For Home Health
MHA’s Statewide PFAC Issues Challenge To Missouri Hospitals
CMS Will Not Update Overall Hospital Quality Star Ratings In July
state and federal health policy developments
Staff Contacts: Daniel Landon or Leslie Porth
Yesterday, the U.S. House of Representatives approved 25 bills related to opioid abuse and behavioral health care, with a 26th bill slated for debate today. The U.S. Senate Finance Committee approved a consolidated opioid bill as well, with committee revisions and amendments.
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the latest actions of agencies monitoring health care
Staff Contacts: Sarah Willson or Andrew Wheeler
Despite strong opposition by the health care community, the Centers for Medicare & Medicaid Services announced its intention to implement a revised Medicare demonstration project that will affect home health agencies that provide services to Medicare beneficiaries in Florida, Illinois, North Carolina, Ohio and Texas. The demonstration requires 100 percent pre-claim or 100 percent post-claim review. Organizations choosing not to perform claims review will have reimbursement cut by 25 percent. While the proposed demonstration currently is limited to those five states, CMS retained the option to expand the demonstration project to other states in the Palmetto/JM jurisdiction, which includes Alabama, Arkansas, Georgia, Indiana, Kentucky, Louisiana, Mississippi, New Mexico, Oklahoma, South Carolina and Tennessee. As Missouri borders many of these states, the situation is being monitored closely.
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Quality and Population Health
Staff Contact: Mary Shackelford
MHA’s Statewide Patient and Family Advisory Council is celebrating its one year anniversary by issuing a challenge to Missouri’s hospitals. In its efforts to increase patient and family engagement throughout the state, PFAC is challenging every Missouri hospital to have at least one nonemployee patient or family member serves on at least one committee within the organization by July 2019.
As of December 2017, only 11 percent of patient and family engagement survey respondents in Missouri hospitals are meeting the challenge metric. Hospital quality directors and/or chief nursing officers are surveyed quarterly, with the next survey at the end of June.
The council was established to inform health care initiatives and policy through the unique feedback and insight of the patient and family to improve care delivery. The council has been working hard this inaugural year to establish its foundation and begin its work supporting Missouri hospitals in patient and family engagement. MHA created a PFAC web page featuring several resources, including a PFAC Roadmap. This resource outlines 12 metrics all hospitals are encouraged to address and complete, and it is intended to be used as a strategic guide to help hospitals increase patient and family engagement within their organization.
To nominate a patient or family member for membership, please contact Mary Shackelford.
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Staff Contact: Sherry Buschjost
The Centers for Medicare & Medicaid Services will not update the overall hospital quality star ratings for July 2018, as previously scheduled. The July star ratings update has been postponed to allow CMS time for additional analysis of the impact of changes to some of the measures on the star ratings and to address stakeholder concerns. As part of this process, CMS will seek feedback from a multidisciplinary technical expert panel, a provider leadership workgroup and a public comment period. Additional information is available.
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A new study shows that one in three U.S. adults take medications known to have depression or suicidal thoughts as potential side effects.