MHA Today | November 13, 2018

November 13, 2018
MHA Today: News for Healthcare Leaders

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November 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
CMS Encourages Improvement In Mental Health Treatment Through Medicaid Waivers
MHA To Participate In Opioid Webinar Focusing On Midwestern Mothers And Newborns
CMS Quality Payment Program: Webinar On 2019 Final Rule Overview
This Week Is U.S. Antibiotic Awareness Week
A Provider’s Perspective On Rural Health

Medical Marijuana
A complimentary three-part webinar series.

Part I: What the Voters Said, and What Happens Now
10 - 11 a.m. | Thursday, Nov. 15
Register on or before Wednesday, Nov. 14.

Part II: Hospitals as Employers
9 - 10:30 a.m. | Friday, Nov. 30
Register on or before Thursday, Nov. 29.

Part III: Hospitals as Providers
Noon to 1 p.m. | Monday, Dec. 3
Register on or before Sunday, Dec. 2.

state and federal health policy developments

CMS Encourages Improvement In Mental Health Treatment Through Medicaid Waivers

Staff Contact: Brian Kinkade

The Trump Administration announced today that it is expanding treatment opportunities for adults with serious mental illness and children with serious emotional disturbance who are being cared for in institutions of mental disease through Section 1115 Medicaid waivers. Typically, Medicaid matching funds are severely limited or not available for treatment services delivered to IMD patients. In its announcement, CMS seeks to achieve the following goals through SMI/SED waivers.

  • Ensure good quality of care in psychiatric hospitals and residential treatment settings.
  • Improve care coordination and transitions to community-based care following stays in acute care settings.
  • Increase access to a continuum of care, including crisis stabilization services and community-based services to address chronic, ongoing mental health care needs.
  • Identify individuals with SMI or SED earlier and engage them in treatment sooner.

Medicaid waivers are time limited and must be cost neutral to the federal government. Late last year, CMS undertook a similar waiver strategy to promote access to treatment for opioid and substance use disorder.

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Quality and Population Health

MHA To Participate In Opioid Webinar Focusing On Midwestern Mothers And Newborns

Staff Contact: Shawn Billings

The University of Wisconsin Population Health Institute is hosting an interactive webinar as part of a County Health Rankings & Roadmaps Peer-to-Peer Virtual Learning Series funded by the Robert Wood Johnson Foundation. The webinar, “Midwestern Communities Respond to Opioids: Treatment for Mothers and Newborns,” takes place at 2 p.m. Wednesday, Nov. 14. Registration is available online.

Presenters will focus on ways communities are impacted by and responding to the opioid crisis in the Midwest. Specifically, how communities have responded to mothers struggling with addiction while caring for infants. The complexity of this epidemic and the challenges it causes for individuals, families and communities require multiple strategies, a variety of policies and several systems changes to address it appropriately.

This conversation will feature representatives from MHA and Queen of Peace Center working to support mothers in recovery. Additionally, a physician treating pregnant women with opioid use disorder in several Wisconsin communities will share her experience serving this at-risk population. We encourage participants to share strategies from your communities that are providing support to mothers.

Community guests and resources will be focused in Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, Ohio and Wisconsin.

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CMS Quality Payment Program: Webinar On 2019 Final Rule Overview

Staff Contact: Peter Rao

The Centers for Medicare & Medicaid Services is hosting a webinar at 11 a.m. Thursday, Nov. 15, on the final rule for year three of the Quality Payment Program. In addition to providing an overview, the webinar will focus on key changes between the 2018 and 2019 performance year requirements. The registration for this webinar can be found online.

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This Week Is U.S. Antibiotic Awareness Week

Staff Contact: Toi Wilde or Alison Williams
Convention Speakers
During U.S. Antibiotic Awareness Week 2018, MHA encourages Missouri hospitals and the community to learn more about appropriate antibiotic use and the increasing threat of antibiotic resistance.

Antibiotics are among the most commonly prescribed drugs and, when used correctly, save millions of lives each year. Yet antibiotics are not always the answer. Inappropriate use can trigger a range of side effects – from minor to severe – and can lead to antibiotic resistance, which causes 2 million illnesses and 23,000 deaths each year in the U.S.

Improving the way health care professionals prescribe antibiotics, and the way we take antibiotics, helps keep us healthy now, helps fight antibiotic resistance, and ensures that these lifesaving drugs will be available for future generations.

Resources about antibiotics and antibiotic resistance also are available on the Centers for Disease Control and Prevention’s website. These free materials provide in-depth information about when antibiotics are and are not needed, and the potentially harmful results of using antibiotics when they are not needed.

Additionally, as part of a health care quality improvement project with the Centers for Medicare & Medicaid Services, the TMF Quality Innovation Network Quality Improvement Organization (QIN-QIO) offers the following free tools to educate the community on the appropriate use of antibiotics.

  • Antibiotics – Do You Really Need Them? (English)
  • Antibiotics – Do You Really Need Them? (Spanish)
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A Provider’s Perspective On Rural Health

Staff Contact: Jim Mikes

Convention Speakers Submitted by Sarah Trokey, FNP, of Washington County Memorial Hospital.

“Recently, all patients admitted to Washington County Memorial Hospital have started receiving binders to improve their quality of care and ensure open communication among all members of their health care team. They allow me, as a provider, to follow the care of established and new patients that see me following discharge from WCMH. At their follow-up appointment, I’m able to view labs, radiological studies, discharge instructions, medications and specialist appointments related to their hospitalization, which is such a huge help.

A patient recently was discharged from WCMH and was seen in my office for a routine follow-up visit. Because he brought his patient binder to the visit, I was able to quickly review the care he was given and instructions he received while being hospitalized.

One of my favorite aspects of the binder is a section that allows the patient to write down concerns and questions they have during their stay or even after they return home. This ensures that I am answering questions that my patients have about their health, providing a better level of care and communication overall.

Patients will be able use the binders as a way to provide information about themselves to all health care professionals involved in their care. Having a health care tool like this leads to a more complete visit and better health outcome for all patients!

Thank you, WCMH, for always finding ways to improve the health of our community!”

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Consider This ...

Researchers estimate that more than 70 million Americans suffer from a sleep disorder, and an estimated one in 25 adult drivers report having fallen asleep while driving in the previous 30 days.

Source: Centers for Disease Control and Prevention