June 26, 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
MO HealthNet Holds Hearing On Medicaid Managed Care Contracting Change
TJC Releases R3 Report On New Newborn Identification Requirements
Missouri Foundation For Health Launches The Net Benefit
Pagers May Be Disclosing PHI
Missouri Preceptor Academies
Preceptor Academies are offered several times a year in central Missouri, St. Louis and Kansas City. Below is the next offering in each region.
Central Missouri | Wednesday, July 11 | Columbia
St. Louis Metro Area | Tuesday, Sept. 18 | St. Louis
Kansas City Metro Area | Tuesday, Sept. 11 | Blue Springs
state and federal health policy developments
Staff Contact: Daniel Landon
The MO HealthNet Division held a hearing on its proposal to amend the agency’s contracts with Medicaid managed care plans. The change would cap Medicaid payments at 90 percent of the fee-for-service payment if the provider does not contract with the managed care plan. It would take effect July 1, 2018. MHA opposes the change and submitted comments at a June 19 hearing. Today’s hearing was held because the webinar technology failed on June 19, preventing remote participation. MHA presented statements of opposition from 56 hospitals, and five hospitals and health systems offered testimony in person, along with the insurer Healthcare Services Group. MHA and its member hospitals also have collaborated to voice concerns with state legislators and the governor’s office, with 99 hospitals and health systems signing letters to the governor.
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the latest actions of agencies monitoring health care
Staff Contacts: Sarah Willson or Alison Williams
Beginning Jan. 1, 2019, The Joint Commission will require a new newborn identification for all accredited hospitals and critical access hospitals. The requirement is part of TJC’s existing National Patient Safety Goals that requires hospitals to “use at least two patient identifiers when providing care, treatment and services.” TJC provides rationale for the requirement in a new R3 Report.
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Staff Contact: Mary Becker
The Missouri Foundation for Health launched The Net Benefit, a campaign to educate Missourians about the importance of meeting basic needs. The Net Benefit aims to educate Missourians about the various resources and supports that work together to help those in need and ultimately help communities thrive. Learn more about The Net Benefit and how you can get involved.
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Staff Contact: Ted Suess
Hospitals that continue to use pagers should be aware that the technology can lack the appropriate countermeasures to keep patient data safe. As recently revealed by The Kansas City Star, pager systems could be sending patient electronic protected health information over the airwaves unencrypted. Through the use of readily available equipment, third parties can potentially read unencrypted pager messages miles away from their source, and some websites have step-by-step instructions for how to intercept these messages.
It is important that hospitals include the use of all communication devices that can transmit ePHI into their HIPAA enterprise risk analysis. Policies, procedures and security controls should be evaluated and implemented to protect patient information from exposure through the use of pagers. Best practices are to encrypt the communications, authenticate the source of the message and ensure staff are trained on how to securely transmit ePHI on all communication devices.
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Medicaid covers one out of every six Missourians, 44 percent of children, 40 percent of all births and one out of every 12 older adults.
The majority of Medicaid participants in Missouri are white (65 percent), while 23 percent are African
American and 6 percent are Hispanic.
Source: Missouri Foundation for Health