MHA Monday Report Feb. 24, 2020

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CON Bills, Other Healthcare Issues Taken Up by Michigan Legislature

Michigan Capitol BuildingThe Michigan Legislature recently dealt with legislation that would impact hospitals and healthcare in the state, including proposals to reform and repeal Michigan’s Certificate of Need (CON) program. The Senate Health Policy and Human Services Committee, chaired by … 


Proposed Pharmacy Carve-out Policy Dropped by MDHHS 

A proposed policy that would have had a significant impact on the 340B prescription drug program for hospitals in Michigan has been dropped by the Michigan Department of Health and Human Services (MDHHS). The proposal would have carved  … 


Excellence in Governance Fellowship Prepares Trustees to Lead

Excellence in Governance FellowshipHospital and health system leaders continue to revolutionize their organizations in many ways to better serve patients, attract physicians and achieve success in a challenging environment. This includes growing outpatient strategies and striving for a diverse …


Safe Patient Handling and Mobility Calls Reach Halfway Point

Workplace Safety CollaborativeFeb. 12 marked the halfway point for the MHA Workplace Safety Collaborative’s Safe Patient Handling and Mobility Collaboration calls, which began Oct. 9 and will occur bimonthly through Aug. 12. The series provides support for the implementation …


MHA Endorsed Business PartnerEndorsed Business Partner Webinar Series Outlined Member Benefits

The MHA recently hosted a series of webinars highlighting the cutting-edge and cost-effective solutions available to Michigan hospitals through its Endorsed Business Partner program. The program launched in 2018 to assist hospitals as they work to avoid unnecessary costs …


The Keckley Report

Paul KeckleyMedical Education Step 1 Change is a Small Step in the Right Direction
“[T]he U.S. Medical Licensing Examination (USMLE) announced a major policy change: the compulsory exam known as Step 1 would cease to be reported with a three-digit score but instead become pass/fail as early as 2022. That’s big news for America’s 92,758 medical students in America’s 192 Schools of Medicine and Osteopathy.”

Paul Keckley, Feb. 17, 2020


News to Know

Upcoming events and important healthcare news for the week of Feb. 24:

  • Learning Webinar 2 of the Great Lakes Partners for Patients Hospital Innovation Improvement Network Falls Improvement Sprint webinar will take place from 11 a.m. to noon Tuesday.
     
  • Learning Webinar 2 of the Great Lakes Partners for Patients Hospital Innovation Improvement Network Readmissions Improvement Sprint will take place from 2 to 3 p.m. Thursday.
     
  • MHA Breakthrough will take place from 1 p.m. Thursday to 12:15 p.m. Friday at the Grand Traverse Resort and Spa near Traverse City.

Laura Appel, MHAMHA in the News

Read recent coverage about the MHA, including an article from MiBiz that reviews Gov. Gretchen Whitmer’s call to incorporate elements of the federal Affordable Care Act into state law and features comments from Laura Appel, senior vice president and chief innovation officer, MHA.

News to Know – Week of Feb. 24

Upcoming events and important healthcare news for the week of Feb. 24:

  • Learning Webinar 2 of the Great Lakes Partners for Patients Hospital Innovation Improvement Network Falls Improvement Sprint webinar will take place from 11 a.m. to noon Tuesday. The webinar will review submitted Desired Performance Statement tools, discuss the importance of behavior change when moving from current state to future state, identify common areas of opportunity that would benefit from behavior change intervention, explore the impact effective behavior change has on sustained performance improvement initiatives, and consider how the PDSA (plan-do-study-act) methodology can be used to refine the statement. For more information, contact the MHA Keystone Center.
     
  • Learning Webinar 2 of the Great Lakes Partners for Patients Hospital Innovation Improvement Network Readmissions Improvement Sprint will take place from 2 to 3 p.m. Thursday. The webinar will review submitted Desired Performance Statement tools, discuss the importance of behavior change when moving from current state to future state, identity common areas of opportunity that would benefit from behavior change intervention, explore the impact effective behavior change has on sustained performance improvement initiatives, and consider how PDSA (plan-do-study-act) methodology can be used to refine the statement. For more information, contact the MHA Keystone Center
     
  • MHA Breakthrough will take place from 1 p.m. Thursday to 12:15 p.m. Friday at the Grand Traverse Resort and Spa near Traverse City. Population health initiatives will be shared, and participants will discuss rural healthcare transformation. For more information, contact Erin Steward at the MHA.

Webinar Series Provides Health Equity Advancement Opportunities

Health disparities are costly in terms of the economy, lives and productivity. These costs stem from inadequate or poor care to key populations that leads to preventable disease, high rehospitalization rates or premature death. As hospitals shift to value-based care to address population health, healthcare systems must consider new approaches to coordinated care, cultural competency and creating a culture of inclusion. A webinar series hosted by the MHA Keystone Center, in partnership with the Great Lakes Partners for Patients Hospital Improvement Innovation Network, is addressing this matter.

The webinars focus on helping providers reduce healthcare disparities by becoming culturally competent organizations. The final webinar of the four-part series will take place from 2 to 3 p.m. Feb. 13.  Advancing the Work of Diversity, Inclusion and Cultural Competence to Achieve Health Equity will provide feedback from health systems that recently launched health equity initiatives. It will highlight lessons learned and anticipated challenges, including resources, staffing, program design and data collection. The session is an opportunity to learn firsthand from organizations implementing different stages of their health equity playbook.

As hospitals shift to value-based care to address population health, quality care for all is essential, and this webinar shares valuable information for improving quality. Members with questions may contact the MHA Keystone Center.

Driving Change: Reducing Adverse Drug Events

Driving Change

Driving Change is a monthly feature that highlights the work of Michigan hospitals and the Great Lakes Partners for Patients Hospital Improvement Innovation Network (GLPP HIIN) and provides resources to guide improvement.

Driving ChangeAccording to a study by the Office of Inspector General, adverse drug events (ADEs) – opioids, anticoagulation and hypoglycemia –  represent a third of all adverse events in hospitals among Medicare patients. Also, they affect 2 million hospital stays annually and prolong hospital stays by 1.7 to 4.6 days.

Opioids

The opioid epidemic continues to be an area of concern throughout Michigan and the U.S. In 2017, Michigan saw 2,033 opioid-related deaths. In addition, overdose deaths increased by 17 times between 1999 and 2016. The GLPP HIIN continues its focus on opioid prescription reduction as well as effective opioid alternatives (ALTO) for pain management.

The MHA Keystone Center continues to promote work around appropriate medication disposal with the MHA Keystone Center Medication Disposal Toolkit, Pain Management Guide and 10 Things Every Patient in Pain Should Know Guide.

Additionally, the Midwest ALTO project, launched in 2018, is a multistate initiative that aims to reduce the administration of opioids in emergency departments by 15%. The first cohort of the Midwest ALTO project was a tremendous success. From Sept. 2018 to Jan. 2019, data showed an 11% decrease in opioid administration and a 13% increase in ALTO administration among 17 Michigan hospitals.

Anticoagulation

Anticoagulants are blood thinners used to reduce or prevent blood clots and predominantly used for the treatment of thromboembolic disorders, such as venous thromboembolism (VTE), deep vein thrombosis (DVT) and pulmonary embolism (PE).

While anticoagulants are highly effective, complications related to bleeding or hemorrhaging are a primary risk factor. Warfarin, a common anticoagulant, causes abnormal bleeding in an estimated 15 to 20% of patients per year.

Hospitals are encouraged to review the resources on the MHA Community site, including the ADE Anticoagulation Safety Starter Pack, for continuous improvement efforts.

Hypoglycemia

Hypoglycemia is a condition that is caused by abnormally low blood glucose or sugar. It’s often related to diabetes and ranges from mild to severe. Severe hypoglycemia is a widespread concern among hospitalized patients and can lead to unconsciousness, cognitive impairment, seizures and death. Hypoglycemia is mostly avoidable and is an opportunity for improvement in care.

Hypoglycemia represents the third most common ADE. It’s connected to an increase in in-hospital mortality, longer hospital stays and higher medical costs. The MHA Keystone Center has resources available, such as webinars and a gap analysis to determine areas of opportunity within its ADE Glycemic Management Starter Pack on the MHA Community site. 

Members with questions may contact the MHA Keystone Center.

MHA Monday Report Jan. 27, 2020

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Auto No-FaultStudy: Michigan Motorists Largely Unfamiliar with New Auto No-fault Law That Takes Effect July 1

Michigan’s 7.2 million licensed drivers know little about the state’s new auto no-fault insurance law that takes effect July 1 with a menu of first-time coverage choices and exceptions that could lower premiums and substantially limit medical care …


U.S. Supreme Court Declines Request to Expedite Ruling on Fate of Affordable Care Act

The U.S. Supreme Court declined a petition to review and overturn a recent Fifth Circuit Court of Appeals ruling on the Affordable Care Act (ACA). The Fifth Circuit found the ACA’s individual insurance mandate to be unconstitutional and sent …


Members Testify Before Senate on Critical Incident Stress Management Bill

Amy Morrison-Maybee, Bronson Healthcare CISM team coordinator, testifies before the Senate Health Policy and Human Services Committee.Members of the Bronson Healthcare team testified before the Senate Health Policy and Human Services Committee Jan. 23 to advocate for House Bill (HB) 4862 on behalf of medical providers living with critical incident stress. The bill would expand …


Michigan Capitol BuildingSurprise Billing Legislation Approved by Senate Insurance and Banking Committee

The Michigan Senate Insurance and Banking Committee approved legislation Jan. 22 to address the issue of surprise medical bills. Also referred to as balance billing, surprise medical billing occurs when patients are unexpectedly held responsible for …


Patient Safety OrganizationRegistration Open for MHA Keystone Center PSO Annual Meeting

Registration is open for the MHA Keystone Center Patient Safety Organization (PSO) Annual Meeting, which will be held from 8 a.m. to 3 p.m. March 11 at the VisTaTech Center – Schoolcraft College, Livonia. A virtual option is available for those …


MHA Health Foundation Webinar Reviews Medicare and Medicaid Overpayments

Overpayments to healthcare providers receiving Medicare reimbursements can result in civil and criminal enforcement action if providers are not diligent in compliance with reimbursement rule requirements. Healthcare providers cannot keep money paid …


MHA Ludwig AwardNominate a Great Community Benefit Program for a Ludwig Award

The MHA’s Ludwig Community Benefit Award is presented annually to recognize MHA-member healthcare organizations that demonstrate community benefit by improving the health and well-being of their communities through collaborative health, economic … 


The Keckley Report

Paul KeckleyThe 38th JP Morgan Healthcare Conference: My Take
“The 38th version of the JP Morgan Healthcare Conference is in the books and there were few surprises. …

“JPM is Woodstock for healthcare lenders and investors and the companies that desire their money.”

Paul Keckley, Jan. 20, 2020


News to Know

Upcoming events and important healthcare news for the week of Jan. 27:

  • A webinar titled Compensation Wellness: Four Things to Make a Priority in 2020 will be presented by Salary.com at noon Tuesday.
     
  • Learning Webinar 1 of the Great Lakes Partners for Patients Hospital Improvement Innovation Falls Improvement Sprint series will take place from 11 a.m. to noon Tuesday.
     
  • Learning Webinar 1 of the Great Lakes Partners for Patients Hospital Improvement Innovation Readmissions Improvement Sprint series will take place from 2 to 3 p.m. Thursday.
     
  • The MHA hosted a webinar Jan. 14 with its endorsed business partner Care Logistics, an industry leader in improving patient flow, throughput, quality and experience.

MHA in the News

Read recent coverage about the MHA, including a roundup of articles from across the state about recent research that finds Michigan drivers are largely unfamiliar with the state’s new auto no-fault insurance law that will take effect July 1.

News to Know – Week of Jan. 27

Upcoming events and important healthcare news for the week of Jan. 27:

  • The MHA is hosting a series of webinars highlighting the cutting-edge and cost-effective solutions available to Michigan hospitals through its Endorsed Business Partner program. A webinar titled Compensation Wellness: Four Things to Make a Priority in 2020 will be presented by Salary.com at noon Tuesday. The webinar will cover reviewing an organization’s compensation philosophy and strategy, metrics that indicate compensation program health, tasks to perform on a regular basis, and ways to use the MHA Salary Survey. The webinar is offered free of charge, but registration is required.
     
  • Learning Webinar 1 of the Great Lakes Partners for Patients Hospital Improvement Innovation Falls Improvement Sprint series will take place from 11 a.m. to noon Tuesday. This webinar will focus on common themes identified through a hospital’s submission of the Process Improvement Discovery Tool. This tool is completed through chart audit and demonstrates current performance, which is essential to understand before addressing gaps to achieve desired performance. Participants will also review the Desired Performance Statement in Behavioral Terms tool that participants will complete and submit prior to Learning Webinar 2. For more information, contact the MHA Keystone Center.
     
  • Learning Webinar 1 of the Great Lakes Partners for Patients Hospital Improvement Innovation Readmissions Improvement Sprint series will take place from 2 to 3 p.m. Thursday. The webinar will focus on common themes identified through a hospital’s submission of the Process Improvement Discovery Tool. The tool is completed through chart audit and demonstrates current performance, which is essential to understand before addressing gaps to achieve desired performance. Participants will also review the Desired Performance Statement in Behavioral Terms tool that hospitals will complete and submit prior to Learning Webinar 2. For more information, contact the MHA Keystone Center.
     
  • The MHA hosted a webinar Jan. 14 with its endorsed business partner Care Logistics, an industry leader in improving patient flow, throughput, quality and experience. The webinar highlighted a case study from Mercy Medical Center in Canton, OH, where Barbara Yingling, chief nursing officer, successfully addressed these common challenges through the implementation of an innovative inpatient care progression model. A recording and materials are available from the webinar. Members with questions about accessing these materials should contact Rob Wood at the MHA.