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June 2019
In This Issue
Grants & Contracts Updates
Quality Reporting News
Upcoming Events
Hospitals Continue to Prepare for All-Hazard Impacts Despite Severe Weather and Ongoing Flooding

This spring has proved difficult for Missouri with prolonged, widespread and catastrophic flooding through much of the state, as well as severe weather and tornadic activity impacting several communities – with the most damage reported the evening of May 22 in the communities of Eldon and Jefferson City. Statewide, hospitals have demonstrated strong capabilities to activate their response plans, communicate effectively, and serve their patients and communities.

Throughout the response and recovery, MHA staff have and will continue to facilitate communication and coordination through established incident management platforms to support the health and medical community.

Through these real-world impacts, health and medical partners across the state have maintained commitments to participate in several large scale exercises to test their response capabilities.

These include but are not limited to the following exercises.

Highly Infectious Disease Exercises
On May 28 and 29, staff from Texas County Memorial Hospital, CoxHealth, Mercy Hospital Springfield, Mercy Hospital St. Louis, Saint Francis Healthcare and Lee’s Summit Medical Center conducted full-scale exercises in response to a patient under investigation of Ebola virus disease presenting to the emergency department. Following Missouri’s Ebola Virus Disease Treatment and Transport Plan, hospital staff effectively isolated the patient, utilized personal protective equipment and prepared the patient for EMS transport. Statewide communication platforms were used for notification and coordination.

These exercises culminated on May 30 when Barnes-Jewish Hospital, Missouri’s designated Ebola Assessment Hospital, prepared and transported the notional patient to University of Iowa Hospitals and Clinics in Iowa City, a designated Ebola Treatment Center for U.S. Health and Human Services Region 7.              

Ebola Exercise Ebola Exercise Ebola Exercise

Pediatric Evacuation and Surge Exercise
On May 31 in central Missouri, health and medical partners tested medical surge capacity, hospital evacuation and transportation coordination during a simulated evacuation of University of Missouri Health Care’s Women’s and Children’s Hospital. The exercise tested the hospital’s capability to respond to a no notice Pediatric Evacuation and Surge Exercisemass casualty incident and coordinate appropriately with local, regional and state networks to facilitate safe and appropriate patient care. Staff from St. Louis Children’s Hospital, MHA, the Missouri Department of Health and Senior Services, and the Missouri State Emergency Management Agency were on site in Columbia to support exercise objectives.

Thank you to all those who actively participated or played a role in the execution of these successful preparedness opportunities. After Action Reports are in process for each exercise and will be shared appropriately when finalized.

Questions pertaining to statewide preparedness plans or programs may be directed to Jackie Gatz, Vice President of Safety and Preparedness, at or 573/893-3700.

Grants & Contracts Updates

SHIP Grant Increases Support for Small Rural Hospitals 
Through a new grant, MHA now is able to further support Missouri’s small rural hospitals. The Small Rural Hospital Improvement Program grant, awarded by the Missouri Department of Health and Senior Services, focuses on hospitals with 49 available beds or fewer, as reported on the hospital’s most recently filed Medicare Cost Report. The SHIP grant allows MHA to support these hospitals by providing the following.

  • financial incentives to increase participation in value-based and alternative payment models
  • networking opportunities
  • quality and financial benchmarks
  • educational opportunities
  • technical support, including tools and resources
MHA previously has not been involved with this grant but now will align SHIP with other quality and safety programs, such as the CMS Medicare Rural Hospital Flexibility Program (FLEX) grant. The contract period begins June 1 and runs through May 31, 2020, with the possibility of three additional contract years.

For questions about SHIP, please contact Sherry Buschjost at or 573/893-3700, ext. 1369, or Stephen Njenga at or 573/893-3700, ext. 1325.

HIIN Updates 
The HIIN project is well into Option Year period one, and the MHA HIIN team currently is finishing the HRET HIIN eight week sprints with 30 member hospitals. These sprints assist participating hospitals in identifying opportunities for Plan-Do-Study-Act improvement cycles through use of the HRET HIIN Process Discovery Tools and Coaching Guides.

MHA HIIN hospitals also have the opportunity to earn stipends by meeting the criteria of milestone 10 during this first option year period.

Additionally, HRET HIIN recently released new resources. Encyclopedia of Measures (EOM) version 1.6 has been released, as well as resources for Adverse Drug Events, including the following.

2019 MHA Quality and Safety Convening: Register by July 10!
The 2019 MHA Quality and Safety Convening is for anyone committed to and passionate about improving health care quality and safety for patients, families and those who work in a health care setting. Patients and families are uniquely positioned to provide the best perspective and work in partnership with health care across the continuum to achieve the triple aim of better care, better health and lower costs. However, the quadruple aim includes the addition of increasing the health care worker’s joy in work. Developing a reliable, resilient workforce has never been more important. How can we create synergy among patients, families and health care workers to optimize and balance the needs and experiences of all involved? This convening serves as an opportunity to further explore and discuss the critical issues that contribute to the overall health care experience by all stakeholders and advance toward achieving the quadruple aim.

The Convening will take place Thursday, July 25, at the Courtyard by Marriott in Columbia, Mo. This event is complimentary, and registration is available online.

2020 AHA Quest for Quality Prize
The $75,000 Quest for Quality Prize is presented annually by the American Hospital Association to recognize health care leadership and innovation in providing and improving quality and advancing health in communities. Those interested in applying can find additional information online, along with a hospital application, system application and details about the Quest for Quality 2018 honorees.

Save the Date: Nurse Leadership Forum
The Missouri Organization of Nurse Leaders is excited to invite nurse leaders in every sector of health care to their first Nursing Leadership Forum. Nurse leaders recognize the potential of the nursing profession to be the catalyst for driving health care transformation and will convene to network and hear from local and nationally recognized thought leaders in nursing.

The forum will be held Friday, Aug. 9, at the Courtyard by Marriott in Columbia, Mo. CEUs will be offered. Register on or before Friday, July 26. 
Kidney Disease ECHO Webinar Series
The University of Missouri’s new Kidney Disease ECHO will offer free webinars on Thursdays from noon to 1 p.m. on the following dates.
  • June 20: Evaluating CKD Impact in Primary Care Practice/Population
  • July 18: Developing Practice Strategies to Implement CKD Care
  • Aug. 1: Diet and Nutrition
  • Aug. 15: Medication Management
  • Sept. 5: Cardiovascular Risk in CKD/CKD Risk in Cardiovascular Disease
The Kidney Disease ECHO will help primary care providers improve early detection of chronic kidney disease, co-management of CKD with diabetes and hypertension through best practice, understanding of cardiovascular morbidity and mortality, and management of complex CKD patients. Registration is required.

Safe Sleep Education by Infant Loss Resources
MHA recently sponsored a pair of Safe Sleep webinars by Cheryl Herzog Arneill, Community Educator at Infant Loss Resources. The webinars are designed for those who are or will be in direct contact with infant caregivers and are responsible for educating caregivers on safe sleep practices.

A recording of the webinar is available online. If you have questions, would like to arrange a training for your team or would like access to additional resources, contact Cheryl Herzog Arneill at
CMS Releases QDM Version 5.5
Read more.

More news can be found in MHA Today.

Upcoming Events

Kidney Disease ECHO – Prediction,
Prevention, Protection
Noon to 1 p.m.


2019 MHA Quality and Safety Convening
Columbia College  Jefferson City Campus
Jefferson City, Mo.


Orientation for New Quality Improvement Directors
Columbia College  Jefferson City Campus
Jefferson City, Mo.

Rural Health Clinics Webinar Series

Part I: Rural Health Clinics 101 
Noon to 1 p.m.


Part II: Regulatory Compliance for RHCs
Noon to 1 p.m.


Part III: Provider-Based Compliance for RHCs
Noon to 1 p.m.

For additional MHA events, visit the MHA calendar.

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