MHA Monday Report March 4, 2024

MHA Monday Report

capitol buildingSenate Subcommittee Hears Testimony on Opioid Settlement Dollars

The Senate Appropriations Department of Health and Human Services Subcommittee convened March 28 to hear testimony on the state’s opioid settlement dollars. Testimony began with Amy Dolinky, technical adviser for opioid settlement funds at the …


Now Accepting Nominations for the Annual Healthcare Leadership Award

Nominations are now being accepted for the annual MHA Healthcare Leadership Award, which honors those who have demonstrated outstanding healthcare leadership within individual facilities and in their communities. The deadline to nominate an exceptional healthcare …


Reporting AUR Module Data Session Available

Effective in 2024, eligible hospitals and critical access hospitals are required to report Antimicrobial Use and Resistance (AUR) data to the National Healthcare Safety Network as part of the Public Health and Clinical Data …


2024 Healthcare Leadership Academy Registration Closes March 8

The deadline to register for the 2024 MHA Healthcare Leadership Academy is March 8. The program is scheduled for March 13-15 and May 1-2. Delivered in partnership with Executive Core and Grand Valley State University for …


MHA Rounds graphic with Brian PetersMHA CEO Report — Prioritizing our Workforce

Workforce Support and Innovation is the top priority for the MHA this program year, as identified by our board of trustees and echoed by every member hospital and health system throughout the state. This should come as no surprise, as few sectors of …


The Keckley Report

Paul KeckleyWhat a Biden-Trump Re-Match means for Healthcare Politics: How the Campaigns will Position their Differences to Voters

With the South Carolina Republican primary results in over the weekend, it seems a Biden-Trump re-match is inevitable. Given the legacies associated with Presidencies of the two and the healthcare platforms espoused by their political parties, the landscape for healthcare politics seems clear …

Polls indicate Campaign 2024 will be decided based on economic conditions in the fall 2024 as voters zero in on their choice. Per KFF’s latest poll, 74% of adults say an unexpected healthcare bill is their number-one financial concern—above their fears about food, energy and housing. So, if you’re handicapping healthcare in Campaign 2024, bet on its emergence as an economic issue, especially in the swing states (Michigan, Florida, North Carolina, Georgia and Arizona) where there are sharp health policy differences and the healthcare systems in these states are dominated by consolidated hospitals and national insurers. …

Paul Keckley, Feb. 26, 2024


News to Know

MHA-member physician residents are encouraged to save the date for GME Capitol Day, scheduled from 8:30 a.m. to 3:30 p.m. Wednesday, May 1, at the MHA Capital Advocacy Center.


MHA CEO Brian PetersMHA in the News

The MHA received media coverage the week of Feb. 26 that includes quotes from MHA CEO Brian Peters appearing in stories by CNN and Crain’s. CNN published an article Feb. 26 on the Michigan economy …

MHA CEO Report — Prioritizing our Workforce

“When people are financially invested, they want a return. When people are emotionally invested, they want to contribute.” – Simon Sinek 

Workforce Support and Innovation is the top priority for the MHA this program year, as identified by our board of trustees and echoed by every member hospital and health system throughout the state. This should come as no surprise, as few sectors of our Michigan economy have been more challenged in this regard. I am proud to say the MHA has tackled this challenge head-on, using every tool in our increasingly diverse association toolbox.

For our members, we know delivering exceptional care begins with hiring, developing and retaining quality talent. We also know that the demographic realities of an aging population and the associated retirements, rising stress and burnout, and increased rates of violence against healthcare workers are all contributing to retention challenges and staffing shortages. Finally, as with any daunting issue, we know the best way for us to be helpful to our members is to first tap their expertise, letting them share the details of their day-to-day experience so we can identify the most impactful solutions both inside and outside of the public policy domain. In short, we listen.

Through our MHA Human Resources & Workforce Council, we convene our HR professionals to discuss issues such as workforce development, the education and training pipeline, diversity, equity and inclusion efforts, workplace safety, and emerging technologies that can aid in the completion of clinical and non-clinical tasks. The council generates robust information sharing on best practices, as well as discussion on HR-related legislative and regulatory proposals at the state and federal level.

Our work with this council does not occur in a vacuum but is instead complemented by our continual engagement with MHA committees, councils and task forces that include chief medical officers, chief nursing officers, hospital and health system attorneys and government affairs leaders. So, what have we accomplished to date? The list is long and impressive. Just a few examples:

  • Over the past two state budget cycles, we secured $300 million in new funding for our member hospitals for the specific purpose of workforce recruitment and retention.
  • We launched the new MI Hospital Careers campaign, which has helped to shine a light on hospitals and healthcare as a viable career path for Michiganders. We also continue to partner with state universities and community colleges to ramp up health-related training programs.
  • We successfully advocated for Public Acts 271 and 272 of 2023, recently signed by Gov. Whitmer, which increase the penalties for violence committed towards healthcare workers or volunteers.
  • Our MHA Keystone Center launched the Well-B workforce well-being initiative, which has now reached thousands of hospital workers and is contributing to enhanced resiliency of our front-line caregivers.
  • Our MHA Graphic Services division designed and produced workplace safety posters, which are now prominently displayed in hospitals throughout Michigan.
  • The MHA is hosting our annual Human Resources Conference this month, which brings together chief human resource officers and leaders to collaborate, strategize and network. The conference is headlined by Kerry Ebersole Singh, the chief talent solutions & engagement officer at the Michigan Economic Development Corporation. Her presence confirms the MEDC’s recognition of the significant role healthcare plays in our state’s labor force and economic success – a fact we annually lift up in our Economic Impact of Healthcare report.
  • The MHA Service Corporation (MHASC) plays a vital role in this realm. Our HR Conference is sponsored by MHA Endorsed Business Partners AMN Healthcare and Salary.com (as well as MHA members Executive Core and HPS, and event sponsor Vault Verify), who are all involved in the workforce solutions space. The MHASC is working with partners who assist hospitals with de-escalation training and staff safety, virtual nursing programs and other emerging technologies, and more.
  • The MHASC is crucial to our work here in yet another way. The MHA Unemployment Compensation Program has a decades-long track record of success, saving millions of dollars every year for their more than 700 clients.

Everything listed is an example of proactive, positive activity. In other words, “playing offense.” Of course, one of our most significant activities in the workforce realm is an example of “playing defense” by ensuring government mandated nurse staffing ratio legislation that would significantly jeopardize patient access to care is not advanced by the state legislature. As discussed at length in a recent CEO Report, the MHA has worked very effectively to explain the complexity associated with hospital staffing and the tangible solutions that will actually address workforce shortages.

There is no silver bullet to solving healthcare’s workforce challenges. Michigan’s population is not growing and there are many market forces at play unique to healthcare. However, I’m extremely pleased by the work our own MHA staff has put forth to best position our members to achieve our workforce goals. And it couldn’t be done without the engagement from our colleagues in hospitals throughout the state who are doing all they can to ensure access to high quality care 24/7/365. Collectively, these are people who are clearly emotionally invested and making significant contributions to this worthy cause.

As always, I welcome your thoughts.

Peters Appears in CNN & Crain’s Stories

MHA CEO Brian Peters

MHA CEO Brian PetersThe MHA received media coverage the week of Feb. 26 that includes quotes from MHA CEO Brian Peters appearing in stories by CNN and Crain’s.

CNN published an article Feb. 26 on the Michigan economy and aging population. Included in the story is a section on healthcare emerging as the state’s largest private sector employer. The section highlights how the aging population is leading to an increased need for healthcare services and references the 27,000 job openings in Michigan hospitals.

“Those folks who are headed off to their retirement days, they are the ones who demand more health care services,” said Peters.

Crain’s Detroit Business reported on the Change Healthcare cyberattack in a story published Feb. 29. The story looks at how market consolidation and the growing need for data sharing has led to higher cybersecurity risks for healthcare organizations. Peters mentions how healthcare is the top target for cybercriminals and explains the challenges faced by hospitals.

“These continued cybersecurity challenges stem from the complex and interconnected nature of hospital information technology systems, which often require integration with external software and hardware to support clinical operations, patient care and administrative functions,” said Peters. “Furthermore, hospitals must navigate a regulatory landscape that demands compliance with health information sharing, privacy and security laws, making the management of third-party risks a critical, yet challenging, aspect of their cybersecurity strategy.”

Crain’s Grand Rapids also published an article Feb. 26 on new state laws that increase the penalties for violence committed against healthcare workers or volunteers. The story looks at the increased rates of violence committed against healthcare workers and the issues it creates for workplace safety, recruitment and retention.

“It is flat out inappropriate to physically attack a healthcare employee and there are going to be consequences if and when it happens,” said Peters. “It’s a signal that we’re not going to tolerate this anymore.”

Members with any questions regarding media requests should contact John Karasinski at the MHA.

Healthcare Remains Key Piece of Executive Budget Recommendation

MHA CEO Brian Peters

The following statement can be attributed to Brian Peters, CEO of the Michigan Health & Hospital Association.

MHA CEO Brian PetersHealthcare access is vital for the physical and economic health of our local economies. This budget proposal presented by the Whitmer administration checks the boxes hospitals and health systems need when it comes to crucial state funding. It includes new funding that can make significant impacts on maternal and infant health, behavioral health and the healthcare workforce, while maintaining existing support for a variety of needed healthcare programs.

Hospitals and health systems are focused on addressing health disparities. Supporting additional maternal health services can help reduce the disparity in maternal health outcomes among non-white women. Expanded Medicaid reimbursement for behavioral health services will improve access across the state and benefit the workforce. We’re encouraged to see funding for tuition-free community college pathways for Michiganders. This can increase the number of students pursuing healthcare pathways and address workforce shortages. Continuing funding pools to support rural and critical access hospitals, obstetrical services, graduate medical education, the Healthy Michigan Plan and Michigan’s Medicaid populations will help maintain access to care for underserved populations throughout Michigan.

Gov. Whitmer is clearly a healthcare champion. We look forward to working with other legislative healthcare champions during the budget process to make sure Michigan healthcare providers have the necessary funding support to advance the health and wellness of Michiganders and communities.

Senate Health Policy Chair Presents to Legislative Policy Panel

Sen. Kevin Hertel, chair of the Senate Health Policy Committee, presented virtually to the Legislative Policy Panel. 

The MHA Legislative Policy Panel met Jan. 24 to develop recommendations for the MHA Board of Trustees on legislative initiatives impacting Michigan hospitals.

The meeting was highlighted by a presentation from Sen. Kevin Hertel (D-Saint Clair Shores). Hertel is the chair of the Senate Health Policy Committee and discussed several relevant healthcare issues. He was proud of his committee’s work in passing Senate Bill 482 out of the chamber in 2023, which would lift the state’s 90-day disposal requirement for sharps containers. The bill has been referred to the House Health Policy Committee. Hertel also mentioned several issues he expects to see attention in 2024, including activity around a state-based health insurance exchange marketplace, efforts to address staffing shortages and work around behavioral health.

Regarding action items, the panel made two recommendations. The first is for the MHA to support House Bill 5295, which would license certified anesthesiologist assistants in Michigan. The panel also recommends the MHA continue to engage with stakeholders regarding the creation of a licensure pathway for foreign trained medical professionals.

The panel received a federal update from Carlos Jackson with Cornerstone Government Affairs, as well as state legislative updates regarding the healthcare workforce, state budget and Medicaid funding.

For more information on the MHA Legislative Policy Panel, contact Adam Carlson at the MHA.

Peters Featured on WJR Live from Lansing Broadcast

MHA CEO Brian Peters on JR' Morning with Guy Gordon, Jamie Edmonds and LLoyd Jackson.
MHA CEO Brian Peters speaks with LLoyd Jackson as part of the WJR Live in Lansing broadcast.
MHA CEO Brian Peters speaks with LLoyd Jackson as part of the WJR Live in Lansing broadcast.

MHA CEO Brian Peters appeared on Detroit’s WJR 760 AM’s JR’ Morning with Guy Gordon, Jamie Edmonds, and Lloyd Jackson’s “Live from Lansing” broadcast Jan. 25 as part of the station’s annual coverage of legislative and policy issues facing the state the morning after Gov. Gretchen Whitmer’s State of the State address. The MHA sponsored the program, with the broadcast hosted at the Courtyard by Marriott Lansing Downtown.

As part of the program lineup, Peters spoke with Gordon, Edmonds and Jackson about the state of hospitals and the many challenges they face, including the healthcare workforce, behavioral health and prescription drug affordability. Other notable interviewees during the event included Whitmer; Senate Minority Leader Aric Nesbitt (R-Lawton), House Minority Leader Matt Hall (R-Richland Township), Rep. Matt Koleszar (D-Plymouth) and Sandy Baruah, president and CEO, Detroit Regional Chamber.

The State of the State address the previous evening primarily focused on 2023 policy achievements achieved by the first Democratic Legislature in 40 years and shared several policy proposals focused on lowering costs for Michiganders, improving education and strengthening economic development. One specific item mentioned by Whitmer relevant to hospitals is the intention to make the first two years of community college tuition-free for every high school graduate. Doing so would remove any financial barrier that may prevent students from pursuing healthcare degree, certificate and credentialing programs at community colleges. This policy item has been a solution offered by the MHA since last year to address nursing shortages.

As a sponsor of the event, the MHA developed a 60-second message for airing before and during the broadcast. Members with questions should contact John Karasinski at the MHA.

Holiday Headline Roundup

The MHA received media coverage over the holidays during the weeks of Dec. 18, Dec. 25 and Dec. 31. Topics covered include the healthcare workforce, the MHA Keystone Center, air ambulance services and a review of 2023.

MHA Senior Vice President and Chief Strategy Officer Ruthanne Sudderth spoke with Crain’s Detroit Business about registered apprenticeship programs.

Below is a collection of headlines from around the state, which include interviews with MHA CEO Brian Peters; Ruthanne Sudderth, senior vice president and chief strategy officer, MHA; and Sarah Scranton, vice president, safety & quality and executive director, MHA Keystone Center.

Monday, Jan. 1

Saturday, Dec. 30

Thursday, Dec. 21

Tuesday, Dec. 19

Monday, Dec. 18

Members with any questions regarding media requests should contact John Karasinski at the MHA.

MHA Monday Report Oct. 9, 2023

MHA Monday Report

capitol buildingHealthcare Legislative Activity Includes Hearings on Auto No-Fault

Healthcare legislative activity in the Michigan Legislature included hearings on auto no-fault and several other bills during the week of Oct. 2. The Senate Finance, Insurance and Consumer Protection Committee held their first hearing on Senate Bills (SBs) 530 and …


Michigan Reconnect logoMichigan Reconnect Scholarship Eligibility Expands

The temporary expansion of the Michigan Reconnect program to individuals between the ages of 21 and 24 occurred the week of Oct. 2. Funding passed in the fiscal year 2024 state budget allowed for the program to temporarily expand eligibility …


BSC Implements New Electronic Document Sharing Program: Egress

The Bureau of Survey and Certification (BSC) serves as the state survey agency for the Centers for Medicare & Medicaid Services, conducting federal certifications and investigating specific complaints at Michigan healthcare facilities. During surveys, BSC …


The Keckley Report

Paul KeckleyFor Healthcare, the Debt Limit and Possible Shutdown Further a Shift away from its Status Quo

“What’s clear is that every sector in healthcare will be subject to scrutiny through an uncomfortable lens—the consumer. Prices matter. Service matters. Integrity matters. Transparency matters. Ownership matters. Purpose matters. And whether accurate or not, fair or not, comfortable or not, information accessible to consumers is readily accessible.

The shutdown over the debt limit might happen or be diverted. What will not be diverted is growing discontent with the medical system that the majority of consumers believe wasteful, expensive and self-serving. How the status quo is impacted is anyone’s guess, but it’s a good bet its future is not a cut-and-paste version of its past. …”

Paul Keckley, Oct. 2, 2023


News to Know

New MHA associate member VativoRx has been a leader in the rebate management space for over eight years, specializing in providing innovative drug rebate management solutions and uncovering new revenue sources for medications administered within healthcare facilities.


MHA CEO Brian Peters speaks with the Michigan Business Network.

MHA in the News

The MHA received media coverage the week of Oct. 2 regarding auto no-fault legislation introduced in the Michigan Legislature and nurse staffing ratio legislation. The coverage is based on interviews conducted with MHA CEO Brian …

Headline Roundup: Prescription Drug Affordability & Healthcare Workforce

MHA CEO Brian Peters speaks with WOOD TV.
MHA CEO Brian Peters speaks with WOOD TV.
MHA CEO Brian Peters speaks with WOOD TV.

The MHA received media coverage the weeks of August 28 and Sept. 4 regarding prescription drug affordability, the healthcare workforce and COVID-19.

MHA CEO Brian Peters spoke with a variety of news outlets regarding these topics.

Below is a collection of headlines from around the state.

Thursday, Sept. 7

Wednesday, Sept. 6

Wednesday, August 30

Members with any questions regarding media requests should contact John Karasinski at the MHA.

Opportunities for Training and Placement of CHWs Available to Hospitals

The MHA has multiple higher education partners that recently received Health Resources and Services Administration (HRSA) grants to increase the number of community health workers (CHW) and health support workers (HSW), and these institutions are looking to partner with hospitals on training and placement of these workers.

Opportunities include:

  • West Michigan Grand Rapids Community College (GRCC): The purpose of the GRCC program is to increase the number of CHW and HSW (certified nursing assistants (CNA), medical assistants (MA) and direct support professionals) and equip them with the skills needed to provide effective community outreach. GRCC will be training new CHW and HSW, including completion of hybrid coursework and internship/field placements or registered apprenticeships. GRCC has partnered with West Michigan Works to create a new CHW registered apprenticeship program and is looking for partners in this area. GRCC is also seeking field placement sites where non-incumbent CHW students can complete internships during their training. Hospitals with incumbent workers who may not have a certification in CHW, MA, CNA and direct support workers and would like to obtain one, the GRCC HRSA grant can cover any tuition cost for them to obtain certification through GRCC. Any hospital interested in these GRCC programs should contact Diego Roman at GRCC.
  • Southeast Michigan – Wayne State University: Wayne State University is partnering with the Michigan Community Health Worker Alliance on a CHW academy through a HRSA grant held by the Alliance. The Academy works with organizations who require the services of CHWs to understand their employment needs and then develop recruitment, hiring, training, supervision, and professional development plans that are uniquely tailored to the CHW employment needs of the organization. In addition, the Academy also provides customized trainings for individuals seeking to gain employment as a CHW. All services are guided by the Centers for Disease Control and Prevention’s Core Public Health Competencies and Essential Public Health Services. Hospitals interested in learning more or in partnering should contact Nate McCaughtry, PhD, academy director at WSU.

Members with general questions about partnering with higher education may contact Erin Steward at the MHA.