MHA Today | January 13, 2020

January 13, 2020
MHA Today: News for Healthcare Leaders

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January 13, 2020

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 Releases Analysis Of Medicare Program And Quality Trends Reports
MHA Comments On Transparency In Coverage Proposed Rule
CMS Revises Psychiatric Hospital Survey Process
HIDI HealthStats Explores The Use Of Z Codes For SDOH
CMS Selects Random Sample For IQR Program Validation
TJC Offers Complimentary Certification Webinars
AHA Releases Report On Hospital And Health System Workforce Strategic Planning
HRSA Announces Scholarships For Disadvantaged Students Program
Prime Healthcare Names Regional CEO

What You Need To Know This Week

  • The annual State of the State address will be delivered by Gov. Mike Parson at 3 p.m. Wednesday, Jan. 15.
  • A hearing on punitive damages will be held tomorrow in the Missouri Senate.


Advocate
state and federal health policy developments


MHA Releases Analysis Of Medicare Program And Quality Trends Reports

Staff Contact: Andrew Wheeler

MHA released an analysis of the Medicare Inpatient Prospective Payment System Value-Based Purchasing Program and the quality program measures trend reports. The VBP reports apply to IPPS hospitals and include estimated Medicare payment adjustments. The quality program measures trend reports are provided for both IPPS and critical access hospitals.

MHA has free, on-demand webinars about the Medicare pay-for-performance programs. Policy and analytic studies, prepared for distribution by the Hospital Industry Data Institute, are available for download to authorized users of HIDI Analytic Advantage®.

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Regulatory News
the latest actions of agencies monitoring health care


MHA Comments On Transparency In Coverage Proposed Rule

Staff Contact: Andrew Wheeler

MHA submitted comments regarding the Internal Revenue Service, Department of Labor, and the Centers for Medicare & Medicaid Services’ proposed transparency in coverage regulation. The proposed rule would force insurers to provide contracted rate data and require insurers to make available personalized out-of-pocket cost information. CMS will be accepting comments through 4 p.m. Tuesday, Jan. 14.

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CMS Revises Psychiatric Hospital Survey Process

Staff Contact: Sarah Willson

The Centers for Medicare & Medicaid Services released a memo announcing a new survey process for psychiatric hospitals. CMS states the revised process is a part of its Patients Over Paperwork initiative and is intended to better identify systemic quality issues in psychiatric hospitals. As a result, the Conditions of Participation for specialty psychiatric hospitals located in Appendix AA will be revised and incorporated into the hospital CoPs located in Appendix A. Appendix AA eventually will be deleted.

Psychiatric hospitals will have one set of regulatory and guidance documents to follow. The state agency now will be responsible to survey all tags, including B tags, given CMS no longer will use a special contractor to survey those tags. The B tags will become A tags with the transition of survey activity, slated to be complete by March 2020.

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HIDI Tech Connect


HIDI HealthStats Explores The Use Of Z Codes For SDOH

Staff Contact: Mat Reidhead

HIDI HealthStats The January 2020 edition of HIDI HealthStats explores the use of Z Codes for social determinants of health within Missouri hospitals. Out of 3.1 million inpatient and emergency department visits at Missouri hospitals during 2018 that were evaluated for the study, 3% were identified with social risk factors by the assignment of one or more SDOH Z codes. The types of social factors identified varied widely by both patient type and the setting in which they received care, as seen in the graph.

Among acute care patients treated in medical/surgical care settings and assigned one or more of the SDOH Z codes, 71.6% were identified as having problems related to adherence with the medical regimen ordered by a physician. Read MHA’s latest report for additional details regarding the assignment of SDOH Z codes.

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Quality and Population Health


CMS Selects Random Sample For IQR Program Validation

Staff Contact: Sherry Buschjost

The Centers for Medicare & Medicaid Services selected the random sample of hospitals for validation of chart-abstracted and healthcare-associated infection measures for the fiscal year 2022 annual payment update determination for the Hospital Inpatient Quality Reporting Program. The quarters included in FY 2022 inpatient validation are third quarter 2019, fourth quarter 2019, first quarter 2020 and second quarter 2020. CMS anticipates selecting an additional sample of as many as 200 targeted hospitals in May 2020.

The list of selected hospitals is available on QualityNet. Validation resources also are available.

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TJC Offers Complimentary Certification Webinars

Staff Contact: Sherry Buschjost

The Joint Commission announced complimentary webinars regarding certification as a heart attack center and disease-specific care.

  • Noon Thursday, Jan. 16 — Becoming a Certified Heart Attack Center: A Step-by-Step Overview
  • Noon Thursday, Jan. 23 — Roadmap to Achieving Disease-Specific Care Certification: The Basics (first webinar in a series of three)

Registration is required and available at the respective links.

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Workforce News


AHA Releases Report On Hospital And Health System Workforce Strategic Planning

Staff Contact: Jill Williams

The American Hospital Association released a new TrendWatch report providing an overview of the current national health care workforce and highlighting examples of hospitals and health systems’ responses to trend shifts. “There are a number of challenges facing hospitals as they build and nurture a talented and dedicated workforce, and hospitals and health systems are rising to meet these challenges,” the report says. “Although there are challenges, there also are opportunities to improve care, motivate and reskill staff, and modernize processes and business models that reflect the shift toward providing the right care, at the right time, in the right setting.”

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HRSA Announces Scholarships For Disadvantaged Students Program

Staff Contact: Jill Williams

The Health Resources and Services Administration is accepting applications for the fiscal year 2020 Scholarships for Disadvantaged Students Program. The SDS Program increases the diversity of the health workforce by funding eligible academic institutions that are training health profession students. The institutions then offer scholarships to students from disadvantaged backgrounds who have financial need.

Eligible applicants are accredited schools of allopathic and osteopathic medicine, dentistry, nursing, pharmacy, podiatric medicine, optometry, veterinary medicine, public health, chiropractic, and allied health; schools offering a graduate program in behavioral and mental health practice; and programs for physician assistant training.

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CEO Announcements


Prime Healthcare Names Regional CEO

Staff Contact: Carol Boessen

Mark Benz has been named CEO of Prime Healthcare Services, Inc. – Kansas City Region, effective Dec. 18, 2019. He succeeds Steven Wilkinson, who retired in May 2019. Benz most recently was a market CEO for Tenet Healthcare/Carondelet Health network in Tucson, Ariz., and also served as CEO of Tenet’s St. Joseph Hospital in Tucson and Frye Regional Medical Center in Hickory, N.C. A list of CEO changes is available online.

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Consider This ...

A new study found that rates of death involving alcohol increased 85% among women from 1999 to 2017.

Source: The New York Times