July 10, 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
MHA Comments On Surprise Billing Legislation
MHD Lifts Behavioral Health Limits
Trump Issues Kidney Health Executive Order And Kidney Care Innovation Models
MHA Releases Draft Medical Staff Bylaw Provisions Addressing Medical Marijuana
Missouri DHSS Hosts ESSENCE Training Sessions
Pulsipher Announces Retirement From Mercy Hospital Joplin
careLearning Midwest Users Group Meeting
Monday, July 22, and Tuesday, July 23
Courtyard by Marriott
Overland Park Convention Center
Overland Park, Kan.
Register on or before Monday, July 15.
state and federal health policy developments
Staff Contact: Daniel Landon
MHA sent a letter to U.S. Representative Billy Long (R-Mo.) about pending federal legislation to regulate “surprise billing” by out-of-network providers. Congressman Long is a member of the House Energy and Commerce committee and its Health subcommittee, which is slated to discuss amendments to the legislation on Thursday, July 11.
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Staff Contact: Brian Kinkade
The MO HealthNet Division’s limits on allowable billable hours and special documentation requirements for behavioral health care providers have been rescinded, effective May 30, 2019. Behavioral health care providers must document the medical necessity of the services they provide, but documentation standards now are the same as other health care services. MHD has made these changes to ensure mental health parity. The changes apply to MHD’s fee-for-service and managed care programs alike.
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Staff Contact: Andrew Wheeler
President Trump issued an executive order aimed at advancing kidney health. As part of the executive order, the U.S. Department of Health and Human Services and the Centers for Medicare & Medicaid Services announced five kidney innovation models through the CMS Center for Medicare and Medicaid Innovation. The five models include the following.
Health Law Insight
Staff Contact: Jane Drummond
MHA continues to release guidance documents to assist hospitals in preparing for medical marijuana. The latest addition to its toolkit includes template provisions for hospitals to consider adding to their medical staff bylaws to address the various clinical issues arising from patient use of medical marijuana. The draft provisions are intended to allow flexibility in approaching the use of medical marijuana and should be revised to reflect the practices adopted by each facility. Alternative templates include “Patient Use Prohibited,” “Self-Administration by Qualifying Patients” and “Administration by Hospital Staff.”
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Quality and Population Health
Staff Contact: Tiffany Bowman
The Missouri Department of Health and Senior Services is providing trainings on ESSENCE, or Electronic Surveillance System for the Early Notification of Community-based Epidemics, a system that evaluates emergency department data to detect public health events more rapidly than other surveillance methods. Training sessions are offered for two levels: level one (morning) covers basic functions for beginners, and level 2 (afternoon) covers advanced functions for experienced users.
Sessions are scheduled in St. Louis on Monday, July 22, and Kansas City on Thursday, July 25. Jefferson City and WebEx sessions may be scheduled at a later time. To register or indicate interest in future sessions, email Fei.Wu@health.mo.gov and Qian.Liu@health.mo.gov by Wednesday, July 17. Mileage reimbursement may be available for participants with a round trip of at least 50 miles (up to 300 miles). Only staff at Missouri public health agencies and hospitals submitting data to ESSENCE are eligible to attend.
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Staff Contact: Carol Boessen
Gary Pulsipher, president of Mercy Hospital Joplin, announced he will retire, effective Friday, July 26. He served as president since November 2009 at the former St. John’s Regional Medical Center in Joplin, and before that, he served as president of Breech Medical Center in Lebanon, now Mercy Hospital Lebanon. The appointment of an interim president will be announced. A list of CEO changes is available online.
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Acute flaccid myelitis is a rare but serious syndrome that causes limb weakness, mostly in children. In 2018, there were 233 AFM cases in the U.S., with the average age of patients being 5 years old. Most cases occur in late summer and early fall.
Source: Centers for Disease Control and Prevention