MHA Today | September 20, 2019

September 20, 2019
MHA Today: News for Healthcare Leaders

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September 20, 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 Seasonal influenza is both predictable and unpredictable. “Flu season” generally occurs October through May, and the late fall and winter usually bring the highest number of illnesses. However, the strength of any season’s influenza — which is to say, how many patients are sickened and how severely — varies year to year. Vaccination efficacy and rates both can influence whether it will be a “bad” flu season.

Last year’s flu season wasn’t particularly bad. The year before was. While we can’t control the evolution of the virus, we can control how we react to flu season.

Next week, MHA is launching its surveillance program for the 2019-2020 season through our statewide communication and coordination platform, EMResource.® We’ve learned a lot from our prior year’s surveillance efforts, and this year’s monitoring will build on lessons-learned.

In 2017-2018, hospitals experienced a higher level of inpatient care for influenza-like illness. Last year, the 2018-2019 season produced many fewer inpatient days but a greater share of outpatient and clinic visits. Tracking utilization in both inpatient and outpatient venues is important because the resources and systems available to address flu rely on the same supply chains.

Missouri hospitals proactively assess the flu impact Our staff boiled the key concepts down to the idea of the “Three S’” — staff, space and stuff. As we know from particularly bad years, hospitals — as both caregiving institutions and employers — are faced with multiple challenges in addressing influenza and ILI. Not only must hospitals prepare for a surge during the flu season, that surge may occur at a time when hospitals’ employees also are suffering from the virus. This can lead to a higher demand for clinical care at a time where clinician staffing is a challenge. Moreover, access to personal protective equipment, like masks for staff, or patients who present to hospitals may be constrained at a time where they can make the most difference.

A good surveillance system can proactively inform the impact on hospitals and prescribe how hospitals can prepare as the peaks and troughs develop in the coming months. However, we’re cognizant that this takes time. As a result, we’re trying to routinize and optimize reporting as we expand the scope of the program. This year, we’re continuing to focus on the data elements that indicate constraints on the health care delivery system to include the number of admitted patients and available ventilators. We've added a metric that reflects estimated flu volume in the emergency department, and we’re focusing on weekly reporting to reduce burden as to not create additional ad hoc queries when flu surges occur. Data will be summarized weekly in conjunction with epidemiology trends provided by the Centers for Disease Control and Prevention, and provided to appropriate hospital staff. Recognizing areas of harder impact across the state allows for proactive surge planning and deployment of resources through our established mutual aid system.

Next week’s surveillance query will be the first for the 2019-2020 season. It’s a baseline survey. Participation — especially as we increase the level of detail about venue — will help improve hospital and communitywide awareness, and help individual hospitals manage their physical and human resources throughout the season.

Most hospitals will participate in patient education campaigns to increase the vaccination rate in the community and among hospital staff. That’s an important tool to manage the severity of the season. However, vaccination rates remain too low, and a particularly bad season could require significant resource management at the individual hospital, hospital system and Missouri hospital community level. The best influenza is the one a staff member or patient doesn’t get. Additionally, the vaccinated have a milder reaction to the flu if contracted.

This year’s system will help increase the predictability of flu care management. That’s a big step forward. Moreover, better data can help us inform our response — this year and for future years.

I encourage hospitals to participate to the greatest degree possible.

I’d like to hear what you’re thinking.

Herb Kuhn, MHA President & CEO



Herb B. Kuhn
MHA President and CEO

In This Issue
U.S. House Approves Short-Term Delay Of DSH Allotment Cuts
State Insurance Reform Task Force Solicits Comments
Blunt Unveils U.S. Senate Appropriations Proposal
MHA Comments On Medicare OPPS Regulatory Proposal
MLN Connects Provider eNews Available
HIDI Releases Second Quarter CY 2019 Update To Discharge Data-Based Quality Indicators
Google Maps Adds Naloxone Availability And Recovery Meetings
TJC Announces 2020 ORYX Performance Measurement Requirements


Advocate
state and federal health policy developments


U.S. House Approves Short-Term Delay Of DSH Allotment Cuts

Staff Contact: Daniel Landon

By a vote of 301-123, the U.S. House of Representatives approved proposed legislation to avert a government shutdown on Tuesday, Oct. 1. If enacted, it would authorize federal spending at current levels through Thursday, Nov. 21. The proposal also would delay reductions in states’ Medicaid Disproportionate Share Hospital allotments until Friday, Nov. 22, as well as delay the expiration of federal funding of the Certified Community Behavioral Health Clinic demonstration project, which operates in Missouri, the Community Health Centers Fund, the National Health Service Corps and several health workforce training programs. The bill is H.R. 4378.

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State Insurance Reform Task Force Solicits Comments

Staff Contact: Daniel Landon

The Missouri Department of Commerce and Insurance issued a request for information regarding the use of federal Section 1332 waivers to “stabilize and transform the health insurance market in Missouri.” The department director chairs the Health Insurance Innovation Task Force created by Gov. Parson by executive order. The RFI solicits comments from interested stakeholders and the public, with responses due by Friday, Oct. 4.

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Blunt Unveils U.S. Senate Appropriations Proposal

Staff Contact: Daniel Landon

U.S. Senator Roy Blunt (R-Mo.) released fiscal year 2020 appropriations recommendations, draft legislation and a report developed by the Senate Appropriations Subcommittee for the Departments of Labor, Health and Human Services, Education, and Related Agencies. Sen. Blunt chairs the subcommittee.

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Regulatory News
the latest actions of agencies monitoring health care


MHA Comments On Medicare OPPS Regulatory Proposal

Staff Contact: Daniel Landon or Andrew Wheeler

MHA submitted comments regarding the Centers for Medicare & Medicaid Services’ proposed regulatory changes to the Medicare Outpatient Prospective Payment System for calendar year 2020. The rules also address various other topics, such as transparency of hospital-negotiated payment rates. Comments may be submitted until 4 p.m. Friday, Sept. 27.

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MLN Connects Provider eNews Available

Staff Contact: Andrew Wheeler

Updates to MLN Connects Provider eNews were issued by the Centers for Medicare & Medicaid Services. 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.

  • Proposed opioid treatment program policies: Comment deadline is Friday , Sept. 27
  • Skilled Nursing Facility Prospective Payment System Patient Driven Payment Model resources: Get ready for Tuesday, Oct. 1
  • Emergency Triage, Treat and Transport Model: Apply by Saturday, Oct. 5
  • Long-term Care Hospital, Inpatient Rehabilitation Facility and Hospice Provider Preview Reports: Review your data by Friday, Oct. 11
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HIDI Tech Connect


HIDI Releases Second Quarter CY 2019 Update To Discharge Data-Based Quality Indicators

Staff Contact: Josette Bax

HIDI has refreshed the readmissions, risk-adjusted mortality, hospital-acquired conditions and AHRQ quality indicators data within HIDI Analytic Advantage® PLUS to include measure calculations based on discharge data from the second quarter of calendar year 2019.

These quality data updates can be found in various reports in the following Analytic Advantage Plus locations.

  • Quality > Benchmarking
  • Quality > Readmissions
  • Quality > Strategic Quality Initiatives

If you have technical questions regarding these measures, please contact Josette Bax. For questions about accessing the website or running these reports, please contact HIDI.

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Quality and Population Health


Google Maps Adds Naloxone Availability And Recovery Meetings

Staff Contact: Shawn Billings or Tiffany Bowman

Google Maps added a feature that allows users to access information for naloxone (Narcan) and recovery meetings. The application now offers “Naloxone near me,” “Narcan near me” and “Recovery meeting near me” options. This feature provides users with valuable, life-saving information. In addition, it can be utilized by family members or active bystanders.

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TJC Announces 2020 ORYX Performance Measurement Requirements

Staff Contact: Sherry Buschjost

The Joint Commission announced, effective with calendar year 2020 discharges, all accredited hospitals will use the direct data submission platform for submission of chart-abstracted measures, allowing organizations to have one place to submit both eCQM and chart-abstracted data. A webinar to discuss CY 2020 performance measurement requirements is scheduled at 11 a.m. Tuesday, Oct. 8. Registration is required.

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Did You Miss An Issue Of MHA Today?


September 16, 2019
DHSS Responds To MHA’s Questions About Medical Marijuana
Trajectories: Strategies To Reduce Workplace Violence To Achieve The Quadruple Aim
Tomorrow Is World Patient Safety Day

September 18, 2019
Judge Rules Against HHS HOPD Clinic Payment Reductions
MHA Distributes CAH Databook
MHA Distributes Analysis For FFY 2020 Final IRF PPS
AHRQ Releases National Healthcare Quality And Disparities Report
CMS Releases OQR Specifications Manual
CMS Selects Hospitals For OQR CY 2021 Validation
CenterPointe Hospital Of Columbia Names New CEO



Consider This ...

Missouri health providers dispensed enough opioids last year for 70 percent of residents in participating counties to receive a prescription.

Source: KBIA.org