MHA Today | September 13, 2018

September 13, 2018
MHA Today: News for Healthcare Leaders

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September 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
U.S. House Passes Four Medicare Bills
MLN Connects Provider eNews Available
Today Is World Sepsis Day
CMS Now Accepting CY 2018 eCQM Data
CMS Announces Education Session
CenterPointe Hospital Names New CEO

Advocate
state and federal health policy developments


U.S. House Passes Four Medicare Bills

Staff Contact: Andrew Wheeler

The U.S. House of Representatives passed four Medicare bills by voice votes yesterday. H.R. 3635 would change and improve the process by which Medicare administrative contractors approve local coverage determination policies. H.R. 6690 would create a smart card pilot program intended to evaluate the effect on fraud. H.R. 6662 would allow Medicare Cost plan enrollees whose plans are ending after 2018 to switch plan coverage outside the typical enrollment period. Medicare Advantage enrollees also would be able to switch coverage. H.R. 6561 would finalize provisions from a 2016 proposed rule, which would allow Medicare and Medicaid beneficiaries over the age of 55 who need nursing home-level of care to receive care and services in their community. There is no guarantee that the bills will reach the Senate floor, either on their own or as part of a package.

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Regulatory News
the latest actions of agencies monitoring health care


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.

  • help your Medicare patients avoid and report scams
  • Mapping Medicare Disparities Tool: Hospital View
  • open payments
    • key thresholds for program year 2019 reporting
    • program year 2019 teaching hospital list
  • bill correctly for device replacement procedures – reminder
  • Quality Payment Program: other payer Advanced Alternative Payment Models resources

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Quality and Population Health


Today Is World Sepsis Day

Staff Contact: Jessica Stultz
Primary Care Physicians Report
Today is World Sepsis Day, a day that provides an opportunity for people worldwide to unite in the fight against sepsis. Sepsis is one of the most common, least-recognized illnesses in both the developed and developing world. Globally, 20 to 30 million patients are estimated to be afflicted every year, and a person dies from sepsis every few seconds. Evidence-based practices, strategies and additional resources to improve care and outcomes for sepsis patients are available.

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CMS Now Accepting CY 2018 eCQM Data

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services hospital quality reporting system now is able to accept calendar year 2018 electronic clinical quality measure data. The system, accessible via the QualityNet secure portal, has been updated to accept Quality Reporting Document Architecture Category I test and production files utilizing the CY 2018 requirements. Additional details are available.

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CMS Announces Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Hospital Inpatient Quality Reporting and the Medicare and Medicaid Promoting Interoperability programs has been scheduled for 1 p.m. Wednesday, Sept. 26. Discussion will focus on electronic clinical quality measure reporting requirements for the IQR and Promoting Interoperability programs as finalized in the fiscal year 2019 Inpatient PPS final rule. Registration is required.

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CEO Announcements


CenterPointe Hospital Names New CEO

Staff Contact: Carol Boessen

Scott Williams was named CEO of CenterPointe Hospital in St. Charles, effective Sept. 4. He replaces Susan Mathis who resigned in June. Williams has held corporate and senior executive-level positions in several prestigious behavioral health companies with multi-state, multi-facility operations throughout the past 20 years. He also is a strong community advocate for mental health and addiction treatment, and he works closely with community partners to provide a quality continuum of treatment services. A list of CEO changes is available online.

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Consider This ...

On average, approximately 30 percent of patients diagnosed with severe sepsis do not survive, and as many as 50 percent of survivors suffer from post-sepsis syndrome. Until a cure for sepsis is found, early detection is the surest hope for survival and limiting disability for survivors.

Source: Sepsis Alliance