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MHA Today | March 26, 2021



MHA Today

MHA Today is provided as a service to members of the Missouri Hospital Association.

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Thursday, MHA released a Population Health Assessment based on a 2020 survey of Missouri hospitals. There’s good news. Overall, Missouri hospitals’ efforts to engage in population health improvement activities are advancing. Each participating hospital will receive hospital-specific results.

Understanding and addressing population health challenges are essential to the journey from volume to value. The survey identifies hospitals’ status along nine domains — leadership, patients and family, workforce, finance, data and technology, operations, legal/regulatory, outcomes, and policy and advocacy. Compared to the survey conducted in 2017, the 2020 report finds progress in each area.

The study identifies participating hospitals’ maturity in population health along a five-step scale, including Pre-Foundational 1, Pre-Foundational 2, Foundational, Proficient and Transformational. Ranking is weighted, with all but a few hospitals ranked between Pre-Foundational 2 and Proficient. Despite the growth in survey participation, growth primarily is in the foundational and proficient maturity categories.

Comparing hospitals that participated in both 2017 and 2020, there was an increase in mean scores in each of the domains. When comparing all 2020 hospitals to the 2017 status, there was a minor decline in the “patients and family” domain — a three-point drop from a mean of 56 to 53 — and a sustained score in “policy and advocacy.”

Population Health Assessment

Half of all hospitals’ population health programs are located within hospital administration, and 53% are either overseen by the CEO or the CMO. Among the biggest challenges to population health leadership are driven by data and a lack of staff with population health as their primary focus and responsibility. However, more than 40% listed financial risk assessment as a challenge while just under 40% listed nonemployed clinician alignment.

Since a growing number of hospitals are participating in shared savings or shared risk models — 13% more than in the 2017 report — data and alignment are essential to success. The survey indicated a 21% increase in the number of hospitals with patient records that span the inpatient and outpatient environments. However, challenges in fully developing the value of data for population health persist. For example, nearly 94% of hospitals can capture race, ethnicity and language data, and nearly 63% actively document ICD-10 Z codes to identify social determinants. Far fewer hospitals use these data to identify quality challenges or disparities, or to prioritize investments. This offers an opportunity for both MHA and hospitals.

Interestingly, the COVID-19 pandemic has had limited influence on population health activities. While 20% of hospitals suspended their population health activities, 16% accelerated them. The majority either revised their activities or made no changes.

The movement from volume to value will continue to drive quality improvement efforts and influence reimbursement policy. These reports can help hospitals identify where they are relative to their peers in population health improvement and identify gaps in operational preparedness for the model.

As I indicated at the beginning of this column, this report generally is good news on the progress toward population health improvement maturity. I hope the individual, hospital-specific reports will help advance your efforts toward more coordinated, data-driven care, and support future investments in systems that improve care and health in the communities you serve.

Let me know what you are thinking.

Herb Kuhn, MHA President & CEO



Herb B. Kuhn
MHA President and CEO

In This Issue

House Budget Committee Revises, Advances State Budget
Abortion Amendment Stalls FRA Reauthorization Debate
House Committee Approves COVID-19 Liability Legislation
Legislative Committees Act On Rural Physician Incentives
House Approves Occupational Therapy Licensure Compact
Committee Considers Bill On Hospital Treatment Of State Wards
MLN Connects Provider eNews Available
HIDI Offers MUR Data Submission Website Training
Updated COVID-19 Vaccine Dashboard Available
CMS Announces IPFQR Program Webinar
TJC Offers Complimentary Webinar Regarding Disease-Specific Care Certification
MHA Launches Updated Missouri Health Matters Website
Qualivis Now Offers Locum Tenens Solutions To APS Members
Centerpoint Medical Center Celebrates Vaccine Milestone

Regulatory News
HIDI Tech Connect
Quality and Population Health
COVID-19 Updates
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