Minnesota Hospital Association


August 06, 2018

MHA Newsline: Aug. 6, 2018

In this issue 

University of Minnesota Masonic Children’s Hospital honored with MHA Innovation of the Year in Patient Care Award

MHA on June 1 honored innovative programs and outstanding leaders in health care at its 34th annual awards ceremony.   

University of Minnesota Masonic Children’s Hospital in Minneapolis received the MHA Innovation of the Year in Patient Care Award in the large hospital category, which recognizes hospitals for developing innovative ways to meet the needs of patients and ensure that they are delivering safe and high-quality care.   

The hospital was recognized for its Birthplace and NICU Early Onset Sepsis Prevention Collaborative. Typically, newborns at risk for Early Onset Sepsis are admitted to the NICU for labs, IV placement and the administration of 48 hours of empiric antibiotics, even if they have no signs of infection.   

In November 2016, University of Minnesota Masonic Children's Hospital implemented the Escobar tool to identify newborns at low and moderate risk and allow them to remain with their mothers while receiving IV antibiotic therapy and close observation. This project minimized maternal and newborn separation, facilitated breastfeeding, decreased the cost of care and provided a more positive patient experience.   

Additional award winners will be profiled in upcoming issues of Newsline. To learn more about the award winners, visit the MHA websitereturn to top   

Park Nicollet Methodist Hospital honored with AHA award

Park Nicollet Methodist Hospital in St. Louis Park was honored with a 2018 Citation of Merit award as part of the annual Quest for Quality presented by the American Hospital Association (AHA) at the organization’s annual Leadership Summit July 26-28.  

The Quest for Quality Prize recognizes health care leadership and innovation in improving quality and advancing health in communities. All recipients demonstrate a commitment to improving access; providing high-quality, safe care; creating value; partnering with patients and families; focusing on well-being; and providing seamless, coordinated care.  

“To be awarded the Citation of Merit is an incredible honor, and demonstrates Methodist Hospital is among the very best in the nation,” said Roxanna Gapstur, president, Methodist Hospital. “The entire HealthPartners organization is committed to improving affordability, creating a quality experience, improving health equity and ensuring that we guide our patients through their care to avoid unnecessary admissions or readmissions.”   

Learn more on the HealthPartners website and the AHA websitereturn to top  

Mental Health Innovation Grant recipients selected

The Department of Human Services (DHS) has selected recipients for the first round of grants under the new Mental Health Innovation Grant program. The program was designed with the dual goals of improving access to community-based mental health services while trying to reduce the need and length of stays at Anoka Metro Regional Treatment Center and the state-operated community behavioral health hospitals.   

This grant program was a legislative initiative of MHA’s and was part of the 2017 health and human services budget. Funds come from a portion of the revenues paid by counties to the state for treatment costs for county resident stays when the individual no longer meets the level of care criteria.   

A competitive request for proposal process was published in early 2018. Some 40 submissions were made by hospitals, counties and tribal governments, totaling $18.2 million. DHS selected six grant recipients, allocating the $2.171 million appropriated by the Legislature. All grants are for 18 months, with an option to be extended by six months.   

Grant recipients are: 

  • Adult Mental Health Initiative Region V+: Transition Services 
    • Serving Aitkin, Cass, Crow Wing, Morrison, Todd and Wadena counties and Leech Lake Band of Ojibwe and Mille Lacs Band of Ojibwe 
    • 18 mos. $195,718 (24 mos. $260,958) 
  • American Indian Family Center: Healing Journey 
    • Serving the American Indian community in Anoka, Carver, Dakota, Hennepin, Ramsey, Scott and Washington counties 
    • 18 mos. $163,819 (24 mos.: $218,425) 
  • Hennepin County Adult Behavioral Health: Behavioral Health Care Center 
    • Serving Hennepin County 
    • 18 mos. $650,305 (24 mos. $867,074) 
  • Human Development Center: Emergency Department Case Management 
    • Serving Duluth 
    • 18 mos. $261,331 (24 mos. $348,442) 
  • Kanabec County: Care Connector/Navigator Model 
    • Serving Kanabec County 
    • 18 mos. $146,634 (24 mos. $195,512) 
  • White Earth Mental Health Program: Holistic Health Practitioners 
    • Serving the White Earth Nation 
    • 18 mos. $210,418 (24 mos. $280,558) 

"We are pleased to see this MHA legislative priority come to fruition,” said Mary Krinkie, vice president of government relations, MHA. “DHS has identified some worthy initiatives, including projects with involvement from hospitals and health care systems.”   

Another RFP will be released in 2019 for the second round of grants. MHA members are encouraged to respond. return to top   

Prepare for Aug. 14 primary election

Minnesota’s primary election is Aug. 14. Unlike many election years, this primary election will have many competitive intraparty elections, where voters will be choosing which candidate from their selected political party they would like to see move onto the general election in November.   

In addition to the federal congressional races that are every two years and the state house of representative races that are every two years, Minnesota has a competitive primary in both the Democratic-Farmer-Labor (DFL) Party and the Republican Party for governor. In addition, Minnesota has the unusual circumstance of two simultaneous U.S. senatorial elections.   

MHA encourages political participation and voting, which has been made easier than ever with expanded early voting option. Minnesota residents may contact the secretary of state’s office and get a ballot directly mailed to their home. In addition, all Minnesota voters have at least one location where they can vote early in person with an absentee ballot. Depending on where you live, there may be additional locations. 

Minnesotans do not register to vote by party and individuals are free to vote in the Republican Primary, the DFL Primary or another political party primary; however, Minnesota has a closed primary, which means voters can only vote for candidates in one political party. There is one primary ballot that lists DFL candidates in one column and Republican candidates in a separate column. A primary ballot will be voided if it includes votes in more than one column for more than one political party.   

Candidates for public office appreciate hearing from local hospital stakeholders with personal expertise about health care issues and issues affecting their community’s hospitals and clinics. MHA board members, hospital CEOs and government relations officers recently received an email with information about connecting with candidates in their service areas. These resources are available on the MHA Member Center. For assistance accessing the Member Center, contact Ashley Beno, member services and communications specialist, MHA, 651-603-3545.   

With questions, contact Mary Krinkie, vice president of government relations, MHA, 651-659-1465, or Kristin Loncorich, director of state government relations, MHA, 651-603-3526. return to top   

CMS issues FY 2019 IPPS final rule

The Centers for Medicare and Medicaid Services (CMS) issued its hospital inpatient prospective payment system (IPPS) final rule for fiscal year (FY) 2019. The final rule will increase Medicare rates for prospective payment system hospitals by 1.85 percent in FY 2019 compared to FY 2018, after accounting for inflation and other adjustments required by law. FY 2019 begins Oct. 1, 2018.   

Some of the major provisions made by CMS include: 

  • Finalizes its proposal to require hospitals to publicly post their charges in a machine-readable format effective Jan. 1, 2019; hospitals will be required to update this information at least annually, or more often as appropriate. 
  • Finalizes its proposal to continue its three-year transition to using Worksheet S-10 data to determine the amounts and distribution of disproportionate share hospital uncompensated care payments, which began in FY 2018. The agency also will implement audits of the Worksheet S-10 data. 
  • Consistent with CMS’ Meaningful Measures initiative, finalizes the removal of 18 measures from the inpatient quality reporting program that are “topped out,” no longer relevant or where the cost of data collection outweighs the value. The agency also will deduplicate 21 IQR measures, removing them from the IQR but retaining them in other programs. However, CMS does not finalize its proposal to remove the safety measure domain from the hospital value-based purchasing program.  
  • Finalizes its proposed changes to the Promoting Interoperability program that provide a new scoring approach and flexibility to meet meaningful use requirements. 
  • Finalizes an EHR reporting period of a minimum of any continuous 90-day period in both 2019 and 2020. CMS also clarifies actions that may be taken to vet and register apps chosen by patients. 

While MHA is pleased that CMS has taken steps in quality reporting to reduce administrative reporting burden, the agency has created potential duplication and additional administrative burdens for hospitals to publicly report charges. In its comment letter, MHA wrote, “MHA and many other hospital associations support transparency and have undertaken price transparency work similarly. CMS should not require hospitals to duplicate or replace these existing publicly available resources.” CMS recognizes these efforts have been in place but did not feel compelled to change its position.   

With questions, contact Joe Schindler, vice president of finance, MHA, 651-659-1415. return to top   

Register for Aug. 14 medication safety conference

The 2018 Medication Safety Learning and Networking Day will be held at the Crowne Plaza Minneapolis West in Plymouth on Aug. 14. The content is intended for quality and safety personnel, nurses, providers and pharmacists.   

Read the event brochure and register online. Please purchase a meal ticket for food and beverages directly from the Crowne Plaza for a $52 fee online. The meal ticket includes breakfast, coffee breaks and a lunch buffet.   

Livestreaming of the event will also be provided. Remote viewers will need to register in advance for the morning and/or afternoon livestream to view and earn CEs for the event.   

The morning session includes a patient story, overview of the new DHS opioid prescribing guidelines and panel discussions on medication reconciliation and medication shortage management. Register for the morning livestream.  

The afternoon session includes presentations on monitoring and responding to controlled substance diversion and preparing for new USP 800 requirements (hazardous drug handling and administration). Register for the afternoon livestream.   

There will be question and answer time after each presenter and online participants will be able to ask questions in a chat box for presenters. 

With questions, contact Joy Benn, quality and process improvement specialist, MHA, 651-659-1441. return to top