June 26, 2024

Webinar: What is ToRCH? (Transformation of Rural Community Health), July 18

Join the Missouri Rural Health Association for a FREE Lunch & Learn webinar to learn about the ToRCH program and explore how this innovative program is transforming healthcare in rural Missouri.

The ToRCH program is a groundbreaking initiative that empowers rural communities to address healthcare-related social needs among their Medicaid populations, with a laser focus on driving better health outcomes.

Cost: Free

When: Thursday, July 18, 12:00 – 1:00 p.m. CT

Click Here to Register

June 26, 2024

Webinar: MRHA Connect, July 9th

Join this webinar to meet the architect and manager of MRHA Connect.

You’ll learn every tool you’ll need to be a top contributor AND be entered into the drawing to win.

MRHA Connect is a groundbreaking, community-driven online platform is tailored for rural Missouri healthcare professionals, advocates, academics, subject matter experts, and community leaders.

MRHA Connect members are empowered to join communities aligned with their interests and regions, creating a space for targeted discussions, resource sharing, and strategic collaboration.

Cost:  Free

When: Tuesday, July 9, 12:00 – 1:00 p.m. CT

Click Here to Register

June 26, 2024

Using Kaspersky Antivirus Software? It is Now Banned in the U.S.

Why is Kaspersky Getting Banned?

Kaspersky is getting banned in the US after the Bureau of Industry and Security (BIS) conducted a review of the company’s cybersecurity and anti-virus transactions.

  • BIS states that Russia is a foreign adversary that poses ongoing threats to the United States.
  • According to the agency, Kaspersky is under the jurisdiction and control of the Russian Government
    • Allowing Kaspersky to access to sensitive information from US customers.
  • BIS notes that the company poses “unacceptable risks to the United States’ national security and the security and safety of its people.”
    • The main concerns are:
      • Kaspersky’s connections to Russia
      • Potential security weaknesses in Kaspersky’s products
      • A chance that Russia could exploit these weaknesses.

What Does This Mean to Current Kaspersky Users?

  • The Kaspersky ban essentially means you will not be able to purchase its software products
    • If you already have one, it will stop working soon.
    • Starting July 20, Kaspersky and any of its partners will not be able to sell or license cybersecurity or antivirus software in the US.
    • Existing Kaspersky customers have until September 29 to find an alternative
      • The company will no longer be able to provide antivirus signature updates after this date.

Kaspersky’s ban in the U.S. shouldn’t come as a surprise. The firm has been on the government’s radar for quite some time.

In 2017, the US banned the use of the Moscow-based cyber security firm’s products across all government agencies.

Read more from the Bureau of Industry & Security website.

June 26, 2024

Data Breach – U.S. Bans Antivirus Software

Financial Business and Consumer Solutions (FBCS), a debt collection enterprise, has been impacted by a massive data breach that affects millions of Americans. FBCS is a debt collection agency that specializes in recovering charged-off consumer and commercial debts, such as car loans, healthcare bills, utility bills, student loans, and credit cards.

The initial tally of those affected from this cyber incident was around 1.9 million, which the company raised to 3 million in June 2024. The data breach leaked a treasure trove of consumer data, including full name, Social Security Number (SSN), date of birth, and driver’s license number or ID card. The company has informed affected individuals as well as concerned authorities.

If your organization transfers collection accounts to this or any other agency, the collection agency becomes a business associate according to HIPAA.

Read more about the cyber incident on the FBCS website.

June 26, 2024

Call for Nominations

The Centers for Medicare & Medicaid Services (CMS) has issued a call for nominations for a CMS Technical Expert Panel (TEP) for the expansion of both the Maternal Morbidity Structural Measure (MMSM) and the Birthing-Friendly Hospital Designation.

Ideal TEP nominees include:

  • Clinical experts
  • Obstetrical/gynecologic department chairs
  • Hospital administrators
  • Perinatal quality improvement experts
  • Health equity and birth justice experts
  • Statistical and performance measurement experts
  • Consumer/patient/family caregiver experts

Nominations accepted until July 12.

Learn More

June 26, 2024

CMS Preparing to Close Program that Addressed Medicare Funding Issues

On June 17, the Centers for Medicare and Medicaid Services (CMS) announced that payments under the Accelerated and Advance Payments (AAP) Program for the Change Healthcare/Optum Payment Disruption (CHOPD) will conclude on July 12, 2024.

  • CHOPD accelerated payments have been issued to over 4,200 Part A providers, such as hospitals, totaling more than $2.555 billion.
  • CMS also issued 4,722 CHOPD advance payments, totaling more that $717.18 million, to Part B suppliers, including doctors, non-physician practitioners, and durable medical equipment suppliers.
  • Providers of services and suppliers are now successfully billing Medicare
    • to date, CMS has already recovered over 96% of the CHOPD payments.
  • After July 12, 2024, CMS will no longer accept new applications for CHOPD accelerated or advance payments.

CMS will continue to monitor for other effects of the cyberattack on Medicare providers of services and suppliers and will continue to engage industry partners to address any remaining issues or concerns.

CMS encourages all providers of services and suppliers, technology vendors, and other members of the health care ecosystem to double down on cybersecurity, with urgency.

Please visit the HPH Cyber Performance Goals website at https://hphcyber.hhs.gov/performance-goals.html for more details on steps to stay protected.

June 26, 2024

RQITA Monthly – June Edition

RQITA Monthly is a newsletter where you will find updates on all things MBQIP.

Each issue includes a wealth of information on the MBQIP program including:

  • Questions from the field
    • Common questions and challenges are discussed
  • Resources and Tools
    • Find new resources and tools to help you navigate the MBQIP program
  • Upcoming Deadlines and Reporting Reminders
  • Upcoming Events
    • Find upcoming trainings or learning events that may be helpful to MBQIP participants

Click Here to Access RQITA Monthly

June 26, 2024

Changes to Sex Elements July 1, 2024

The Hospital Outpatient Quality Reporting Program specifications includes a change in Sex data elements that will impact future OP-18 data submission.

The Sex data element will be replaced by the Sex Assigned at Birth data element beginning with July 1, 2024, encounters.

  • This will impact OP-18 data abstractions.
    • The Sex data element will continue to be used for abstractions for encounter dates up to June 30, 2024.
  • The numeric allowable values will be changed for encounters beginning July 1, 2024.
    • This will impact your February 1, 2025, data submission which will need to contain this change from the Sex data element to the Sex Assigned at Birth data element.
  • You will continue to report the Sex data elements for:
    • OP-18 for the August 1, 2024, data submission (Q1 2024 encounters) and the
    • November 1, 2024, data submission (Q2 2024 encounters).
    • For CART users you will continue to report as you have using version CART version 1.24.0 until further notice.

What can hospitals do to prepare for this change?

  • Inform EMR vendors and IT teams of this change beginning with July 1, 2024, encounters.
    • It is important to align data elements with these changes for ease of abstraction of these encounters for the February 1, 2025, submission.
  • CART users can continue using CART version 1.24.0 for submissions of Q1 2024 encounters and Q2 2024 encounters.
    • The RQITA team anticipates a new version of CART will be released for encounters starting July 1, 2024, to use for submission due February 1, 2025.
  • Connect with hospital leadership and clinical teams to ensure this information is captured for patient encounters starting July 1, 2024.
  • Review the measure specifications. Page 2-48 of the Hospital Outpatient Measure Specifications version 17.0a contains detailed information regarding the changes.
  • Signup to the CART listserv to be the first to know about changes https://qualitynet.cms.gov/listserv-signup.

June 26, 2024

News Release: Staying Healthy and Safe in the Summer’s First Heat Wave

In 2023, 34 Missourians died due to heat-related illnesses. Heat is the number one cause of weather-related deaths in the United States.

JEFFERSON CITY, MO – The Missouri Department of Health and Senior Services (DHSS) urges Missourians to take precautions as heat and humidity rise to dangerous levels. In 2023, 34 Missouri residents, ranging in age from 11 months to 96 years, died due to heat-related illness.

“Heat and humidity can place a lot of stress on the body,” said DHSS Director Paula F. Nickelson. “Heat exhaustion can come on suddenly, with little warning, and lead to heatstroke which becomes a very dangerous situation.”

This early wave of extended extreme heat may not have given Missourians the time to adjust to higher temperatures. This is especially true for some groups like pregnant women, very young children or older adults.

During excessive heat, Nickelson urges Missourians to check on friends and neighbors, especially those who are elderly and chronically ill. To report a senior citizen or an adult with disabilities who is in need of assistance due to the heat, call the state’s toll-free abuse and neglect hotline at 1-800-392-0210, or make a report online.

People who are working or exercising outside in the heat or have certain chronic health conditions such as heart disease, lung disease or diabetes may need to take extra care in the heat. Medications, as well as those with substance use disorder, can impair a body’s response to heat, making one more vulnerable to the heat. Additionally, those experiencing homelessness are at a greater risk of experiencing heat-related illness.

Never leave a child or pet alone in a vehicle. Even on a cooler day, the temperature inside a vehicle can rise by 20 degrees in 10 minutes and is life threatening to anyone left inside.

Heat-related illness can affect anyone. Take steps to stay cool in the hottest hours of the day:

  • Prepare your home—Use air conditioning and change air conditioner filters; cover windows that receive morning or afternoon sun with drapes or shades.
  • Stay indoors—Stay in air-conditioned places as much as possible. At home, take a cool bath or shower, use stoves and ovens less often, and keep window blinds and curtains closed to help maintain cooler temperatures. During prolonged periods of high temperatures, use air conditioning – either at home or by seeking shelter in a local cooling center. Don’t rely on fans to keep you cool. Fans are generally okay for providing comfort in temperatures less than 90° F. But at temperatures over 90° F, a fan can make body temperature rise.
  • Schedule activities carefully—Plan outdoor activities for morning or evening hours when the temperatures are cooler.
  • Wear appropriate clothing—Do not over-dress. Good choices are lightweight, light-colored, loose-fitting clothing.
  • Pace yourself—Reduce exercise or physical activity as much as possible during the hottest part of the day and take frequent breaks in the shade or in an air-conditioned place.

Take steps to stay hydrated:

  • Drink plenty of fluids—Take a drink break every 20-30 minutes regardless of your activity level, and do not wait until you are thirsty. Water or hydrating sports drinks are best. Avoid sugary, caffeinated and alcoholic beverages, which actually cause you to lose body fluids.
  • Wear sunscreen—Sunburn affects your body’s ability to cool down and can cause you to become dehydrated.

Take steps to stay informed:

  • Check on friends and neighbors—Especially older adults and individuals with a disability or chronic health conditions, as heat is more likely to affect their health. If you find an emergency situation – call 911. In a non-emergency situation, if a senior or disabled adult is suspected of being in need of assistance due to warm weather, make a call. Make a difference. Call the toll-free Missouri Adult Abuse and Neglect Hotline at 1-800-392-0210
  • Know the signs and symptoms of heat-related illness—What to do matters, depending on type of illness occurring. Signs of heat exhaustion may include heavy sweating; cold, pale and clammy skin; dizziness; headache; muscle cramps; tiredness or weakness; nausea or vomiting; or fainting (passing out). If you think you or others are experiencing heat exhaustion, you should stop physical activity and move to a cool place that is preferably air-conditioned, loosen clothing, and sip cool water.

Seek medical attention immediately if you or others are throwing up, your symptoms get worse or symptoms last longer than one hour. Heat stroke is life-threatening and occurs when the body is unable to control its temperature or cool down. Signs of heat stroke may include extremely high body temperature (103°F or higher); hot, red, dry skin with no sweat; fast, strong pulse; throbbing headache; dizziness; nausea; confusion; or loss of consciousness (passing out). You should call 911 right away, as heat stroke is a medical emergency. Then, if you are able, move to a cool place that is preferably air-conditioned. Help lower the person’s body temperature with cool cloths or a cool bath until medical personnel arrive. Do not give the person anything to drink.

  • Pay attention to weather forecasts and heat advisories- CDC’s HeatRisk map is one tool that provides local heat risk information to keep you and others safe.

For more information regarding heat-related illness and prevention, visit the websites of DHSS or the CDC.