MHA Today | June 5, 2019

June 5, 2019
MHA Today: News for Healthcare Leaders

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June 5, 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
Report Shows Present And Future Opportunities Within Missouri Health Careers
VA Issues Final Rules On Access To Community And Urgent Care
MHA Distributes Analysis For FFY 2020 Proposed Medicare IRF PPS
Rural And Nonurban Missouri Hospital Mobile Assets Participate In Communications Exercise
exploreMOhealth Platform Available To Assist with CHNAs
CMS Reminds Hospitals Of HCAHPS Submission Deadline

Spotlight


Report Shows Present And Future Opportunities Within Missouri Health Careers

Staff Contact: Mary Becker

Health Care Workforce Report New research finds a significant projected demand for health care workers in Missouri between today and 2030. Currently, employment in health care is up 52 percent since 2000, and it is expected to increase steadily. In fact, employment in the health care sector is projected to be 83 percent larger in 2030 than it was in 2000 — a phenomenal level of growth — especially when compared to other industries. According to David M. Mitchell, Ph.D., Professor of Economics at Missouri State University in Springfield, the state will experience areas of shortage and surplus in the health care workforce by 2030. This report is the third in a series defining the economic impact of health care on Missouri’s economy. Region-specific reports also are available.

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Regulatory News
the latest actions of agencies monitoring health care


VA Issues Final Rules On Access To Community And Urgent Care

Staff Contact: Daniel Landon or Andrew Wheeler

The U.S. Department of Veterans Affairs issued final regulations regarding its Veterans Community Care Program, as well as access to urgent care. The effective date of both sets of regulations is Thursday, June 6.

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MHA Distributes Analysis For FFY 2020 Proposed Medicare IRF PPS

Staff Contact: Andrew Wheeler

MHA released a summary and comprehensive analysis of proposed updates to the Medicare Inpatient Rehabilitation Facility Prospective Payment system for federal fiscal year 2020. The analysis compares fiscal years 2019 and 2020, which includes updates to the marketbasket, marketbasket reductions mandated by the Affordable Care Act, case-mix group updates and updates to the wage index. In aggregate, the state will see an increase of 4 percent for services paid under the IPF PPS. The analysis does not include the effects of payments for managed care patients, sequestration, or any modification in fee-for-service payments as a result of hospital participation in new payment models being tested under Medicare demonstration or pilot programs. The analysis, which is available online for authorized users of HIDI Analytic Advantage,® includes a summary for the nation, Missouri, health systems and individual hospitals. Hospitals have until Monday, June 17, to review their hospital-specific data and submit comments regarding the proposed rule.

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Quality and Population Health


Rural And Nonurban Missouri Hospital Mobile Assets Participate In Communications Exercise

Staff Contact: Kara Amann-Kale

Today, MHA staff conducted a virtual exercise of 16 mobile communication assets to simulate the fleet’s response to a New Madrid Seismic Zone earthquake. Using the established electronic management platform — EMResource and eICS — hospital staff tested their capability in real time to receive a deployment request, confirm communication functionality, and validate both internet and radio communication paths between all participating assets. Simulated missions for these trailers included coordinating communications with impacted hospitals, facilitating supply chain management and providing basic medical treatment at patient reception centers. The following hospitals participated in the exercise.

  • Black River Medical Center
  • Earthquake Exercise
  • Boone Hospital Center
  • CoxHealth
  • Freeman Health System
  • Hannibal Regional Healthcare
  • Lake Regional Health System
  • Madison Medical Center
  • Mercy Springfield
  • Missouri Delta Medical Center
  • MOSAIC Life Care
  • Northeast Regional Medical Center
  • Ozarks Medical Center
  • Phelps Health
  • Saint Francis Healthcare System
  • Southeast Health
  • University of Missouri Healthcare
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exploreMOhealth Platform Available To Assist with CHNAs

Staff Contact: Stephen Njenga

Where we live, work, learn and play affects our health. Access to data regarding health factors and health outcomes in the places where Missourians live provides communities and organizations with the information necessary to take action, and create and sustain a healthy state. Effectively engaging communities to address the social, economic, environmental, clinical and behavioral factors that affect health is critical for improving population health outcomes.

The exploreMOhealth website supports hospitals' understanding of, and investments in, community health improvement and assists hospitals with Community Health Needs Assessment secondary data analysis using county- and ZIP code-level data on health and social factors. This effectively helps health practitioners formulate targeted intervention strategies to deliver scarce population health improvement resources to areas in most need.

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CMS Reminds Hospitals Of HCAHPS Submission Deadline

Staff Contact: Sherry Buschjost

The submission deadline for the Hospital Consumer Assessment of Healthcare Providers and Systems patient perspectives on care survey data for first quarter 2019 discharges (Jan. 1 – March 31) is Wednesday, July 3. The Centers for Medicare & Medicaid Services strongly encourages all hospitals, whether they self-administer the HCAHPS survey or use a survey vendor, to submit data well before the deadline to allow time to address any submission issues. Inpatient Prospective Payment System hospitals participating in the Hospital Inpatient Quality Reporting Program must collect and submit HCAHPS data to qualify to receive their full Annual Payment Update. The 1Q2019 Hospital IQR Program checklist provides further information. Non-IPPS hospitals must meet the same submission deadline for their data to be published on Hospital Compare.

The review and correction period is July 4-10, during which time participating hospitals and survey vendors have an opportunity to access and review the HCAHPS data review and correction report. The report includes a summary of the data accepted into the HCAHPS data warehouse for the quarter. Errors in data accepted into the warehouse by the July 3 deadline can be corrected. New data are not accepted into the warehouse during the review and correction period.

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Consider This ...

Job postings are an indicator of demand. In 2018, the industry with the most job postings in Missouri was hospitals, with 41,435 total job postings — 36,426 postings in urban areas and 5,009 postings in rural areas.

Source: Missouri Hospital Association