Master the upcoming ICD-10 code and IPPS changes! Prepare your team for the upcoming changes taking effect on October 1. Discover the benefits of IPPSPalooza and how it can drive your success. Click here >

SDoH: How Safer Communities Act Can Provide Additional Funding

From my June 13 Monitor Mondays segment on the impact of gun violence on healthcare to the time I researched for this segment, there have been 67 deaths and 404 injuries. 

Since last report, our bloodiest day was July 4, with the Highland Park mass shooting resulting in eight dead and 29 injured. Across the country that day, 11 died and 70 were injured by guns. In our previous listener poll, the majority of our listeners confirmed that gun violence—although not a direct responsibility of healthcare—is similar to any public health approach and is a healthcare concern that cannot be ignored by our communities when we evaluate health disparities. 

Similar to how we track other social determinants such as poverty levels, our gun violence data now identifies the likelihood of gun violence by zip code. For example, in Delaware a gun death occurs every three days compared to Florida where it is every three hours. 

Last month, the Biden administration and Congress passed the first major gun safety legislation in almost 30 years.  I would like to recognize that this bill is partly about gun regulations and mostly about mental health support. 

  1. The bill expands an existing law which prevents people convicted of domestic abuse from owning a gun.
  2. Expands background checks on people between ages 18 to 21 seeking to buy a gun
  3. Requires more gun sellers to register as Federally Licensed Firearm Dealers
  4. Creates some statues on gun trafficking

Now the mental health and public safety portion:

  1. Significant increase in funding for mental health programs and school security
  2. $750 million is provided to help states implement and run crisis intervention programs
  3. Diversion of the $10 billion initial funds in the American Rescue Plan, much of what I reported on previously has not been spent now to address public safety and violence prevention
  4. The National Institute of Health has since redirected and released targeted grants to support four high violence areas in parts of Chicago, Detroit, and Virginia.
  5. The Department of Housing and Urban Development is opening $3.4 billion for local communities to incorporate community violence intervention strategies.

Now most applicable to us is, the U.S. Department of Health and Human Services (HHS) announced how Medicaid will reimburse certain community violence intervention programs like hospital-based violence interventions also known as trauma-informed care to individuals that have experienced violence.  

Regarding state Medicaid reimbursement, Illinois and Connecticut are the only states that have fully incorporated hospital-based intervention reimbursement into their plans, however I will include my link in the article this week on how other health systems may be able to coordinate with state Medicaid plans to access this additional funding ranging from mental health, physician reimbursement, rehabilitative services, and home health prevention for high-risk populations.

Programming Note: Listen to live reports on the social determinants of health every Monday on Monitor Mondays, 10 Eastern.


Print Friendly, PDF & Email

Tiffany Ferguson, LMSW, CMAC, ACM

Tiffany Ferguson is CEO of Phoenix Medical Management, Inc., the care management company. Tiffany serves on the ACPA Observation Subcommittee. Tiffany is a contributor to RACmonitor, Case Management Monthly, and commentator for Finally Friday. After practicing as a hospital social worker, she went on to serve as Director of Case Management and quickly assumed responsibilities in system level leadership roles for Health and Care Management and c-level responsibility for a large employed medical group. Tiffany received her MSW at UCLA. She is a licensed social worker, ACM, and CMAC certified.

Related Stories

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Mastering the Two-Midnight Rule: Keys to Navigating Short-Stay Admissions with Confidence

Mastering the Two-Midnight Rule: Keys to Navigating Short-Stay Admissions with Confidence

The CMS Two-Midnight Rule and short-stay audits are here to stay, impacting inpatient and outpatient admissions, ASC procedures, and Medicare Parts C & D. New for 2024, the Two-Midnight Rule applies to Medicare Advantage patients, requiring differentiation between Medicare plans affecting Case Managers, Utilization Review, and operational processes and knowledge of a vital distinction between these patients that influences post-discharge medical reviews and compliance risk. Join Michael G. Calahan for a comprehensive webcast covering federal laws for all admission processes. Gain the knowledge needed to navigate audits effectively and optimize patient access points, personnel, and compliance strategies. Learn Two-Midnight Rule essentials, Medicare Advantage implications, and compliance best practices. Discover operational insights for short-stay admissions, outpatient observation, and the ever-changing Inpatient-Only Listing.

Print Friendly, PDF & Email
September 19, 2023
Secondary Diagnosis Coding: A Deep Dive into Guidelines and Best Practices

Secondary Diagnosis Coding: A Deep Dive into Guidelines and Best Practices

Explore comprehensive guidelines and best practices for secondary diagnosis coding in our illuminating webcast. Delve into the intricacies of accurately assigning secondary diagnosis codes to ensure precise medical documentation. Learn how to navigate complex scenarios and adhere to coding regulations while enhancing coding proficiency. Our expert-led webcast covers essential insights, including documentation requirements, sequencing strategies, and industry updates. Elevate your coding skills and stay current with the latest coding advancements so you can determine the correct DRG assignment to optimize reimbursement, support medical decision-making, and maintain compliance.

Print Friendly, PDF & Email
September 20, 2023
Principal Diagnosis Coding: Mastering Selection and Sequencing

Principal Diagnosis Coding: Mastering Selection and Sequencing

Enhance your inpatient coding precision and revenue with Principal Diagnosis Coding: Mastering Selection and Sequencing. Join our expert-led webcast to conquer the challenges of principal diagnosis selection and sequencing. We’ll decode the intricacies of ICD-10-CM guidelines, equipping you with a clear grasp of the rules and the official UHDDS principal diagnosis definition. Uncover the crucial role of coding conventions, master the sequencing of related conditions, and confidently tackle cases with equally valid principal diagnoses.

Print Friendly, PDF & Email
September 14, 2023
2024 IPPS Summit: Final Rule Update with Expert Insights and Analysis

2024 IPPS Summit: Final Rule Update with Expert Insights and Analysis

Only ICD10monitor delivers what you need: updates on must-know changes associated with the FY24 Inpatient Prospective Payment System (IPPS) Final Rule, including new ICD-10-CM/PCS codes, plus insights, analysis and answers to questions from the country’s most respected subject matter experts.

Print Friendly, PDF & Email
2024 IPPS Summit Day 3: MS-DRG Shifts and NTAPs

2024 IPPS Summit Day 3: MS-DRG Shifts and NTAPs

This third session in our 2024 IPPS Summit will feature a review of FY24 changes to the MS-DRG methodology and new technology add-on payments (NTAPs), presented by senior healthcare consultant Laurie Johnson, with bonus insights and analysis from two acclaimed subject matter experts

Print Friendly, PDF & Email
August 17, 2023

Trending News