Tag: Gary Roth

MHA CEO Report — Pediatric Capacity Crisis

Member News, MHA Rounds

“Every child begins the world again.” ― Henry David Thoreau

In all of my life experiences to date, none have been so challenging in every sense as those times when my young children were hospitalized in the NICU, fighting for their very lives. We were incredibly fortunate to have positive outcomes with both of them, thanks to the efforts of our Michigan hospitals and the incredible people who work there every day.

I share this perspective because there is a crisis throughout Michigan that truly hits home with me. I know the angst and exhaustion being felt by far too many parents right now – emotions that are also being acutely felt by our heroic caregivers. In short, it feels like déjà vu in Michigan’s children’s hospitals, but instead of a surge of COVID-19 patients stressing capacity to the limits, our facilities are strained by a high number of pediatric patients suffering from respiratory illnesses largely driven by RSV. Similar tactics that have been implemented in prior years, such as initiating incident command systems, have been in operation to ensure appropriate direction and communication is occurring throughout those systems impacted by this crisis.

Hospitals operating at capacity is nothing new and the staffing challenges that continue to result in Michigan operating with 1,700 fewer staffed beds than we had prior to the pandemic are well documented. What we’re seeing today is the real impact of what those staffing challenges mean: longer wait times in the emergency department, lack of available beds for patient transports (particularly in rural Michigan) and pediatric ICUs operating at beyond 100% capacity.

There are few professionals in the world that have proven to be more resilient than healthcare workers, whether they are physicians, nurses, respiratory therapists, environmental service workers…the list goes on and on (and I am proud to say that the MHA Keystone Center has played an important role with the launch of our WELL-B initiative that continues to provide resiliency tools for our clinicians and other team members). But as residents of our communities, we can no longer take our healthcare workers and the access to care they provide for granted. These workers, and their organizations, need help.

Thankfully, the Michigan Legislature provided funding earlier this year through Public Act 9 to improve the recruitment, retention and training of healthcare workers. So far, over 69,000 healthcare workers have benefitted from that funding and it has helped to stabilize existing staffing levels. Hospitals are also exploring innovative ways to grow the talent pipeline, such as investment in higher education partnerships and other apprenticeships. However, while impactful, this funding is a finger in the dyke. Without additional attention, the problem will persist.

Addressing the strain on our children’s hospitals is a multi-pronged approach, and in addition to the aforementioned work of our MHA Keystone Center, we are also deriving input and guidance from our MHA Council on Children’s Health, led by Laura Appel, executive vice president for government relations and public affairs, as well as our system chief medical officer (CMO) group, led by our own CMO Gary Roth, DO.

While the MHA will continue to pursue legislative and regulatory solutions to the staffing crisis, there are actions anyone can undertake to help our healthcare workers caring for very sick children across Michigan, particularly as COVID-19, RSV and the flu converge to drive hospitalizations.

First and foremost, ensure that both you and your children are up to date on all the relevant vaccinations that are now readily available. The MHA is a long-time supporter of I Vaccinate which is a good source of information on vaccines, and our MHA Senior Vice President of Public Affairs and Communications Ruthanne Sudderth continues to be our point person with this organization. Second, practice proper hygiene, including handwashing and staying home when sick. Third, seek the appropriate setting for care; visit the hospital for emergencies but contact your primary care physician or an urgent care facility for testing or care for mild symptoms. Lastly – and very importantly – be sure to express some grace and appreciation for any healthcare worker you meet. As we approach the winter and holiday season, they are here to provide exceptional care to all who need it and deserve to be treated with respect both on and off duty.

If you have not done so already, please join me in sharing this messaging within your networks. Our hospitals need the support from our partners in healthcare, the business community and in Lansing and Washington, DC to weather this storm. Respiratory illnesses will always be here, but there are many small actions we can take to care for the health and wellness of our communities well into the future.

As always, I welcome your thoughts.

Parents Urged to Take Preventive Measures As Pediatric Beds Fill Up

Member News, Issues in Healthcare, Top Issues - Healthcare, News Releases

As Respiratory Viruses Circulate, Michigan Hospitals Urge Vigilance, Prevention

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.

Michigan pediatric intensive care unit hospital beds are currently 89% occupied, according to data from the Michigan Health & Hospital Association (MHA) and Michigan Department of Health & Human Services (MDHHS). Hospitals are also reporting large surges in young patients visiting emergency departments, for both emergent and non-emergent care. Hospitals are urging those with mild cold-like symptoms to stay at home. If symptoms worsen, an urgent care or primary care physician’s office would be the most appropriate setting to seek care, while emergency department visits should be reserved for those with moderate to severe symptoms including shortness of breath. Wait times and patient volumes in emergency rooms are increasing, and emergency department capacity in some areas is being depleted by visits for non-emergency medical conditions. Pervasive hospital staff shortages further complicate surges in hospital visits.

These pediatric bed shortages are impacting care statewide, making transfers of the sickest young patients to higher acuity care settings difficult.

“Hospitals are here for Michiganders, particularly in emergencies,” said Gary Roth, DO, chief medical officer, MHA. “But our capacity to provide pediatric hospital care is extremely strained. Right now, the staffing challenges we have been sounding the alarms about all year combined with rapid spread of respiratory illnesses are impacting our hospitals’ ability to care for our sickest children in a timely manner.”

The MHA and the MDHHS are monitoring the pediatric bed capacity among Michigan hospitals. Nationally, the U.S. Department of Health and Human Services data shows that 76% of pediatric beds across the country are full, with anecdotal reports largely pinning the shortage on widespread RSV infections.

“Many of us in the pediatric medical community across Michigan are working to care for the surge of children battling RSV,” Matthew Denenberg, MD, chief of pediatrics, Corewell Health East, the new name for Beaumont Health, and chair of the MHA’s Council on Children’s Health. “Our teams are here to help when the illness becomes severe. Parents and guardians can also help stop the spread of illness in our communities by getting children vaccinated against both flu and COVID-19. We all need to work together to keep our children safe.”

“In recent weeks we have seen a significant surge in cases of RSV which is most greatly impacting our infants and young children,” said Rudolph Valentini, MD, chief medical officer, Children’s Hospital of Michigan. “Since Oct. 1, more than 450 patients have tested positive for RSV at our hospital. This is putting a strain on our hospital’s emergency department and inpatient bed capacity; further, this could intensify if influenza cases begin to rise in the near future. It is also important to note that RSV and its associated bronchiolitis cause symptomatic disease in 20% of infants and children less than one year of age. Although RSV may only cause a mild cold in older children and adults, it is important for parents to keep their infants and young children away from others who are ill, because RSV causes inflammation to the smallest airways making infants especially vulnerable sometimes resulting in hospitalization or ICU care. Other patients who need to avoid RSV are children with a history of prematurity, chronic lung disease, congenital heart disease, immunodeficiency or solid organ transplant.”

“As we see this concerning trend in high volumes of pediatric emergent care and hospitalizations, we need to all work together to protect our children and conserve resources.  Pediatric beds are a shared resource across the state,” stated Christine Nefcy, MD, chief medical officer, Munson Healthcare. “Many smaller community or rural hospitals in Michigan have minimal pediatric bed capacity and rely on other facilities for higher level or specialty care for these patients. At this time of year, we naturally want to gather more often with family and friends; so as you make plans, we urge parents to follow these guidelines to ensure we manage this surge using all the tools at hand.”

“We are urging Michiganders to have a plan for their families this respiratory season to help prevent hospital overcrowding and prevent outbreaks of respiratory illnesses using the tools available,” said Dr. Natasha Bagdasarian, the state’s chief medical executive. “This includes getting available vaccines, staying home if unwell, having a supply of masks at home, covering coughs, washing your hands often and finding out if you are eligible for treatment options if you do become unwell.”

The MHA and its pediatric clinical leaders and partners offer the following tips for the public:

  • DON’T: Seek hospital emergency care for non-emergency medical conditions, such as mild symptoms and routine testing.
  • DO: Seek hospital emergency care if symptoms are worrisome and emergency care is needed. Emergency medical conditions can include difficulty breathing, dehydration and worsening symptoms.
  • DO: Immediately get vaccinated against respiratory illnesses. Visit www.vaccines.gov to search for vaccine availability or call your provider or the local health department.
  • DO: Be patient if seeking care through a hospital emergency department. Consider that wait times may be elevated as respiratory illnesses reach seasonal peak levels.
  • DO: Consider having your children wear a mask in public places including school when you know local case rates of respiratory illnesses are high.
  • DO: Practice frequent and proper hand washing and stay home if you’re not feeling well.

Additional information: 

Influenza is a viral respiratory illness with symptoms that include fever, cough, stuffy or runny nose, sore throat, headache, chills and fatigue. A flu test is not always needed to diagnose the flu, however in some cases it may be recommended by a healthcare provider. People at risk of complications should consult their healthcare provider.

RSV infection is a viral respiratory illness that usually causes mild, cold-like symptoms. Most people recover in a week or two, but RSV can be serious, especially for infants and older adults. Symptoms include runny nose, decreased appetite, coughing, sneezing, fever and wheezing.

Reporters may contact the following representatives from the Pediatric Leadership Collaborative to schedule interviews:

Natasha Bagdasarian, MD, MPH, FIDSA, Chief Medical Executive, State of Michigan
Media Contact: Lynn Sutfin, SutfinL1@michigan.gov

Francis Darr, MD, Pediatrician, UP Health System – Marquette
Media Contact: Janell Larson, Janell.Larson@mghs.org

Marcus DeGraw, MD, Chairman, Department of Pediatrics, Ascension St. John Hospital St. John Children’s Center
Media Contact: Airielle Taylor, airielle.taylor@ascension.org

Matthew Denenberg, MD, Chief of Pediatrics, Corewell Health East
Media Contact: Mark Geary, mark.geary@beaumont.org

Michael Fiore, MD, Medical Director, Pediatric Intensive Care Unit, Covenant Healthcare
Media Contact: Kristin Knoll, kknoll@chs-mi.com

Steven Martin, MD, E.W. Sparrow Hospital, Interim Chief Medical Officer & Co-Director of University of Michigan Health at Sparrow Children’s Center, Sparrow Health System
Media Contact: John Foren, John.Foren@Sparrow.org

Kimberly Monroe, MD, MS, Interim Chief Clinical Officer, C.S. Mott Children’s Hospital & Von Voigtlander Women’s Hospital
Media Contact: Beata Mostafavi, bmostafa@med.umich.edu

Christine Nefcy, MD, Chief Medical Officer, Munson Healthcare
Jacques Burgess, MD, MPH, System Pediatric Medical Director, Munson Healthcare
Media Contact: Dale Killingbeck, dkillingbeck@mhc.net

Brian M Nolan, MD, Hurley Children’s Hospital
Media Contact: Peggy Agar, pagar1@hurleymc.com

Dominic Sanfilippo, MD, Associate Department Chief / Pediatrician-in-Chief, Corewell Health Helen DeVos Children’s Hospital
Media Contact: Andrea Finnigan, Andrea.Finnigan@spectrumhealth.org

Uzma Shah MD, FAAP, FAASLD, Chair, Department of Pediatrics, Henry Ford Health
Media Contact: Dana Jay, djay2@hfhs.org

Gregory Tiongson, MD, Medical Director, Bronson Children’s Hospital
Media Contact: Erin Smith, smither@bronsonhg.org

Rudolph Valentini, MD, Chief Medical Officer, Children’s Hospital of Michigan
Media Contact: Brian Taylor, BTaylor8@dmc.org

MHA Launches Physician Membership with AAPL Partnership

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The MHA and the American Association for Physician Leadership (AAPL) announced a partnership Sept. 22 that will provide leadership education and training to MHA physician members. The announcement expands the range of benefits offered through the new MHA Physician Membership category, which is designed to provide physician leadership development opportunities and resources.

The AAPL remains the only association solely focused on providing professional development, leadership education and management training exclusively for physicians, making them an ideal candidate for the MHA.

The new relationship will provide membership in AAPL as part of the MHA Physician Membership. New benefits include:

  • AAPL will provide critical components and credits toward obtaining the Certified Physician Executive (CPE) certification as well as credits toward selected master’s degrees through AAPL partner universities.
  • MHA/AAPL physician members will be offered the AAPL’s Physician-Mapped Leadership Assessment & Development Tool.
  • The MHA/AAPL Physician Membership will include full access to the AAPL Leadership Library with articles, journals, case studies and podcasts and will receive a discount on AAPL programs, products, and services.

All physicians employed by a member hospital in Michigan are eligible for MHA Physician membership, as are physicians who are contracted by member hospitals or those who maintain a strong relationship with member hospitals (upon endorsement of the hospital chief executive officer or chief medical officer).

Members with questions may contact MHA Chief Medical Officer Gary Roth, DO.