MHA Today | December 12, 2018

December 12, 2018
MHA Today: News for Healthcare Leaders

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December 12, 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 Maternal Mortality Legislation
U.S. House Authorizes Medicaid Coordinated Care Option For Medically Complex Kids
CMS Releases Marketplace Week 6 Enrollment Data
CMS Begins Reporting Additional Oversight Initiatives
CMS Releases Sample QRDA I File For HWR Measure
Steinkruger Announces Retirement From Community Hospital - Fairfax

Advocate
state and federal health policy developments


U.S House Passes Maternal Mortality Legislation

Staff Contact: Daniel Landon or Alison Williams

The U.S. House of Representatives  passed the “Preventing Maternal Deaths Act of 2017.” The legislation authorizes grants to states to promote assessments of maternal mortality. The bill now moves to the Senate.

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U.S. House Authorizes Medicaid Coordinated Care Option For Medically Complex Kids

Staff Contact: Brian Kinkade

The U.S. House of Representatives passed the "Advancing Care for Exceptional Kids Act" yesterday. The ACE Kids Act will provide enhanced Medicaid matching funds to states opting to establish health homes to provide coordinated care for children with complex, chronic medical conditions. States can begin to exercise this option after Oct. 1, 2022. H.R. 3325 must pass the Senate before the current session of Congress ends Jan. 3, 2019, to become law.

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CMS Releases Marketplace Week 6 Enrollment Data

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released marketplace enrollment data through Dec. 8. For the first six weeks of the 2019 open enrollment period, 4,132,432 beneficiaries made plan selections in states where the HealthCare.gov platform is being utilized. Through the sixth week of open enrollment for 2018, 4,678,361 plan selections had been chosen. In Missouri, 101,274 beneficiaries have made plan selections for 2019, approximately 31 percent less than the 133,021 plan selections through the sixth week last year.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Begins Reporting Additional Oversight Initiatives

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services issues an annual report to Congress outlining their oversight activities of private Accrediting Organizations. Currently, there are 10 approved AOs under CMS’ oversight. CMS recently began reporting the latest quality of care deficiency findings after complaint follow-up in facilities accredited by AOs, a list of providers who are out of compliance along with their corresponding AO, and overall performance data for the AOs. This information can be accessed on CMS' new Quality, Certification and Oversight Reports website.

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Quality and Population Health


CMS Releases Sample QRDA I File For HWR Measure

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services released a sample Quality Reporting Document Architecture I file for reporting the voluntary Hybrid Hospital-Wide Readmission measure under the Hospital Inpatient Quality Reporting program. The hybrid HWR measure was developed to address complex and critical aspects of care that cannot be derived through claims data alone. Hospitals can voluntarily submit data for this measure and participation will not impact payments to hospitals. To calculate the Hybrid HWR measure, hospitals submit a set of core clinical data elements extracted from electronic health records (including vital signs and laboratory test results) for risk-adjustment in calculating HWR rates.

The sample file conforms to the 2018 CMS QRDA I Implementation Guide for Hospital Quality Reporting and recently published addendum to the 2018 CMS QRDA I IG and contains the 13 CCDEs and six linking variables required by hybrid measure/CCDE submissions. The sample QRDA Category I file for the Hybrid HWR measure, 2018 CMS QRDA I IG and addendum are available for download on the Electronic Clinical Quality Improvement Resource Center QRDA page. More information about the voluntary Hybrid HWR measure can be found on QualityNet.

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CEO Announcements


Steinkruger Announces Retirement From Community Hospital - Fairfax

Staff Contact: Carol Boessen

Roger Steinkruger, CEO of Community Hospital – Fairfax, announced his retirement, effective Dec. 31, 2018. He has served as CEO since August 2014. Julie Jones, chief nursing officer, has been named his successor, effective Jan. 1, 2019. Jones has been with Community Hospital – Fairfax since November 2015 and has more than 20 years of executive leadership experience. A list of CEO changes is available online.

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Consider This ...

New research shows most people take in almost three days worth of calories on December 25.

Source: USA TODAY