MHA Today | April 16, 2019

April 16, 2019


MHA Today: News for Healthcare Leaders

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April 16, 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
General Assembly Completes Enactment Of Supplemental Spending Bill
House Of Representatives Endorses Hospital Inspection Bill
House Advances Hospital Infection Control Legislation
State House Approves Nursing Legislation
Today Is National Healthcare Decisions Day
CMS Announces IQR Education Session


UPCOMING SEMINARS
Healthcare Human Resources Spring Conference

Thursday, April 25, and Friday, April 26
Camden on the Lake
Lake Ozark, Mo.
Register on or before Friday, April 19.

Advocate
state and federal health policy developments


General Assembly Completes Enactment Of Supplemental Spending Bill

Staff Contact: Daniel Landon or Brian Kinkade

State legislators have completed their enactment of House Bill 14. Dubbed the “supplemental appropriations” bill, the legislation authorizes additional spending to address budget shortfalls or unforeseen expenses of the current state fiscal year, which ends Sunday, June 30. The measure provides $133.5 million in additional funding, including $11 million of general revenue, for Medicaid hospital services.

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House Of Representatives Endorses Hospital Inspection Bill

Staff Contact: Daniel Landon or Rob Monsees

By a vote of 143-7, the state House of Representatives gave final approval to House Bill 758. The legislation now moves to the Senate. Among other changes, it creates conflict of interest restrictions for state hospital inspectors. State hospital regulators will not inspect a hospital within two years of having been employed by the hospital or its hospital system. It also creates a process for assessing whether an inspector’s personal or business affiliations create bias for or against a hospital. MHA developed and is promoting this portion of the legislation, which is based on a law governing nursing home inspectors. The House amended the bill to address certificates of need for and patient monitoring in nursing homes, as well as ambulance standards in Dunklin County.

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House Advances Hospital Infection Control Legislation

Staff Contact: Rob Monsees or Sarah Willson

The state House of Representatives gave first-round approval to House Bill 1057. The legislation exempts hospitals from state infection control reporting obligations if the Centers for Medicare & Medicaid Services requires reporting of hospital infection data. The Missouri Department of Health and Senior Services will include a link to CMS infection data on its website. Also, a state antimicrobial stewardship data reporting requirement will become effective when CMS Conditions of Participation require electronic reporting of antibiotic use or resistance. Current state law ties the effective date to federal “meaningful use” regulations. MHA developed and is promoting the legislation.

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State House Approves Nursing Legislation

Staff Contact: Rob Monsees or Sarah Willson

The state House of Representatives approved legislation that would authorize separate licensure of advanced practice registered nurses. Currently, they are licensed as registered nurses with an APRN certificate. In addition, the House adopted an MHA-proposed amendment to House Bill 301 allowing hospitals to be training sites for certified nursing assistants. Current law requires CNAs to be trained in nursing homes and other long-term care facilities. Also, those who have completed the competency evaluation and training for designation as “unlicensed assistive personnel” in hospitals may sit for the CNA examination. Upon passage, they will be a CNA.

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Quality and Population Health


Today Is National Healthcare Decisions Day

Staff Contact: Alison Williams or Toi Wilde

PFAC Vlog: Li Ern Chen, M.D., MSCS Missouri’s Patient Family Advisory Council encourages Missouri hospitals to engage in National Healthcare Decisions Day 2019. This important event takes place each year on April 16, but remains an ongoing effort as everyone deserves the opportunity to plan for their future. This year’s theme is, “It always seems too early, until it’s too late.” It’s not easy to talk about end-of-life care, but with NHDD resources, these difficult conversations can be easier.

PFAC member Li Ern Chen, M.D., MSCS, talks about the importance of patient and family engagement in health care. See the NHDD 2019 flyer for more information.

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CMS Announces IQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Inpatient Quality Reporting Program is scheduled at 1 p.m. Monday, April 29. The presentation will provide an overview of calendar year 2019 Hospital IQR Program requirements, including a review of the aligned CY 2019 electronic clinical quality measure reporting requirements for the Hospital IQR and Medicare Promoting Interoperability Programs. Registration is required.

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Consider This ...

Being obese and overweight — long implicated in heart disease and diabetes — has been associated in recent years with an increased risk of getting at least 13 types of cancer. Excess body weight is linked to about 8 percent of all cancers in the U.S. and about 7 percent of cancer deaths.

Source: The Washington Post