MHA Today | February 27, 2019

February 27, 2019
MHA Today: News for Healthcare Leaders

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February 27, 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
CMS Launches New Podcast — CMS: Beyond The Policy
HIDI Posts 2018 Annual Licensing Survey Of Missouri Hospitals
CMS Releases eCQM Case Detail Report
TJC Announces eCQM Expert To Expert Webinar
Surgery Center Wins Negligent Credentialing Appeal

Regulatory News
the latest actions of agencies monitoring health care


CMS Launches New Podcast — CMS: Beyond The Policy

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a new podcast highlighting updates and changes to policy and programs called, “CMS: Beyond the Policy.” CMS will release new episodes of the podcast periodically and feature a range of subject-matter experts, stakeholders and CMS Administrator Seema Verma. Verma stated, “The new Beyond the Policy podcast demonstrates our commitment to transparency and outreach by presenting CMS-related polices, updates and innovations on as many platforms as possible.” The first podcast is on evaluation and management coding hosted by Bill Polgase and featuring Dr. Kate Goodrich, CMS Chief Medical Officer, and Dr. Anand Shah, CMS Senior Medical Advisor for Innovation.

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HIDI Tech Connect


HIDI Posts 2018 Annual Licensing Survey Of Missouri Hospitals

Staff Contact: Kevin Stock

The Hospital Industry Data Institute posted the 2018 Annual Licensing Survey of Missouri Hospitals to HIDI Analytic Advantage® on Wednesday, Feb. 27. The survey is a combined data collection effort of MHA, the American Hospital Association, and the Missouri Department of Health and Senior Services. Data from the annual survey is used to support various MHA advocacy efforts and is a key source of information regarding the hospital industry in Missouri. Various reports, including trends analysis and margins analysis, are available to participating hospitals upon request. Completed surveys are due to HIDI by Friday, April 12.

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Quality and Population Health


CMS Releases eCQM Case Detail Report

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services released the Hospital Inpatient Quality Reporting Program Calendar Year 2017 (Fiscal Year 2020 payment determination) data validation electronic clinical quality measure Case Detail Report. The report lists all abstracted elements compared to the re-abstracted results for each case, as well as any mismatches and associated educational comments by the Clinical Data Abstraction Center. Additional information and steps to access the report are available.

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TJC Announces eCQM Expert To Expert Webinar

Staff Contact: Sherry Buschjost

The Joint Commission, in cooperation with Centers for Medicare & Medicaid Services’ subcontractors, is offering a series of webinars to provide concepts about clinical quality language expression language for the 2019 electronic clinical quality measures reporting period. A webinar in this series is scheduled at 11 a.m. Tuesday, March 5. Topics of discussion include a review of measure logic and common issues related to the CAC-3 and EHDI-1A eCQMs. Additional information, including a registration link, is available.

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Health Law Insight


Surgery Center Wins Negligent Credentialing Appeal

Staff Contact: Jane Drummond

A surgery center prevailed on its appeal of a negligent credentialing case involving a physician who failed to disclose his entire history of malpractice claims. The facility’s bylaws provided that failure to disclose all malpractice claims automatically removes a physician from consideration. The Supreme Court reversed a verdict for an injured patient on the grounds that he failed to show that the surgeon was incompetent, thus there was no breach of the duty owed by the facility to the patient. Without evidence that the surgeon was unqualified to perform the procedure, the deviation from the facility’s credentialing rules could not be the proximate cause of the patient’s injuries.

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Consider This ...

After about five years of substantial declines, the number of HIV infections began to level off in 2013 at about 39,000 infections per year.

Source: Centers for Disease Control and Prevention