MHA Today | September 6, 2019

September 6, 2019
MHA Today: News for Healthcare Leaders

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September 6, 2019

MHA Today is provided as a service to members of the Missouri Hospital Association. Additional information is available online at MHAnet.


Insights


Herb Kuhn, MHA President & CEO If you’ve ever had someone tap you on the shoulder, you know that it is reflexive to turn your head to look. On Wednesday, MHA joined a coalition of advocates and stakeholders in announcing a campaign to adopt Medicaid expansion through the ballot box. It was the first tap of many to come for Missourians. Between today and November 2020, we’ll be working hard to gain and keep their attention on the importance of supporting expansion.

Most Missourians don’t spend a significant amount of time thinking about health policy. When they do think about health and health care, it is usually in the context of how they interface with the health system on an individual level, or through the prism of the experience of family or friends. It’s not uncommon that, as an insider, I need to force myself to add the word “health” to care, insurance or coverage, when I’m addressing a non-health care audience.

However, despite the fact that Missourian’s don’t spend a lot of time thinking about health policy, Medicaid policy affects their costs and access, and it influences the integrity of the system they expect to be in place when they need it. Without expansion, the costs of uncompensated care have continued to increase. As these expenses rise, the cost shift to the insured grows. Hospitals on the financial margins are forced to make difficult choices. Sometimes service lines are eliminated, investments in staff and infrastructure are delayed, community health improvement programs are curtailed, and — in the worst cases — hospitals are shuttered. Medicaid expansion may not solve all of these problems immediately or simultaneously, but it will make a significant difference.

So, why a ballot initiative? First, Missourians have demonstrated that they are willing to use the ballot to address policy concerns. In the past few elections, Missourians have addressed “right to work,” the state’s minimum wage and medical marijuana through initiative petition. In addition, other states have taken Medicaid to a statewide vote with success. The November 2018 election saw several conservative states’ voters approve Medicaid expansion through the ballot box.

Missourians could use a nudge on this issue. Health policy is abstract. However, Missourians expect an effective and efficient health care system. Throughout the coming months, we’ll be explaining why signing the petition is important, and why Medicaid expansion will influence the health care they, their friends and their families receive.

Medicaid expansion makes sense. It will improve the lives of those eligible — helping keep them healthy and in the workforce. An affirmative vote on expansion will return Missourians’ tax dollars to the state — for too long, these dollars have gone east to Washington, D.C., not to return. Missouri has become the health care tax dollar gateway to the east. We need to ensure that Medicaid funds return to the Gateway to the West.

The 2020 election is more than a year away. But, the time to get started is now and we have. We’ve tapped Missourians on the shoulder to let them know they can make their voice heard.

We have a lot of work to collect the signatures and 14 months to nudge Missourians in the direction of a better health care system.  

Email me with your thoughts

Herb Kuhn, MHA President & CEO



Herb B. Kuhn
MHA President and CEO

In This Issue
CMS Issues Final Rule Regarding Program Integrity Enhancements To Provider Enrollment Process
DHSS Releases Health Advisory Related To Vaping
MLN Connects Provider eNews Available
CMS Reminds Hospitals Of HCAHPS Submission Deadline
CMS Announces OQR Education Session
TJC Announces Pioneers In Quality eCQM Proven Practices Webinars
HRSA Announces Delta States Rural Development Network Grant Program
MORH Offers Complimentary Webinars To Rural And Underserved Communities
Landmark Hospital Of Columbia Names New CEO


Regulatory News
the latest actions of agencies monitoring health care


CMS Issues Final Rule Regarding Program Integrity Enhancements To Provider Enrollment Process

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a final rule regarding program integrity enhancements to the provider enrollment process. The rule “strengthens the agency’s ability to stop fraud before it happens by keeping unscrupulous providers out of our federal health insurance programs.” The major provisions of the rule include the following.

  • requires providers and suppliers to disclose direct or indirect affiliation with a provider or supplier
  • provides CMS the authority to deny or revoke a Medicare enrollment

MHA has released an issue brief with additional information.

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DHSS Releases Health Advisory Related To Vaping

Staff Contact: Sarah Willson

The Missouri Department of Health and Senior Services issued a Health Advisory on Aug. 20 warning about severe lung disease related to vaping. The Centers for Disease Control and Prevention issued a Health Advisory on Aug. 30, following what they consider the first death from severe pulmonary disease following e-cigarette use. Through Aug. 27, CDC notes 215 cases of severe pulmonary disease where the use of e-cigarette products were a common factor. Questions should be directed to DHSS’ Tobacco Prevention and Control Program at 573/522-2824.

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MLN Connects Provider eNews Available

Staff Contact: Andy Wheeler

The Centers for Medicare & Medicaid Services issued updates to MLN Connects Provider eNews. eNews includes information about national provider calls, meetings, events, announcements and other MLN educational product updates. The latest issue provides updates and summaries of the following.

  • Quality payment program: MIPS targeted review request deadline Sept. 30
  • SNF PPS patient driven payment model: get ready for implementation on Oct. 1
  • IRF appeals settlement option: deadline Sept. 17
  • PEPPERs for short-term acute care hospitals

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Quality and Population Health


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 second quarter 2019 discharges (April 1 – June 30) is Wednesday, Oct. 2. The Centers for Medicare & Medicaid Services encourages all hospitals to submit data before the deadline to allow time to address submission issues. Inpatient PPS hospitals participating in the Hospital Inpatient Quality Reporting Program must collect and submit HCAHPS data to receive their full Annual Payment Update. Non-IPPS hospitals must meet the same submission deadline for their data to be published on Hospital Compare.

The review and correction period is Oct. 3-9, 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 Oct. 2 deadline can be corrected. New data are not accepted into the warehouse during the review and correction period.

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CMS Announces OQR Education Session

Staff Contact: Sherry Buschjost

An outreach and education session for hospitals participating in the Outpatient Quality Reporting Program has been scheduled on Wednesday, Sept. 18. The webinar, “CY 2020 OPPS/ASC Proposed Rule: Hospital Outpatient Quality Reporting Program” is offered at 9 a.m. and 1 p.m. Registration is required.

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TJC Announces Pioneers In Quality eCQM Proven Practices Webinars

Staff Contact: Sherry Buschjost

The Joint Commission Pioneers in Quality electronic clinical quality measures proven practices webinar series shares eCQM implementation and data use stories and tips from hospitals and health systems. The series assists accredited hospitals with eCQM and health information technology barriers and challenges by learning from the experiences of their peers. TJC has announced the next webinars in this series. Registration is available at the noted links.

  • 1 p.m., Thursday, Sept. 12 — Moving from Retrospective to Concurrent eCQM Review to Streamline eCQM Accuracy Activities and Improve Results
  • 11 a.m. Tuesday, Sept. 24 — Proactive Hospital/Health System Engagement to Undertake eCQM Development and Testing

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MORH Offers Complimentary Webinars To Rural And Underserved Communities

Staff Contact: Stephan Njenga

The Missouri Office of Rural Health and Primary Care is sponsoring a recruitment and retention educational series for all Missouri entities beginning Oct. 8. The webinars are specifically tailored toward rural and underserved health care communities; however, all interested entities are invited to attend. Registration is required.

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Noteworthy


HRSA Announces Delta States Rural Development Network Grant Program

Staff Contact: Dana Dahl

Last week, the Health Resources and Services Administration announced a new funding opportunity for public or nonprofit private rural entities within the Delta region. The Delta States Rural Development Network Grant Program will support up to 12 organizations, and applications will be accepted until Friday, Dec. 6. Program details and application requirements are available online at Grants.gov.

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CEO Announcements


Landmark Hospital Of Columbia Names New CEO

Staff Contact: Carol Boessen

Nickie Hunt was named CEO of Landmark Hospital of Columbia, effective Aug. 29. She previously served as chief clinical officer at the hospital and prior to that was chief operations officer/director of nursing at Post-Acute Specialty Hospital in Tulsa, Okla. She succeeds Glenn Piche, who had served as CEO since April 2019. A list of CEO changes is available online.

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Did You Miss An Issue Of MHA Today?


September 2, 2019
MHA Today was not published.

September 4, 2019
Medicaid Expansion Ballot Initiative Campaign Launches
AHA Releases Report On Hospital And Health System Mergers
MHA Distributes Analysis For Proposed CY 2020 Medicare Outpatient PPS
CMS Updates Market Saturation And Utilization Data Tool
CMS Revises RHC Emergency Medicine Availability Guidelines
DCI Eliminates Initial Examination Fee For Nurses
New Study Finds Legislated PDMPs Reduce Opioid-Related ED, Hospital Visits
NACHC Releases National Diabetes Prevention And Management Change Package



Consider This ...

About 700 women die every year in the United States from pregnancy-related complications. The CDC estimates that 60 percent or more of the deaths could be prevented by improving access to quality health care.

Source: HealthLeaders