MHA Today | April 29, 2020

April 29, 2020


MHA Today: News for Healthcare Leaders

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April 29, 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
Missouri House Blocks Medicaid Outpatient Payment Cut
COVID-19 Liability Protections Advance
Flex Monitoring Team Issues Best Practices For CAH Executives
Patient Experience Week – Supporting the Health CareWorkforce
Scotland County Hospital Signs Management Agreement With Blessing Health System
Issue Brief Addresses Overcoming Objections To Medications For OUD

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COVID-19 Updates


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

state and federal health policy developments

Missouri House Blocks Medicaid Outpatient Payment Cut

Staff Contact: Daniel Landon or Rob Monsees

In debating the state budget bills, the Missouri House of Representatives removed the MO HealthNet Division’s proposal to impose a fee schedule for Medicaid outpatient services. Set at 90% of Medicare payment rates for most hospitals and procedures, the fee schedule was projected by MO HealthNet to cut Medicaid hospital payments by $60 million annually. MHA’s analysis showed that it would cut even more — $100 million.

Rep. Rob Vescovo, the House Majority Floor Leader, played a key role in making the change in a new version of the budget legislation. The budget bills move to the Missouri Senate. Legislators must complete their budget work by Friday, May 8. MHA deeply appreciates hospitals’ response to MHA’s request to make direct contacts with their state representatives on the outpatient fee schedule issue.

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COVID-19Liability Protections Advance

Staff Contact: Rob Monsees orBill Anderson

Statelegislation to restrict health care providers’ liability during the COVID-19emergency declared by the governor has been incorporated into two bills pendingin the Missouri General Assembly — HouseBill 2049 and Senate Bill 662. MHA is part of a coalition promoting thelegislation and reiterated its support in a letter to the General Assembly.

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Flex Monitoring Team Issues Best Practices For CAH Executives

Staff Contact: Dana Dahl

In its April 2020 Policy Brief #53, the Flex Monitoring Team released findings from a recent study to identify best practices for Critical Access Hospital CEOs.The objective was to identify best practices related to tasks of daily operation, forecasting and community health outcomes in order to share with other CAH CEOs.Participants were asked to describe their experiences with financial and quality issues, leadership roles, performance measurement, policy challenges and community health.

After reviewing each interview, best practice themes emerged, including taking calculated risks, being driven by data, engaging and valuing staff, and integration with the community.The study also determined that rural hospital executives are tasked with broad and general functions, which requires ongoing resource development and technical assistance.

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Patient Experience Week – Supporting the Health CareWorkforce

Staff Contact: Alison Williams

During Patient Experience Week,hospitals honor members of health care team for their overall impact on patients. During the COVID-19 crisis, patient experience challenges are more pronounced. Patient advocates and patient advisors — both staff and volunteer — can support members of the health care team and ensure a positive health care experience for patients and staff. Health care workers require ongoing social, mental and physical support in order to remain resilient and provide exceptional care experiences. Learn how MU Health Care provides positive patient experiences for COVID-19 patients. To support the health care team, MHA’s Statewide Patient Family Advisory Council recommends the following resources.

  • Empathetic Communication and Caring for the Caregiver During COVID-19: watch the on-demand webinar to learn about the value of implementing the CANDOR process and how open lines of communication for patients and care teams can mitigate the negative consequences of this crisis and help support health care workers as they seek emotional first aid, a sense of well-being and morale. 

  • Physician’s Practice article: "Three reasons to prioritize your Patient and Family Advisory Council during the Coronavirus pandemic"

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ScotlandCounty Hospital Signs Management Agreement With Blessing Health System

Staff Contact: Carol Boessen

Scotland County Hospital in Memphis, Mo., and Blessing Health System, based in Quincy, Ill., have signed a five-year management agreement. Scotland County Hospital will remain an independent entity, but through the agreement will work more closely with Blessing Health System in a number of clinical and non-clinical areas to strengthen its long-term presence in the Scotland, Schuyler, Clark and Knox counties.

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Quality and Population Health

Issue Brief Addresses Overcoming Objections To Medications For OUD

Staff Contact: Shawn Billings

The Missouri Institute of Mental Health at the University of Missouri - St. Louis recently released an issue brief outlining responses to some of the most frequently asked questions about— and objections to —medication for opioid use disorder. With permission, it was adapted from an earlier document created by the California Healthcare Foundation. The UMSL-MIMH State Opioid Response team updated the document for Missouri.

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Consider This ...

The difference between quarantine and isolation in COVID-19 is that quarantine is used to keep someone who might have been exposedaway from others whereas isolation is used to separate sick people from healthy people.

Source: Centers for Disease Control and Prevention