Webinar to Discuss Changes to CMS Requirements

In November 2019, the Centers for Medicare & Medicaid Services (CMS) Conditions of Participation made significant changes to the transparency bill, discharge planning and hospital improvement rule related to medical staff. More than 2,180 deficiencies were identified by the CMS related to the medical staff section, demonstrating the level of misunderstanding of the rules.

CMS has also recently made several changes to regulatory standards of telemedicine during the COVID-19 pandemic. These standards, along with 1135 telemedicine waivers, and new tag numbers for critical access hospitals in 2020 and 2021, have impacted how medical staff must document services provided to patients.

The MHA Health Foundation webinar Medical Staff, Telemedicine and Other Changes to CMS Requirements will review many CMS requirements directly related to medical staff and telemedicine requirements.

The webinar is scheduled from 10 to 11:30 a.m., Aug. 31 and MHA members can register for a connection fee of $195. Members with questions should contact Erica Leyko at the MHA.

June 3 Webinar in Leadership Series Explores Diversity

The MHA webinar series on leadership approaches to assist with post-pandemic strategic planning continues June 3 from noon to 1 p.m. with the webinar titled Diversity and Inclusion featuring Kim Blue, the global head of People Experience Partners at Zoom. Blue will describe how to create and execute organizational diversity and inclusion strategies based on her experience with Zoom, ESPN and Microsoft. Whether she is consulting one-on-one or leading training for hundreds of people, Blue coaches people to step beyond the shore of diversity and really explore the ocean that is inclusion.

On April 29, the series kicks-off with the webinar Technology Post-COVID-19: Technology, Telemedicine, Hospital at Home and Expansion of Technology, and the series continues through August with future topics on supply chain, resilience and emotional well-being, and rural healthcare delivery. Each session will be held from noon to 1 p.m. By attending the webinar series offered by the MHA, participants may earn up to one ACHE Qualified Education Hour per session toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.

Members can register for a single webinar for $50 or all five webinars at a discounted rate of $200. A health system can register for an unlimited number of logins for a single webinar for a flat-rate fee of $200 or register for an unlimited number of logins for all five webinars at a flat-rate fee of $750. Questions about the webinar series should be directed to Erin Steward at the MHA.

Rural Development Grants for Distance Learning and Telehealth Announced

The U.S. Department of Agriculture (USDA) has announced applications are being accepted through July 13 for distance learning and telemedicine grants. These are competitive grants for rural communities to use distance learning and telehealth to address the challenges of remoteness and low population density areas of 20,000 or less. The grants may be used to acquire eligible capital assets, including broadband transmission facilities; audio, video and interactive video equipment; terminal and data terminal equipment; computer hardware, network components and software; and inside wiring and similar infrastructure. Additionally, the funds may be used to acquire instructional programming that is a capital asset, as well as technical assistance and instruction for using eligible equipment.

Grant applications are to be submitted electronically through grants.gov. Additional information is available at the USDA Rural Development website. Members with questions may contact Bill Jackson at the MHA.

MHA Monday Report March 9, 2020

MHA Monday Report logo

Combating the 2019 Novel Coronavirus (COVID-19)

The MHA is working closely with the Michigan Department of Health and Human Services (MDHHS), the American Hospital Association (AHA), the Centers for Disease Control and Prevention (CDC), and other state and federal agencies and organizations to ensure …

U.S. Supreme Court Agrees to Review ACA Determination in Fall

The U.S. Supreme Court decided March 2 that it will review, during its term beginning in October, a federal appeals court decision that held the Affordable Care Act’s (ACA) individual mandate unconstitutional.The high court also granted many healthcare

Court Blocks Michigan’s Medicaid Work Requirements

A U.S. District Court ruling issued March 4 invalidated Michigan’s Medicaid work requirements, which posed a threat to healthcare coverage for tens of thousands of Healthy Michigan Plan recipients. Judge James Boasberg’s order blocks Michigan…

MHA Members Asked to Submit Comments on CMS 340B Survey by March 9

A proposed survey by the Centers for Medicare & Medicaid Services (CMS) seeks to collect pricing data on Specified Covered Outpatient Drugs from all hospitals that participate in the 340B Drug Pricing Program. …

Critical Incident Stress Management Bill Signed Into Law

Gov. Gretchen Whitmer signed House Bill 4862 into law March 3, which expands confidentiality protections for participants and providers at healthcare facilities performing Critical Incident Stress Management services. …

Bills to Expand Telehealth Services Reported from House Committee

Members of the House Health Policy Committee voted March 5 to report House Bills 5412 through 5416, which would expand opportunities for providers to receive Medicaid payment for telehealth services. The MHA has supported…

Celebrate Patient Safety Awareness Week

Patient Safety Awareness Week, hosted by the Institute for Healthcare Improvement, will be celebrated March 8-14 to increase awareness about patient safety and recognize the work that is already in-progress to reduce the risk of preventable patient harm …

Nominations Sought for Healthcare Leadership, Advancing Safe Care Awards

The MHA is seeking nominations for two awards that recognize healthcare professionals for their efforts to lead the way to healthier communities. The MHA Healthcare Leadership Award recognizes outstanding members of the healthcare governing boards…

Proposed Policy on Medicaid Payments for Rural Hospitals Released

The Medical Services Administration recently released a proposed policy to implement the supplemental budget appropriation for fiscal year 2020, which included additional general funds to increase critical access hospital reimbursement.  Pending approval by the …

Healthcare Leaders Explored Rural Healthcare Issues at Breakthrough Event

More than 100 chief executive officers and senior leaders attended MHA Breakthrough Feb. 27 and 28 to discuss the competitive landscape and tactics to reinforce long-term viability. In a special Town Hall on Michigan’s Rural Healthcare Strategy, a coalition of Tennessee providers and government outlined how they are making several ambitious …

The Keckley Report

Paul KeckleyThe Road to Value-based Care is Inevitable but Bumpy: The Realities that Must Be Addressed​

“The U.S. health delivery system is destined to replace its flawed volume-based incentives with value-based purchasing, but the process is proving difficult. That’s the consensus view from Chief Strategy Officers of major health systems convened by Lumeris over the weekend in Montana.”

Paul Keckley, Feb. 2, 2020

News to Know

Upcoming events and important healthcare news for the week of March 9:

  • The Institute for Healthcare Improvement (IHI) is celebrating Patient Safety Awareness Week March 8 through 14.
  • The MHA Michigan Green Healthcare Committee will meet from 9 a.m. to noon Tuesday at MHA headquarters, Okemos.
  • As part of the webinar series from the MHA Endorsed Business Partner program, a webinar titled 340B Regulatory Update – Past, Present and Future will be hosted with SUNRx from 2 to 3 p.m. Tuesday.
  • The 2020 Patient Safety Organization (PSO) Annual Meeting will take place from 8 a.m. to 3 p.m. Wednesday at the VisTaTech Center – Schoolcraft College, Livonia.

MHA in the News

Read recent coverage about the MHA, including articles from Crain’s Detroit Business, Bridge Magazine and Interlochen Public Radio about the MHA’s 2020 Economic Impact of Healthcare in Michigan report, Medicaid work requirements and rural healthcare.

Bills to Expand Telehealth Services Reported from House Committee

Members of the House Health Policy Committee voted March 5 to report House Bills (HBs) 5412 through 5416, which would expand opportunities for providers to receive Medicaid payment for telehealth services. The MHA has supported efforts to expand access to these services to help address the nation’s physician and nursing shortage and improve outcomes for patients.

HBs 5412,  5413 and 5414 would remove the requirement that providers interact with a patient in real time during a telehealth visit and would allow for the sharing of health data through a secure messaging application that complies with the Health Insurance Portability and Accountability Act. Also known as asynchronous care, this use of telehealth would reduce the need for face-to-face office visits and increase efficiency for both providers and patients.

HB 5415 would require the Michigan Department of Health and Human Services (MDHHS) to provide Medicaid coverage for remote patient monitoring (RPM) services. RPM is the use of technology to collect health data from an individual and automatically transmit it to a healthcare provider in a different location for assessment. RPM technology can drastically improve the quality of telehealth visits, as the health professional can electronically receive patient-generated health data, much like an in-person visit.

HB 5416  would require the MDHHS to provide Medicaid coverage for telehealth services when the patient received those services at home or in school. Currently in Michigan, Medicaid only reimburses for telehealth services when a patient receives those services from a federally qualified health facility. HB 5416 would expand the allowable sites for a patient to seek treatment to include the patient’s home or school and would eliminate geographic restrictions on providers a patient may interact with. The proposed legislation could have significantly positive impacts on health outcomes and efficiency.

The package was introduced by Reps. Hank Vaupel (R-Fowlerville), Douglas Wozniak (R-Shelby Twp.), Frank Liberati (D-Allen Park), Phil Green (R-Millington) and Mary Whiteford (R-Casco Twp.). The bills now await a hearing in the House Committee on Ways and Means before reaching the House floor. The MHA will continue to support the package and keep members apprised moving forward. For more information, contact Sean Sorenson at the MHA.