October 24, 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
MHA Suggests Improvements To Anti-Kickback Statute Safe Harbor Provisions
CMS Releases SNF Quality Reporting Program Data
Subscriptions Available For HIDI 2018 Premier Package
CMS Model Increases Access To OUD Treatment For Expectant And New Mothers
Hospital-Based Incident Command Systems: Real Experiences And Practical Applications
HIIN Celebrates Healthcare Quality Week
state and federal health policy developments
Staff Contact: Jane Drummond
MHA submitted a comment letter in response to the Office of Inspector General’s request for input on regulatory barriers imposed by the Anti-Kickback regulation to coordinated and value-based care. MHA proposed that the OIG create safe harbor exemptions that allow providers to participate in structured systems of integrated care without fear of liability. MHA pointed out that the transformation to value-based care requires providers to work together to coordinate care, while the provisions of the Anti-Kickback statute discourage both cooperation and investment in the resources necessary to support an integrated health care system.
The comments also addressed how social determinants of health play a role in health outcomes. Socially complex patients are disproportionately affected by provider silos that result from Anti-Kickback restrictions and would vastly benefit from coordinated care.
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the latest actions of agencies monitoring health care
Staff Contact: Andrew Wheeler
The Centers for Medicare & Medicaid Services released skilled nursing facility quality reporting program data on Nursing Home Compare. CMS added three assessment-based measures and two claims-based measures, and chose not to publish the potentially preventable 30-day post-discharge readmission metric at this time. CMS also has released a fact sheet with additional details.
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HIDI Tech Connect
Staff Contact: Shane VanOverschelde
The 2018 HIDI Premier Data and Report Packages are available for subscription orders. Introduced in October 2012, premier package subscriptions provide hospitals with access to a variety of HIDI’s most popular data products and reports at a significant discount.
The content of the Premier Reporting Package is partially available on HIDI Analytic Advantage® PLUS as customizable, interactive reports. Currently, the “Case-Mix Index Premier Report” and “Price Transparency Report” are available. In addition, please note that several report offerings only are available with a subscription to the Premier Reporting Package.
The current content in the premier package folders for 2017 will be removed Friday, Dec. 28. Subscriptions will be renewed automatically for current subscribers who will receive invoices in November. New subscribers or current subscribers who wish to make changes to their subscriptions should complete the 2018 premier package order form. For more information please contact HIDI.
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Quality and Population Health
Staff Contact: Shawn Billings
The Centers for Medicare & Medicaid Services recently announced the Maternal Opioid Misuse (MOM) model. The model addresses fragmentation in the care of pregnant and postpartum Medicaid beneficiaries with opioid use disorder through state-driven transformation of the delivery system surrounding this vulnerable population. By supporting the coordination of clinical care and the integration of other services critical for health, wellbeing and recovery, the MOM model has the potential to improve quality of care and reduce costs for mothers and infants.
The following are primary goals of the MOM model.
Staff Contact: Jackie Gatz
Hospital-based incident command systems have been used formally in U.S. hospitals since the late 1970s as a way to manage incidents, coordinate resources and communications, and collaborate with community-based response agencies. ASPR TRACIE is hosting a webinar at 12:30 p.m. Wednesday, Nov. 14, featuring speakers from three large health care organizations that have experienced a recent emergency and activated their hospital-based incident command systems. The speakers will provide a brief overview of the incident, describe how the incident command system was implemented, share lessons learned, and discuss how these lessons have been incorporated into current systems and plans. Registration is open.
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Staff Contact: Jessica Stultz
The Hospital Improvement Innovation Network team is recognizing Healthcare Quality Week, which is dedicated to celebrating the contributions professionals have made to improve health care quality. The week also gives us an opportunity to bring greater awareness to the profession of health care quality. Missouri hospitals have utilized the HIIN program to improve care and outcomes, reduce infections and costs, and save lives. Learn more about how you can participate in Healthcare Quality Week.
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New national data show that 15.8 percent of young people ages 10 to 17 nationwide, roughly one in six, have obesity. Missouri has the 17th highest adult obesity rate in the nation and the 12th lowest obesity rate for youth ages 10 to 17.
Source: The State of Obesity