MHA Today | November 27, 2018

November 27, 2018
MHA Today: News for Healthcare Leaders

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November 27, 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
Part D Rule Aims To Lower Costs
DHSS Issues Health Guidance On Acute Flaccid Myelitis
CDC Updates Outbreak Alert On Hypocoagulopathy Associated With Synthetic Cannabinoids
CDC COCA Hosts Call On Multiple-State Hepatitis A Outbreak
CMS Updates QRDA Category I Conformance Statement Resource For CY 2018 eCQM Reporting


UPCOMING SEMINARS
2nd Annual MHA Opioid Summit: Addressing Perinatal and Neonatal Clinical Care Issues

Wednesday, Feb. 27
Courtyard by Marriott
Adams Pointe Conference Center
Blue Springs, Mo.
Register on or before Friday, Feb. 15.

Regulatory News
the latest actions of agencies monitoring health care


Part D Rule Aims To Lower Costs

Staff Contact: Andrew Wheeler

A rule issued Monday by the Centers for Medicare & Medicaid Services is designed to limit out-of-pocket costs for Medicare beneficiaries. The proposed rule maintains the law’s six “protected classes” of pharmaceuticals. However, the rule would provide Part D insurance plans with greater flexibility to negotiate discounts for drugs in “protected” therapeutic classes. An issue brief is available outlining the rule’s provisions.

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Quality and Population Health


DHSS Issues Health Guidance On Acute Flaccid Myelitis

Staff Contact: Jackie Gatz or Alison Williams

Yesterday, the Missouri Department of Health and Senior Services issued Health Guidance to inform health care providers on reporting acute flaccid myelitis, update current clinical information and describe clinical specimens needed from all patients suspected of having AFM. While AFM is a rare condition affecting the nervous system, in 2018, 116 cases have been reported from 31 states, with one confirmed case in Missouri. Health care providers should continue to promptly report all patients that meet the clinical criterion for AFM (acute onset of flaccid limb weakness) to their local public health agency or to DHSS at 573/751-6113 or 800/392-0272 (24/7). Patients suspected of having AFM should be reported regardless of whether they test positive or negative for an enterovirus.

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CDC Updates Outbreak Alert On Hypocoagulopathy Associated With Synthetic Cannabinoids

Staff Contact: Jackie Gatz or Alison Williams

Yesterday, the Centers for Disease Control and Prevention Clinician Outreach and Communication Activity issued a clinical update to their April 2018 bulletin related to potential life-threatening vitamin K-dependent antagonist coagulopathy associated with synthetic cannabinoids use. Since the index case of hypocoagulopathy associated with synthetic cannabinoids use was identified on March 8 in Illinois, at least 320 more people have presented to health care facilities with serious bleeding and strikingly abnormal coagulation profiles. The largest number of patient presentations were in Illinois, followed by Wisconsin, Maryland, Missouri, Florida, North Carolina, Indiana, Pennsylvania, Kentucky, Virginia and West Virginia.

Detailed clinical guidance is available for providers in the alert. Health care providers should report to local health departments any patient with recurrent hypocoagulopathy associated with resuming/ongoing synthetic cannabinoids use or any patient that became pregnant while on oral vitamin K1 treatment for brodifacoum toxicity.

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CDC COCA Hosts Call On Multiple-State Hepatitis A Outbreak

Staff Contact: Jackie Gatz or Toi Wilde

On Thursday, the Centers for Disease Control and Prevention Clinician Outreach and Communication Activity will be hosting an informational call to provide recommendations and guidance on an evolving hepatitis A outbreak. Hepatitis A is a highly contagious, vaccine-preventable, viral disease spread via a fecal-oral route or by exposure to contaminated food or water. Since early 2017, CDC has observed an increase in the number of communitywide hepatitis A outbreaks in multiple states, to include Missouri. During this COCA call, subject matter experts from CDC will discuss vaccination to stop these outbreaks and current CDC recommendations for the hepatitis A vaccine. Call-in information is available online.

Following an increase in hepatitis A in southeastern Missouri, DHSS and local public health departments are working with select emergency departments to facilitate the dissemination of the hepatitis A vaccine.

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CMS Updates QRDA Category I Conformance Statement Resource For CY 2018 eCQM Reporting

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated the Quality Reporting Document Architecture Category I Conformance Statement Resource to support calendar year 2018 electronic clinical quality measure reporting for the Hospital Inpatient Quality Reporting and the Promoting Interoperability programs. The resource assists data submitters with troubleshooting the most common conformance errors by providing detailed information to resolve the errors causing the file to be rejected. Error messages are identified with a conformance statement, or system-requirement specification, which explains why a test or production QRDA I file was rejected and unable to be processed by the CMS data receiving system. QRDA Category I files can be tested using the Pre-Submission Validation Application tool prior to submission. This tool will ensure that the file format issues associated with the Health Level Seven International QRDA I Standard for Trial Use 4 are addressed before submitting the QRDA I files to the test or production system within the QualityNet Secure Portal.

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Consider This ...

Since the 2010-2011 flu season, between 40 percent and 60 percent of pediatric deaths occurred in children who were otherwise healthy, underscoring the fact that even healthy kids can get sick and die from flu.

Source: Centers for Disease Control and Prevention