MHA Today | August 5, 2019

August 5, 2019

MHA Today: News for Healthcare Leaders

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August 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
CMS Releases Final FY 2020 Medicare Inpatient And LTCH PPS
DHSS And MPRO Collaborate To Increase Utilization Of Self-Measured Blood Pressure Monitoring
TJC Releases Specifications Manual Version 2020A
July 2019 Hospital Compare Data Updates Available
Nurse Leadership Fellowship Financial Aid Available
Nominations Open For Distinguished Quality Professional Award

What You Need To Know This Week



Regulatory News
the latest actions of agencies monitoring health care


CMS Releases Final FY 2020 Medicare Inpatient And LTCH PPS

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services finalized FY 2020 Medicare Acute Inpatient and Long-Term Care Hospital Prospective Payment System payment and policy updates. CMS estimates that the updates will increase Medicare inpatient payments by 3.0 percent, or $3.8 billion, and increase LTCH payments by 1.0 percent, or $43 million. Major provisions of the proposed rule include the following.

  • addressing wage index disparities by increasing the wage index for hospitals in the lower 25th percentile
  • distributing Medicare disproportionate share uncompensated care payments based on FY 2015 cost report S-10 data
  • publishing the case mix group revisions
  • clarifying the determination of whether a physician qualifies as a rehabilitation physician
  • Inpatient and LTCH Quality Reporting Program changes
  • new technology add-on payments increase from 50 percent to 65 percent of costs; certain antimicrobials increased to 75 percent

MHA will publish an issue brief with additional details this week.

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Quality and Population Health


DHSS And MPRO Collaborate To Increase Utilization Of Self-Measured Blood Pressure Monitoring

Staff Contact: Stephen Njenga

The Missouri Department of Health and Senior Services is working with the Michigan Peer Review Organization to increase the utilization of self-measured blood pressure monitoring in the clinical setting within the metro areas of St. Louis, Kansas City and Springfield through June 29, 2020. They are offering free assistance around implementing an SMBP program for at least 100 patients within recruited clinics. In addition, clinics who participate in this initiative will receive free digital blood pressure monitors and cuffs as part of the program. Additional details are available.

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TJC Releases Specifications Manual Version 2020A

Staff Contact: Sherry Buschjost

Specifications Manual for Joint Commission National Quality Measures, version 2020A, is available on The Joint Commission Performance Measurement System Extranet Track. The manual is effective with discharges from Jan. 1, 2019, through June 30, 2020. Changes are outlined in the release notes to the document, which include the following.

  • addition of new measures
    • emergency department
    • immunization
    • substance use
    • tobacco treatment
    • venous thromboembolism
  • edits to advanced certification heart failure inpatient and outpatient measure information forms
  • multiple data element updates to notes for abstraction
  • minor edits in sampling and transmission sections
  • update to Appendix A tables
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July 2019 Hospital Compare Data Updates Available

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services updated data on the Hospital Compare website and data.medicare.gov with new quality information for the following measure groups.

  • patient experience of care
  • timely and effective care
  • use of medical imaging
  • complications and deaths, including surgical complications, infections and 30-day death rates
  • unplanned hospital visits
  • payment and value of care

CMS also updated data for the following quality reporting programs.

  • American College of Surgeons National Surgical Quality Improvement Program
  • Comprehensive Care for Joint Replacement Model
  • Prospective Payment System-Exempt Cancer Hospital Quality Reporting Program

Additional details are available.

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Workforce News


Nurse Leadership Fellowship Financial Aid Available

Staff Contact: Jill Williams

The American Association of Nurse Leadership Foundation for Nursing Leadership Research and Education is offering financial aid for a nurse manager or nurse director from a small, rural or critical access health care organization to participate in the 2020 AONL Nurse Manager or Nurse Director Fellowship programs. Applications are due Monday, Aug. 19. For more information, please contact Dani Ward, AONL Foundation director, at 312/422-2808 or dmward@aha.org. Additional details and the application is available online.

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Noteworthy


Nominations Open For Distinguished Quality Professional Award

Staff Contact: Toi Wilde

The Distinguished Quality Professional Award recognizes a professional in quality management who has demonstrated exceptional skills in the areas of quality improvement, leadership, expertise and knowledge of quality principles, contributions to the health care quality profession, and being a role model for other quality professionals. Nominations are open to both members and nonmembers of the Missouri Association for Healthcare Quality.

The award winner will be honored at MHA’s 97th Annual Convention & Trade Show in November. Email the nomination form to Toi Wilde by Monday, Aug. 26.

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Consider This ...

Despite having among the most advanced medical care in the world, black women in the U.S. are three to four times more likely to die from pregnancy-related complications than white women.

Source: St. Louis Post-Dispatch