MHA Today | September 23, 2019

September 23, 2019
MHA Today: News for Healthcare Leaders

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September 23, 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 Distributes Analysis For FFY 2020 Medicare Final LTCH PPS
USP Announces Implementation Delay For General Chapters <795>, <797> and <825>
Trajectories: Strategies To Reduce Workplace Violence To Achieve The Quadruple Aim
CDC Hosts Call Outlining Recommendations For Influenza Prevention And Treatment In Children
CMS, TJC Release Addendum For National Hospital Inpatient Quality Measures Specification Manual
Quality Reporting Center Summer Newsletter Available

What You Need To Know This Week


Regulatory News
the latest actions of agencies monitoring health care


MHA Distributes Analysis For FFY 2020 Medicare Final LTCH PPS

Staff Contact: Andrew Wheeler

MHA released an analysis that illustrates the financial effect of the federal fiscal year 2020 Medicare final Long-Term Care Hospital Prospective Payment System rule. After the application of the site-neutral payment reduction, the net effect on Missouri hospitals will be an estimated 1.1 percent increase in payments. Although footnoted, the effects of the 2 percent Medicare sequestration are not included. This analysis, which will be available online for authorized users of HIDI Analytic Advantage,® includes a summary for the nation, Missouri, health systems and individual hospitals.

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USP Announces Implementation Delay For General Chapters <795>, <797> and <825>

Staff Contact: Sarah Willson

The United States Pharmacopeia announced a delay in the implementation of revisions to chapters <795> and <797>, as well as a new chapter <825>. USP published revisions and new content on June 1. These changes were slated to take effect on Sunday, Dec. 1; however, due to bylaws of USP and pending appeals on some of the changes put forth, the revised <795>, <797> and new <825> will not go into effect until the pending appeals issues are resolved.

USP chapter <800> also was published on June 1, and given there are no appeals issues, it still is slated to be effective Dec. 1. During the postponement and pending resolution of the appeals of <795> and <797>, USP states <800> is informational. However, USP encourages utilization of <800> in “the interest of advancing public health” and reinforces that USP is not a regulatory enforcement body. Therefore, it still is up to state and federal regulators as to what enforcement of chapter <800> occurs during this appeals process.

MHA will notify hospitals if state or federal regulatory bodies indicate any type of delay with chapter <800>. On-demand education on chapters <797> and <800> are available on MHA’s website.

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Quality and Population Health


Trajectories: Strategies to Reduce Workplace Violence To Achieve The Quadruple Aim

Staff Contact: Jackie Gatz

Trajectories: Workplace Violence To generate state and federal support for hospital-driven improvement related to workplace violence plans and policies, hospitals must implement and maintain strong workplace violence prevention programs. Violence against the workforce impacts all organizational operations and as such, requires a comprehensive program to manage strategies for prevention. The September 2019 issue of Trajectories highlights five critical steps hospitals can incorporate to foster safe care environments.

  1. Engage executives for increased involvement and support for the violence prevention initiative, and identify an executive champion.
  2. Analyze risks and threats, including opportunities to identify staff most at risk for point-of-care violence, understand the higher risk areas within the hospital and use historical data to educate staff on the necessary triggers to request timely assistance.
  3. Provide staff with tools to recognize agitation, and utilize training programs to de-escalate aggressive behaviors.
  4. Centralize reporting for employee health, security incidents and injury reports to quantify and address violence against caregivers.
  5. Engage locally with external partners, including law enforcement and local Crisis Intervention Team councils, to facilitate safe patient care transitions and foster a shared understanding of procedures.
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CDC Hosts Call Outlining Recommendations For Influenza Prevention And Treatment In Children

Staff Contact: Jackie Gatz or Toi Wilde

The Centers for Disease Control and Prevention is hosting a webinar with subject matter experts from the American Academy of Pediatrics and CDC to discuss strategies pediatric providers can use to improve influenza prevention and control in children for the 2019–2020 influenza season. The webinar will take place at 1 p.m. Thursday, Sept. 26. Additional information, including call materials, resources and call information, is available online.

Influenza remains a serious threat to children due to its potential to cause significant morbidity and mortality. Clinicians play a critical role in taking action to immunize children, the children’s family members and caregivers, and themselves.

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CMS, TJC Release Addendum For National Hospital Inpatient Quality Measures Specification Manual

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services and The Joint Commission released addendum version 5.6a for the Specifications Manual for National Hospital Inpatient Quality Measures, effective for acute inpatient discharges effective July 1 through Dec. 31, 2019. Changes are outlined in the release notes and include revisions to Appendix A.2, Table 7.01: mental disorders; Table 7.03: venous thromboembolism; and Table 12.10: organ transplant during current hospitalization. The updated manual and associated release notes are available on QualityNet.

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Quality Reporting Center Summer Newsletter Available

Staff Contact: Sherry Buschjost

The Hospital Quality Reporting Center Summer 2019 newsletter is available. The issue features information for acute care and critical access hospitals, inpatient psychiatric facilities, and PPS-exempt cancer hospitals. Topics of discussion include tools for reporting 2019 healthcare-associated infections data, navigation of the inpatient specifications manual and other resources for quality reporting.

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Consider This ...

According to a new study, patients living in counties far from populated cities and suburbs were 1.23 times more likely to be diagnosed with noncurable, stage 4 colon cancer than people living in urban areas despite rural residents having lower rates of developing the disease.

Source: St. Louis Public Radio