MHA Today | July 2, 2018

July 2, 2018

MHA Today: News for Healthcare Leaders

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July 2, 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
Governor Acts On State Budget Legislation
MHA Responds To TCD Staffing Veto
Medical Lawsuit Notification Bill Becomes Law
Governor Extends Deadline For State Regulatory Review
Governor Signs Legislation On Employee Criminal Background Checks
HIDI Releases Second Quarter FFY 2018 Inpatient, Outpatient Databases
Preview Period Opens For 2018 DRA Hospital-Acquired Conditions Measures Hospital-Specific Reports
CMS And TJC Release National Hospital Inpatient Quality Measures Specifications Manual Version 5.5
HRSA Announces Vulnerable Rural Hospitals Assistance Program Funding Opportunity

What You Need To Know This Week

  • MHA reached out to the Department of Health and Senior Services about Gov. Parson’s new budget veto of staff to administer stroke, STEMI and trauma center designation and is collaborating on next steps.

  • The governor signed legislation authorizing a new option for conducting employee background checks.


Advocate
state and federal health policy developments


Governor Acts On State Budget Legislation

Staff Contacts: Daniel Landon or Brian Kinkade

On Friday, June 29, Gov. Parson issued his approvals and vetoes of the legislative bills that create the state budget for fiscal year 2019, which began Sunday, July 1. Also, an upturn in state revenue collections compelled the governor to release $195 million in funds withheld by his predecessor, Eric Greitens, but the money cannot be spent in SFY 2018 and will remain in state coffers. The governor vetoed $12 million in spending authorized by the General Assembly. The vetoes included $150,000 for consultants to review the Medicaid program on behalf of a legislative task force.

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MHA Responds To TCD Staffing Veto

Staff Contacts: Daniel Landon or Sarah Willson

In approving legislation creating the $28.6 billion state budget on Friday, June 29, Gov. Parson vetoed $12 million in spending. The vetoes included $153,000 for three staff in the Department of Health and Senior Services’ Time Critical Diagnosis unit, which manages the designation of stroke, STEMI and trauma centers. MHA has written the DHSS Director regarding the implications of the veto on TCD operations. Former Gov. Greitens included the staffing reduction in his proposed budget. The General Assembly restored the funding. A budget veto can be reversed only by a two-thirds majority vote of the House of Representatives and Senate.

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Medical Lawsuit Notification Bill Becomes Law

Staff Contacts: Daniel Landon or Ted Wedel

Senate Bill 871 has been signed into law by Gov. Parson. It includes an MHA-promoted change to ensure hospitals and other defendants get timely notification of the filing of a lawsuit. It requires a court to dismiss a medical malpractice or wrongful death lawsuit if service of process is not made within 180 days after the lawsuit’s filing and the statute of limitations has expired. The first such dismissal will permit refiling the lawsuit.

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Governor Extends Deadline For State Regulatory Review

Staff Contacts: Daniel Landon or Ted Wedel

Gov. Parson issued an executive order extending the deadline for state agencies to initiate repeal of regulations that do not meet specified criteria. A 2017 executive order of former Gov. Eric Greitens set a deadline of June 30, 2018. Parson’s action moves it to Sunday, Sept. 30, 2018. The earlier order directed state agencies to review their regulations using the criteria.

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Governor Signs Legislation On Employee Criminal Background Checks

Staff Contacts: Daniel Landon or Ted Wedel

Gov. Parson signed House Bill 1350 of the 2018 state legislative session. Among other components, it establishes a “Rap Back” employee criminal background check option permitting employer notification of subsequent arrests in Missouri or other states of a screened employee. MHA successfully amended the bill to bar a hospital’s failure to use the “Rap Back” option from being used as evidence in a civil lawsuit. The bill also revises employee criminal background check requirements for in-home and personal care providers.

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HIDI Tech Connect


HIDI Releases Second Quarter FFY 2018 Inpatient, Outpatient Databases

Staff Contact: Shane VanOverschelde

The second quarter federal fiscal year 2018 inpatient and outpatient databases, including HIDI-reporting hospitals in Missouri, Illinois and Kansas City, Kan., now are available for download to subscribers of the Premier Data Package on HIDI Analytic Advantage®. The databases consist of a patient-level limited dataset, including all HIDI-reported discharges and visits to hospitals. Files are delivered as both text files and ready-to-query Microsoft Access database files. The files are located in “Strategic Planning/Premier Data” and are organized in the following categories.

  • Q2 FFY2018, Inpatient
  • Q2 FFY2018, Outpatient Classified
  • Q2 FFY2018, Outpatient Unclassified

Hospitals interested in subscribing to the 2018 HIDI Premier Data Package should review the package information. Current subscribers with questions about downloading files should contact HIDI.

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Quality and Population Health


Preview Period Opens For 2018 DRA Hospital-Acquired Conditions Measures Hospital-Specific Reports

Staff Contact: Sherry Buschjost

The 2018 hospital-specific report for the Deficit Reduction Act hospital-acquired conditions measures for hospitals participating in the Inpatient Prospective Payment System Program now is available on the QualityNet secure portal. The 30-day preview period ends Monday, July 23. Details are available.

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CMS And TJC Release National Hospital Inpatient Quality Measures Specifications Manual Version 5.5

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services and The Joint Commission released Specifications Manual for National Hospital Inpatient Quality Measures, version 5.5, for the Hospital Inpatient Quality Reporting Program. Version 5.5 is for implementation with acute inpatient discharges from Jan. 1 through June 30, 2019, and is available on QualityNet. Updates have been made based on ongoing alignment discussions between CMS and TJC. The following items are of special interest.

  • updated Early Management Bundle, Severe Sepsis/Septic Shock measure set and algorithm
    • removed data element Documentation of Septic Shock
    • clarified numerator statement
  • updated data dictionary
  • updated Appendix C
    • removed discontinued antibiotics from Tables 5.0 and 5.1
    • removed discontinued vasopressors from Table 5.2
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HRSA Announces Vulnerable Rural Hospitals Assistance Program Funding Opportunity

Staff Contact: Stephen Njenga

The Health Resources and Services Administration’s Federal Office of Rural Health Policy announced a new program, the Vulnerable Rural Hospitals Assistance Program. This initiative will fund one entity as much as $800,000 to provide targeted in-depth assistance to vulnerable rural hospitals struggling to maintain health care services with the goal for residents in those rural communities to continue to have access to essential health services. The awardee will work with individual hospitals and their communities on ways to understand community health needs and resources and find ways to ensure communities can keep needed care local. Applications are due Monday, July 16. If you have any questions about this program, please contact Suzanne Stack at 301/443-4043 or email sstack@hrsa.gov.

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Consider This ...

Children are much more likely than adults to get injured from fireworks, and 12-year-olds sustain more fireworks injuries than any other age group.

Source: STAT