MHA Today | March 14, 2019

March 14, 2019
MHA Today: News for Healthcare Leaders

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March 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
Committees Review Provider Tax Reauthorization
Legislative Committee Approves Network Credentialing Bill
Legislation Revises Physical Therapy Standards
Integrating Security Into The Care Team Could Improve Safety
Missouri State Board Of Nursing Approves Expansions For Nursing Programs

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state and federal health policy developments


Committees Review Provider Tax Reauthorization

Staff Contact: Daniel Landon or Rob Monsees

Committees in both state legislative chambers reviewed legislation that would reauthorize the hospital Federal Reimbursement Allowance and the other state provider taxes for two years. The state House Budget Committee reviewed House Bill 1053, its version of the reauthorization. MHA testified in support of the measure, discussing the role of the FRA in Medicaid finance. The state Senate Appropriations Committee voted to approve Senate Bill 29, its version of the legislation, by a 9-2 vote. The Senate version includes language to reinstitute a provider tax on managed care plans and adds a statutory definition of “essential safety net hospitals” for Medicaid payment purposes.

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Legislative Committee Approves Network Credentialing Bill

Staff Contact: Daniel Landon or Rob Monsees

A House committee approved a new version of House Bill 654. The legislation would revise state law on insurers’ credentialing of practitioners for their networks. Upon credentialing a practitioner, the insurer will pay for the practitioner’s treatment of its enrollees while the credentialing application is pending. MHA supports the measure.

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Legislation Revises Physical Therapy Standards

Staff Contact: Daniel Landon or Rob Monsees

After extended debate and several unsuccessful amendments, the state House of Representatives gave first-round approval to House Bill 410. The legislation removes the current requirement that a physical therapist must have a prescription or referral from a physician to treat a patient. Limits are established for the scope of the exemption.

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Quality and Population Health


Integrating Security Into The Care Team Could Improve Safety

Staff Contact: Jackie Gatz

To promote resources to improve patient safety, one national best practice of directly integrating safety and/or security staff into the patient care team is highlighted. This approach places these staff in the environment; promotes communication; and encourages proactive engagement with clinicians, patients and visitors.

Data from the 2019 MHA Preparedness and Safety Survey reveal positive trends for this strategy by Missouri hospitals compared to the previous year. In 2019, 51 hospitals (38.71%) reported including security personnel as part of the formal care team versus 26 hospitals (21.14%) in 2018.

A recent article published in Modern Healthcare highlights Missouri’s St. Louis-based SSM Health on its success with this initiative. Todd Miller, public safety and security specialist for SSM’s St. Louis region, will present on this topic at MHA Health Institute’s 10th Annual Behavioral Health Summit: Cultivating a Culture of Safe Care on April 18-19. Registration is available online.

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Workforce News


Missouri State Board Of Nursing Approves Expansions For Nursing Programs

Staff Contact: Mary Becker or Jill Williams

Citing statewide nursing shortages highlighted in MHA’s 2018 workforce report, the Missouri State Board of Nursing announced the approval of expansions for five Missouri nursing schools noting their “tremendous capability and capacity to educate registered nurses who are well prepared to provide quality care to Missourians.”

Gov. Parson expressed his support for the expansions stating, “No matter where you live in our state, we want you to have access to skilled health care professionals. These expansions are a great start as we address these serious workforce issues.”

The nursing programs that have received the board’s approval for expansion throughout the next four years are Cox College of Nursing, Missouri State University, State Fair Community College, St. Louis Community College and the University of Missouri – Columbia.

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Consider This ...

The rate of teenage vaping has risen sharply in the last few years, with 3.6 million middle and high school students reporting that they vaped last year.

Source: The New York Times