MHA Monday Report March 11, 2024

MHA Monday Report

capitol buildingMichigan Legislature Advances Healthcare and Economic Measures

The Michigan Legislature reviewed, discussed and moved forward legislation the week of March 4 that positively impacts patients, hospitals and health systems. Notably, the legislature took final action a bill related to the Renaissance Zone …


Congressional Spending Package Solidifies Medicare SUD Coverage

The President signed March 8 a six-bill Congressional funding package to avoid a federal government shutdown that evening. The funding package included several healthcare provisions, including a measure expanding access to substance use disorder (SUD) …


Michigan HR Professionals Gathers at the MHA HR Conference

More than 90 healthcare human resources (HR) professionals from across the state gathered at the MHA Human Resources Conference March 5 in Lansing. Attendees participated in hands-on facilitated discussions that developed innovative ideas focused on …


Change Healthcare Outage Continues to Impact Members

The MHA has been in close contact with the American Hospital Association, the Michigan Healthcare Security Operations Center and other partners regarding the Change Healthcare cyberattack that has impacted hospitals nationwide over the …


MHA Behavioral Health Learning Series: Second Webinar

The MHA is hosting a five-part webinar series to provide hospital staff with a deeper understanding of Michigan’s behavioral health system and the hospital’s role in connecting patients with care. These webinars are part of …


MIHI Hosts Webinar Series on BEAD State Challenge Process

The Michigan High-Speed Internet Office (MIHI) will be hosting three educational webinars to answer questions about the Broadband Equity Access and Deployment (BEAD) State Challenge Process, which is currently pending approval from the National Telecommunications …


MHA Podcast Uplifts Importance of Submitting Adverse Event Data to Improve Patient, Staff Safety

The MHA released a new episode of the MiCare Champion Cast during Patient Safety Awareness Week to uplift why hospitals should prioritize submitting adverse event data, in addition to what can be done to improve the culture around reporting. …


The Keckley Report

Paul KeckleyHealthcare Spending 2000-2022: Key Trends, Five Important Questions

“Last week, Congress avoided a partial federal shutdown by passing a stop-gap spending bill and now faces March 8 and March 22 deadlines for authorizations including key healthcare programs. …

The reality is this: no one knows for sure what the U.S. health economy will be in 2025 much less 2035 and beyond. There are too many moving parts, too much invested capital seeking near-term profits, too many compensation packages tied to near-term profits, too many unknowns like the impact of artificial intelligence and court decisions about consolidation and too much political risk for state and federal politicians to change anything. …”

Paul Keckley, March 4, 2024


News to Know

MHA-member communications professionals are encouraged to save the date for this year’s MHA Communications Retreat, scheduled from 8:30 a.m. to 4 p.m. Tuesday, May 7, at the Henry Center for Executive Development in Lansing.


MHA CEO Brian PetersMHA in the News

Chief Healthcare Executive published an article March 5 about the impact of the Change Healthcare cyberattack on hospitals and health systems across the country. The publication spoke with several state hospital associations representing Michigan, Florida, …

Healthcare Economic Impact Included in 2024 MBN Economic Forecast Breakfast

MHA CEO Brian Peters highlights the economic impact of healthcare in Michigan during the 2024 Economic Forecast Breakfast hosted by MBN.

The Michigan Business Network (MBN) hosted the 2024 Economic Forecast Breakfast Jan.11, which featured the inaugural release of the latest Michigan Future Business Index survey data, 2023 reviews and a look ahead on regional economic, business, healthcare, tourism and international business forecasts.

Given the healthcare sector significant role in Michigan’s economy, MHA CEO Brian Peters joined the Economic Forecast Breakfast as a presenter for the first time, highlighting the economic impact of healthcare in Michigan. Peters spoke about the mission and work of the MHA, including key strategic pillars in the 2023-2024 strategic action plan such as workforce support, hospital viability, behavioral health and health equity. Peters also discussed how working with hospitals and economic partners in the region contributes to growing the economy of Michigan. The MHA is an official partner with the MBN.

Other event presenters included Chris Holman, CEO of MBN; Mike Witt, senior vice president of Asset Management; Van Martin, president & CEO of Martin Commercial Properties; Julie Pingston, president & CEO of Choose Lansing; Steve Japinga, senior vice president of public affairs at the Lansing Regional Chamber of Commerce; Bob Trezise, president and CEO of the Lansing Economic Area Partnership; and Charles Ballard, emeritus faculty of Michigan State University Economic Department.

The MHA’s involvement in the event is an example of the association’s collaboration with economic leaders across the state of Michigan.

Members with questions about future regional economic events may contact Ruthanne Sudderth at the MHA.

Healthcare Worker Safety Bills Signed into Law

Gov. Whitmer signed House Bills 4520 and 4521 that increase the penalties for assaulting a healthcare worker or volunteer.

Gov. Whitmer signed into law Dec. 6 House Bills 4520 and 4521, which increase the penalties for assaulting a healthcare worker or volunteer. Now referred to as Public Acts 271 and 272 of 2023, the financial fines are doubled for those found guilty of assault towards a healthcare worker or volunteer.

The bills were signed as part of a ceremony held at Sparrow Hospital in Lansing. The MHA joined a variety of healthcare organizations in attendance to celebrate this positive step in ensuring violence against healthcare workers is not tolerated.

The new laws also require the posting of signage at hospitals to inform individuals they may be subject to higher financial penalties if they assault a healthcare worker or volunteer. The MHA has new, updated signage available for MHA members to order at no cost. Hospitals will need to post compliant, updated signage in a conspicuous location by March 4, 2024. Hospitals may create and use their own signage but must ensure any updated signs meet the requirements of the new laws.

A press release was published by the Executive Office of the Governor, which includes a quote of support from MHA CEO Brian Peters.

While celebrating this accomplishment, the MHA will continue to work on more opportunities to protect the healthcare workforce from violence in the workplace and to improve the recruitment, retention and training of healthcare workers.

Members with questions on any of the bills should contact Adam Carlson or Elizabeth Kutter at the MHA.

Trustee Webinars Focus on Healthcare Trends and Advocacy Strategies

Recent media headlines declare hospitals are in reasonably good shape financially due to pandemic funding, Medicare and insurer overpayments and price-gauging. While hospital leaders have data proving extreme financial pressures, the cumulative effect of this press is confusion and distrust of hospitals. The MHA Board Governance Education webinar series will provide examples of how to share facts and be an effective advocate on financial viability and other areas.

The April 19 webinar outlines the trends affecting current and future strategic plans, the May 9 webinar teaches trustees techniques for effectively communicating with stakeholders on key issues and the May 23 webinar discusses ways to build trust and engagement within the community. All webinars are from noon to 1 p.m. EST and members can register for one or all three webinars.

The series is generously sponsored by HPS, an associate member of the MHA and free of charge to MHA members.

Members with questions about registration should contact Erica Leyko at the MHA.

Applications Open for Excellence in Governance Fellowship, Prepares Trustees to Lead

The MHA Excellence in Governance Fellowship is now available to healthcare board members looking for innovative, effective ways to lead their organizations as hospitals and health systems navigate financial strain and labor challenges. Applications are currently being accepted for the 2023-2024 Excellence in Governance Fellowship, which will be held from October 2023 through June 2024.

Launched 20 years ago, the fellowship is a rigorous and comprehensive program delivering tools and knowledge in four strategic areas: principles of effective governance, improving quality and patient safety, building collaborative medical staff partnerships and building strong relationships with the community and stakeholders. The sessions are led by experts in governance with a healthcare background.

With the busy schedules of board members in mind, fellows can expect to meet four times a year, either in-person at the MHA headquarters in Okemos or through virtual sessions.

Graduates of the fellowship have high praise for the fellowship, as demonstrated by a video of  graduates’ testimonials.

Members looking to further explore this one-of-a-kind offering can contact Erin Steward at the MHA.

Applications Open for Excellence in Governance Fellowship, Prepares Trustees to Lead

The MHA Excellence in Governance Fellowship is now available to healthcare board members looking for innovative, effective ways to lead their organizations as hospitals and health systems navigate financial strain and labor challenges. Applications are currently being accepted for the 2023-2024 Excellence in Governance Fellowship, which will be held from October 2023 through June 2024.

Launched 20 years ago, the fellowship is a rigorous and comprehensive program delivering tools and knowledge in four strategic areas: principles of effective governance, improving quality and patient safety, building collaborative medical staff partnerships and building strong relationships with the community and stakeholders. The sessions are led by experts in governance with a healthcare background.

With the busy schedules of board members in mind, fellows can expect to meet four times a year, either in-person at the MHA headquarters in Okemos or through virtual sessions. Graduates of the fellowship have high praise for the fellowship, as demonstrated by a video of  graduates’ testimonials.

Members looking to further explore this one-of-a-kind offering can contact Erin Steward at the MHA.

2022 Legislative Session Adjourns

capitol building

capitol buildingThe Legislature took their final votes for the 2021-2022 legislative session during the week of Dec. 5. Given the results of the election, very few bills passed during the legislative lame-duck session compared to a typical year. While the lack of a supplemental agreement prohibited additional funding for healthcare, the MHA was able to secure several victories on policy issues and no MHA-opposed legislation was passed before the end of the year.

House Bills (HBs) 6129 and 6130, legislation to expand the Michigan Reconnect program, was sent to the Governor’s desk for final approval. The Michigan Reconnect program is a postsecondary scholarship program designed to provide funding to learners over the age of 25 to return to the classroom to pursue credentials or postsecondary degrees at community colleges or eligible training programs. Introduced by Reps. Ben Frederick (R-Owosso) and Sarah Anthony (D-Lansing), the package allows for several additional certifications to qualify for the scholarships including high-demand healthcare credentials. The MHA is supportive of the bills and will continue to advocate for future changes to lower the age for individuals to qualify for the program.

Legislation to allow Michigan to join the Psychology Interjurisdictional Compact (PSYPACT) was also sent to the Governor’s desk. If signed into law, this will bring Michigan in line with 26 other states to create an expedited pathway to licensure for psychologists who wish to practice telepsychiatry across state lines. HBs 5488 and 5489 were introduced by Reps. Bronna Kahle (R-Adrian) and Felicia Brabec (D-Pittsfield Township) and supported by the MHA to help increase access to behavioral health services in Michigan.

Another MHA-tracked bill, Senate Bill (SB) 450, was sent to the Governor. Introduced by Sen. Jim Stamas (R-Midland), SB 450 would ensure visitors of cognitively impaired patients are permitted in healthcare facilities. The bill would prohibit the directors of the Michigan Department of Health and Human Services or a local health officer from issuing an order that prohibits a patient representative from visiting a cognitively impaired individual in a healthcare facility. As written, the legislation does not prevent a healthcare facility from implementing reasonable safety measures for visitors and will still allow for facilities to limit the number of representatives per patient. The MHA is neutral on the bill, based upon previous feedback received from our Legislative Policy Panel.

Members with questions on these bills or any other lame duck action may reach out to Adam Carlson at the MHA.

Michiganders Need Continued Access to High-quality, Timely Healthcare

Michigan’s hospitals are facing a funding crisis, putting communities and families across the state at risk of losing access to high-quality, timely healthcare. Health systems, business and university leaders are urging policymakers to address the crisis to avoid further reduction of available beds and access to care and healthcare services.

Michigan has lost a high of 1,700 staffed hospital beds since 2020 due to lack of staffing. This creates a cascade of problems, from longer wait times in the emergency department, reduced services, particularly in rural areas, and more difficulty transferring patients to the appropriate care setting. Respiratory illnesses are also surging, making problems worse.

T. Anthony Denton

“Recently, we have seen a surge in cases of respiratory syncytial virus (RSV), flu and COVID. This puts an additional pressure on emergency departments and our already-strained inpatient bed capacity across Michigan, impacting care statewide. Without funding to address staffing shortages, we run the risk of compromising our ability to provide the same level of exceptional care that we’re accustomed to across the state,” said T. Anthony Denton, senior vice president and chief operating officer, University of Michigan Health System and Michigan Health & Hospital Association board chair.

A 2021 Washington Post-Kaiser Family Foundation survey found that nearly 30% of healthcare workers are considering leaving their profession altogether. The U.S. Bureau of Labor Statistics projects the need for 1.1 million new registered nurses nationwide by 2030, the Association of American Medical Colleges estimates two out of every five active physicians nationwide will be 65 or older within the next 10 years, and the nation faces a projected shortage of more than 3.2 million lower-wage healthcare workers such as medical assistants, home health aides and nursing assistants, according to a Mercer report.

“The overall health and prosperity of Michigan is inextricably tied to the state’s investment in its healthcare and higher education enterprises,” said Daniel Hurley, CEO of the Michigan Association of State Universities. “Michigan’s public universities, together with our hospital and other healthcare partners, look forward to working with state leaders to ensure a future healthcare workforce that is capable of providing the highest levels of quality care for all Michiganders.”

The healthcare workforce shortage — combined with an aging population, a rise in chronic diseases and behavioral health conditions and advancements in medical care delivery — all contribute to an immediate need for resources that will allow hospitals to continue to provide the care residents need and deserve.

Despite staffing losses attributed to the COVID-19 pandemic, healthcare directly employed nearly 572,000 Michigan residents in 2020, continuing to make it the largest private-sector employer in the state. The 2022 Economic Impact of Healthcare in Michigan report found that direct healthcare workers in Michigan earned $44.2 billion in wages, salaries and benefits, with indirect, healthcare-supported workers earning about $28 billion wages, salaries and benefits.

“With healthcare being the largest private-sector employer, a healthy Michigan economy is directly linked to a properly funded healthcare system,” said Susan Smith, executive director, Economic Development Partnership of Hillsdale County. “Without access to healthcare services to support our communities, ranging from obstetrical units to trauma centers, we cannot remain economically competitive, attract or retain talent, or support placemaking for young families and care for everyone at all stages of life.”

Michigan officials have made recent short-term investments to address the hospital staffing crisis, but additional funding remains unappropriated that if used as intended, can improve hospital capacity and service lines. Michigan also needs a long-term funding solution to address stagnant reimbursement that has yet to respond to inflationary pressures to improve the retention of existing healthcare workers and recruit future workers to ensure that residents continue to have access to healthcare services.

Learn how you can help your local hospital or health system by visiting MiCareMatters.org.

Additional quotes:

JJ Hodshire

“Hospitals have an immediate need for resources to continue to provide the services residents need and deserve – like ambulances available for lifesaving care,” said JJ Hodshire, president and chief executive officer, Hillsdale Hospital. “As a rural hospital, we excel at being innovative to make the best use of our resources, particularly staff. However, we can only stretch resources for so long. Everyone can agree that access to lifesaving emergency medical care is a basic need for Michiganders and residents should be able to receive specialized care no matter where they live.”

“My colleagues in pediatric units across the state have spent the past month responding to one of the worst respiratory illness surges I can remember as a physician and the biggest challenge to our ability to care for more children was our lack of available staff,” said Dr. Rudolph P. Valentini, chief medical officer, Children’s Hospital of Michigan and group chief medical offer at Detroit Medical Center. “We can’t afford to have another surge of sick, hospitalized children before something is done to improve the health of our hospitals and health systems.”

Brian Peters

“Michigan residents deserve quality, accessible healthcare services and without hospital resources to adequately provide that care, Michigan hospitals have and will continue to face difficult decisions about what services they can offer,” said Brian Peters, chief executive officer, Michigan Health & Hospital Association.

Webinar Dispels Misinformation About Unionization and Outline Legal Guidelines

Healthcare workforce shortages, particularly nursing shortages, are severely hindering the ability to provide patient-centered care. Unionizing to negotiate for policies like staffing ratios is popular but does not consider the complexity of significant workforce shortages. As healthcare leaders face an environment where clinicians are experiencing burnout, leaders must understand collaboration strategies that improve organizational stability and patient outcomes.

The Dispelling Misinformation About Unionization and Legal Guidelines webinar will outline several topics related to the healthcare workforce and unionization. Topics will include how recent dynamics such as the COVID-19 crisis and worker shortages have increased the healthcare industry’s vulnerability to union organizing, current trends and tactics unions use to recruit healthcare employees, evolving rules from the National Relations Labor Board, including those applicable to social media, and other tips and guidelines for leaders responding to a union or other protected concerted activity.

The webinar is scheduled for 8:30 a.m. ET Nov. 11. Sponsored by the MHA Service Corporation Unemployment Compensation Program and Miller Johnson, it is offered free of charge. Human resource executives and professionals and chief nurse executives are encouraged to register.

Members with questions should contact Erin Steward at the MHA.

 

MHA Launches MI Vote Matters Campaign to Encourage Voter Participation Nov. 8

Logo for MI Vote Matters, Tuesday Nov. 8

Logo for MI Vote Matters, Tuesday Nov. 8The upcoming general election will set the stage for critical healthcare decisions for Michigan and the nation in the years ahead. In November, Michigan voters will help elect the next governor, attorney general and secretary of state of Michigan, decide who will represent the state in all 13 Michigan seats in the U.S. House of Representatives, plus cast ballots for all 110 seats of the Michigan House of Representatives and 38 seats of the Michigan Senate, among other contests.

The MI Vote Matters campaign seeks to encourage voters to engage in the election and elect candidates who value healthcare and the needs of patients, urging hospital staff members, volunteers, patients, visitors and others to vote Nov. 8. As part of the MI Vote Matters campaign, the MHA has prepared the following informational resources for members.

  • MI Vote Matters informational posters geared toward patients, families, visitors and staff. Available in three sizes, each poster is laminated and can be affixed behind any plastic or plexiglass barrier.
  • The 2022 MHA Candidate Guide, a list of all candidates by office and district.

A packet containing samples of these resources will be mailed the week of Sept. 12 to members of the MHA’s Hospital Affiliated Legislative Officers committee, as well as public relations executives at MHA-member organizations. During the course of the election season, complimentary copies of the materials will be available to MHA members by request through an online order form. Questions about materials may be directed to the MHA by emailing election@mha.org or calling (517) 703-8601.

In addition, the MHA MI Vote Matters 2022 election webpage has been activated and will be updated with the latest information about the election, including a list of the proposals on this year’s statewide ballot. Members are encouraged to use #MIVoteMatters to join the election 2022 conversation on social media.

MHA members are also encouraged to contact candidates and notify the MHA if a particular candidate could be considered a healthcare champion by supporting healthcare and hospitals. Members with feedback or questions should contact Laura Appel at the MHA.