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.

Michigan Hospitals Express Unified Opposition to Legislation Threatening Access to Care

Brian Peters testifying in the House Health Policy committee.

The MHA published a letter today on behalf of all Michigan hospitals and health systems signifying their unified opposition to proposed House Bills 4550-4552, which threaten to put patient care at risk across Michigan. MHA CEO Brian Peters announced the letter during his testimony in the House Health Policy Committee, which contains the names of leaders from all Michigan hospitals and health systems.

“Our hospitals are prepared to serve you and your loved ones on your worst day with high-quality, safe care,” said Peters. “We can’t risk losing experienced clinical judgment and local access to care. It is for these reasons that our membership is publishing a letter today signed by every hospital leader indicating our complete unified opposition to these bills.”

The proposed bills would mandate one-size-fits-all nurse staffing ratios for all Michigan hospitals, which do not create more nurses nor solve staffing shortages, as evidenced in other states that have tried this policy. California has a shortage of 40,000 registered nurses, despite the presence of mandated staffing ratios for 25 years. Michigan hospitals are currently trying to hire more than 8,400 nurses for vacant positions despite a national staffing shortage. Data from the Michigan Public Health Institute and the Bureau of Labor Statistics show that 85% of all licensed Michigan registered nurses currently living in the state below the age of 65 continue to work as nurses from a pool of 119,714 RNs.

Peters was joined for testimony by Beth Charlton, president and CEO, Covenant HealthCare; Doug Dascenzo, DNP, RN, chief nursing officer, Trinity Health Michigan; and Bonnie Kruszka, DNP, FNP-C, ENP-BC, RN, VP & chief nursing officer ambulatory services, Munson Healthcare.

A representative from American Nurses Association – Michigan also testified in opposition. The committee hearing included approximately 60 hospital representatives in attendance.

The testimony opposition follows the announcement earlier this week of a comprehensive coalition of healthcare, business and advocacy organizations opposing the bills.

To learn more about the impact of the proposed legislation on care in Michigan, visit www.mha.org/issues-advocacy/key-issues/nurse-staffing-ratios.