In
this issue:
Use
Higher State Revenues to Restore Massive Cuts to Medicaid
Keystone to Announce Significant Patient Safety Improvements in Michigan ICUs
Securitization Deal: Will Health Care Get Cut Again?
Sept. 12 News Conference Kicks off Medicare Part D Education in Michigan
Health-E View: Michigan Hospitals Reach Out to Hurricane Victims
New
Revenues Must Go To Health Care
With
Michigan’s Medicaid
caseload and uninsured population exploding, hospitals and
physicians are urging the governor and
legislature to use new state revenues to restore massive
cuts made to health care programs in recent years.
Budget
officials for the state House, Senate and governor now estimate
that the
state general fund will collect about $79
million more
than expected in the current fiscal year, which ends Sept.
30, and roughly $78 million more in FY 2006, which starts
Oct. 1.
“These
higher-than-expected revenues simply must go to health care,” said
MHA President Spencer Johnson. “As we struggle to care for Michigan’s
record Medicaid population and the growing number of uninsured people,
we simply can’t continue to provide even basic care if the state
continues to slash our funding.”
Johnson
noted that, since 1998, Michigan’s Medicaid program
has been cut more than $540 million and is now underfunded
by more than $1 billion. During this same time period, Michigan’s
Medicaid caseload has exploded to a record 1.5 million,
and about 1.1 million Michigan citizens now have no health care coverage.
Using
these unexpected revenues to restore some of the massive Medicaid
cuts of recent years will protect access
to care
for tens of thousands of Michigan’s neediest
citizens, protect thousands of health care jobs, and
help ease
health care cost-shifts to Michigan
employers.
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Keystone
to Announce Patient Safety Results at Dearborn Conference
The
MHA Keystone Center for Patient Safety & Quality will
host its first public conference to announce the results
of a two-year effort to improve health care quality and patient
safety in Michigan
intensive care units (ICUs).
The
conference, titled “From
Rhetoric to Results,” will
be held Oct. 13 at the Hyatt Regency Dearborn.
Michigan business leaders and media will be invited
to hear how the MHA Keystone
Center’s pioneering ICU program is making
health care safer and better for all citizens.
“As
far as we can tell, the Keystone: ICU program is the largest
collaborative of its kind in the world dedicated to improving
health care
quality and patient safety,” said MHA Keystone Center Executive Director
Chris Goeschel, RN, MPA, MPS.
Media
interested in attending the conference or in learning more about
Keystone initiatives should contact Kevin
Downey at the MHA at (517) 323-3443.
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Securitization
Deal: Will Health Care Get Cut Again?
The
governor and legislative leaders have agreed to securitize
part of the state’s future
tobacco settlement payments to drum up $1 billion to invest
in creating thousands of new jobs
in Michigan’s high-tech and life sciences industries.
It
appears that, under the agreement, 26 percent of all future
tobacco settlement funds that would have come to Michigan will
be sold immediately to raise the $1 billion to invest in creating
new jobs.
As
a result of securitization, the state’s annual
tobacco settlement payment will decrease. Currently about
$100 million
a year in tobacco settlement funds help cover health care
services for Michigan citizens. Hospitals and physicians have called
on the governor and legislature to protect those funds for
health
care services.
“The
state has cut health care by more than $540 million in recent
years, and now the federal and state governments are proposing
to cut billions
more,” said
MHA President Spencer Johnson. “The
tobacco settlement funds must be protected for the health care services
they currently support.”
Once
the funds are securitized, the amount of the annual payments Michigan
receives under the 1999 tobacco settlement will
drop by about $30 million until 2025. After that year, a new agreement
will need to be negotiated between the tobacco companies
and the states.
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Campaign
Will Educate Seniors about New Medicare Drug Benefit
A
broad coalition of human services, government and health care
organizations — including
the Michigan Health & Hospital
Association — is launching a comprehensive
public education campaign to give senior citizens
accurate
information about the
new Medicare prescription drug benefit.
The
campaign will kick off with a Sept. 12 news conference in
Lansing featuring the Michigan Medicare/Medicaid
Assistance Program
(MMAP),
the state agency that will be leading the effort
to help seniors understand and enroll in Medicare “Part
D.” The education
efforts will also include another news conference
on Sept. 28 in Detroit; statewide TV, radio and
newspaper ads; and more.
In
addition to participating in the news conferences,
the MHA will provide information to its member
hospitals so
they can
convey
it to elderly patients who ask about Part D.
Other organizations, such as AARP Michigan, Medicare
Today and the Social
Security Administration, will be directing Medicare
beneficiaries who have questions about
Part D to contact MMAP and the federal Medicare
program.
- Contact
MMAP from 8 a.m. to 5 p.m., Monday through Friday at (800) 803-7174
or www.mymmap.org.
- Contact
the federal Medicare program 24 hours a day, seven days a week
at www.medicare.gov or (800) MEDICARE.
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Michigan
Hospitals Stand Ready/Lend Aid to Hurricane Victims
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Spencer
Johnson, president Michigan Health & Hospital Association
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As
the gulf coast reels from the destruction of Hurricane Katrina,
Michigan hospitals are joining health care providers nationwide
in offering resources and expertise to assist in the disaster
recovery.
The
American Hospital Association and other national and state hospital
associations are working with the U.S. Department of Health & Human
Services to help coordinate medical relief efforts for hospitals
and patients affected by the hurricane. A Web site has been established
for use in staffing and managing up to 40 federal emergency shelters
to stabilize and care for evacuated hospital and nursing home
patients and others who need medical care.
In
concert with those efforts, Gov. Granholm has activated Michigan’s
Emergency Operations Center (EOC) to coordinate state efforts
to support Hurricane Katrina relief. Hospitals
are an integral part of the emergency preparedness network and
are working with the Michigan Department of Community Health
Office of Public Health Preparedness and its existing regional
response structure to coordinate medical volunteers for the field
hospitals. Preparations are also being made to
handle necessary immunizations. We should all take comfort in
Michigan’s steady response and comprehensive approach to
this national disaster.
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Nearly
300 evacuees from the stricken gulf coast have taken temporary
refuge at the Fort Custer Army Training Center in Battle Creek,
with more expected to arrive shortly. Some of the disaster victims
were transported to local hospitals for treatment before returning
to Fort Custer. Emergency Response Region 5 in southwest Michigan
is coordinating this effort by state and local emergency management,
state and local public health, the hospital community and emergency
medical service (EMS) professionals. Other parts of the state
are prepared for the possible arrival of evacuees and EMS professionals
are organizing for deployment to Louisiana by the Michigan EOC.
Michigan’s
emergency response system is proving to be well-organized
and effective in responding to Hurricane Katrina, and lessons
learned from the experience will be useful in the unwelcome
event of future emergencies. Working with
our state public health partners, Michigan’s hospitals
stand ready to help heal the devastation wreaked by Katrina,
as the hearts of every U.S. citizen reach out to those left
in her wake.
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