IHA Daily Briefing: Oct. 10

Thursday, October 10, 2019
DCFS, HFS Delay Medicaid Managed Care Expansion
CDC: Low Vaccination Rates for Pregnant Women
FY 2020 Cook County Budget Presented
MAPS Meeting Explores Legal Protections, Data Reports

DCFS, HFS Delay Medicaid Managed Care Expansion
The Illinois Dept. of Children and Family Services (DCFS) and the Illinois Dept. of Healthcare and Family Services (HFS) have delayed the expansion of mandatory Medicaid managed care for the DCFS youth in care, former youth in care, and medically complex and special needs children from Nov. 1, 2019 to Feb. 1, 2020.  In announcing the delay, DCFS Acting Director Marc Smith and HFS Director Theresa Eagleson stated: “This delay will help ensure a smooth transition and allow HFS and DCFS to engage further with families, providers and other stakeholders and to monitor the managed care organizations more closely.” 

Once launched, youth in care and former youth in care will be part of a stand-alone program called YouthCare, with medical assistance and care coordination services provided by IlliniCare Health.  Medically complex and special needs children will be able to select among the state’s existing HealthChoice Illinois health plans.

IHA is participating the Child Welfare Medicaid Managed Care Implementation Advisory Workgroup, which was established under SB1851/PA 100-0646, to advise the departments and develop recommendations on the transition. 

CDC: Low Vaccination Rates for Pregnant Women
According to the latest Centers for Disease Control and Prevention (CDC) Vital Signs report, the majority of mothers-to-be in the U.S. – 65% – have not receive their influenza (flu) and whooping cough (pertussis) vaccinations. The CDC recommends that all pregnant women should get a flu vaccine during any trimester of each pregnancy and the whooping cough vaccine (Tdap) during the early part of the third trimester of each pregnancy as part of routine prenatal care.

The report notes that 75% of pregnant women reported that their provider offered or referred the flu and Tdap vaccines. However, only 55% of pregnant women received the Tdap vaccine during their pregnancy; 54% received the flu vaccine before or during their pregnancy and only 35% of women reported receiving both vaccines.

The CDC says a recent study showed that getting a flu shot reduces a pregnant woman’s risk of being hospitalized due to influenza by an average of 40%. Flu vaccination in pregnant women reduces the risk of hospitalization due to influenza in their infants younger than 6 months old by an average of 72%.

Whooping cough can be deadly for babies, especially before they can start getting the childhood whooping cough vaccine at 2 months old. Two thirds (67%) of babies younger than 2 months old who get whooping cough need hospitalization. Seven out of 10 whooping cough deaths (69%) occur in this age group.

By getting Tdap vaccine during the third trimester of pregnancy, mothers build high levels of antibodies that transfer to the fetus and continue to protect the baby after birth, preventing more than 3 in 4 cases (78%) of whooping cough in babies under 2 months old. Tdap vaccination during pregnancy is even more effective at preventing hospitalization due to whooping cough in newborns.

FY 2020 Cook County Budget Presented
Cook County Board President Toni Preckwinkle presented the Cook County budget for fiscal year (FY) 2020. The proposed $6.18 billion budget expenditures include:

  • $2.8 billion for public health:
  • $1.3 billion for public safety;
  • $283 million in capital improvements;
  • $105 million in highway improvements; and
  • $103 million in capital equipment projects.

About $9.8 million in revenue is projected with no new taxes, fees or layoffs proposed for 2020.

More than 600 vacant positions with Cook County Health will not be filled. However, 265 new positions throughout the county will be filled to handle expungements of low-level marijuana convictions and include positions added to the Clerk of the Circuit Court’s Office.

MAPS Meeting Explores Legal Protections, Data Reports
Focus on the fundamental elements that support your Patient Safety Organization's (PSO) success during Day 2 of the MAPS PSO Annual Culture of Safety Workshop in Naperville.

Sessions on Oct. 31—exclusive for members of the Midwest Alliance for Patient Safety (MAPS)—will cover legal protections and data reporting.

In The Benefits of Legal Protections: An Update on Recent Cases, Peggy Binzer, JD, will dive into the legal landscape using current PSO cases. Binzer is president of the Alliance for Quality Improvement and Patient Safety in Alexandria, Virginia, where she guides PSO members in measurably improving patient safety. Learn about the impact of precedent and how the Patient Safety and Quality Improvement Act protects data reported to PSOs.

Mike Personett will lead Understanding the Value of Data Submission and Data Reports. Pernosett is CEO of NextPlane Solutions in Fort Worth, Texas, a healthcare technology company that partners with providers to accelerate improvement in care delivery. This interactive session offers a live demonstration of creating filters and exploring comparative reporting, along with the chance to ask questions about NextPlane's PSO platform.

MAPS PSO members can attend the MAPS annual workshop at no cost. Non-MAPS members can attend the first day, Oct. 30, for a fee. Day 1 covers the Communication and Optimal Resolution (CANDOR) process and high reliability. For the full agenda and information on continuing education and registration, visit our event page.

Register today.