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Leadership Summit on State Medicaid Waivers
Join us Sept. 29, in Chicago, for a one-day summit on incentivizing delivery system reform. We'll present current trends in Medicaid waiver design and perspectives from hospital executives, government relations experts, and waiver state officials.

Register now

Setting New Standards for Quality and Performance

Sep 11, 2014 || Janelle Schrag

The National Quality Forum is leading a new initiative to adjust for patients' sociodemographic factors in quality and performance measures. This is an important movement for essential hospitals that often care for sicker, more complex patients.

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Congress meets this week to extend federal funding through Dec. 11. Other legislative considerations include medical device tax, VA authorities, and the Emergency Medical Services for Children Program. Committees will address CHIP, Ebola, and the ACA.

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The association joined a letter to HHS asking for a 90-day EHR reporting period for FY 2015.

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During its September public meeting, MedPAC discussed alternatives to the two-midnight policy, the need for audit reform, and the 3-day SNF rule. The commission will continue to focus on these issues.

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The report summarizes a Roundtable on Health Literacy workshop that featured initiatives public health organizations are undertaking to increase health literacy and the implications of health literacy on public health.

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OPA webinar will cover recent changes to 340B audit process. The office is also working to standardize the process for self-disclosing a 340B requirement breach and notes successful recertification process.

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The webinar, to be held, Sept. 16, 2:30 - 3:30 pm ET, will include the CMS 2014 CEHRT flexibility final rule and the ONC 2014 edition certification criteria final rule.

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ONC issued a final rule including 10 optional criteria and 2 revised criteria for the 2014 edition EHR certification criteria. The goal is to reduce regulatory burden, increase flexibility, and enhance EHR interoperability and information exchange.

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BMC's 15-step, replicable plan involves identifying clinically significant alarms and altering settings for insignificant alarms. The plan reduced noise levels and increased satisfaction.

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This week, Congress will likely consider a CR, allowing non-ACA-compliant group health insurance plans through 2018, extending the Emergency Medical Services for Children Program, and several health-related items.

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Hear members of our policy team discuss the association's recently released brief on innovative alternative payment models. These models focus on ways to replace or augment existing fee-for-service and managed care models, while also increasing efficiency, coordination, and quality of care.

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Ratings will start with the April 2015 release of Hospital Compare data. Dry run will occur between Sept. 15 and Oct. 14.

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Explore Medicaid alternative payment models, which states have increasingly used to improve health care quality and lower costs.

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GAO found that HHS did not ensure budget neutrality when approving Arkansas' Medicaid expansion waiver. Issues include lack of data to corroborate state assumptions and state flexibility to expand spending limits.

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The full U.S. Court of Appeals for the District of Columbia will rehear Halbig v. Burwell, one of the two cases with conflicting results on whether ACA subsidies are available in the federally facilitated marketplace.

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Generally, if consumers do nothing, they will be auto-enrolled in the same plan with the same premium tax-credit and other financial assistance as they had in the 2014 plan year.

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CMS and ONC finalize extension of stage 2 meaningful use requirements and give providers flexibility for reporting via 2011 or 2014 certified EHR technology.

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Recent journal articles explore interventions to reduce readmissions, uncover barriers to recovery for vulnerable adults, decrease emergency department utilization, and more.

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Under consideration will be a federal funding extension and a House bill to grandfather non-ACA-compliant group health plans

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Court ruled that PhRMA must file second lawsuit to challenge OPA's interpretative rule implementing the orphan drug provision for new 340B covered entities under the ACA.

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Hospitals willing to resolve pending appeals will receive a timely, partial payment equal to 68 percent of the net payable amount. Provider call scheduled for Sept. 9.

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America's Essential Hospitals urged CMS to ensure any changes to the MSSP encourage and emphasize quality of care for beneficiaries.

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The association urged CMS to revise its C-APC proposal and opposed its proposal to add a claims-based modifier for every outpatient service provided in off-campus provider-based departments.

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Pennsylvania will expand Medicaid through a private option, requiring some enrollees to pay premiums.

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The association sent a support letter to House Energy and Commerce ranking members commending their effort to extend CHIP through FY 2019. The proposed legislation would also extend Medicaid primary care payments and bolster quality measures.

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Using a diligent campaign of education, communication, and process changes aimed at reducing hospital-acquired infections, Maricopa Integrated Health System improved patient safety, reduced the incidence of infection, and shortened patients’ length of stay.

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About America’s Essential Hospitals

America’s Essential Hospitals, formerly the National Association of Public Hospitals and Health Systems (NAPH), is the only national association and champion for hospitals and health systems dedicated to high-quality care for all, including the most vulnerable. We support members with advocacy, policy development, research, and education for hospital leadership.

America’s Essential Hospitals was formerly known as the National Association of Public Hospitals and Health Systems (NAPH). Carrying our mission since 1981 into today's health care era

Learn more about the name change »