MHA Today | March 11, 2019

March 11, 2019

MHA Today: News for Healthcare Leaders

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March 11, 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
President Trump Releases 2020 Executive Budget
MHA Recognizes National Patient Safety Awareness Week
CHR&R Announces 10th Edition Ranking Release
CMS Releases Updated QRDA I File
TJC Announces eCQM Expert To Expert Webinar

What You Need To Know This Week

  • The Missouri General Assembly is on spring recess next week — watch for information you can use to engage them while they are home.

Advocate
state and federal health policy developments


President Trump Releases 2020 Executive Budget

Staff Contact: Andrew Wheeler

President Trump released his fiscal year 2020 budget request to Congress, which includes $2.7 trillion in spending cuts and would balance the budget in 15 years. Although executive budgets typically are dead on arrival, the budgets often provide glimpses into changes that the administration may make in the future. A budget in brief for the Department of Health and Human Services also has been released. The budget includes $1.2 trillion in mandatory funding and $87.1 billion in discretionary spending for HHS. Proposed changes within HHS include the following.

  • combat the opioid epidemic
  • address mental health needs and provide behavioral health funding for dependency
  • reform drug pricing
    • modernize the Medicare Part D prescription drug program
    • reduce unnecessary barriers to free-market competition in Medicare Part B costs
    • exclude manufacturer discounts from the calculation of beneficiary out-of-pocket costs
    • establish beneficiary out-of-pocket maximums in the Medicare Part D catastrophic phase
  • give states more flexibility over their Medicaid program by transferring control of Medicaid transformation
  • increase price transparency and curtail surprise medical bills
  • improve payment and program integrity
  • enhance emergency preparedness
  • eliminate pass-through payments for drugs, biologicals and biosimilars under the Medicare program
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Quality and Population Health


MHA Recognizes National Patient Safety Awareness Week

Staff Contact: Jackie Gatz
MHA S.A.F.E.R. Initiative
This week, March 10-16, is National Patient Safety Awareness Week. Since 2016, through the S.A.F.E.R. Initiative, MHA staff has been curating resources to assist members in creating safe care environments. S.A.F.E.R. resources intersect the interactions of patients and their families, the hospital workforce, and the community to create a coordinated effort for improving the safety and quality of care. Throughout the week, current initiatives will be highlighted to assist hospitals in providing safe, high-quality care to their patients.

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CHR&R Announces 10th Edition Ranking Release

Staff Contact: Mat Reidhead or Stephen Njenga

The County Health Rankings & Roadmaps, in collaboration with the Robert Wood Johnson Foundation, will release the 10th edition of their ranking on Tuesday, March 19. The Missouri ZIP Health Rankings data included on exploreMOhealth will be updated during National Public Health Week 2019, which is April 1-7. The updates will reflect data generated by Missouri hospitals between fiscal years 2016 and 2018, and the 2017 American Community Survey of the U.S. Census Bureau.

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CMS Releases Updated QRDA I File

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated the 2019 CMS Quality Reporting Document Architecture Category I voc.xml file. The updated file is a supporting vocabulary xml file for the Schematron that provides technical instructions for reporting electronic clinical quality measures for the calendar year 2019 reporting period for the Hospital Inpatient Quality Reporting and Medicare and Medicaid Promoting Interoperability programs. The 2019 CMS QRDA I file provides technical corrections to the QRDA I CMS Program Name value set that the 2019 QRDA I Schematron enforces. The program names have been updated to match the CMS program name codes listed in the table in the 2019 CMS QRDA I Hospital Quality Reporting Implementation Guide titled, “Table 6: QRDA I CMS Program Name.”

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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 logic expression language for the 2019 electronic clinical quality measures reporting period. The next webinar in this series is scheduled at 11 a.m. Tuesday, March 26. Topics of discussion include a review of measure logic and common issues related to the PC-01 and PC-05 eCQMs. Additional information, including registration link, is available.

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Consider This ...

More than 200 cases of measles were confirmed in the U.S. in the first two months of the year, which is the highest year-to-date number going back more than a quarter-century.

Source: The Washington Post/Los Angeles Times