MHA Today | March 11, 2020

March 11, 2020

 

MHA Today: News for Healthcare Leaders

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March 11, 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

COVID-19 Updates
MHA Engages In Federal And State Advocacy On COVID-19
DHSS Establishes Public COVID-19 Hotline
CDC Updates Guidance On PPE And Isolation Rooms
MHA Provides COVID-19 Signage For Public Information And Alternative Testing Location Information
WHO Declares COVID-19 A Pandemic
Updated Guidance From Regulatory And Accreditation Agencies Available
COCA Holds COVID-19 Update On Clinicians Caring For Children and Pregnant Women

Advocacy Updates
Senate Committee Reviews, Approves Bills
State Senate Passes Legislation Relating To Victims Of Sexual Offenses

Noteworthy Updates
MHA Releases Community Investment Report


UPCOMING SEMINAR
11th Annual Behavioral Health Summit: A New Decade of Behavioral Health Awareness

Thursday, April 23, and Friday, April 24
Regalia Hotel & Conference Center
Lake Ozark, Mo.
Register on or before Wednesday, April 8.


COVID-19 Updates


COVID-19

For the latest updates and most current information on coronavirus disease 2019, visit MHA's website.





MHA Engages In Federal And State Advocacy On COVID-19

Staff Contact: Daniel Landon

Today, MHA sent a letter to Missouri’s congressional delegation encouraging their support for a presidential declaration of emergency to support COVID-19 response efforts. A presidential designation will allow the U.S. Department of Health and Human Services to declare a public health emergency, which is essential to state and provider requests for waivers within several federal legal and regulatory programs.

MHA also has requested clarification from the Missouri Department of Insurance and Commerce related to the ongoing federal negotiations with insurers to reimburse for care provided for COVID-19 under insurance policies in Missouri.

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DHSS Establishes Public COVID-19 Hotline

Staff Contact: Jackie Gatz

The Missouri Department of Health and Senior Services established a statewide public hotline for COVID-19. The hotline is operational and can provide citizens or providers with COVID-19 guidance at 877-435-8411. It is staffed by medical professionals 24-7.

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CDC Updates Guidance On PPE And Isolation Rooms

Staff Contact: Jackie Gatz

The Centers for Disease Control and Prevention issued important new guidance on the use of personal protective equipment, including substituting surgical masks for N95 respirators when supply chain constraints are present. CDC also has updated its recommendations regarding need for an airborne infection isolation room.

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COVID FlyerMHA Provides COVID-19 Signage For Public Information And Alternative Testing Location Information

Staff Contact: Brian McGeorge

MHA produced customizable signage that hospitals considering alternate testing locations, hospital-specific hotlines or working to manage patients who may arrive at the hospital for treatment of COVID-19 can use for their facilities. Also available is a guidance document on ensuring compliance with the Emergency Medical Treatment and Labor Act during the COVID-19 outbreak. For help with the files, contact Brian McGeorge at bmcgeorge@mhanet.com, or call 573-893-3700.

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WHO Declares COVID-19 A Pandemic

Staff Contact: Jackie Gatz

The World Health Organization has upgraded the status of COVID-19 to a pandemic. According to WHO, the change is related to the “alarming levels of spread and severity and by the alarming levels of inaction.”

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Updated Guidance From Regulatory And Accreditation Agencies Available

Staff Contact: Andrew Wheeler, Sarah Willson, Jackie Gatz or Jane Drummond

The Centers for Medicare & Medicaid Services has issued various fact sheets, FAQs and press releases about certain COVID-19 issues.

  • CMS Issues Call to Action for Hospital Emergency Departments to Screen Patients for Coronavirus
  • EMTALA Requirements and Implications Related to COVID-19
  • Telehealth Benefits in Medicare are a Lifeline for Patients During Coronavirus Outbreak
  • CMS Issues Clear, Actionable Guidance to Providers about COVID-19 Virus
  • CMS Sends More Detailed Guidance to Providers about COVID-19
  • COVID-19 Response News Alert: CMS Issues Key Protective Mask Guidance for Healthcare Workers
  • CMS Issues Guidance to Help Medicare Advantage and Part D Plans Respond to COVID-19
  • COVID-19 Response News Alert: CMS Issues FAQs on Guidance to State Survey Agencies Suspending Non-Emergency Survey Inspections

The Joint Commission sent out a letter to accredited hospitals explaining the agreement they have reached with CMS concerning survey activity amid COVID-19. TJC notes they will continue to perform surveys if certain conditions exist. The agency also noted their ability to help accredited organizations in developing appropriate response plans to the COVID-19 threat.

DVN-GL Healthcare, another Accrediting Organization of hospitals in Missouri, issued an advisory notice on the status of surveys related to CMS guidance released on March 6.

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COCA Holds COVID-19 Update On Clinicians Caring For Children and Pregnant Women

Staff Contact: Jackie Gatz

The Centers for Disease Control and Preventions’ Clinician Outreach and Communication Activity will host a call to focus on current information about COVID-19 as it relates to children and pregnant women. Topics will include infection prevention and control measures in inpatient obstetric health care settings and resources available to care for pediatric patients.

The call will take place at 1 p.m. Thursday, March 12. Participants may participate through the following options.

  • Webinar:
    • https://zoom.us/j/200932054
    • iPhone one-tap: US: +16468769923,,200932054# or +16699006833,,200932054#
    • Telephone: US: +1 646 876 9923 or +1 669 900 6833
    • Webinar ID: 200 932 054
  • COCA's Facebook Live

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Advocate
state and federal health policy developments


Senate Committee Reviews, Approves Bills

Staff Contact: Daniel Landon

A state Senate committee held a hearing on several health bills. Senate Bill 666 would codify and streamline current standards governing restrictions on Medicaid coverage of and clinical edits for antipsychotic medications. MHA supports the bill. MHA also supports SB 928, which would authorize pharmacies to dispense controlled substances directly to practitioners for administration to patients. The committee reviewed SB 788, which addresses new standards for identifying postpartum depression. Finally, the committee voted to advance Senate Joint Resolution 60. It is a constitutional amendment that, if approved by the state voters, would impose work requirements for many Medicaid enrollees, repeal the Medicaid “out of state” payment to some hospitals, codify several insurance preexisting conditions and dependent coverage standards of the federal Affordable Care Act, and explicitly make Medicaid spending subject to legislative appropriations.

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State Senate Passes Legislation Relating To Victims Of Sexual Offenses

Staff Contact: Sarah Willson or Ted Wedel

The state Senate has given first-round approval to Senate Bill 569, which includes numerous provisions relating to victims of sexual offenses. These include provisions that provide for electronic tracking of rape kits, a bill of rights for sexual assault victims and requirements related to the collection of forensic evidence. MHA testified in favor of the provisions that provide for electronic tracking of rape kits at a hearing earlier this session. MHA requested and changes were made to the bill of rights for sexual assault victims. MHA remains concerned that the provisions in the bill related to the collection of forensic evidence will lead to lower quality exams, compromised forensic evidence, and endangered prosecutions, while being especially costly for rural hospitals.

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Noteworthy


MHA Releases Community Investment Report

Staff Contact: Mary Becker Community Investment Report

Today, MHA released its annual community investment report, which shows that Missouri hospitals provided more than $1.5 billion in uncompensated care and $3.1 billion in total community benefit in 2018. The report and hospital-specific data are available on MHA’s consumer data site, FocusOnHospitals.com.

The report outlines a number of ways that hospitals contribute to strong, healthy communities by providing a safety net for Missourians without insurance or ability to pay, as well as engaging in health and wellness activities in the communities they serve.

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Consider This ...

In 2018, the cost of providing care to low-income Missourians, the uninsured and underinsured increased by more than $50 million to $846 million statewide.

Source: Missouri Hospital Association