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Author: Created: Thursday, December 05, 2013 11:23 AM RssIcon
News from the Kentucky Hospital Association
By Ginger - Site Admin on Wednesday, March 22, 2017 9:28 AM
As part of KHA's mission to support its member hospitals by assuring there is an adequate, well-trained and qualified health care professional workforce for the future, the Kentucky Hospital Research and Education Foundation (KHREF) recently made a donation to support nurse education in Eastern Kentucky.

Last month, Appalachian Regional Healthcare (ARH) and Galen College of Nursing announced a partnership to offer an associate degree in nursing program at a new location based in the ARH System Center building in Hazard. In response to the continued and growing nursing shortage in the region, Galen College and ARH have joined together to offer additional nursing education opportunity, in support of both the local nursing workforce, and the need throughout Eastern Kentucky.

“The need for nurses is great in Hazard and across the region,” said Joe Grossman, President and CEO, at ARH. “This partnership helps provide a solution to the growing need for nursing care and greater access to nursing...
By Ginger - Site Admin on Tuesday, March 21, 2017 8:12 AM
This week the House is expected to vote on the American Health Care Act (AHCA) — legislation to repeal the Affordable Care Act (ACA). After working on policies to further improve AHCA, Energy & Commerce Committee Chairman Greg Walden (R-Oregon) and Ways & Means Committee Chairman Kevin Brady (R-Texas) introduced technical and policy amendments to the legislation:

Allow states to opt out of the per capita Medicaid allotment baseline and instead receive federal funds through a block grant. The grant would only apply to traditional adult and children Medicaid populations. Allow states the flexibility to implement reasonable work requirements for able-bodied adults without dependents. Modeled after work requirements in the Temporary Assistance for Needy Families (TANF) program with funding for elderly and disabled populations calculated through a per capita allotment. Freeze and unwind the ACA's Medicaid expansion. Help low- and middle-income individuals and families who do not receive...
By Ginger - Site Admin on Tuesday, March 21, 2017 8:10 AM

The American Hospital Association will hold its annual meeting in Washington, DC, May 7-10. KHA has booked a block of rooms at The Washington Marriott Wardman Park for KHA members planning to attend. If you wish to stay at the KHA Marriott Wardman Park hotel, please complete the AHA Hotel Reservation Form and return to Carol Walters at KHA (cwalters@kyha.com) by Friday, March 31. The reservations will be submitted to the hotel by KHA.

Please, register online at www.aha.org to attend the conference.

By Ginger - Site Admin on Thursday, March 16, 2017 11:03 AM

On Tuesday, April 11, KHA Solutions Group Affinity Partner SunRX will host a free webinar on 340B Trends and Drivers. SUNRx is excited to provide eligible entities with access to this 340B Industry Update. This exclusive webinar will provide the latest updates in 340B including the impact of the Trump Administration.

Speaker details and login information are available at http://www.new-kyha.com/Portals/5/EventBrochures/SunRxWebinar.pdf.

If you have any questions about the webinar or about how SunRx can help with your 340B program, please contact Darrell Trent at KHA Solutions Group (dtrent@kyha.com).

By Ginger - Site Admin on Wednesday, March 15, 2017 12:27 PM
Inpatient Rehabilitation Facility (IRF) and Long-term Care Hospital (LTCH) Quality Reporting Program (QRP) Provider Preview Reports are now available.  The Centers for Medicare and Medicaid Services (CMS) encourages providers to review their performance data on each quality measure based on Third Quarter 2015 to Second Quarter  2016 data prior to the June 2017 LTCH Compare refresh, during which this data will be publicly displayed. Providers have until the end of the 30-day preview period (March 30, 2017) to review their data. Corrections to the underlying data will not be permitted during this time. However, providers can request a CMS review during the preview period if they believe their data is inaccurate.

For more information:

...
By Ginger - Site Admin on Wednesday, March 15, 2017 7:35 AM
The Agency for Healthcare Research and Quality (AHRQ) is collaborating with the National Patient Safety Foundation (NPSF), which will merge with the Institute for Healthcare Improvement in May, to celebrate Patient Safety Awareness Week (March 12-18) through a series of activities recognizing the importance of keeping patients safe in all health care settings:

An ...
By Ginger - Site Admin on Monday, March 13, 2017 9:23 AM
The Centers for Medicare and Medicaid Services (CMS) has extended the attestation deadline for providers participating in the Medicare Electronic Health Record (EHR) Incentive Program to Monday, March 13, 2017, at 11:59 p.m. (PT).

Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by March 13, 2017, to avoid a 2018 payment adjustment.

If you are participating in the Medicaid EHR Incentive Program, please refer to http://chfs.ky.gov/dms/EHR.htm...
By Ginger - Site Admin on Monday, March 13, 2017 9:17 AM

CMS has posted frequently asked questions concerning the Medicare Outpatient Observation Notice (MOON). The “MOON FAQs” are available on the CMS website at www.cms.gov/bni.

As a reminder, the requirement for Hospitals and critical access hospitals (CAHs) to use MOON began on March 8, 2017.

By Ginger - Site Admin on Thursday, March 09, 2017 9:20 AM
Don’t miss out on the March 14 KIPSQ Safe Table on Health IT Safe Practices at the Crowne Plaza Louisville Airport. This event will be held in conjunction with the KHA Quality Symposium, March 14-15.

The safe table will begin at 9:00 a.m. (ET) with speakers from ECRI Institute and end with lunch speaker Wes Butler. Please plan to attend this exciting event and learn more about the risk of copy and paste. This is a free event for KIPSQ members, and CEU hours are provided.

Event Links Quality Symposium Brochure Symposium Registration Safe Table Agenda...
By Ginger - Site Admin on Thursday, March 09, 2017 9:10 AM
The Kentucky Center for Smoke-free Policy (KCSP) will host its 2017 Spring Conference, Smoke-free Partnerships: Past. Present. Future at DoubleTree Suites in Lexington on Tuesday, April 18.

This year's conference will feature the Centers for Disease Control's (CDC) Dr. Brian King, who was a contributing author to the 50th Anniversary Surgeon General’s Report on Smoking and Health; the lead author of the CDC’s 2014 update to the evidence-based state guide, “Best Practices for Comprehensive Tobacco Control Programs;" and one of the editors of the Surgeon General's 2016 report, E-cigarette Use Among Youth and Young Adults.There will also be continuing education (CE) credits again this year through CHES, CME and KBN. To register, visit https://uky.az1.qualtrics.com/jfe/form/SV_0MLhq5GQbAAIR2l. The conference is free to attend, and registration will be open until...
By Ginger - Site Admin on Wednesday, March 08, 2017 9:32 AM
The Medicare Outpatient Observation Notice (MOON) requirements went into effect February 20.The following information and resources will help hospitals ensure they are meeting the requirements correctly.

On August 6, 2015, Congress enacted the Notice of Observation Treatment and Implication for Care Eligibility Act (NOTICE Act) which requires hospitals, including critical access hospitals (CAHs), to provide written and oral explanation to individuals who receive observation services as outpatients for more than 24 hours. The process for delivery of this notice, the Medicare Outpatient Observation Notice (MOON), was addressed in rulemaking, and the resulting regulations are located at 42 CFR Part 489.20(y).

The MOON must be delivered to beneficiaries in Original Medicare (fee-for-service) and Medicare Advantage enrollees who receive observation services as outpatients for more than 24 hours....
By Ginger - Site Admin on Wednesday, March 08, 2017 9:28 AM
Electronic prescribing (e-prescribing), which is intended to ensure that accurate, error-free and understandable prescriptions are sent directly to pharmacies, was found to lower the risks among diabetes patients of experiencing adverse drug events (ADEs) that required emergency department visits or hospitalizations. In an AHRQ-supported article, researchers examined 2011–2013 data for 3.1 million Medicare Part D beneficiaries who were 66 or older and had taken antidiabetes medications for at least 90 days.

Their analysis, published in Medical Care, showed 21 ADEs per 1,000 beneficiaries who had at least 75 percent of their medications e-prescribed. Beneficiaries with less e-prescribing, meanwhile, had more adverse drug events — with the highest rate, 44 events per 1,000 diabetes patients, occurring for those patients who had 0.1 percent to 24.9 percent of their prescriptions handled electronically.

Access the abstract...
By Ginger - Site Admin on Friday, March 03, 2017 11:13 AM
KHREF will host a Credentialing Boot Camp on April 11 at the Hilton Garden Inn in Louisville. This program provides a practical, in-depth review of aspects of credentialing, re-credentialing and privileging including primary source verification, applying criteria for appointment, reviewing the application for completeness, identifying "red flags," roles in the review and approval process, meeting management, credentialing telemedicine and allied health professionals, coordinating the peer review process and understanding negligence in credentialing.

Details are available in the brochure. You can register online to secure your seat today.

If you...
By Ginger - Site Admin on Thursday, March 02, 2017 9:36 AM
Medical malpractice lawsuits can now be filed in Kentucky at any time, but under a bill passed narrowly yesterday by the Kentucky House, peer review of malpractice cases would be required before they could go to court.

“Medical review panels” proposed under Senate Bill 4, sponsored by Senator Ralph Alvarado (R-Winchester) would be required to review any malpractice complaint against a health provider before a case based on that complaint could be filed in court. Representative Robert Benvenuti (R-Lexington) stated SB 4 “provides a balanced, unbiased and thoughtful approach for both patients and health care providers” when he presented the bill to the House on March 1.

SB 4, which passed the House 51-45, would provide mediation on the “front end” of the medical malpractice process to expedite the process and balance it out, Benvenuti noted.

The current medical malpractice process “is not a fast process,” Benvenuti stated. “It drags on for years and years and years. It...
By Ginger - Site Admin on Thursday, March 02, 2017 9:34 AM

Each year, KHA recognizes an outstanding hospital trustee with its Health Care Governance Leadership Award during the KHA Annual Convention Awards Luncheon. This year’s Awards Luncheon will be held on May 19 at the Lexington Convention Center in Lexington.

Nomination criteria and a nominating form are available at http://www.new-kyha.com/Portals/5/NewsDocs/HealthCareGovernanceAwardNominationForm.pdf. Please return the form by March 31. Should you have any questions regarding the awards process, please contact Carol Walters at KHA (cwalters@kyha.com).

By Ginger - Site Admin on Wednesday, March 01, 2017 10:52 AM

Administrators of Kentucky's small, rural and critical access hospitals are invited to join KHA staff on March 23 at KHA Headquarters in Louisville for a formal presentation on timely and critical policy issues.

A complete agenda along with registration information is available in the brochure. Topics include:

  • ACA Update
  • Upper Payment Limit (UPL) Project Update
  • Medicaid Disproportionate Share Hospital (DSH) Methodology
  • Swing Bed Strategey
  • Pre-Conference Seminar for CAH CEOs on Cost Reporting Issues
  • Other Hot Topics

If you have any questions, please contact Elizabeth Cobb at KHA (ecobb@kyha.com).

By Ginger - Site Admin on Wednesday, March 01, 2017 10:44 AM
Hospitals and other health facilities should be aware that the Cabinet for Health and Family Services (CHFS) has filed changes to 902 KAR 20:008 License procedures and fee schedules. The regulation will go into effect in March. The regulatory changes would:

Require health facilities to obtain a provisional license prior to operation, which is in effect until the Office of Inspector General conducts an inspection of the facility and determines the facility is fully compliant with licensure regulations. Require written notice to the Office of Inspector General (OIG) within 30 days in cases of a change of ownership in a health facility. Prohibit an individual or party from acquiring a significant financial interest in a licensed health facility or service if that party has had a license or certificate to operate...
By Ginger - Site Admin on Wednesday, March 01, 2017 10:35 AM
The KHA Certificate of Need (CON) Committee is in the process of reviewing the State Health Plan and CON regulations, and discussing the need to update and improve portions of the program in order to streamline and modernize CON in Kentucky. Two events have prompted this thorough review.

First, the Bevin administration and the Office of Health Policy are focusing on reducing red tape which impedes appropriate growth and business activities. KHA member hospitals would like to be proactive partners in this effort. Secondly, the Office of Health Policy announced in the February CON Newsletter that comments on the 2017 State Health Plan will be accepted between March 1 and March 31. KHA is working towards this deadline in getting final recommendations from the CON Committee and reviewed for approval by the KHA Board of trustees. The KHA Board did approve some CON Committee recommendations during the February 23 Board meeting, but there are other areas of the plan that are being reviewed and discussed....
By Ginger - Site Admin on Tuesday, February 28, 2017 10:44 AM

On February 27, KHA received notice from the state Office of Inspector General (OIG) that plans of correction in response to an OIG inspection/complaint investigation can no longer contain disclaimer statements. This is effective immediately.

If a facility submits a plan of correction with a disclaimer statement in it, the plan of correction will be considered unacceptable and the facility will be notified accordingly. OIG will not be able to conduct revisits or place a facility back in compliance until an acceptable plan of correction is received.

Sandra Houchen, director of the Division of Health Care for the OIG stated that she understood these disclaimer statements have been a long-term, ongoing practice by facilities in this state and other states. However, the Centers for Medicare and Medicaid Services (CMS) in Region IV has instructed that the state survey agencies are not to accept plans of correction that contain disclaimer statements going forward.

By Ginger - Site Admin on Monday, February 27, 2017 10:31 AM

In response to the growing cyber threats in health care, the American Hospital Association (AHA) will offer a series of regional, in-person trainings for hospital and health system CEOs in April. Registration will be limited to hospital or health system CEOs, accompanied by their lead cyber security staff person.

If you have any questions about the upcoming event, please contact Chantal Worzala at AHA (202-626-2313 or vial email at cowrzala@aha.org).

By Ginger - Site Admin on Friday, February 24, 2017 9:34 AM
The Centers for Disease Control's (CDC) National Center for Health Statistics conducts the National Health Care Surveys, which include the National Hospital Care Survey (NHCS), National Hospital Ambulatory Medical Care Survey (NHAMCS) and the National Ambulatory Medical Care Survey (NAMCS). These nationally representative surveys provide data and information used by Congress, health care services researchers and others to shape health care policy and the future of health care in the United States.

The National Center for Health Statistics is accepting registration from eligible professionals (EPs), eligible hospitals (EHs) or Critical Access Hospitals (CAHs) of their intent to submit data to the National Health Care Surveys as part of the Medicare and Medicaid EHR Incentive Programs (Meaningful Use). Providers may attest...
By Ginger - Site Admin on Wednesday, February 22, 2017 9:25 AM
Adverse drug events fell by 67,000 between 2010 and 2013 as the result of the federal “meaningful use” program that offered financial incentives to hospitals for using certified electronic health records (EHRs), according to a new Agency for Healthcare Research and Quality (AHRQ) study. Adverse drug events are harms experienced by a patient as a result of exposure to a medication. They affect nearly 5 percent of hospitalized patients and can be deadly. To minimize such harms, the Centers for Medicare and Medicaid Services (CMS) initiated the meaningful use program in 2010, awarding financial incentives to hospitals and physicians who adopted specific information technology (IT) capabilities, such as computerized prescriber order entry. The new AHRQ study in Journal of the American Informatics Association (JAMIA)...
By Ginger - Site Admin on Monday, February 20, 2017 11:24 AM

The AHA Annual Meeting will be held in Washington, DC, May 7-10. Special sessions created specifically for trustees offer take-home strategies for effective governance and insights into policy and politics featuring the speakers below. Plus, enjoy a Monday reception just for trustees. Sessions include:

  •  Whither the soul of trusteeship? Effective governance in a time of challenge and change
  • Leading and engaging boards in improving community health
  • Trustee Leadership Breakfast: National political update
  • Creating a culture of innovation and safety: from the boardroom to the bedside

Online registration is now available.

By Ginger - Site Admin on Thursday, February 16, 2017 1:11 PM
On February 15, the Centers for Medicare and Medicaid Services (CMS) released a proposed rule designed to stabilize the health insurance marketplace for 2018. The proposed rule would verify eligibility of individuals who newly enroll through special enrollment periods, which has been a concern of insurers with respect to individuals waiting until they need coverage to enroll. It will also allow an insurer to collect premiums for prior unpaid coverage before enrolling an individual in next year’s plan with the same insurer. This is designed to encourage patients to avoid coverage lapses. The rule would also move the assessment of network adequacy to states, and it would shorten the open enrollment for the 2018 coverage year to run from November 1, 2017, through December 15, 2017.

The proposed rule can be found at https://www.federalregister.gov/documents/2017/02/17/2017-03027/patient-protection-and-affordable-care-act-market-stabilization...
By Ginger - Site Admin on Tuesday, February 14, 2017 11:05 AM
The deadline for Eligible Professionals (EPs) to submit Reconsideration forms for the 2017 payment adjustment — based on the 2015 electronic health record (EHR) reporting period — is February 28, 2017. No applications will be accepted after the deadline.

Please visit the Centers for Medicare and Medicaid Services (CMS) website to find the EP Reconsideration Application . Complete this application if you received a letter from CMS that stated you are subject to the 2017 Medicare EHR payment adjustment and you believe this payment adjustment is in error....
By Ginger - Site Admin on Tuesday, February 07, 2017 9:15 AM
The Centers for Medicare and Medicaid Services (CMS) has extended the attestation deadline for providers participating in the Medicare Electronic Health Record (EHR) Incentive Program to Monday, March 13, 2017, at 11:59 p.m. (PT).

Providers participating in the Medicare EHR Incentive Program must attest to the 2016 program requirements by March 13, 2017, to avoid a 2018 payment adjustment.

If you are participating in the Medicaid EHR Incentive Program, please refer to http://chfs.ky.gov/dms/EHR.htm...
By Ginger - Site Admin on Monday, February 06, 2017 10:04 AM

KHA is now accepting applications for the Annual KHA Quality Awards. Please see the application for the full details. Applications are due on April 7. Awards will be presented at the KHA Annual Convention Awards Luncheon in May in Lexington.

More details on the award, and details on past recipients is available in the Safety and Quality section of the KHA website, www.kyha.com.

If you have any questions, please contact Elizabeth Cobb at KHA (ecobb@kyha.com).

By Ginger - Site Admin on Friday, February 03, 2017 11:11 AM
KHA is urging all hospital administrators to take steps to assure your policy on treatment and evidence collection in cases of sexual assault are in compliance with state law and regulations. There have been recent reports to KHA that some patients presenting to hospital emergency rooms following sexual assault are not being provided evidence collection services and in some cases are being turned away for treatment.

There are resources on the Sexual Assault Response page of KHA’s website (located under the Services category) providing guidance to hospitals on the requirements of hospital emergency personnel to treat victims of sexual assault and to collect evidence with consent from the patient. All acute care hospitals providing emergency services are required to provide these services regardless of the availability of a sexual assault nurse examiner...
By Ginger - Site Admin on Friday, February 03, 2017 11:08 AM

The American Society of Health-System Pharmacists (ASHP) publishes an updated drug shortage list on its website. There is now a link from the Safety and Quality section of the KHA website, www.kyha.com, to this resource for your convenience.

ASHP and its partners work to keep the public informed of the most current drug shortages. Shortages can adversely affect drug therapy, compromise or delay medical procedures and result in medication errors.

By Ginger - Site Admin on Thursday, February 02, 2017 10:06 AM

On January 30, the Office of Management and Budget (OMB) officially withdrew the 340B “mega-guidance” released in August 2015, which would have changed which patients, drugs and providers qualify for the 340B discounts on prescriptions medicines.

The official regulatory notice can be found at https://www.reginfo.gov/public/do/eoDetails?rrid=126712.

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