Nurses Share Insights on Balance, Technology and the Future of the Profession in New Survey

The MHA has endorsed AMN Healthcare as a national leader in workforce solutions. AMN Healthcare’s 2025 Survey of Registered Nurses measures the insights and direction of the nursing profession using responses from more than 12,000 nurses. MHA members are encouraged to use this information to transform the work environment, take critical steps to address nurse burnout and stress, uplift the nursing profession and improve patient care and outcomes.

Key Findings:

  • Recruitment and retention: Only 39% of nurses indicate they plan to be in their current positions in one year.  Sixty-one percent plan to change employers, seek new positions internally or make other career changes.
  • Flexible scheduling matters: 81% of nurses say schedule flexibility improves working conditions, while 56% highly value self-directed scheduling tools.
  • Generational shifts: With 33% of nurses nearing retirement eligibility, proactive retention strategies are essential to maintaining appropriate staffing levels.
  • The role of technology: While AI offers workforce management opportunities, only 11% of nurses say their employers have integrated AI into nursing operations.

Conclusions and Solutions: 

The survey includes recommendations for addressing nurse workforce challenges, including:

  • Expand workplace flexibility through hybrid roles and self-scheduling systems.
  • Provide training and support for digital transformation, including AI readiness.
  • Prioritize mental health and wellness initiatives to combat burnout and increase job satisfaction.

For more information about AMN Healthcare, members may contact Beth Kisielius at AMN Healthcare. Members seeking information about the MHA’s Endorsed Business Partner program may contact Rob Wood at the MHA.

News to Know – April 7, 2025

New to Know
  • New to KnowThe MHA was recently awarded $2.5 million to expand hospital-based peer recovery coach (PRC) services and is requesting members complete a brief survey by April 11 to assess current use and interest in PRC programs. Members with questions may contact Kelsey Ostergren at the MHA.
  • The Michigan Alliance for Innovation on Maternal Health (MI AIM) is offering regional training sessions April 23 for inpatient maternal health providers focused on implementing the hypertension safety bundle and addressing common challenges with implementation. The one-hour sessions will include time for discussion and collaboration among regional hospital teams following the presentation. Nurses, physicians and other maternal health inpatient clinicians are encouraged to attend and may choose from either a morning session from 8 to 9 a.m.or an evening session from 5 to 6 p.m.. There is no cost to participate, but registration is required with the links provided. Members may contact the MHA Keystone Center for registration questions. Dominique Abram and Meagan Chuey at the Michigan Department of Health and Human Services are available for event related questions.
  • MHA Endorsed Business Partner AMN Healthcare will host the free webinar Balancing the Complexities of the Healthcare Workforce in Rural Markets from 11 a.m. to noon ET April 10. Speakers John Higgins, vice president of talent management at Essentia Health, and Steven Endsley, vice president of Workforce Solutions at AMN Healthcare, will provide valuable insights to MHA members on workforce challenges and innovative talent strategies. The webinar will highlight effective approaches to talent acquisition, retention and workforce transformation – in rural healthcare settings and beyond. To learn more, visit the AMN Healthcare page or contact Steven Endsley at AMN Healthcare.

A Guide to Preparing, Preventing and Responding to Violence in a Healthcare Setting

The following article was written by MHA Endorsed Business Partner (EBP) Tarian (formerly HSS) and outlines essential strategies and best practices to create a safer environment for all.

Workplace violence in healthcare settings is an alarming reality that can jeopardize the safety of staff, patients and visitors. With the ongoing incidents of violence, all hospitals must be able to effectively prevent and respond to potential threats. Hospitals without onsite security teams must take extra steps to be proactive and ensure employees feel empowered and prepared.

Below is a brief guide for hospitals on how to prepare, prevent and respond to an act of violence.

Preparation: Developing a Comprehensive Plan

  • Risk Assessment
    Conduct a thorough risk assessment to identify potential vulnerabilities within the hospital. Analyze past incidents, evaluate patient demographics and assess environmental factors that may contribute to violence.
  • Policy Development
    Establish clear policies and procedures addressing workplace violence. Ensure all staff are familiar with these policies and understand the importance of reporting any incidents or suspicious behavior.
  • Training & Education
    Provide regular training for all employees, including clinical and non-clinical staff, on recognizing warning signs of potential violence, de-escalation techniques and emergency response protocols. Include role-playing scenarios to enhance skills and confidence.

Prevention: Creating a Safer Environment

  • Improve Environmental Design
    Optimize the physical environment to deter violence. This can include better lighting, clear signage and controlled access to sensitive areas. Consider implementing panic buttons or alarm systems that staff can easily access in emergencies.
  • Staff Engagement
    Foster a culture of safety by encouraging open communication among staff members. Implement regular safety meetings to discuss concerns, share experiences and brainstorm solutions to potential issues.
  • Patient Screening and Monitoring
    Screen patients for history of violence or substance abuse during intake assessments. Monitor patients exhibiting aggressive behavior closely and involve mental health professionals when necessary.

Response: Effective Action Plans

  • Emergency Response Team
    Establish a designated emergency response team composed of trained staff members who can act swiftly in the event of violent incidents. Ensure this team is familiar with the hospital layout, emergency protocols and communication channels.
  • Clear Communication Protocols
    Develop and disseminate clear communication protocols for reporting violent incidents. Staff should know who to contact and how to escalate situations quickly. Use walkie-talkies or mobile devices to maintain constant communication during emergencies.
  • Post-incident Support
    After any incident of workplace violence, provide immediate support to affected staff. This may include counseling services, debriefing sessions and follow-up care to address psychological impacts. Encourage a culture of support where staff feel comfortable discussing their experiences.

In a 2021 McKinsey & Co. workforce survey, over 60% of front line healthcare workers cited feeling unsafe as a major contributor to leaving or considering leaving their healthcare job. By implementing these strategies, hospitals, especially those without a security team, can greatly reduce violent incidents while helping the workforce feel more supported and prepared in the event of an incident.

The MHA Keystone Center has partnered with Tarian for several years to address violence in healthcare. Members who attend the MHA Safety & Quality Symposium on April 28-29, 2025 will have the opportunity to register to attend a pre-conference threat assessment workshop with Tarian for hands-on training.

Members may contact Seth Karnes, senior director of risk, consulting and training at Tarian to discuss risk assessments, staff training or policy review. Members with questions about the MHA Keystone Center and resources available may contact Adam Novak. Members with questions about the EBP program should visit the MHA’s Business Services page or contact Rob Wood at the MHA.

MHA Continues to Offer Workplace Safety Posters

The MHA continues to offer workplace safety posters to MHA members at no cost to help hospitals comply with the requirement from Public Acts 271 and 272 of 2023 that hospitals display signage informing individuals they may be subject to higher financial penalties if they assault a healthcare worker or volunteer. Gov. Whitmer signed into law these MHA-supported public acts one year ago, which have been a positive step towards ensuring violence against healthcare workers is not tolerated.

Members can order the posters through an online order form on the MHA website. With the help of MHA Endorsed Business Partner AMN Healthcare Language Services, translated versions in Spanish and Arabic are also available.

The MHA continues to work on more opportunities to protect healthcare workers from violence in the workplace and improving the recruitment, retention and training of healthcare workers. Adding further protections for healthcare workers into statute will be a priority for the MHA during the next legislative session.

Members with questions about ordering workplace posters may contact John Karasinski at the MHA. Members with questions about legislative activity should contact Adam Carlson

MHA and Partners Host Cybersecurity Tabletop for UP Healthcare Leaders

Attendees during the Enhancing Your Cybersecurity: Tabletop Training and Incident Response Workshop Oct. 14 in Escanaba, MI with MHA Endorsed Business Partner (EBP) CyberForce|Q and the Region 8 Healthcare Coalition.

The MHA hosted the Enhancing Your Cybersecurity: Tabletop Training and Incident Response Workshop Oct. 14 in Escanaba, MI with MHA Endorsed Business Partner (EBP) CyberForce|Q and the Region 8 Healthcare Coalition as part of the ongoing effort to strengthen cybersecurity.

CyberForce|Q representatives Alex Sabin, technical success leader, and Terrance McCoy, participant success engineer, guided participants through a simulated cybersecurity incident impacting a hospital system. The scenario was designed to test and refine an organization’s Incident Response Plan (IRP) while addressing the unique challenges of securing sensitive healthcare environments.

“We are grateful to work with CyberForce|Q on the tabletop exercises and healthcare security operations center (HSOC),” said Mike Nowak, chief information security officer at the MHA. ”Beyond strengthening the MHA’s security, CyberForce|Q has demonstrated a strong commitment to collaborating on offerings that benefit our members. The tabletop exercises provide practical experience and tools – and you can network and talk to people that are dealing with similar issues. I encourage all healthcare organizations to increase their security posture in light of recent cyber-attacks.”

Workshop attendees experienced a sense of challenge during the tabletop exercises, identifying potential unnoticed gaps in an Incident Response Plan. They engaged in hands-on group activities, providing a tangible understanding of potential cyber-attacks and enabling collaborative discussions within teams to refine decision-making processes and procedures. Additionally, they gained a profound understanding of the critical significance of roles, responsibilities, and communication protocols in effective incident response.

Learn more about the MHA’s partnership with CyberForce|Q from John Kelley, regional sales director – Midwest. Members with questions should contact Rob Wood at the MHA.

MHA Monday Report Nov. 11, 2024

Hearings Held on State Legislation Impacting Hospitals

Several bills impacting hospitals were discussed in state committee hearings during the week of Nov. 4. The Michigan House Health Policy Behavioral Health subcommittee advanced several pieces of legislation to the full Health Policy Committee …


2024 General Election: What’s Ahead in Michigan

Below is a summary of the projected results for Michigan’s top races that will influence healthcare following the 2024 General Election. Official state and local outcomes will be available in the coming days on the …


CMS Releases Medicare 2025 Outpatient Prospective Payment System Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service outpatient prospective payment system effective Jan. 1,  2025. The final rule: Provides a net 2% increase …


endorsed business partnerLongtime Associate Member Alliance-HNI Becomes an Endorsed Business Partner

The MHA recently endorsed Alliance-HNI, a longtime MHA associate member, as an Endorsed Business Partner. Alliance-HNI delivers a full continuum of services, including mobile, fixed-site, comprehensive service line management and joint venture partnerships. …


2025 Medicare Fee-for-Service Home Health Final Rule Released

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule for the home health prospective payment system  for calendar year 2025. The rule includes updates to the Medicare fee-for-service …


Webinar Focuses on Strengthening Healthcare Worker Well-being

The MHA Health Foundation will host the webinar Implementing Evidence-Informed Strategies to Normalize Help-Seeking and Strengthen Wellbeing from 4:30 to 5:30 p.m. Dec 4 to offer strategies for supporting the mental well-being of healthcare professionals. The webinar offers …


Keckley Report

In Healthcare, Near-Sightedness is “Normalcy”

““Normalcy” in our political system means willful acceptance that our society is hopelessly divided by income, education, ethnic and political views. It’s benign acceptance of a 2-party system, 3-branches of government (Executive, Legislative, Judicial) and federalism that imposes limits on federal power vis a vis the Constitution. …

A process for defining of the future of the U.S. health system and a bipartisan commitment by hospitals, physicians, drug companies, insurers and employers to its implementation are needed–that’s the point. Near-sightedness in our political system and in our health, system is harmful to the greater good of our society and to the voters, citizens, patients, and beneficiaries all pledge to serve.

As respected healthcare marketer David Jarrard wrote in his blog post yesterday “As the aggravated disunity of this political season rises and falls, healthcare can be a unique convener that embraces people across the political divides, real or imagined. Invite good-minded people to the common ground of healthcare to work together for the common good that healthcare must be.”

Thinking and planning for healthcare’s long-term future is not a luxury: it’s an urgent necessity. It’s also not “normal” in our political and healthcare systems.”

Paul Keckley, Nov. 4, 2024


 

News to Know

MHA offices will be closed and no formal meetings will be scheduled Nov. 11 in honor of Veterans Day.

Longtime Associate Member Alliance-HNI Becomes an Endorsed Business Partner

The MHA recently endorsed Alliance-HNI, a longtime MHA associate member, as an Endorsed Business Partner (EBP). Alliance-HNI delivers a full continuum of services, including mobile, fixed-site, comprehensive service line management and joint venture partnerships. The MHA’s EBP program promotes industry-leading firms and connects member hospitals to solutions that alleviate pain points.

Alliance-HNI is a leading provider of outsourced medical services, including radiology and oncology. They are the only Joint Commission-accredited mobile radiology company operating in Michigan and their staff for all modalities is a fully credentialed technical team. Alliance-HNI provides the following exclusive solutions to the market, unavailable through any other provider:

  • Relocatable Linear Particle Accelerator (LINAC): Hospitals can maintain uninterrupted, high-quality care, referrals and revenue while replacing permanent LINAC technologies or vaults.
  • Akumin AXIS Expandable Patient Solutions: This new of its kind transportable imaging suite avoids high construction costs and long implementation timelines with a set-up time of less than one week. It will include either MRI or PET/CT imaging equipment and is specially designed with the patient’s experience in mind. It feels more like brick-and-mortar than other mobile units and obtains the benefits of a fixed asset without the large capital investment.

Alliance-HNI Success Story

Alliance-HNI currently provides quality clinical services for more than 60 hospitals and healthcare partners in Michigan, including providing services to Eaton Rapids Medical Center.

“Over the years, Eaton Rapids Medical Center’s (ERMC) partnership has grown stronger with Alliance-HNI because of their commitment to our success,” said Tim Johnson, CEO of Eaton Rapids Medical Center. “Being integrated into multiple Alliance-HNI-owned CON networks has been incredibly beneficial. It has allowed ERMC to offer supplementary imaging coverage during system downtimes and manage our backlogs effectively.”  

For more information about Alliance-HNI, members may contact Ryan Mysen, territory director of business development at Alliance-HNI, via email or (810) 241-1214. Members seeking information about the MHA’s EBP program may contact Rob Wood at the MHA.

Strategic Planning Session Update with MHA Service Corporation Board

The MHA Service Corporation (MHASC) board met Oct. 24 to discuss healthcare market strategies to identify, diversify and grow solutions for MHA members and clients. The board retreat focused on how the MHASC can support the five key pillars of the MHA Strategic Action Plan: workforce support, protecting access, support for mental and behavioral health, creating healthy communities and strengthening cybercrime/cybersecurity policy.

The MHASC highlighted the MHA Unemployment Compensation Program and its new strategic partnership with Vault Verify for wage and employment verifications. Tim Fessenden, CEO ,Vault Verify, explored how solutions provide employers additional security due to the contractual commitment to never resell any of the data accessed for verifications.

Additionally, the MHASC is creating a new model for piloting “mission-driven” partnerships with organizations that may address improving health outcomes for all, behavioral health and more.

The MHASC is also moving forward with supply chain strategic sourcing opportunities to help address shortages and provide savings. The MHASC continues to work closely with its various business solutions to address the pillars in the MHA Strategic Action Plan.

Members with questions regarding the MHASC Board may contact Ruthanne Sudderth at the MHA.

MHA Service Corporation Board Highlights Solutions and Mission

The MHA Service Corporation (MHASC) board held its final meeting of the 2023-2024 program year June 26 focused on supporting the MHA Strategic Action Plan priorities of workforce support and innovation, viability, behavioral health and health equity. The Board explored strategies to invest and diversify products and services, as well as how the MHA could approach “mission-focused” partnerships.

The board was joined by Dr. John Crongeyer, CEO, ModusOne Health, for an overview of the only physician-founded and physician-run Clinical Diagnosis Improvement (CDxI®) company that delivers robust monthly leaderboard-style reporting of provider accuracy in diagnosing patients on the conditions that most directly affect quality metrics and the financial bottom line. The MHASC is planning to launch new endorsed business partnerships in the coming months.

The MHASC board made several appointments and reappointments, adding depth and breadth of expertise by welcoming new board members Brian Brown, regional vice president of marketing & business development, McLaren Health Care, Grand Blanc; Ane McNeil, senior vice president of human resources, Trinity Health, Livonia; and Andrea Poulopoulos, senior vice president of supply chain, Corewell, Grand Rapids. The board affirmed the reappointments of Saju George, regional CEO, Prime Healthcare, Garden City, and vice chair Bill Manns, CEO, Bronson Healthcare, Kalamazoo. The board also recognized outgoing board members for their service, including inaugural chair Gwen MacKenzie, senior advisor, McKinsey and Company; Deloris Hunt, retired chief human resources officer, Michigan Medicine; Scott McLean, former managing director, Corewell Health Ventures; and Brian Connolly, Connolly Associates.

The MHASC mission is to deliver innovative solutions that help improve value and performance through its Unemployment Compensation Program, Data Services and Endorsed Business Partner program. Visit the MHA Business Services webpage to learn more about resources available.

Members with questions regarding the MHASC Board may contact Ruthanne Sudderth at the MHA.

MHA Hosts Successful Cybersecurity Tabletop

MHA Events
Attendees and presenters during the Tabletop Training and Incident Response Workshop at the MHA Headquarters.

The MHA hosted the Enhancing Your Cybersecurity: Tabletop Training and Incident Response Workshop May 22 with MHA Endorsed Business Partner (EBP) CyberForce|Q. CyberForce|Q representatives Alex Sabin, technical success leader, and Terrance McCoy, participant success engineer, guided participants through three critical phases of a simulated cyber-attack:

  1. Intricacies of social engineering aimed at the IT Help Desk.
  2. Complexities of living-off-the-land attacks.
  3. Challenges of detecting and preventing data exfiltration techniques.

Workshop attendees experienced a sense of challenge during tabletop exercises, identifying potential unnoticed gaps in an Incident Response Plan. They engaged in hands-on group activities, providing a tangible understanding of potential cyber-attacks and enabling collaborative discussions within teams to refine decision-making processes and procedures. Additionally, they gained a profound understanding of the critical significance of roles, responsibilities and communication protocols in effective incident response.

With over 25 years of experience in providing cybersecurity services, CyberForce|Q has developed and implemented quantifiable programs that assess and execute safety measures for organizations of all sizes, with proven results. Learn more about the MHA’s partnership with CyberForce|Q from John Kelley, regional sales director – Midwest.

Members with questions should contact Rob Wood at the MHA.