MHA Today | October 9, 2019

October 9, 2019


MHA Today: News for Healthcare Leaders

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October 9, 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
ED Mental Health Dashboard Available To Member Hospitals
HHS Proposes Stark And Anti-Kickback Revisions
CMS Issues FY 2020 Inpatient PPS Correction Notice
Missouri AIM Collaborative Launches November 1
St. Louis Area School District Sues Vaping Company

2019 MHA Leadership Forum

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Advocate
state and federal health policy developments


ED Mental Health Dashboard Available To Member Hospitals

Staff Contact: Sarah Willson

Mental illness and substance use disorders are involved in one out of every eight emergency department visits by a U.S. adult. During Mental Illness Awareness Week, we are reminded that early identification and treatment can make a difference in successful management of mental illness and recovery.

Working toward this goal, MHA and the Hospital Industry Data Institute offers a mental health dashboard available to all participating member-hospital CEOs who operate EDs, inpatient psychiatric services or both. The dashboard provides hospital EDs with specific behavioral health-related information, as well as a combined Missouri report outlining the utilization of emergency services by those with a mental health or substance use diagnosis. The reports reflect demographics and how long these patients are in EDs.

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Regulatory News
the latest actions of agencies monitoring health care


HHS Proposes Stark And Anti-Kickback Revisions

Staff Contact: Jane Drummond or Daniel Landon

The U.S. Department of Health and Human Services published long-awaited changes to the rules implementing the Stark Law and the Anti-Kickback Statute. The proposed Stark rule would create a permanent safe harbor for value-based arrangements. Suggested changes to the Anti-Kickback rule include similar protections, but also creates several safe harbors to allow for greater patient engagement and the sharing of technology and cyber resources among providers. Comments are due Tuesday, Dec. 31.

HHS sought input on suggested changes to these rules in June 2018 to promote better care coordination and outcomes. MHA submitted comments in response, with many of its suggestions reflected in the proposed rules.

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CMS Issues FY 2020 Inpatient PPS Correction Notice

Staff Contact: Andrew Wheeler

The Centers for Medicare & Medicaid Services released a final rule regarding corrections to the FY 2020 Inpatient Prospective Payment System. These changes reduced the national standardized amounts by $4.50. Other changes affected the capital rate, the long-term care hospital standard federal rate and other budget neutrality adjustment factors. MHA has released an issue brief with additional details.

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Quality and Population Health


Missouri AIM Collaborative Launches November 1

Staff Contact: Alison Williams

The Missouri Alliance for Innovation on Maternal Health, sponsored by the Missouri Department of Health and Senior Services, Missouri Hospital Association and March of Dimes Missouri, will launch the first AIM collaborative in Missouri beginning Friday, Nov. 1.

The Severe Hypertension in Pregnancy Patient Safety Bundle collaborative offers three tracks for organizations to join, including hospital birthing units/centers, emergency departments and provider clinics, in an effort to reduce maternal morbidity and mortality across the care continuum. A special focus on assisting rural and critical access hospitals without OB services to designate their EDs as “OB Ready” also is included in the collaborative. Data collection and submission to national AIM for benchmarking, as well as education, shared learning and networking throughout the year-long collaborative, represent the statewide effort to promote highly reliable maternal care. A Missouri AIM Kickoff meeting is taking place Friday, Oct. 18, in Columbia, Mo., with keynote speakers and information about Missouri AIM. Online registration for the kickoff meeting is available.

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St. Louis Area School District Sues Vaping Company

Staff Contact: Shawn Billings or Tiffany Bowman

Joining several other school districts throughout the country, Francis Howell School District in St. Charles, Mo., announced a lawsuit against the vaping company Juul Labs. Citing harm to students and deceptive marketing, the district seeks damages in the lawsuit filed on Oct. 7 in U.S. District Court. The school district has seen a nearly five-fold increase in nicotine infractions in five years, including youth as young as elementary-aged students. Further, the district remains concerned about the availability and youth-focused marketing of the products. The Missouri Department of Health and Senior Services and the Centers for Disease Control and Prevention previously issued health advisories due to the risk for severe pulmonary illness and death.

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Consider This ...

This week is Mental Illness Awareness Week. Half of all chronic mental illness begins by age 14, and three-quarters begin by age 24.

Source: Centers for Disease Control and Prevention