MHA Today | March 1, 2019

March 1, 2019
MHA Today: News for Healthcare Leaders

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MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.


Herb Kuhn, MHA President & CEO Earlier today, the MHA Board of Trustees adopted two resolutions. The first, which will be sent to Gov. Mike Parson and others, affirms hospitals’ support for many of Parson’s proposed investments in jobs, infrastructure and Medicaid payment reform. The second, in support of the American Hospital Association’s 340B Good Stewardship Principles, encourages all 340B-participating hospitals to adopt the program.

Each week, MHA has been delivering stakeholders a policy-specific message to build support for our 10-point rural hospital agenda. You’ve probably seen them in your inbox. As the campaign has unfolded, we’ve attracted new partners for our advocacy efforts. These organizations are beginning to understand the full value of rural hospitals and health care in rural communities. And, because of our outreach, they are connecting how our issues affect their members and constituencies.

We asked the board to adopt a resolution to send a strong, unified statement on the value of rural hospitals. We will deliver the MHA trustees’ resolution with local hospital board resolutions from rural hospitals throughout the state.

Gov. Parson and members of the General Assembly are getting the message — and not just from MHA. For example, Ann Schlueter, chief operating officer of Community Hospital — Fairfax, recently lent her voice to the effort. The resolutions will add more. Although the policies are focused on rural Missouri, they are inclusive. All hospitals benefit from investments to expand the workforce, address the behavioral health and substance use crises, and expand broadband for better connectivity and telehealth, for example.

The second board resolution sends a strong message as well. The 340B prescription drug discount program, which helps hospitals deliver safety-net care, has been under attack. AHA has pushed back vigorously against arguments that the program lacks appropriate oversight and fails to support the care it was designed to help fund. However, they need hospitals’ support.

AHA’s 340B Good Stewardship Principles will begin to address policymakers’ and lawmakers’ concerns about the program. The principles include better communication about the value of the 340B program to stakeholders, annual disclosure of the estimated savings generated by the 340B program and rigorous internal oversight to monitor compliance with program standards.

AHA is helping hospitals get out front on 340B — an important component of many safety-net hospitals’ finances. The MHA trustees are urging 340B-participating hospitals to sign a commitment to follow the AHA’s 340B Good Stewardship Principles. Additional MHA resources on this program, including a webinar we held in November, are available online.

I appreciate the board’s leadership on these two issues. In Jefferson City and Washington, D.C., it’s generally harder to be for something than against something. These resolutions do a good job of staking out a positive position on important hospital-community issues.

Send me a note to let me know what you’re thinking.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
Committee Reviews APRN Licensure Legislation
MO HealthNet Schedules Telehealth Billing Webinars
MLN Connects Provider eNews Available
MHA Announces Visionary Leadership Award Call For Nominations
HRSA Offers Federal Funding Opportunities Webinar
TJC Seeks eCQM Proven Practices Success Stories
APS Announces Partnership To Identify Energy Savings


state and federal health policy developments

Committee Reviews APRN Licensure Legislation

Staff Contact: Rob Monsees or Bill Anderson

A state House committee reviewed House Bill 301. The legislation would permit Advanced Practice Registered Nurses to be licensed as such by the state Board of Nursing. Currently, APRNs are licensed as registered nurses with an APRN certification. MHA testified in support of the measure.

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MO HealthNet Schedules Telehealth Billing Webinars

Staff Contact: Brian Kinkade

MO HealthNet Division’s Provider Training Unit has scheduled webinars on telehealth billing. The one-hour sessions will be held Tuesday, March 13 at 10 a.m., Friday, March 29 at 10 a.m., and Thursday, April 4 at 2 p.m. Advance registration is required. If you have specific issues you want addressed during your training, email them to, being certain to indicate which webinar you will be attending.

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Regulatory News
the latest actions of agencies monitoring health care

MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • 2017 CMS program statistics
  • Quality payment program: payment adjustment resources
  • SNF value-based purchasing program: phase one review and corrections call – March 20
  • Data on geographic variation in the Medicare program
  • Interoperability and patient access to health data: new proposals
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Quality and Population Health

MHA Announces Visionary Leadership Award Call For Nominations

Staff Contact: Leslie Porth

The 2019 MHA Visionary Leadership Award call for nominations is open, and nominations must be received by 5 p.m. Friday, May 3. The award recognizes innovative service and program initiatives led by the CEO that result in improved clinical and population-based health outcomes. Focus areas include access to quality care within the community, improved clinical outcomes, care coordination between the community and acute care settings of chronic diseases, improved safety outcomes, or partnerships to address population-health issues.

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HRSA Offers Federal Funding Opportunities Webinar

Staff Contact: Shawn Billings or Tiffany Bowman

The Health Resources and Services Administration, Office of Regional Operations-Kansas City, will host the calendar year 2019 1st Quarter - Federal Funding Opportunities Webinar March 18, 2019, at 2 p.m. This webinar will provide Region 7 stakeholders with an overview of core programs, current funding opportunities and forecasted funding opportunities available through multiple federal agencies. Registration is required.

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TJC Seeks eCQM Proven Practices Success Stories

Staff Contact: Sherry Buschjost

The Joint Commission electronic clinical quality measures proven practices program recognizes hospitals and systems that effectively leverage eCQMs and health information technology to drive quality improvement, and provides a platform for organizations to share their work. TJC invites hospitals to submit success stories that demonstrate the use of eCQMs and health IT for quality improvement. Additional information is included in the application and the submission deadline is Friday, April 5.

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APS Announces Partnership To Identify Energy Savings

Staff Contact: Bryant McNally

APS has announced a partnership with Managed Energy Systems to assist APS-participating hospitals in identifying energy cost savings. MES audit services are complementary, and gain-sharing fees apply only if savings are identified and achieved. According to Dennis George, APS CEO, “MES utility audits flag billing errors and other problems that may be causing unnecessary expenditures, month-after-month and year-after-year. This is truly a no-risk opportunity for APS members and one that can have an immediate impact on your bottom line.”

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Did You Miss An Issue Of MHA Today?

February 25, 2019
DHSS Proposes To Raise Metabolic Testing Fees
DHSS Issues Syphilis Health Advisory
CMS Issues New Strategies To Reduce Opioid Use

February 26, 2019
Legislators Consider Insurer Credentialing Protection
HIDI Releases FFY 2018 Inpatient, Outpatient Physician Loyalty Report
Missouri STR/SOR Offers Free Buprenorphine Waiver Training
TJC Updating CY 2019 Chart-Based Measure Selections
CMS Releases 2019 QRDA Category I Schematron

February 27, 2019
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

February 28, 2019
Senate Committee Endorses Prescription Drug Monitoring Bill
House Budget Committee Advances Supplemental Appropriation Bill
State Senate Reaches Liability Legislation Compromise
DHSS Issues Home Health And Hospice Employment Clarification
CMS Extends eCQM Data Submission Deadline For CY2018 Reporting Period
Missouri AG Hires State Sexual Assault Kit Coordinator

Consider This ...

Nearly two-thirds of rural Missouri does not have adequate broadband speed.