Healthcare Leadership Award Nominations Due March 29

Nominations are being accepted for the annual MHA Healthcare Leadership Award, which honors those who have demonstrated outstanding healthcare leadership within individual facilities and in their communities. The deadline to nominate an exceptional healthcare trustee, executive, physician, nurse or other leader for the award is by 5 p.m. March 29.

A nominee must represent an MHA-member organization in good standing and have been actively involved with the healthcare organization within the last three years to be eligible. Award winners for 2024 will be presented during the MHA Annual Membership Meeting in June.

Members with questions may contact Erica Leyko at the MHA.

Now Accepting Nominations for the Annual Healthcare Leadership Award

Nominations are now being accepted for the annual MHA Healthcare Leadership Award, which honors those who have demonstrated outstanding healthcare leadership within individual facilities and in their communities. The deadline to nominate an exceptional healthcare trustee, executive, physician, nurse or other leader for the award is by 5 p.m. March 29.

A nominee must represent an MHA-member organization in good standing and have been actively involved with the healthcare organization within the last three years to be eligible. Award winners for 2024 will be presented during the MHA Annual Membership Meeting in June.

Members with questions may contact Erica Leyko at the MHA.

Trinity Health IHA Medical Group Medical Assistant and Nurse Receive Q1 MHA Keystone Center Speak-up! Award

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Joni Hunter, MA, and Dorothy Zsenyuk, RN, at Trinity Health IHA Medical Group Nurse Midwives pictured with MHA CEO Brian Peters and Sarah Scraton, MHA Keystone Center executive director.

The Michigan Health & Hospital Association (MHA) Keystone Center celebrated Joni Hunter, MA, and Dorothy Zsenyuk, RN, at Trinity Health IHA Medical Group Nurse Midwives Feb. 8 as Speak-up! Award recipients.

The quarterly MHA Keystone Center Speak-up! Award celebrates individuals or teams in Michigan hospitals demonstrating a commitment to the prevention of patient or staff harm.

Hunter and Zsenyuk were honored for their proactive intervention during a routine visit with an obstetrics patient managing chronic hypertension. Hunter, knowing the risks associated with hypertension and pregnancy, noticed that weekly screenings were not integrated into the patient’s medical plan.

After notifying Zsenyuk and reviewing the patient’s medical record together, the pair acted.

“Instances like this are a perfect example of why it is important to review all aspects of a patient’s experience and care, even during routine visits,” said Hunter. “I am proud to work alongside colleagues like Dorothy to ensure we are taking all precautions necessary for both the birthing person and baby.”

Zsenyuk and Hunter were able to connect with the patient’s midwife, which led to the patient receiving weekly laboratory tests and monitoring.

“Joni was an incredible advocate for our patient,” said Zsenyuk. “I am honored we were able to provide our patient and her midwife with the tools needed to make an informed decision about her care plan for the duration of her pregnancy.”

In addition to the weekly testing, the patient was referred to Maternal Fetal Medicine for a consult.

“Joni and Dorothy’s action are a direct reflection of the standards we hold ourselves to at Trinity Health IHA Medical Group,” said Cindy Elliott, Trinity Health IHA Medical Group president. “We are incredibly honored to have dedicated clinical staff like them working with our patients each and every day.”

Additional award finalists for the first quarter of 2024 include:

  • Amanda Frescura, University of Michigan Health-West.
  • Sydnie Gray, Trinity Health IHA Medical Group.
  • Brooke Maguire, MyMichigan Hospital Midland.

“It’s an honor to celebrate Michigan healthcare workers who are setting the standard for excellent patient care,” said MHA CEO Brian Peters. “We’re fortunate to have people like Joni and Dorothy who intervened and led this patient to the preventative, life-saving care they needed.”

More information about the MHA Keystone Center Speak-up! Award, including criteria and a nomination form, are available online.

MDHHS Releases Outpatient Hospital 340B Billing Final Policy

The Michigan Department of Health and Human Services (MDHHS) recently released a final policy to modify hospital outpatient billing requirements for drugs purchased through the 340B drug pricing program. Existing policy requires 340B hospitals to bill 340B drugs at acquisition cost. Effective for dates of service on or after Jan. 1, 2024, hospitals may bill up to usual and customary charges for 340B acquired physician-administered drugs or products when provided in the hospital outpatient setting. This policy also revises the hospital outpatient 340B acquisition cost reporting and discontinues the 340B final settlement adjustment process. The MDHHS expects this change will have no reimbursement impact.

In addition, the policy revises 340B hospital cost reporting requirements. Annually, starting by December 2024, hospitals will be required to report 340B cost data for all Medicaid outpatient fee-for-service claims paid during the prior fiscal year.

Questions regarding this process should forwarded to the MDHHS Drug Rebate Specialist.

Members with questions should contact Vickie Kunz at the MHA.

 

2023 Ludwig Nominee: Trinity Health Coalition Working to Prevent Youth Suicide

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, highlighting the exceptional and creative work being accomplished by Michigan’s hospitals.

Trinity Health Livonia (THLA) Hospital, a 2023 Ludwig nominee, is addressing gaps in behavioral health through their Western Wayne Suicide Prevention Coalition (WWSPC), a community-based program focused on preventing youth suicides.

Through a Community Health Needs Assessment, behavioral health struggles – primarily mental health and substance abuse – were identified as top concerns among adolescents in Western Wayne County. In one survey conducted by the Michigan Profile for Healthy Youth (MiPHY), it was found that at least 4% of high school students and 11% of middle school student reported suicide attempts.

With the understanding that students needed better access to behavioral health resources, the WWSPC created a comprehensive program to train more than 20,000 people – teens, families, school staff and community members – to change policies and support suicide prevention. Over the last several years, the coalition has grown to be a collaboration between THLA, seven school districts and seven community-based organizations that represent counselors, social workers, psychologists, regional educators and many other local experts.

WWSPC provides evidence-based behavioral health services, youth activities and education to decrease stigma and improve early detection of depression and suicide. As one example, more than 3,000 school staff (teachers, custodial staff, bus drivers, etc.) and 1,000 students have been trained on the life-saving suicide prevention model Question, Persuade, Refer. The intent of this method is to identify and interrupt a mental health crisis and direct the individual to proper care.

Looking ahead, the coalition is continuing efforts that support the mission of zero youth suicides in WWSPC schools. This includes expanding access to mental health screenings and treatment, developing safety plans for students returning to school after a suicide attempt, teaching skills to manage mental health, and procedural changes that equip staff to monitor and communicate with students who may be struggling.

Members with questions about the program or the Ludwig Community Benefit Award should contact Erica Leyko at the MHA.

Those struggling are encouraged to dial the 988 Suicide & Crisis Lifeline, a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week in U.S.

The Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline, 1-800-662-HELP (4357) is also a confidential, free, 24-hour service for English and Spanish-speaking individuals a facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

Latest AHA Trustee Insights Focuses on Supporting Workforce Mental Health

Healthcare employees face incredible challenges that take a toll on their physical and mental health. A significant number of healthcare professionals experience burnout and other forms of distress. Providing easy access to awareness, prevention and treatment resources for staff must be a priority.

The May edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), includes a briefing to educate and raise awareness for trustees about suicide prevention and the role that hospital and health system boards can play in this public health issue. The May edition also provides useful resources for boards to initiate a conversation about reducing the risks of and preventing suicides in the healthcare workforce. Another article focuses on proactive board leadership, in conjunction with the CEO, to engage 100% of board members in dialogue and decision making that take full advantage of the board’s assets – with effective governance as the result.

For information about MHA trustee resources or webinars, contact Erin Steward at the MHA.

Healthcare Policy Bills Advance from Legislative Committees

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Several bills tracked by the MHA saw further action in the Michigan Legislature the week of April 17. Committees in the House and Senate took votes on bills to create a new tax credit for blood donations and to allow pharmacists to order and administer certain immunizations and diagnostic tests in Michigan. The MHA also supported legislation in the House Health Policy Committee that would allow citizens to designate themselves as an organ donor on their tax filing and require drug manufacturers to report certain data and information on price changes to the state.capitol building

The House Committee on Tax Policy held a second hearing on House Bill (HB) 4068, which would create a new tax credit for blood donations in Michigan. Introduced by Rep. Rachel Hood (D-Grand Rapids), the bill would allow for a $25 state income tax credit for each blood donation during the tax year. The MHA is supportive of the bill, which is a unique way of encouraging good public health decisions in the state. The committee voted unanimously to support the legislation, which now heads to the House floor for further consideration.

In the Senate Health Policy Committee, a vote was held on Sen. Sylvia Santana’s (D-Detroit) bill intended to increase access to vaccines and certain laboratory tests. Senate Bill (SB) 219 would allow pharmacists to order and administer immunizations and certain diagnostic tests for their patients without physician supervision. A new substitute was adopted in committee that limits the diagnostic screening pharmacists would be allowed to perform to COVID-19, influenza, urinary tract infections and diabetes. Pharmacists wishing to provide these additional services must also complete an annual 4-hour training program. The MHA has not yet taken a position on SB 219, which was approved by the committee and sent to the Senate floor.

In the House Health Policy Committee, testimony was taken on a new package of bills that would allow Michigan citizens to designate themselves as organ donors on state tax forms. Introduced by Rep. Felicia Brabec (D-Pittsfield Twp), HBs 4362 through 4364 would provide for the question to be asked on tax forms starting in the 2023 tax year. The MHA is supportive of the legislation, which is being led by Gift of Life Michigan to reverse the declining growth in individuals signing up for the donor registry. Gift of Life Michigan testified in committee that states across the country are dealing with this trend, as the pandemic and online services have led to fewer trips to Secretary of State offices. No vote was taken during the initial hearing on the bills.

The MHA also submitted written testimony in support of a bill to require drug manufacturers to report certain data and price changes to the state of Michigan. Introduced by Rep. Samantha Steckloff (D-Farmington Hills), HB 4409 is also known as the Drug Manufacturer Data Reporting Act. The MHA sees this legislation as an important step in providing transparency into the fastest growing expense for Michigan hospitals. For example, between 2019 and 2021 drug costs rose nationally by 36.9%. This hearing was testimony only and the MHA will continue to track the legislation.

Members with questions about state legislative action can reach out to Adam Carlson for more information.

MHA Webinar Explores PACE Program Partnerships

With the closure of nursing homes and long-term care facilities, hospitals and health systems need options to care for seniors. Dually eligible frail seniors are one of the most complex cohorts with multiple co-morbidities, frequent hospital admissions and readmissions, and expensive care needs that span acute, post-acute and long-term care. Program of All-Inclusive Care for the Elderly (PACE) programs are a model of care that provides community-based care to seniors regardless of whether they have primary, acute or long-term care needs. PACE combines the elements of a patient-centered medical home and an accountable care organization.

The MHA webinar Programs of All-Inclusive Care for the Elderly (PACE): An Alternative to Traditional Nursing Home Care will explore the value proposition for PACE partnerships, outline the philosophy, services provided, structure and financing of PACE programs and much more.

The webinar is scheduled from 8:30 to 9:30 a.m. May 23, 2023 and MHA members can register at no cost.

Members with questions should contact Erica Leyko at the MHA.

Fiscal Year 2024 Executive Budget Recommendation Released

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capitol buildingGov. Whitmer released her executive budget recommendation Feb. 8 for fiscal year 2024. The proposed budget fully protects traditional hospital line items for Medicaid and the Healthy Michigan program, continues targeted rate increases from recent budget cycles and includes new investments in workforce training and development. None of the line items important to MHA members were recommended for reductions in the recommendation.

The MHA will share additional information on the new initiatives in the coming weeks, but below are a few key pieces for MHA members.

  • New or expanded funding items:
    • Healthy Moms and Healthy Babies – $62 million.
    • Implementing recommendations from the Racial Disparities Task Force – $58 million.
    • Increased rates for laboratory services, traumatic brain injury services and other related professional services – $120 million.
    • Expanding eligibility for the Michigan Reconnect scholarship program – $140 million.
    • Building capacity for insulin production in Michigan – $150 million.
    • Discretionary mental health supports for K-12 students – $300 million.
  • Items receiving continued, full funding:
    • The Healthy Michigan Plan (Medicaid expansion).
    • Hospital Quality Assurance Assessment Program.
    • Rural and obstetrical stabilization pools.
    • Hospital outpatient rate increase.
    • Critical access hospital rate increase.

MHA CEO Brian Peters released a statement in support of the executive budget recommendation, thanking Gov. Whitmer for her continued commitment to protecting hospitals and supporting healthcare workers.

Members with questions about the budget or any other state legislation impacting hospitals should contact the MHA advocacy team.

CE Credits Available for Unionization and Legal Guidelines Webinar

The webinar Dispelling Misinformation About Unionization and Legal Guidelines 8:30 – 10 a.m. ET Nov. 11 has been approved by HR Certification Institute® (HRCI®) for 1.5 hours. The webinar will outline:

  • Understanding how recent dynamics, including the COVID-19 crisis and worker shortages, have increased healthcare industry’s vulnerability to union organizing.
  • Exploring current trends and tactics unions use to recruit healthcare employees.
  • Identifying strategies that boost employee engagement.
  • How to properly identify and respond to protected concerted activity.
  • How to navigate evolving rules from the National Relations Labor Board, including those applicable to social media.
  • Tips and guidelines for leaders in response to a union or other protected concerted activity.

Sponsored by the MHA Service Corporation Unemployment Compensation Program and the Miller Johnson law firm, the webinar is offered free of charge. Human resource executives and professionals, chief nurse executives and legal counsel are encouraged to register.

Details about the HR Certification Institute® credits are on the registration page. Members with questions should contact Erin Steward at the MHA.