The latest edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), is now available. This month’s issue includes an article about the board’s role in diversity, equity and inclusion (DEI). As DEI strategies are developed and ultimately woven into everyday policy and procedure, boards should play a significant role in lending support, driving accountability and inspiring culture in those strategies. Two areas of emphasis arerecognizing the increasing prominence DEI plays in quality and playing an important role as vocal leaders to move DEI forward.
There is also a link to the quantitative and qualitative research done by Johnson & Johnson, the American Nurses Association and the American Organization for Nursing Leadership that evaluate the impacts of the pandemic on the nursing profession. The research providesnext steps and promising practices that will be essential in delivering the full potential of the nursing profession.
The expanded website and enhanced monthly e-newsletter of Trustee Insights are available through the AHA Trustee Services webpage. They are free, do not require AHA membership and include articles, tools and webinars. Those interested in subscribing to AHA Trustee Insights may do so online.
For information about MHA trustee resources, contact Erin Steward at the MHA.
Often the phrases “diversity, equity and inclusion,” or DEI, and “health equity” are used interchangeably. While they do overlap and there is synergy between the two, the terms are not synonymous.
In a free webinar hosted by the MHA Keystone Center and the Michigan Public Health Institute from 10 to 11 a.m. July 15, Lynn Todman, PhD, and Ovell Barbee of Spectrum Health will share how diversity, equity and inclusion and health equity are distinct but overlapping and mutually supportive bodies of work.
Todman and Barbee will use patient “personas” to illustrate the differences and points of overlap. Additionally, Barbee will cover Spectrum Health’s framework for DEI strategy, and Todman will provide an overview of the guiding principles, goals and strategic framework of health equity work.
Todman is the vice president of health equity at Spectrum Health Lakeland, where she leads efforts to advance health equity. She is also the catalyst behind Community Grand Rounds, which aims to educate and share the impact of structural racism on health and stimulate community and health system action to address racial health inequities.
Barbee, senior vice president, human resources, and chief diversity officer, Spectrum Health, leads and directs various workplace strategies in the health system, including talent acquisition, DEI and employee relations.
The webinar is offered free of charge, but registration is required. Members with questions may contact the MHA Keystone Center.
Why equity remains the missing element in achieving a more inclusive and diverse work environment.
Staff resistance that routinely surfaces and how to engage employees in every step of the DEI journey.
Equitable messaging to advertising, media and business-to-business partners that connects with the emotions of DEI.
Partnerships that enhance and increase DEI credibility and how to use the “win-when” partnership assessment framework.
The professional and personal member organizations that are based on racial affinity and can build on your DEI strategy, as well as the do’s and do nots in developing a pipeline for inclusion.
An important orientation webinar will take place from 11 a.m. to noon June 30, followed by four webinars held from 11 a.m. through 12:15 p.m. Chief executive officers, medical, nursing and human resources executives, governing board members, and key DEI leaders are encouraged to participate. Pricing includes the entire series and is available for teams of five members and larger. Registration is due June 22.
To register, contact the MHA Field Engagement division indicating the intention to register for the DEI series and providing an email address and phone number. Registrants will be contacted for additional information to complete the process. Questions about the series should be directed to Erin Steward at the MHA.
The MHA is discussing with the state whether the information provided in the DEI virtual series will fulfill the new implicit bias training requirement for healthcare providers who apply for initial licensure or relicensure after May 31, 2022. For more information on the new rules, contact Paige Fults at the MHA. An additional opportunity to learn about DEI is available through a July 15 webinar offered by the MHA Keystone Center, which is not related to the new rules.
To act deliberately and purposefully to ensure outcomes across all patient populations are equitable, leaders should know where disparities exist, ways to prevent disparities and how to create a culture and system that reduces disparities to improve quality and save lives. As part of the work of the MHA Pledge to Address Racism and Health Inequities, the MHA and the MHA Keystone Centerare offering multiple events to address diversity, equity and inclusion (DEI).
A virtual series beginning June 30 and concluding Aug. 31 will address four DEI concepts: DEI implementation; equitable conversations; equitable messaging; equitable partnership building; and diversity pipeline development.
The June 30 webinar is an orientation from 11 a.m. to noon,followed by four webinars held from 11 a.m. through 12:15 p.m. EDT. Hospital and health system executives, including chief executive officers; medical, nursing and human resources executives; governing board members; and key DEI leaders are encouraged to participate to advance their health equity efforts. Pricing includes the entire series and is available for teams of five members and larger. To register, contact the MHA Field Engagement divisionby June 22 and indicate the intention to register for the DEI series, providing an email address and phone number. Registrants will be contacted for additional information to complete the process. Questions about the series should be directed to Erin Steward at the MHA.
The MHA Keystone Center and Michigan Public Health Institute are offering an additional webinar, separate from the series, from 10 to 11 a.m. EDT July 15. The event, Addressing the Confusion: Diversity, Equity and Inclusion (DEI) and Health Equity, will address key distinctions between the phrases “diversity, equity and inclusion” and “health equity.” These phrases are often used interchangeably; however, the terms are not synonymous. Lynn Todman, PhD, and Ovell Barbee, SPHR, of Spectrum Health will use patient “personas” to illustrate the differences and points of overlap.
Additionally, Barbee will cover Spectrum Health’s framework for DEI strategy and Todman will provide an overview of the guiding principles, goals and strategic framework of health equity work. The event is offered free of charge, but registration is required.For more information on this virtual offering, contact the MHA Keystone Center.
The Department of Licensing and Regulatory Affairs adopted new administrative rules that require implicit bias training as part of the knowledge and skills necessary for licensure or registration of healthcare professionals in Michigan, which were ordered in Executive Directive 2020-07. Adopted June 1, the new training requirement will take effect one year later, June 1, 2022.
During the fall of 2020, the MHA and several member hospitals were among nearly 80 stakeholders that participated in the Implicit Bias Training Rules Advisory Work Group to help develop the draft rules. The MHA also provided testimony in support of the rules during the public hearing held March 9 and expressed its support to the Joint Committee on Administrative Rules.
The MHA and its member hospitals support unconscious bias training for all healthcare personnel. Ensuring equitable access and care for all patients is an MHA strategic priority, and eliminating health disparities is crucial to the MHA mission of advancing the health of individuals and communities.
Even before Executive Directive 2020-07 was ordered, the MHA and the MHA Keystone Center were working to make strides in this area. Addressing health disparities is a foundational concept that shapes all the organizations’ quality improvement and safety efforts. There is ample evidence of the impact bias has on health, and healthcare systems have a moral obligation to equalize care, starting first by identifying and addressing any bias that may exist within their organization. The training helps individuals identify and acknowledge the biases they have, which often exist outside of their conscious awareness; this process helps providers deliver the best care possible. For more information, contact Paige Fults at the MHA.
The 2021 Virtual MHA Annual Membership Meeting will take place from 9:30 to 11:30 a.m. June 24. The event will feature a federal update from Rick Pollack, president and CEO of the American Hospital Association, and remarks by Kevin Ahmaad Jenkins, a leader in health equity who serves as a fellow within the Veterans Health Administration’s Office of Minority Health.
The virtual meeting will include the MHA House of Delegates business meeting; recognition of the annual MHA award winners; and remarks from incoming board chair Tina Freese Decker, president and CEO, Spectrum Health.
Event details are available on the meeting’s webpage, and members should register online by June 16 to participate. The meeting is open to MHA members, meeting sponsors and invited guests of the MHA. To learn more about the meeting or opportunities for sponsorship, which are available through June 4, contact Erica Leyko at (517) 285-7785.
The Centers for Medicare & Medicaid Services (CMS) released a proposed rule to update the Medicare fee-for-service prospective payment system for inpatient rehabilitation facilities (IRFs) for fiscal year (FY) 2022, which begins Oct. 1, 2021.
Key provisions of the proposal would:
Increase the standard federal rate by 2.5% from $16,856 to $17,273 for facilities that comply with the IRF quality reporting program (QRP). Facilities that fail to comply are subject to a 2 percentage point reduction.
Increase the cost outlier threshold by 16% from $7,906 to $9,192, resulting in fewer cases qualifying for an outlier payment.
Modify the IRF QRP by:
Proposing the addition of the COVID-19 Vaccination Coverage among Healthcare Personnel (HCP) measure, requiring IRFs to report HCP vaccinations in their facilities.
Updating the denominator for the Transfer of Health Information to the Patient-Post Acute Care quality measure to exclude patients discharged home under the care of a home health or hospice provider.
Updating the number of quarters of data used for public reporting to account for the COVID-19 public health emergency reporting exception granted for Jan. 1 – June 30, 2020.
As it works to make healthcare quality more transparent to consumers and providers, the CMS is seeking input on ways to attain health equity for all patients through policy solutions, as demonstrated by the adoption of standardized patient assessment data elements (SPADEs). These data elements include several social determinants of health that were finalized in the FY 2020 final rule for the IRF QRP. Through a Request for Information within the proposal, the CMS is seeking comment on expanding measure development and the collection of other SPADEs that address health equity gaps. The agency also seeks feedback on its plans to define digital quality measures for the IRF QRP and the potential use of fast healthcare interoperability resources within the IRF QRP, aligning with other quality programs where possible.
The CMS will accept comments on the proposed rule until June 7. The MHA will provide IRFs with an estimated impact analysis and summary of the proposed rule within the next month. Members with questions should contact Vickie Kunz at the MHA.