MHA Today | June 11, 2019

June 11, 2019

 

MHA Today: News for Healthcare Leaders

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June 11, 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
Governor Approves State Budget Bills
CMS Extends Deadline For Issuing Final Hospital Regulation
MHA Distributes Analysis Of The Proposed FFY 2020 LTCH PPS
Missouri Supreme Court To Rehear Negligent Credentialing Case
CMS Releases Abstraction Paper Tools


UPCOMING SEMINARS
Getting the Best Out of People: Overcoming Barriers to Continuous Improvement — Studer Program

Wednesday, June 19
Courtyard by Marriott
Columbia, Mo.
Register on or before Sunday, June 16.

Advocate
state and federal health policy developments


Governor Approves State Budget Bills

Staff Contact: Daniel Landon or Rob Monsees

Gov. Parson has approved all of the appropriations bills enacted by the Missouri General Assembly during the 2019 legislative session. The bills define the state budget for the fiscal year beginning Monday, July 1. The governor has the authority to issue line-item vetoes in the budget but did not exercise it this year.

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Regulatory News
the latest actions of agencies monitoring health care


CMS Extends Deadline For Issuing Final Hospital Regulation

Staff Contact: Daniel Landon or Sarah Willson

The Centers for Medicare & Medicaid Services extended its deadline for issuing a final regulation regarding changes to Medicare and Medicaid Conditions of Participation for hospitals. In June 2016, the agency proposed regulatory changes addressing such topics as infection control, antibiotic stewardship, discrimination, nursing supervision, medical records and quality improvement. MHA submitted comments. Based on the “complexity of the rule, its substantive nature and the scope of comments,” CMS is giving itself an additional year to complete work on the final rule. The new deadline is June 16, 2020.

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MHA Distributes Analysis Of The Proposed FFY 2020 LTCH PPS

Staff Contact: Andrew Wheeler

MHA released a summary and analysis of the federal fiscal year 2020 Medicare proposed Long-Term Care Hospital Prospective Payment System update. Hospitals have until Monday, June 24, to review their hospital-specific data and submit comments to the Centers for Medicare & Medicaid Services. The analysis includes financial effects of marketbasket updates, marketbasket reductions mandated by the Affordable Care Act, budget neutrality adjustments, wage index updates, MS-LTC-DRG updates and changes to site-neutral payment reductions. Results are illustrated in national, state, health system and individual hospital groupings. In aggregate, the state will see an estimated increase of 1.7 percent for services paid under the LTCH PPS. Although effects of the Medicare sequestration have been estimated, the rate increase excludes sequestration reductions. The analysis is available online for authorized users of HIDI Analytic Advantage.® Comments about the proposed rule must be submitted by Monday, June 24.

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Health Law Insight


Missouri Supreme Court To Rehear Negligent Credentialing Case

Staff Contact: Jane Drummond

The Missouri Supreme Court has agreed to rehear a negligent credentialing case. In its original decision, the court overturned a multimillion dollar verdict in the plaintiffs’ favor and entered judgment for St. Luke’s Surgicenter. The predominant issue was whether the facility was negligent in credentialing a physician who did not reveal his entire malpractice history during the credentialing process.

The plaintiffs sought rehearing on the grounds that the court should have remanded the case for a new trial instead of ruling for the defendant. In a rare procedural move, the court ordered the parties to file briefs arguing whether the case should be retried or judgment entered in favor of the defendant. Oral arguments will occur in September.

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Quality and Population Health


CMS Releases Abstraction Paper Tools

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services released topic-specific documents pertaining to universal (alphabetical) abstraction and the CMS Abstraction and Reporting Tool. The documents are available on QualityNet and effective for discharges dated July 1 through Dec. 31, 2019. Separate documents are provided for the following.

  • universal (alphabetical) abstraction paper tools where the data elements are arranged in alphabetical order rather than tool-specific order
  • CART abstraction paper tools where the data elements are arranged in CART order
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Consider This ...

From 2011-2013, rural hospitals accounted for 29 percent of all Missouri emergency department visits, including 36 percent of all treatments for poisonings and injuries, 29 percent of all treatments for burns, and 29 percent of all treatments for head injuries.

Source: Columbia Missourian