IHA Daily Briefing: March 6

Upcoming May SANE Trainings
Inaugural IHA Innovation Challenge Summit March 21
IDPH Updates Lead Poisoning Testing & Reporting
CMS Revises Guidance on Immediate Jeopardy
Grant Available for Small Rural Healthcare Providers
Free IHA Webinar for New PCS Rules
Briefly Noted

Upcoming May SANE Trainings
The Office of the Attorney General (OAG) is offering Adult/Adolescent Sexual Assault Nurse Examiner (SANE) training May 1-3 from 8 a.m. – 5 p.m. at Northwestern Medicine Kishwaukee Health and Wellness Center in DeKalb.

Applicants must have a license in good standing, have a minimum of one year of clinical experience, acknowledge the requirements of the training including submitting a recent resume and complete 16 hours of online training and homework by April 25.

This training does count toward adult/adolescent SANE certification. The application deadline is March 26.

In addition, the OAG is offering a Foundation to Provide Sexual Assault Patient Care in the Emergency Room on May 14 from 8:30 a.m. – 5:30 p.m. at Northwestern Medicine Kishwaukee Health and Wellness Center in DeKalb. This one-day training is designed for law enforcement, advocates, first responders, emergency room nurses, mid-level providers and physicians who would like to learn best practice guidelines for the multidisciplinary approach to the care of sexual assault patients. This training does not count toward SANE certification.

The application deadline for this program is May 8.

Illinois Public Act 100-0775 amended the Sexual Assault Survivors Emergency Treatment Act (SASETA) with numerous new requirements for treatment hospitals, effective Jan. 1. For complete details, see IHA's memo.

For additional information or to be added to the email distribution list for upcoming SANE trainings, please contact Jaclyn Jackson, BSN, BS, RN, SANE-A, SANE Coordinator, OAG, at sane@atg.state.il.us.

Inaugural IHA Innovation Challenge Summit March 21
Struggling with C. difficile, care coordination, hospital-acquired infections, antimicrobial stewardship or sepsis? Then join us at our inaugural IHA Innovation Challenge Summit on March 21 from 1 p.m.-4:30 p.m. at the Northern Illinois University Conference Center in Naperville.

The IHA Innovation Summit will showcase the three projects that were selected in 2018 for the IHA Innovation Challenge: Partners in Progress Award:

  • Reducing C. difficile Infections, HSHS St. John’s Hospital, Springfield;
  • Emergency Department Recidivism and Unnecessary Hospital Admissions and Readmissions, Advocate Good Shephard Hospital, Downers Grove; and
  • Daily Interdisciplinary Safety Huddle (DISH) on Device Utilization and Hospital-Acquired Infections, Saint Anthony Hospital, Chicago.

While learning about each innovation, participants will launch a Playbook for each solution. The Playbooks provide:

  • Outcomes and evidence critical to supporting why each innovation is successful;
  • Tactical and practical steps to implement the program;
  • Participants who need to be involved;
  • Obstacles, barriers, learnings, and successes;
  • Details of the spread site’s experience with integrating the innovation;
  • Observations from IHA; and
  • Tools to plan implementation of the innovation at your hospital.

The Innovation Summit is complimentary and open to all hospital quality leaders and their teams who are committed to reducing patient harm.

The agenda, speakers and registration information are available here.

IDPH Updates Lead Poisoning Testing & Reporting
The Illinois Department of Public Health (IDPH) adopted rules amending the Lead Poisoning Prevention Act (P.A. 98-690) and made other changes to provide clarity to existing processes utilized by the Department relating to its lead poisoning prevention regulations.

Key changes include:

  • Reducing the blood lead poisoning level from 10 to 5 micrograms per deciliter (mg/dL);
  • Requiring physicians and other healthcare providers, who treat children ages 6 and younger, to test children who reside in or frequently visit a high-risk area, as defined by IDPH;
  • Evaluating those children living in areas defined as low risk by completing the IDPH Childhood Lead Risk Questionnaire. If they are determined to be high risk, they will receive a blood test;
  • Encouraging physicians and other healthcare providers to screen children 7 years and older with the Childhood Lead Risk Questionnaire as well as pregnant persons using the Prenatal-risk Evaluation of Lead Exposure developed by IDPH; and
  • Requiring hospitals or a healthcare provider who has verified information of a child or pregnant person with blood lead results of 5 mg/dL or higher to report this information to IDPH within 48 hours. All other blood lead results must be reported no more than 60 days after the test results are analyzed. Note: If the blood analysis was completed at an IDPH laboratory or it is ascertained that the laboratory that processed the specimen provides electronic reports to IDPH of all blood level results than an additional report by the hospital is not required.

CMS Revises Guidance on Immediate Jeopardy
Yesterday, Centers for Medicare & Medicaid Services (CMS) published new guidance in the State Operations Manual which focuses on improvements in healthcare safety and quality.  In a blog, CMS Administrator Seema Verma explained that this new guidance addresses violations of health and safety regulations that cause serious harm or death to a patient. These situations, known as "immediate jeopardy," require immediate action to prevent further harm. If  not corrected, immediate jeopardy situations result in the most serious penalties imposed on Medicare-Medicaid certified healthcare providers, supplies and laboratories--suspension of all Medicare/Medicaid payments or termination of the Medicare contract.

In addition to the guidance, CMS has also developed a tool for federal and state inspectors to ensure that the evidence they gather meets the criteria for a case of immediate jeopardy. Inspectors will use this tool to convey the immediate jeopardy situation to the provider, supplier or laboratory so that immediate action can be taken.

In her blog, Verma indicated that this new guidance is the beginning of CMS’ efforts to strengthen oversight of healthcare settings.

Grant Available for Small Rural Healthcare Providers
The Health Resources and Services Administration (HRSA) has published a three-year funding opportunity—Small Healthcare Provider Quality Improvement Grant Program— awarding approximately $6.4 million to support up to 32 public or private nonprofit healthcare providers located in rural areas to improve patient care in their communities.  Projects that coordinate, expand access, contain costs, and improve the quality of essential healthcare services to rural communities are encouraged, as well as those that address chronic disease management and integration of mental/behavioral health services in the rural primary care setting.

Applications are due no later than April 22.

Free IHA Webinar for New PCS Rules
In response to concerns raised about incomplete or incorrect Physician Certification Statements (PCS), the Illinois Dept. of Healthcare and Family Services (HFS) has updated hospital responsibilities for non-emergency transfers. It is imperative hospitals maintain compliance.

On March 19 at 1 p.m., IHA will host a one-hour webinar to explain the HFS updates and assist hospitals in updating their policies and procedures accordingly. Understanding Recent Changes to the Physician Certification Statement for Non-Emergency Transfers will be led by Christina McCutchan and Lance J. Kovacs, MA. McCutchan is the Dental and Transportation Manager for HFS' Bureau of Professional and Ancillary Services, and Kovacs is an IHA Manager of Health Policy and Regulatory.

This webinar will benefit:

  • Chief medical officers,
  • Chief nursing officers,
  • Compliance officers,
  • Discharge planners, and
  • Emergency department directors.

This webinar is offered at no cost. Registration includes program material and one phone/Internet connection. Staff from the same facility are encouraged to submit one registration and participate as a group. Register today.

Briefly Noted
The Illinois Dept. of Healthcare and Family Services (HFS) issued a provider notice on hospital cost report forms and instructions. The notice states that Medicaid hospital cost reports and related Medicare cost reports are due within five months after the close of a hospital’s fiscal year. Medicaid cost report extensions only will be granted by HFS when the Centers for Medicare & Medicaid Services grants an extension for the related Medicare cost report. Current versions of the cost report spreadsheet and instructions are available here.

The recently released State of Babies Yearbook: 2019 provides a comparative national and state-by-state analysis of the wellbeing of children from birth to age 3. Illinois is noted for its low uninsured rate for infants and toddlers belonging to low-income families, low percentage of “one or two or more adverse childhood experiences” and high percentage of infants/toddlers exiting foster care to permanent homes. Among the areas in which Illinois needs improvement, according to the report, are healthcare access and affordability and some children’s health indicators, including preventative medical care.