MHA Board Uplifts Funding for Birthing Hospitals and Support for Health Equity

The MHA Board of Trustees continued work on advancement of the 2023-2024 Strategic Action Plan at its April 10 meeting, with focus on its four pillars: workforce support and innovation, viability, improved behavioral healthcare and health equity. Opposition to government mandated staffing ratios remains a top priority for the association within the workforce pillar, as it has been shown to be a harmful approach to addressing workforce shortages. Instead, the association supports specific measures to address educational barriers, support innovation and grow the talent pipeline.

The board recognized the work within the viability pillar through the MHA and the Michigan Council for Maternal and Child Health partnership to secure $10 million in state grant funding to assist Michigan’s birthing hospitals to pay for new mandatory state Maternal Level of Care (MLC) verifications. Pending state legislation will require the Michigan Department of Health and Human Services (MDHHS) to register each birthing hospital’s MLC verification. Under the terms of the grant, the MDHHS will provide funding for birthing hospitals that fully participate in MI-AIM and complete an application to participate in the MLC verification through The Joint Commission (TJC). Funding per hospital will range from $50,000-$400,000 this fiscal year and the MHA Keystone Center will fund TJC fees. More information will be provided in an upcoming member webinar.

The board also received the final report from the Health Equity Task Force and endorsed converting the task force into a standing Health Equity Council for the 2024-2025 program year to continue the work of the board to ensure that high quality, equitable and safe care is available for everyone. The board recognized the association’s work in furtherance of behavioral health priorities through continued input on behavioral health legislation, Psychiatric Residential Treatment Facilities and the hosting of its ongoing five-part behavioral health member webinar series.

Lastly, the board approved new member applications from R1 RCM, Origami and Bay Street Orthopedics and Spine.

Members with questions about the MHA Board of Trustees may contact Amy Barkholz at the MHA.

MDHHS Director Hertel Presents at MHA Board Meeting

Michigan Department of Health and Human Services (MDHHS) Director Elizabeth Hertel presented an overview of her department’s key priorities to the MHA Board of Trustees at their Feb. 7 meeting. Hertel shared ongoing efforts to provide appropriate behavioral health services to help reduce emergency department visits and suitable care transfers. Hertel also identified child welfare, food insecurity and other social determinants that contribute to a community’s health status as priorities identified in the Governor’s Fiscal Year (FY) , released the same day as the Board’s meeting. 

The Board also continued work on supporting the 2023-2024 MHA Strategic Action Plan, which outlines the association’s priorities for the program year and focuses on workforce support and innovation, viability, behavioral health and health equity. Within the viability pillar, the Board discussed Medicaid funding. Opposition to mandated staffing ratios remains a top priority for the association within the workforce pillar, as well as support for programs to strengthen educational access, recruitment, retention and workplace safety to grow and maintain talent.

Building from the discussion with Director Hertel on behavioral health challenges, the Board also reviewed the latest hospital survey data showing increased wait times and volumes for Medicaid patients in emergency departments and how that data may be used working with local Community Mental Health (CMH) services to address ongoing access problems. Finally, the MHA Health Equity Task Force indicated it is releasing its final report and recommendations for next steps at the April Board meeting.

The Board approved membership applications from Envision Physician Services, Scaled Data, LLC and Vault Verify.

Members with questions about the MHA Board of Trustees may contact  Amy Barkholz at the MHA.

MHA Board of Trustees Advances Strategic Action Plan, Focus on Workforce Support and Medicaid Maximization

The MHA Board of Trustees focused most of their Nov. 8 meeting on targeted actions in advancement of their 2023-2024 Strategic Action Plan, which outlines the association’s priorities for the year ahead and identifies those areas of work that need long-term attention from the MHA and the hospital community. Once again, the plan is organized into four key pillars: Workforce Support and Innovation, Viability, Improved Behavioral Health and Health Equity.

Opposition to mandated staffing ratios remains a top priority for the association within the Workforce pillar, as it has been shown to be a misguided and potentially harmful approach to addressing workforce shortages. Instead, the association supports specific measures to address educational barriers, innovation and growth within the talent pipeline. Within the Viability pillar, the board discussed ongoing work in partnership with the Michigan Department of Health and Human Services (MDHHS) to maximize Medicaid funding, a review of MDHHS’s process for rebidding Medicaid health plan contracts and a status report on Medicaid eligibility following the expiration of COVID-era waivers. The board also discussed strategic priorities to advance the association’s Behavioral Health and Health Equity pillars. This included continued work on bed access and capacity (especially for children), crisis prevention and education, Community Mental Health system reform and behavioral health data support, as well as continued work on the health equity front to reduce maternal morbidity disparities and partnerships with public health departments to address local disparities.

Board member Douglas Apple, MD, chief clinical officer, Ascension Michigan, and interim president & CEO, Ascension Genesys Hospital, provided a patient story that emulated the use of high reliability principles that resulted in reduction of patient harm. In this case, during a routine preoperative assessment, a nurse appropriately used the Suicide Risk Screening tool and discovered that a patient very recently attempted suicide. The use of the tool and subsequent intervention led to the patient getting critical care for a health risk that would otherwise not have been identified.

The board concluded with board task force reports, an MHA Keystone Center and MHA Service Corporation report, regional hospital council reports, an AHA report and an update from MHA CEO Brian Peters.

Members with questions about the MHA Board of Trustees meetings should contact Amy Barkholz at the MHA.

MHA Board of Trustees Holds Final Meeting of Program Year

The MHA Board of Trustees held its final meeting of the 2022-2023 program year in conjunction with the MHA Annual Membership Meeting. As part of a standing agenda item focused on safety and quality lessons learned, board member Mark Eastburg, PhD, president & CEO, Pine Rest Christian Mental Health Services, shared a recent incident from his organization that illustrates the value of regular patient safety training and how a strong caring culture saved a patient and helped him continue to heal. In addition, Michigan Supreme Court Chief Justice Elizabeth Clement and Jeff Donofrio, president & CEO, Business Leaders for Michigan, provided guest presentations on areas of common policy interest, including the importance of nonpartisan and efficient court systems, and the attraction of talent and job growth in Michigan.

The board also engaged in a review and discussion of its ongoing strategic priorities focused on workforce sustainability, financial viability, achieving health equity and improving access and funding for behavioral health. In an ongoing effort to continue to improve access to care, the board reaffirmed its support for the association to maximize the use of provider tax programs in support of Medicaid reimbursement.

Current Health PAC Chair and incoming MHA Board of Trustees Chair Shannon Striebich provided an update on the status of the 2023 MHA Health PAC campaign and encouraged eligible individuals and organizations to meet their contribution goals. The board also approved several associate memberships including Executive Core, Findhelp, Greater Flint Health Coalition, Inc., Lawrence Technological University, QURE Healthcare and VativoRx2.

For more information about actions of the MHA Board of Trustees contact Amy Barkholz at the MHA.

Board of Trustees Meets at MHA Capitol Advocacy Center

The MHA Board of Trustees met April 12 at the MHA Capitol Advocacy Center in downtown Lansing, joined by Michigan Senate Health Policy Chair Kevin Hertel (D-St. Clair Shores). Hertel acknowledged the state’s significant challenges in meeting behavioral healthcare and workforce needs and identified these areas as priorities for the Senate Health Policy Committee. Board members stressed the need for lawmakers to support policies that allow flexibility and foster innovation, such as continuing to expand telehealth options started during the pandemic and looking beyond staffing ratios toward more effective ways to meet patient care needs within a finite labor supply.

The board also heard from colleagues about a recent learning and technology exchange between Michigan health system leaders and their Israeli counterparts and had the opportunity to listen to the reflections of Shreya Desai, a neurobehavioral researcher and current government relations and health policy fellow with the MHA. Desai shared her experiences working with the MHA Advocacy Division and how it will influence her future medical career.

The board spent time providing input and direction on the key pillars of the association’s action plan, which is focused on supporting financial viability, promoting workforce sustainability, fostering health equity and addressing behavioral health needs. This strategic conversation included a review of recent state budget initiatives, including the MHA’s successful advocacy to secure $75 million for healthcare worker recruitment, retention and training for Michigan hospitals, which is the latest victory in a series of state budget appropriations that has resulted in $1.45 billion in new hospital funding since January 2020.

In addition, the board expressed support for ongoing efforts to work with the state to maximize the federal Medicaid match to increase overall Medicaid reimbursement rates and funding for targeted services such as obstetrics, outpatient, psychiatric and trauma care. In furtherance of workforce sustainability, the board supported the association’s social media campaign to promote and increase awareness of a broad range of healthcare careers. The board also engaged in a discussion of health equity and the association’s continued work to assist members in eliminating disparities in healthcare through the leadership of the MHA Health Equity Taskforce. Improving access and funding for behavioral health continues to be a key priority for the association and board members provided input to the MHA on data collection efforts to advance advocacy strategies to reduce emergency department wait times for patients seeking inpatient psychiatric care. Finally, the board approved Type 2B association membership for Southwest Michigan Behavioral Health.

For more information about the actions of the MHA Board of Trustees, contact Amy Barkholz at the MHA.

MHA Board of Trustees Reviews State and Federal Advocacy Options to Further Strategic Priorities

The MHA Board of Trustees began its Feb. 8 meeting with a federal advocacy briefing from federal lobbyist Carlos Jackson with Cornerstone Government Affairs. Jackson highlighted the policy and funding threats and opportunities healthcare providers face under the new divided Congress and Biden administration, including possible provider cuts to address deficit reduction, programs affected by the expiration of the federal public health emergency declaration and ongoing pharmaceutical industry challenges to 340B drug pricing policies.

The board also examined several state advocacy initiatives to further the board’s strategic priorities focusing on financial viability, workforce wellbeing and restoration and the furtherance of efforts aimed at improving health equity and behavioral healthcare. The board supported pursing additional state funding for workforce security and pediatric psychiatric care, as well as an effort to maximize federal Medicaid matching funds. The board also directed the MHA to work with the MHA Health Equity Taskforce and the MHA Safety and Quality Committee to address health disparities through the development of tools for the transparent reporting of health equity performance measures.

In addition to advocacy efforts aimed at state and federal policymakers, the board continued to support the association’s ongoing partnerships with hospitals throughout the state to “tell our story” publicly about the challenges and opportunities healthcare organizations face and how hospitals can work together to advance the health of individuals and communities.

The board also received a report from the MHA Service Corporation, which included a spotlight of Endorsed Business Partner Merritt Hawkins, as well as a discussion of staff succession in light of the upcoming retirement of longtime Chief Operating Officer Peter Schonfeld at the MHA.

The board concluded with regional hospital council reports and an update from MHA CEO Brian Peters.

For more information about actions of the MHA Board of Trustees, contact Amy Barkholz at the MHA.

MHA Monday Report Nov. 7, 2022

MHA Monday Report

MHA Board of Trustees Advances Strategic Action Plan, Affirms Policy Panel Legislative Recommendations

The MHA Board of Trustees began their Nov. 2 meeting with a review of key communication strategies to assist hospitals and health systems to “tell their stories” about the unprecedented financial and workforce challenges they currently face and how they are adapting to meet the critical healthcare and economic development needs of their communities …


Logo for MI Vote Matters, Tuesday Nov. 8Healthcare Community Urged to Vote in Nov. 8 General Election

The MHA encourages its staff, members and other stakeholders in the healthcare community to vote in the state’s general election Nov. 8.- Polls will be open from 7 a.m. to 8 p.m. …


Parents Urged to Take Preventive Measures as Pediatric Beds Fill Up

Michigan children’s hospitals and pediatric healthcare leaders are raising awareness about a pediatric hospital bed shortage and urging the public to help prevent respiratory illnesses, which are rapidly spreading in the form of respiratory syncytial virus (RSV) and influenza …


CMS Releases Final Rule to Update OPPS

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service (FFS) outpatient prospective payment system (OPPS) effective Jan. 1, 2023 …


Provider Enrollment Requirements Reinstated Effective Dec. 1, 2022

The Michigan Department of Health and Human Services (MDHHS) issued MMP 22-38 COVID-19 Response: Termination of Bulletin MSA 20-28, which reinstates provider enrollment requirements …


CMS Releases Final to Update Medicare PPS Effective 2023

The Centers for Medicare and Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service home health (HH) prospective payment system (PPS) effective Jan. 1, 2023 …


MHA Supports Increased Access to Affordable Post-Secondary Education

The MHA, along with stakeholders across diverse fields, supported record state investment in Michigan’s future workforce. On October 11th, the Governor signed Public Act 212 of 2022 establishing the Michigan Achievement Scholarship, and applications starting with students in the high school class of 2023 will now be eligible for increased state financial aid …


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 …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Your Vote Matters

At the MHA, we often say that politics is not a spectator sport. It requires continual engagement and relationship building so that when you are in a crisis and need assistance, you have trusted friends you can turn to …


The Keckley ReportPaul Keckley

The Three Blind Spots in Hospital Strategic Plans

“For 40 years, I have facilitated Board Retreats for hospitals, health systems, insurance plans and medical groups. At no time has the level of uncertainty about the future for hospitals been as intense nor the importance of a forward-looking strategic vision and planning been as necessary as now. The issues are complicated: lag indicators about demand, clinical innovations, reimbursement, costs et al are a foreboding backdrop for these discussions. And three issues have surfaced as blind spots in the environmental assessments and deliberations preceding the plan …”

Paul Keckley, Oct 31, 2022


Michigan Harvest GatheringsNews to Know

Many Michigan hospitals are underway with their Michigan Harvest Gathering campaign which runs through Nov. 18. Online donations by hospital employees and community members to the Michigan Harvest Gathering program can be made through the Food Bank Council of Michigan’s website …


MHA in the News

The MHA received media coverage on the surge of RSV cases across Michigan’s pediatric hospitals during the week of Oct. 31. The coverage included several comments provided to news outlets and the distribution of a press release Nov. 4 to statewide media …

MHA Board of Trustees Holds Final Meeting of Program Year

Tina Freese Decker at the MHA Annual Meeting
Tina Freese Decker at the MHA Annual Meeting
2021-2022 MHA Board Chair Tina Freese Decker.

After a two-year pause due to the COVID-19 pandemic, the MHA Board of Trustees held its final meeting of the 2021-2022 program year on Mackinac Island in conjunction with the MHA Annual Membership Meeting. As part of a standing agenda item focused on safety and quality lessons learned, board member Ed Ness, president and CEO, Munson Healthcare, shared examples of community and workforce resiliency exhibited by the Gaylord community and Otsego Memorial Hospital team members in the wake of the destruction caused by the recent EF3 tornado that carved a path through that community and within a block of the hospital, resulting in injury and loss of life. The board also had a strategic conversation about the most effective association engagement on matters of social and public health, health equity, financial sustainability and improving the patient experience. In all of these areas, the board stressed the importance of focusing on the mission of healthcare organizations to advance the health of patients and communities and explaining the challenges healthcare providers face in achieving this mission with specific examples. Other business included final program year reports from the committees on Behavioral Health and Public Health, with the recommendation to continue the work of these standing committees.

Current Health PAC Chair and incoming MHA Board of Trustees Chair T. Anthony Denton provided an update on the status of the 2022 MHA Health PAC campaign and encouraged eligible individuals and organizations to meet their contribution goals. Information about the MHA Health PAC is available online. The board also approved type 3 membership for BMG Money Inc., Fifth Third Bank, Vituity, and new Endorsed Business Partners AMN Language Services, B.E. Smith, HealthRise and WeLearn.

Board chair Tina Freese Decker, president and CEO, BHSH Health System, acknowledged outgoing board members Tim Johnson, president and CEO, Eaton Rapids Medical Center, and Dan Babcock, CEO, Marlette Regional Hospital and Deckerville Community Hospital. Freese Decker also recognized past chair Ed Ness for his leadership during the pandemic and wished incoming chair T. Anthony Denton, senior vice president and chief operating officer, University of Michigan Health System, well in his leadership role. For more information about actions of the MHA Board of Trustees, contact Amy Barkholz at the MHA.

Final Procedural Step for CRNA Legislation Completed

Legislation enhancing hospital flexibility for anesthesia care went into full effect May 10 following official confirmation from the Centers for Medicare & Medicaid Services (CMS) that it had received the letter of attestation sent by the governor. This was the final step needed for the provisions in House Bill (HB) 4359 to go into full effect in Michigan.

The MHA-supported HB 4359 was signed into law by Gov. Gretchen Whitmer and took effect Oct. 11, 2021. Sponsored by Rep. Mary Whiteford (R-Casco Township), the bill modernizes the scope of practice for certified registered nurse anesthetists (CRNAs) and allows flexibility for each hospital to choose the anesthesia care model that best fits its location, staffing and resources to offer safe and effective patient care by eliminating the state requirement that a CRNA must work under direct physician supervision.

Federal provisions have allowed states to request exemption from physician supervision of CRNAs under 42 CFR 482.852 upon passage of applicable laws and a letter of attestation from the governor to the CMS.

Members with questions on the new law may contact Adam Carlson at the MHA, while questions regarding amending their facility policies should contact Amy Barkholz at the MHA.