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August 2018
In This Issue
HIIN Updates
MoAQH Updates
Quality Reporting News
Upcoming Events
HIIN Updates
HIIN Contract Extension
Thank you for your hard work in submitting data and improving care thus far! Remember that Milestone 8 is right around the corner. The deadline for all data (October 2016 – May 2018) is due Tuesday, Aug. 21, by close of business; however, early data submission is appreciated.

The MHA HIIN team is excited to announce that the Centers for Medicare & Medicaid Services currently is considering requests for proposal that would add a six-month extension to the existing HIIN contract. If awarded, the original HIIN contract work would be extended from Sept. 28, 2018, through March 28, 2019.

Within the RFP, CMS indicates that the possible extension would expand the focus, of and increase attention on, opioid stewardship. Current improvement work to reduce all cause harm, readmissions and disparities, and to increase patient and family engagement, will remain continued goals in the extension. HRET HIIN will be working on submitting both a technical and a business proposal in the coming weeks that outlines plans for judicious opioid prescribing, as well as methods to improve, monitor and evaluate opioid use.

Should CMS grant this six-month base period extension, it would not impact the ability of HRET to apply for the contract option year in March 2019. We will keep you updated on the status of the contract as we learn more.

HIIN Quality Convening Hospital Award Recipients
Health care organizations have the responsibility to deliver safe, reliable and effective care to patients and are continually asked to improve on this promise. At the recent HIIN Quality Convening, held June 6 and7, MHA honored hospitals who have proven their dedication and success to this promise.

MHA would like to recognize the following facilities for being in the top 10 percent of HIIN-participating hospitals with the most zero harm measures reported from October 2016 to March 2018. Congratulations on this achievement!

  • Carroll County Memorial Hospital
  • Cedar County Memorial Hospital
  • Harrison County Community Hospital
  • Iron County Medical Center
  • Mercy Hospital Carthage
  • Missouri Delta Medical Center
  • Pike County Memorial Hospital
  • Sullivan County Memorial Hospital
We also would like to recognize the following facilities for being a top 10 percent HIIN-participating hospital in achieving the greatest percentage of improvement based on maintaining a cumulative measure rate below four and achieving reductions of 20 percent or greater in the following cumulative topic areas: adverse drug events, catheter-associated urinary tract infections, central line-associated blood stream infections, C. difficile, falls, methicillin-resistant staphylococcus aureus, pressure ulcers, readmissions, surgical site infections, venous thromboembolism and ventilator-associated events.
  • Carroll County Memorial Hospital
  • Community Hospital-Fairfax
  • Freeman Hospital West
  • Harrison County Community Hospital
  • Iron County Medical Center
  • Mercy Hospital Carthage
  • Mercy Hospital Lincoln
  • Missouri Delta Medical Center
  • Research Medical Center
  • Ste. Genevieve County Memorial Hospital
These organizations have shown incredible dedication to improving safety and quality. Again, congratulations! MHA commends your dedication to improve care in the communities you serve!
Aunt Bertha LogoAunt Bertha – Connecting People and Programs
As we work to improve the health of our communities, it is imperative to connect individuals who, in the past, used the hospital as their source to more appropriate services in the community. Aunt Bertha is an “at your fingers” resource. By simply entering a ZIP code, individuals will immediately find resources for food, housing, transit, money and health care.            
Educational Collaborative Webinar Series
The Missouri Hospital Association, in partnership with the Missouri Department of Health and Senior Services and Washington University School of Medicine, would like to introduce the Missouri Antimicrobial Stewardship Educational Collaborative. This free service aims to spread working knowledge and expertise on how to effectively deliver antimicrobial stewardship services among Missouri hospitals from experts in antimicrobial stewardship.

An introductory webinar was conducted on July 13. A recording of the webinar is available, as well as the presentation and FAQs.

If you are interested in receiving additional information regarding the next webinar in the series, please contact Megan Griffith at

Enroll Now to Join Opioid Use Disorder ECHO
The University of Missouri opened enrollment for its second round of Opioid Use Disorder ECHO educational sessions, which are supported by a Substance Abuse and Mental Health Services Administration grant awarded to the Missouri Department of Mental Health.

The University of Missouri launched one of the nation’s first ECHOs (Extension for Community Healthcare Outcomes) focused on opioid use last year. Show-Me ECHO uses videoconferencing to connect an interdisciplinary team of specialists with primary care providers. They collaborate in case-based learning sessions to help primary care providers develop advanced skills and best practices, which in turn, increases the availability and quality of patient care.

Enrollment and additional information is available. Show-Me ECHO sessions cover chronic pain management, dermatology, Hepatitis C, child psychiatry, asthma, autism, health care ethics and community health workers also are offered at Free CME for health care professionals is available.

Missouri Coalition for Community Behavioral Healthcare Upcoming Webinar: Treating Pregnant and Postpartum Women with Narcotic Addiction
The Missouri Coalition for Community Behavioral Healthcare will be hosting a webinar at 10 a.m. Tuesday, Aug. 28. Dr. Jaye M. Shyden, M.D. will discuss the epidemiology and trends in opiate use disorders in pregnancy, as well as the implications for pregnancy and newborn outcomes. She also will review treatment alternatives, including detoxification. In addition, considerations for intrapartum and postpartum care and the role of breastfeeding to assist in recovery will be presented.

The Missouri Coalition for Community Behavioral Healthcare will award 1.5 clock hours or 1.8 contact hours (.18 CEUs) for this activity. The Missouri Coalition for Community Behavioral Healthcare will be responsible for this program and will maintain a record of your continuing education credits earned.

Registration is required.

Nominations for Distinguished Quality Professional Award by Missy Sutton, MoAHQ President
Missy Sutton, MoAQH PresidentDo you know a fellow professional who goes above and beyond to promote quality and advance the quality improvement message? It is time to honor a leader in our state who deserves recognition for active work in the area of quality. Help us identify the next worthy honoree.

The Distinguished Quality Professional Award is designed to recognize a professional in the field of quality management who has demonstrated significant accomplishments and contributions in the area of quality improvement. This award is designed to recognize a professional who has exhibited exceptional skills in the following areas of health care quality: leadership, expertise and knowledge of quality principles, contributions to the health care quality profession, and being a role model for other quality professionals.

Recipients will be honored during a luncheon awards ceremony at the Missouri Hospital Association’s 96th Annual Convention & Trade Show and at the annual Missouri Association for Healthcare Quality luncheon.

Nominations may be submitted electronically by Monday, Aug. 27. If you have additional questions or would like to request a nomination form, contact Toi Wilde at 573/893-3700, ext. 1406 or


Quality Works® Expands Services
Quality Works® expanded its services to include expertise in facilitating and leading clinical quality, population health, safety collaborations and performance improvement education. These offerings include the following.
For more information or to learn how our experts may assist your facility, contact Sherry Buschjost at
CART Tool Updated for Outpatient Encounters
Read more.
CMS And TJC Release National Hospital Inpatient Quality Measures Specifications Manual Version 5.5
Read more.
CMS Encourages Collection of NIH Stroke Scale In ICD-10-CM Codes
Read more.
CMS Releases OQR Manual Version 12.0
Read more.
CMS Updates PSVA Tool for 2018 QRDA Category I Schematrons
Read more.
Hospital Quality Reporting Summer Newsletter Is Released
Read more.

More news can be found in MHA Today.

Upcoming Events
Excellence in Clinical Care Series - 
Quality Improvement, Infection Prevention
8 a.m. - 4:30 p.m.
Wednesday, Sept. 26 - Friday, Sept. 28
Camden on the Lake
Lake Ozark, Mo.

96th Annual Missouri Hospital
Association Convention & Trade Show
Wednesday, Nov. 7 - Friday, Nov. 9
Tan-Tar-A Resort
Lake Ozark, Mo.

Learn more
Upcoming Virtual Events
Quality Works Medical Group
Leadership Series:
Provider Productivity
Noon - 1 p.m.
Tuesday, Aug. 28
Quality Works Medical Group
Leadership Series:
Provider Recruitment & Retention
Noon - 1 p.m.
Tuesday, Sept.. 25
For additional MHA events, visit the MHA calendar.