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October 23, 2020 News Headlines

HANYS to provide hospital quality improvement services for the Centers for Medicare & Medicaid Services

CMS has awarded HANYS a four-year contract to serve as a Hospital Quality Improvement Contractor within its Network of Quality Improvement and Innovation Contractors.

 

HQICs will provide targeted quality improvement assistance to small, rural and critical access hospitals and those hospitals that have been identified by CMS as requiring technical assistance. CMS has directed HQICs to use innovation to drive results and implement data-driven quality improvement interventions to assist hospitals in ensuring the safety and quality of care delivered to all Medicare beneficiaries.

 

HQICs will partner with the targeted hospitals to help address needs such as infection control, pandemic readiness and response, a concerted response to the opioid epidemic and patient safety. Contact: Loretta Willis


HHS updates Provider Relief Fund guidance

In recognition of concerns raised by HANYS and other stakeholders, HHS announced yesterday that it will reverse its Sept. 19 guidance on Provider Relief Fund reporting requirements.

 

With the reversal, hospitals can once again focus solely on revenue changes when applying PRF funds to lost revenue.

 

HANYS worked closely with Senate Minority Leader Charles Schumer (D-NY), other New York congressional delegation members and the American Hospital Association to raise serious concerns that HHS’ Sept. 19 guidance could result in hospitals and health systems being forced to return critical PRF dollars in the midst of the ongoing pandemic. Moreover, the sudden change in guidance did not provide hospitals and health systems with needed flexibility during the ongoing pandemic.

 

HANYS appreciates that HHS moved quickly to improve its Sept. 19 guidance and we look forward to continuing to work with the administration, our delegation and our partners in Washington to ensure our members have the resources and flexibility needed to meet the demands of the ongoing pandemic. Contact: Cristina Batt


Help us thank your team!

We know how hard your staff have worked throughout this pandemic and we want to say thank you via social media. To do so, we’ll need your help.

 

Send us your photos and videos to support our efforts recognizing all the hard work of New York’s healthcare heroes – from your doctors, nurses and clinical teams to all of your administrative and other personnel who support the operation of your organization.

 

Make sure your facility is included! These photos and videos can be candid or posed, professionally captured or snapped on an iPhone. They can be from during the height of the first wave, a celebration sending a patient home, receiving recognition from the community, a staff send-off to assist another facility or anything else that helps us celebrate the sacrifice and dedication of New York’s healthcare workers.

 

Please help us show our thanks and recognize your staff. We ask that you send your visuals to Kate Penn, director, content strategy, by Nov. 6.

 

Any materials sent should be approved for our social media use. If possible, please provide relevant background information like facility name, date taken and who is in the photo/video, as well as any necessary credits.

 

Follow us on social media:

Contact: Kate Penn


DFS files civil charges against Aliera Companies and Trinity Healthshare

The statement of charges against Aliera Companies and Trinity Healthshare alleges the two conducted illegal insurance business in New York by purporting to be healthcare sharing ministries for the purpose of evading insurance regulation, while overstating the coverage offered.

 

According to DFS, the companies committed fraud by deceiving consumers into paying for what they believed to be comprehensive health coverage, but which did not legally obligate the companies to pay claims. Aliera and Trinity allegedly marketed their insurance products aggressively on the health insurance marketplace, then diverted consumer premiums toward administrative costs rather than reimbursing members’ medical claims. 

 

Several consumers’ coverage for medical services were denied, leading to delayed medical care or substantial bills. Consumers who believe they may be victims should contact the DFS Consumer Assistance Unit. Contact: Vic Aufiero


DOH launches Medicaid provider directory for private duty nurses serving medically fragile children

DOH’s new online Medicaid directory provides a list of PDNs serving medically fragile children by service area within New York state.

 

Users can filter the directory by name, licensure and county. The directory lists PDNs and nurse agencies that serve Medicaid fee-for-service members up to age 23 who require continuous skilled nursing care at home. PDNs who enroll in the program will receive enhanced rates of reimbursement. Contact: Vic Aufiero


Member Spotlight — Hospital for Special Surgery mitigates musculoskeletal conditions

In 1987, the Leon Root, MD Pediatric Outreach Program, a free community-based service, was designed by Hospital for Special Surgery to conduct musculoskeletal screenings for children attending public school in underserved areas to prevent long-term musculoskeletal disorders and severe joint disability. In 2016, given the rise of sports injuries among student athletes, POP evolved and shifted its focus to screening for sports-related injuries. It is estimated that 35 million student athletes play organized sports in the U.S. each year, a trend that has partly contributed to the rise of injuries in this population.

 

Read our full story to learn more about this initiative and its results.

 

This story is just one of the many initiatives profiled on HANYS' Member Spotlight website that demonstrate how New York healthcare providers are investing in forward-looking initiatives that improve care quality and health outcomes. 


Healthcare Innovation Technology Summit offers innovative patient engagement solutions

We’re bringing together healthcare experts and technology companies reinventing patient engagement at the Healthcare Innovation Technology Summit, Nov. 18.

 

Register now to hear from leading experts and explore cutting-edge technology to improve patient engagement and experience.


Workers’ Comp Board proposes additions to medical treatment guidelines

The proposed regulation would add post-traumatic stress disorder and acute stress disorder and major depressive disorder to the medical treatment guidelines, effective Jan. 1, 2021.

 

MTGs are standards of medical treatment within the workers’ compensation system that help establish a single standard of medical care for injured workers and reduce disputes between payers and medical providers over treatment issues. The WCB will accept comments for 60 days. Please submit comments by emailing regulations@wcb.ny.gov. Contact: Vic Aufiero


Encourage your trustees to register for HTNYS’ free virtual education sessions

Healthcare trustees and CEOs should take advantage of HTNYS’ Trustee Virtual Education Series: Leading through Healthcare Crisis and Social Change – a free series that focuses on timely issues of high importance to hospital boards:

 

  • Oct. 29, noon – 1 p.m.: Enhancing the Health of Our Communities

As leaders in hospitals and health systems, it’s key for trustees to better understand social determinants of health, health equity issues and value-based payment. This session will share innovative ways healthcare organizations have responded to the needs of their communities and how executive leaders can play a role.

  • Nov. 17, noon – 1 p.m.: The Board’s Role in Health Equity Initiatives

As a result of COVID-19, health systems and hospitals are deepening their commitment to advancing health equity. This session will review significant implications for trustees and four leadership actions that boards can take.

See full series details and register now on our website. Contact: Kristen Phillips


Upcoming events

 

Be sure to check out all of our current offerings in our events listing, including our wide array of COVID-19-related webinars aimed at helping our members recover from this unprecedented experience.