January 14, 2019
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 Comments On Proposed Federal Medicaid Managed Care Regulation
Human Trafficking Poster Available On DPS Website
HIDI HealthStats – Predicting Opioid Risk in Hospital Patients
Flu Season Continues With Low Severity Resulting In Fewer Hospitalizations
the latest actions of agencies monitoring health care
Staff Contact: Daniel Landon or Brian Kinkade
MHA submitted comments regarding the Centers for Medicare & Medicaid Services’ proposed regulation on Medicaid managed care. The agency is revising current standards. MHA’s comments address such topics as network adequacy and recertification of capitated rate ranges.
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Staff Contact: Sarah Willson or Jane Drummond
In 2018, Missouri approved House Bill 1246 to combat human trafficking by requiring the placement of posters containing resources to assist human trafficking victims in many public buildings throughout the state. Emergency rooms and urgent care centers are among the public places mandated, per Section 595.120, RSMo, to display such posters. The Department of Public Safety has a website devoted to information on the mandate, as well as a downloadable print of the required poster. Facilities must be compliant by Friday, March 1.
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HIDI Tech Connect
Staff Contact: Mat Reidhead
Risk identification tools are critical to clinicians and prescribers working to reverse the societal damage caused by the ongoing opioid crisis. For the third consecutive year, life expectancy decreased in the U.S. during 2017, largely because of the ongoing opioid epidemic. And yet again, the rate of drug overdose deaths in Missouri was higher than the national average.
As the only state in the country without a state-legislated prescription drug monitoring program, health care providers in Missouri historically have faced a profound disadvantage in identifying and treating patients with, or at risk of, developing opioid use disorder. To assist health care providers with identifying patients at risk of experiencing an unplanned hospitalization or ED visit for OUD, a predictive model was developed using hospital discharge records, occurring between Oct. 1, 2015, and June 30, 2018, for 2.6 million Missouri adults. In addition to information gathered from the St. Louis County PDMP, risk prediction modeling can be used to improve the likelihood of reducing adverse outcomes attributable to OUD in Missouri. Read the January 2019 issue of HIDI HealthStats to learn more about predicting opioid risk in hospital patients.
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Quality and Population Health
Staff Contact: Jackie Gatz or Carissa Van Hunnik
According to the Centers for Disease Control and Prevention’s most current update, influenza activity in the U.S. is continuing to increase; however, the severity of this year’s flu season is markedly lower, resulting in fewer hospitalizations. As referenced in the CDC update, “This week, the overall hospitalization rate is 9.1 per 100,000. For the same week last season, the overall hospitalization rate was 30.5 per 100,000.”
This national data reflects the DHSS Weekly Influenza Surveillance report, as well as data Missouri hospitals are reporting directly to MHA in the weekly influenza impact query. These queries have been conducted since late September in EMResource® to monitor flu-related hospital activity throughout the state, and are used to identify early indicators of potential affects for hospital resources, bed availability and staffing levels due to increased flu activity. Hospital staff are strongly encouraged to respond to these weekly queries with accurate and timely information. The next scheduled query will be activated Thursday, Jan. 17, from 10 a.m. to 2 p.m. Additional details related to flu queries, including weekly data summaries, are available in the EMResource® library.
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There have been 5,460 confirmed flu cases in Missouri this season, compared to 30,932 at this time last year.
Source: AP/St. Louis Post-Dispatch