March 28, 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
Legislative Committee Advances Certificate Of Need Changes
Medicaid “Global Waiver” Bill Advances In Senate
DHSS Releases New Controlled Substances Schedules
MLN Connects Provider eNews Available
HIDI Releases Fourth Quarter CY 2018 Update To Discharge Data-Based Quality Indicators
MHA Presents At NACCHO Preparedness Summit
state and federal health policy developments
Staff Contact: Daniel Landon or Bill Anderson
A state Senate committee approved a revised version of Senate Bill 82, which would revise standards for Certificate of Need review of certain health care capital expansion projects. MHA opposed the original version of the bill, which among other changes, would direct the Missouri Department of Health and Senior Services to decide CON applications. The new version of the bill retains the Missouri Health Facilities Review Committee in the CON process, but also prohibits communications between committee members or staff outside of the application review process. MHA board policy does not oppose the proposed restriction on ex parte communications. However, the new version also would repeal CON review of medical equipment; currently, CON approval is required for the acquisition of a single piece of medical equipment costing more than $1 million. The bill also repeals current law providing for automatic approval of a CON application if it is not decided within 100 days. MHA opposes this change. The deadline enforces a timely response to a pending application.
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Staff Contact: Daniel Landon, Rob Monsees, Brian Kinkade or Bill Anderson
The Senate Seniors, Families and Children Committee gave its approval to Senate Bill 77, which directs the Missouri Department of Social Services to develop and submit for Centers for Medicare & Medicaid Services approval a global Medicaid waiver to maximize the state’s flexibility to impose provisions, such as work requirements for certain able-bodied adults and initiatives to promote personal responsibility, including co-payments, premiums and health savings accounts. The bill now will be placed on the calendar for consideration by the full Senate.
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the latest actions of agencies monitoring health care
Staff Contact: Sarah Willson
The new schedules of controlled substances were published in the March 31 issue of the Code of State Regulations.
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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.
HIDI Tech Connect
Staff Contact: Josette Bax
HIDI has refreshed the readmissions, hospital-acquired conditions and AHRQ quality indicators data within HIDI Analytic Advantage® PLUS to include measure calculations based on discharge data from the fourth quarter of calendar year 2018.
These quality data updates can be found in various reports in the following Analytic Advantage Plus locations.
If you have technical questions regarding these measures, please contact Josette Bax. For questions about accessing the website or running these reports, please contact HIDI.
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Quality and Population Health
Staff Contact: Jackie Gatz, Kara Amann-Kale or Carissa Van Hunnik
MHA staff are presenting at this year’s annual National Association of County and City Health Officials Preparedness Summit today. The conference features presentations from experts in public health emergency preparedness, and health care and emergency management fields.
Kara Amann-Kale and Carissa Van Hunnik, MHA managers of emergency preparedness, are conducting a poster presentation on Missouri’s approach to ‘Monitoring Flu Impact in Inpatient Settings.’ The poster highlights how Missouri revised its monitoring strategy to create a proactive, transparent data collection initiative to improve situational awareness. The presentation will cover the strategy development process, and share the results and lessons learned from the current flu season.
Additionally, Jackie Gatz, MHA’s vice president of safety and preparedness, is presenting a session with Jason Klaus, Missouri’s Crisis Intervention Team Coordinator. The session, ‘Fostering Community Partnerships to Cultivate Safe Patient Care Environments,’ will cover ongoing, collaborative efforts among Missouri hospitals, EMS and local law enforcement to include safe transitions of care for patients in crisis or exhibiting violent behavior.
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In 2013, four Missourians were charged with stealing a prescription pad from a psychiatrist and using it to forge prescriptions for opioids and Xanax that they filled at multiple pharmacies. Now, lawmakers are considering electronic prescriptions to curb opioid abuse.
Source: The Kansas City Star