MHA Today | May 10, 2019

May 10, 2019
MHA Today: News for Healthcare Leaders

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May 10, 2019

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 This week’s column features 10 pounds of insights in a five-pound bag.

First, I’d like to recognize all of the nurses that serve Missouri’s hospitals. This week is National Nurses Week. For nearly two decades, nurses have been the nation’s most trusted professionals. As the largest single category of hospital employees, nurses are the face of care for hospital patients. However, nurses’ influence extends from the bedside to the boardroom and beyond — because nurses are versatile. Nearly 10 percent of MHA’s employees have a nursing background. Nurses are represented on MHA’s Board of Trustees, senior leadership team, and in advocacy, data collection, and quality improvement staff. As you look at your organization, you’ll probably see the same diversity in nurse leadership. Happy National Nurses Week to these critical members of the hospital team!
National Nurses Week Frame
Next week is National Hospital Week. Similar to our work this week to tell the nurses story, we’ll be active on social media telling the hospital story, and I encourage you to share your story locally. MHA has created images hospital employees and members of your extended hospital family can add to their Facebook profile pictures to extend the reach of the message.

Monday, we’ll be releasing a new report on Missouri hospitals’ significant economic contribution to the state. Missourians already know that, in times of need, hospitals are there to serve. It’s important that more Missourians understand the sizable impact hospitals make on local and state economies. This report, and several to follow, will provide a foundation for that message. I encourage you to share the reports with your team and thought leaders in your communities.

Yesterday, the Missouri General Assembly finalized the state’s budget for state fiscal year 2020, which begins Monday, July 1. The state’s Medicaid funding was not targeted this year, and funding for the Time Critical Diagnosis system was included in this year’s budget. In addition, $5 million for broadband, and nearly $10 million for Missouri One Start — a program to help businesses recruit, onboard and train large numbers of job applicants during major expansions — both part of Gov. Parson’s agenda, were included.

Next week, the legislature will wrap up the 2019 legislative session. It’s too early to predict a final outcome for some of our advocacy agenda, but many of our 2019 priorities — supporting legislation that helps hospitals succeed and blocking legislation that harms our ability to serve communities — have been accomplished. We’re working until the closing bell to get additional measures adopted. I’ll provide an update in next week’s column.

Finally, MHA’s Leadership Forum is next Thursday and Friday. We have a great group of speakers, and there will be ample time to network and talk about the big issues for hospitals and health care leaders. I look forward to seeing many of you there.

On a sad note, esteemed health journalist Robert Pear of The New York Times passed away earlier this week. He was a tireless chronicler of the state of the nation’s health care system. His stories not only reported on, but also shaped, health policy. Robert was a friend. His keen insights will be missed.

On a more positive note, Healthcare Services Group — originally chartered by MHA and a key business and advocacy ally — is now the largest writer of medical professional liability insurance in the state. Congratulations!

It’s been a busy week, and next week promises the same. As always, I want to know what you’re thinking. Send me a note any time.

Herb Kuhn, MHA President & CEO

Herb B. Kuhn
MHA President and CEO

In This Issue
General Assembly Completes State Budget Enactment
State House Acts On Federal Liver Allocation Policy
Senate Advances Health Legislation Package

state and federal health policy developments

General Assembly Completes State Budget Enactment

Staff Contact: Rob Monsees or Brian Kinkade

The General Assembly finished enacting the appropriations bills that create the state budget for the fiscal year beginning Monday, July 1. The $29.7 billion budget includes funding to address the expected increase in payments to hospitals for Medicaid services. The Medicaid budget also includes $20 million in federal and state funding to enhance the use of Admit Discharge Transfer technology by hospitals and health information exchanges. The budget reflects a long process of review and negotiations by the House of Representatives, Senate and Governor’s Office.

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State House Acts On Federal Liver Allocation Policy

Staff Contact: Daniel Landon or Rob Monsees

The state House of Representatives approved House Resolution 2853. It recognizes and supports the work of U.S. Senators Roy Blunt and Josh Hawley in opposing a new federal policy regarding the distribution of donated livers for transplantation. The policy would reduce the availability of livers for residents of Missouri and other states with higher rates of donation. Instead, more livers would be made available to states with lower rates of donation. The policy has been temporarily suspended by litigation, with several of the plaintiffs being Missouri hospital systems.

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Senate Advances Health Legislation Package

Staff Contact: Daniel Landon or Rob Monsees

The state Senate completed its debate and amendment of House Bill 219. A number of new components were added. Final Senate approval is expected early next week with subsequent review by the House of Representatives. The Senate’s expanded bill includes a variety of health-related measures. They include proposals to streamline hospital infection data reporting, establish conflict of interest standards for hospital inspectors, allow hospitals to be training sites for certified nurse assistants, authorize a group to assess data on maternal mortality and create new restrictions on insurer prior authorization practices.

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Did You Miss An Issue Of MHA Today?

May 6, 2019
Lt. Gov. Mike Kehoe Recognizes Hospital Volunteers At Capitol
State House Committee Approves Resolution On Federal Liver Transplant Policy
Legislators Advance Insurance Waiver Study
TJC Offers Webinar On Disease-Specific Care Certification Standards
This Week Is National Nurses Week
MHA Opens Trustee Of The Year Call For Nominations

May 7, 2019
Judge Rules On 340B Medicare Payment Reductions
CMS Announces Funding Extension
MHA PFAC Releases Vlog
Employed Physicians Outnumber Self-Employed For First Time

May 8, 2019
MHA Releases Analysis Of Medicare Programs And Quality Trends Reports
Department Of Justice Offers New False Claims Act Guidance
HHS Finalizes Rule To Increase Drug Pricing Transparency
March MUR Available On HIDI Analytic Advantage®
DHSS Releases Health Update On Measles Prevention And Testing Recommendations

May 9, 2019
White House Unveils Surprise Billing Principles
Missouri Board Of Pharmacy To Host Technician Compliance Update Webinar
MLN Connects Provider eNews Available
Trajectories — Neonatal Abstinence Syndrome: A Conversation That Could Save Two Lives

Consider This ...

The registered nursing workforce is expected to increase 15 percent by 2026, requiring an additional 203,700 new R.N.s annually through then to fill new positions and replace retiring employees.

Source: The Joplin Globe