MHA Today | May 6, 2020

May 6, 2020
MHA Today: News for Healthcare Leaders

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May 6, 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
Senate Adopts FY 2021 State Budget
MO HealthNet Announces New Services For Adult Diabetes Prevention
MHA Distributes Analysis Of The Proposed FFY 2021 IPF PPS
CMS Announces Preview Period For July 2020 Publicly Reported Data
New AHA Resource Supports Patient And Provider Communication
Using AIM’s Approach To Change Missouri’s Birth Story
Maternal Mental Health Awareness: Pediatricians Serve Integral Role Identifying Postpartum Depression
Today Marks The Beginning Of National Nurses Week
APS Announces Partnership For Home-based Cardiac Rehabilitation Solution
MRHA Hosts Complimentary Telemedicine Grant Webinars



UPCOMING WEBINAR — COMPLIMENTARY
Care of the Psychiatric Patient on Medical-Surgical Units
Tuesday, June 23
Noon to 1 p.m.
Register on or before Monday, June 22.


 

COVID-19 Updates


COVID-19

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





Advocate
state and federal health policy developments


Senate Adopts FY 2021 State Budget

Staff Contact: Daniel Landon or Rob Monsees

The Missouri Senate passed its version of the state’s fiscal year 2021 budget Tuesday evening. The $32 billion spending plan cuts more than $700 million in general revenue from the budget presented to the General Assembly by the governor in January because of the significant drop in revenue collections caused by the COVID-19 economic downturn. The latest budget includes more than $2 billion in spending authority for federal funds coming to the state for the pandemic response. The Senate’s proposal concurs with the House's decision to block the proposed Medicaid outpatient fee schedule that would have reduced payments to Missouri hospitals by as much as $100 million and to authorize MO HealthNet to submit an “IMD exclusion waiver” to allow Medicaid reimbursement for adult inpatient psychiatric care. The Senate’s budget also includes $265 million in additional spending authority for Medicaid disproportionate share hospital payments that reflect post-litigation DSH audits. The Senate also concurred with the House’s $35 million for grants to rural hospitals using federal stimulus funds. The House and Senate will meet and resolve the differences in their respective budget plans by the end of the week; the Missouri Constitution requires the General Assembly to pass a budget by Friday, May 8.

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Regulatory News
the latest actions of agencies monitoring health care


MO HealthNet Announces New Services For Adult Diabetes Prevention

Staff Contact: Brian Kinkade

The MO HealthNet Division issued guidelines for an adult diabetes prevention program, which takes effect July 1. Missouri Medicaid participants who are 21 years old or older, have a body mass index of 25 or greater, and have had a blood glucose test within the past 12 months with results indicating a pre-diabetic condition are eligible to participate. Qualifying participants will receive a 12-month regimen of counseling and education on the importance of weight loss, exercise and lifestyle changes to prevent or delay the onset of Type 2 diabetes. Successful participants will qualify for an additional 12 months of maintenance counseling. Providers must have pending, preliminary or full recognition status from the CDC’s Diabetes Prevention Recognition Program.

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MHA Distributes Analysis Of The Proposed FFY 2021 IPF PPS

Staff Contact: Andrew Wheeler

MHA released a summary and comprehensive analysis of the proposed federal fiscal year 2021 Medicare Inpatient Psychiatric Facility Prospective Payment System updates. The analysis compares FFYs 2020 and 2021, which include updates to the federal per diem base rate, wage index and labor-related share percentage. In aggregate, the state will see an increase of 1.8% for services paid under the IPF PPS. The analysis does not include effects caused by high-cost outliers, payments for managed care patients, or any modification in fee-for-service payments as a result of hospital participation in new payment models being tested under Medicare demonstration or pilot programs. Although effects of the Medicare sequestration have been estimated, the rate increase excludes the sequestration payment reduction. The analysis, which is available online for authorized users of HIDI Analytic Advantage,® includes a summary for the nation, Missouri, health systems and individual hospitals. Comments about the proposed rule must be submitted by Tuesday, June 9.

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Quality and Population Health


CMS Announces Preview Period For July 2020 Publicly Reported Data

Staff Contact: Sherry Buschjost

The preview period for hospitals to review July 2020 publicly reported data ends Wednesday, June 3. The preview period is applicable for hospitals and facilities participating in the following programs.

  • Hospital Inpatient Quality Reporting
  • Hospital Outpatient Quality Reporting
  • Prospective Payment System Exempt Cancer Hospitals Quality Reporting
Additional details are available on QualityNet.

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New AHA Resource Supports Patient And Provider Communication

Staff Contact: Alison Williams

A new resource from the American Hospital Association, Proactive Conversations that Support Providers and Patients, addresses the importance of identifying and documenting critical information about a patient’s language preference, emergency contacts, and advance directives to ensure patient communication preferences and treatment preferences are understood and respected throughout the continuum of care. Additionally, the resource provides scripting for front-line staff to quickly and easily collect this critical information.

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Using AIM’s Approach To Change Missouri’s Birth Story

Staff Contact: Alison Williams or Kelsey Hussey

In November 2019, 34 of Missouri’s birthing units, emergency departments and provider clinics joined together to begin Changing Missouri’s Birth Story. Through this collaborative, these organizations have initiated implementation of evidence-based guidelines and safety bundles developed by the Alliance for Innovation of Maternal Health to create safe health care for every woman.

The collaborative just completed its first quarter and survey results from  hospitals show significant impact as follows.

  • 80% completed a maternal safety drill
  • 53% had 50% or greater physician and midwife education completed on Severe HTN/Preeclampsia
  • 87% had 80% or greater nursing education completed on Severe HTN/Preeclampsia
  • 11 out of 15 reported >50% of patients who had a diagnosis of hypertension, preeclampsia or eclampsia were scheduled for a follow-up visit within 7-14 days of discharge

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Maternal Mental Health Awareness: Pediatricians Serve Integral Role Identifying Postpartum Depression

Staff Contact: Alison Williams or Kelsey Hussey

Centers for Disease Control and Prevention research reports one in eight women experience symptoms of postpartum depression. According to the American Academy of Pediatrics, postpartum depression and anxiety affect more than just the mother. It impairs parent-child interactions, affects infant growth and development, and can lead to overutilization of health care resources. The need for early identification of postpartum depression and anxiety is critical, and it begins with obstetrical care by physicians and providers, and continues throughout an infant's first six months of life. AAP recommends pediatricians include surveillance screenings in an infant’s one-, two-, four- and six-month appointments, as they have the distinct opportunity to see the family unit continuously, and acts to enhance the dyad relationship.

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Noteworthy


Today Marks The Beginning Of National Nurses Week

Staff Contact: Renee Wilde

2020 Nurses Week Profile Frame This week is National Nurses Week, and with nearly 131,000 nurses in Missouri, we have a lot to celebrate. Especially now, we owe a huge debt of gratitude to the people who are on the front lines of healing our patients and communities. Throughout the week, we’ll be posting about Nurses Week on Facebook and Twitter. And, we created Facebook frames that you can add to your profile pictures — one for nurses, and the other for those who support nurses. And as always, we encourage you to follow along, engage with us and tag us in your posts! 

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APS Announces Partnership For Home-based Cardiac Rehabilitation Solution

Staff Contact: Bryant McNally

APS has partnered with phas3 for a new home-based cardiac rehabilitation solution that can increase patient engagement, improve outcomes and dramatically reduce out-of-pocket patient costs. Offered by St. Louis-based phas3, the telehealth solution can help transform hospital cardiac rehabilitation programs while increasing profits and reducing readmission rates. phas3’s remote capabilities are especially valuable to limit patient infection risk amid the COVID-19 pandemic. Register for phas3 Cardiac Rehab Solutions Webinar at 10 a.m. CT Wednesday, May 13. For more information, please contact Dennis George at 913-327-8730.

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MRHA Hosts Complimentary Telemedicine Grant Webinars

Staff Contact: Dana Dahl

The Missouri Rural Health Association and Avera eCARE are hosting complimentary telemedicine grant webinars to give additional details and timelines of the grant process. Registration is required and encouraged even if you cannot attend the live event as slides will be mailed following the webinar. The webinars will be hosted at 1 p.m. Tuesday, May 11; 2 p.m. Wednesday, May 12; and 3 p.m. Thursday, May 13. 

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Consider This ...

In 1854, Florence Nightingale, the founder of modern nursing, established a rigorous hygiene regimen to combat deplorable conditions in a British hospital. Within 6 months, the hospital’s mortality rate dropped precipitously from its previous high of 40%.

To the nearly 131,000 Missouri nurses on the beginning of National Nurses Week — Thank You.


Source: biography.com