MHA Today | July 6, 2018

July 6, 2018
MHA Today: News for Healthcare Leaders

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July 6, 2018

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

Editor's Note: Insights has the week off and will resume Friday, July 13.

In This Issue
MO HealthNet Increases Home Health, Home, Private Duty Nursing, In-home Care Reimbursement
CMS Issues Clarifying Guidance For Reducing Risk Of Legionella
MLN Connects Provider eNews Available
CMS Releases First Quarter 2018 IQR And OQR Submission Resources
CMS CART Tool Awaiting System Updates
CMS Announces IPFQR Education Sessions
SSM Health Saint Louis University Hospital Names Interim President

Advocate
state and federal health policy developments


MO HealthNet Increases Home Health, Home, Private Duty Nursing, In-home Care Reimbursement

Staff Contact: Brian Kinkade

For dates of service on and after July 1, the MO HealthNet Division reimbursement for home health care and most in-home services categories have been increased by 1.5 percent, and private duty nurse care has increased by 4.5 percent. These rate adjustments reflect increases in the state fiscal year 2019 budget signed by Gov. Parson last week. This action partially reverses the 3 percent rate cut for home health care and most in-home services, as well as the 6 percent rate cut for private duty nursing care that were made in last year’s budget.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Clarifying Guidance For Reducing Risk Of Legionella

Staff Contacts: Jim Mikes or Sarah Willson

The Centers for Medicare & Medicaid Services issued new guidance to clarify expectations for health care facilities and surveyors to reduce the risk of legionella in facility water systems. This guidance does not create any new regulations and applies to hospitals, critical access hospitals and long-term care facilities. CMS expects Medicare and Medicare-Medicaid certified health care facilities to have water management policies and procedures to reduce the risk of growth and spread of Legionella and other opportunistic pathogens in building water systems. Today’s guidance supersedes the previous Survey & Certification, (S&C) 17-30, released on June 2, 2017, and the subsequent revisions issued on June 9, 2017.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • New Medicare card: Medicare Beneficiary Identifier changes
  • Open Payments Program 2017 financial data
  • CMS data element library webinar – Wednesday, July 11
  • Public reporting on Physician Compare webinar – Tuesday, July 24, or Thursday, July 26
  • Laboratory date of service exception
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Quality and Population Health


CMS Releases First Quarter 2018 IQR And OQR Submission Resources

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services reminded hospitals participating in the Inpatient and Outpatient Quality Reporting programs of the following first quarter 2018 (January – March) submission deadlines.

  • Wednesday, Aug. 1 — OQR clinical data
  • Wednesday, Aug. 1 — IQR population and sampling data
  • Wednesday, Aug. 15 — IQR clinical data, healthcare-associated infection, perinatal care elective delivery measure

The 1Q2018 inpatient and outpatient checklists provide additional information.

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CMS CART Tool Awaiting System Updates

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services announced that updates to the inpatient CMS Abstraction & Reporting Tool, effective with July 1 discharges, are not yet available. As a result, hospitals participating in the Inpatient Quality Reporting Program are asked to hold submissions until these updates are completed, which is anticipated to be mid-August. CMS will notify hospitals as soon as the systems are available.

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CMS Announces IPFQR Education Sessions

Staff Contact: Sherry Buschjost

The next webinar for hospitals participating in the Inpatient Psychiatric Quality Reporting Program is at noon on Wednesday, July 11. Registration is required for the webinar titled, “IPFQR Program: Keys to Successful FY 2019 Reporting.”

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CEO Announcements


SSM Health Saint Louis University Hospital Names Interim President

Staff Contact: Carol Boessen

Shane Cerone was appointed interim president of SSM Health Saint Louis University Hospital, effective June 18. Cerone has an extensive background in academic medicine, most recently as president of Beaumont Hospital – Royal Oak in Michigan. He also spent 13 years at the University of Iowa Health Care. He succeeds Kate Becker who accepted the CEO position at the University of New Mexico Hospitals in Albuquerque, effective Sunday, July 15. A search is being conducted for a permanent replacement. A list of CEO changes is available online.

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Did You Miss An Issue Of MHA Today?


July 2, 2018
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

July 3, 2018
CRS Describes Federal Registration For Tele-Prescribing Controlled Substances
Report Reviews Congressional Changes To The ACA
Report Reviews Federal Opioid Legislation
CMS Proposes CY 2019 And 2020 Payment And Policy Updates For Home Health Agencies
CMS Releases Reports On The Performance Of The Health Insurance Marketplace

July 5, 2018
CMS Announces IQR Education Sessions
Hospital Quality Reporting Summer Newsletter Available
State General Revenue Collections Exceed Projections
General Leonard Wood Army Community Hospital Names New Hospital Commander
CenterPointe Hospital Names Interim CEO
Ohnoutka Resigns From St. Mary’s Medical Center



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