MHA Monday Report Feb. 6, 2023

MHA Monday Report

MHA Testifies During First House Health Policy Committee Hearing

The first hearing of the new legislative session for the House Health Policy Committee was held Feb. 2. Led by Chair Julie Rogers (D-Kalamazoo), new committee members heard testimony from advocacy organizations about the state of public health in Michigan. …


Implicit Bias Trainings Available to Meet LARA Requirement

The Department of Licensing and Regulatory Affairs revised Public Health Code – General Rules to allow asynchronous teleconferences or webinars as acceptable modality of training as part of the implicit bias training standards for all professions licensed or registered under …


MHA Ludwig Community Benefit Award Accepting Nominations

Hospitals taking part in local efforts to enrich the overall welfare of their communities are encouraged to nominate those programs for the 2023 MHA Ludwig Community Benefit Award. First presented in 1990, the annual award honors MHA-member healthcare …


MHA Annual Meeting Sponsorship Opportunities Available

Just as hospitals and health systems have changed their strategies to adapt to the new environment, MHA education programming and sponsorships have changed to deliver more value. The MHA team are designing in-person events tied to the priorities of the …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Medical Liability and Denney Damages

In last month’s CEO Report, we focused on the new political environment in Lansing, with a host of first-time lawmakers taking office, Democrats assuming majority control of both chambers of the legislature and a host of …


The Keckley Report

Paul KeckleyThe Big Tech Advantage in U.S. Healthcare

“This week, 100 of the Fortune 500 will report earnings for 2022 and heightened attention will be on four tech giants–Apple Inc., (AAPL); Amazon (AMZN) Meta Platforms Inc.(META) and Alphabet Inc.(GOOG). Comparatively, reports this week by Pfizer, Merck and Eli Lilly will get industry attention but news about these technology-giants will extend to a much wider audience. Why? …

2023 will be pivotal to U.S. healthcare’s future: it’s the transition year from pandemic adaptation buoyed by emergency-relief funds and opportunistic private equity plays in capital-starved sectors to a normalcy that’s unprecedented. … “

Paul Keckley, Jan. 30, 2023


Brian PetersMHA in The News

The MHA received media coverage the week of Jan. 30 regarding the 340B drug pricing program and the lack of child psychiatrists in northern Michigan. Crain’s Detroit Business published an op-ed Feb. 1 from MHA CEO Brian Peters on …

Implicit Bias Trainings Available to Meet LARA Requirement

The Department of Licensing and Regulatory Affairs revised Public Health Code – General Rules to allow asynchronous teleconferences or webinars as acceptable modality of training as part of the implicit bias training standards for all professions licensed or registered under the Public Health Code.

The Michigan Health Council (MHC) is offering five virtual one-hour implicit bias fulfilling the training requirement, with modules outlining implicit bias recognition and remediation, myth-busting race, poverty and the social determinants of health, understanding sex and gender identity, and the case for inclusion. Registration for this training is available for $35 per person. The MHC will continue to offer two-hour hybrid and live education trainings priced between $74 and $150.

Members may contact Kristin Sewell at the MHC for pricing and availability.

MHA Monday Report Jan. 23, 2023

MHA Monday Report

LARA Updates Implicit Bias Training Rules

The Michigan Department of Licensing and Regulatory Affairs recently released the final draft of the Public Health Code – General Rules to allow asynchronous teleconference or webinars as acceptable modality of training as part of the implicit bias training standards. ..


MHA Offering Occupational Mix Survey Webinar

The MHA is hosting an educational webinar 10 a.m. Jan. 31 to assist hospitals in completing the 2022 occupational mix survey. The webinar is available free of charge but registration is required. The survey must be submitted to the Medicare …


Nominations Open for 2023 MHA Ludwig Community Benefit Award

The valuable role of Michigan hospitals and healthcare providers during the COVID-19 pandemic is unmistakable. Brave personnel throughout these facilities have worked for three years to care for the staggering number of patients through their doors. Even during these difficult …


Registration Open for the 2023 Healthcare Leadership Academy

The MHA is offering its popular Healthcare Leadership Academy program on March 13-15 and May 15-16. With 10 years of history helping medical professionals lead more effectively, the program focuses on developing a new generation of healthcare leaders. …


Latest AHA Trustee Insights Focuses on 2023 Priorities and Population Health

As more evidence points to the impact of social determinants of health and the lack of progress on achieving notable healthcare quality aims, hospital boards need to continue to reframe what governance leadership and excellence should look like. The January …


The Keckley Report

Paul KeckleyHCA Mission Hospital: A Predictable Shot by SEIU or Something Bigger?

“Last Thursday, NBC News reported that HCA Healthcare, the nation’s second biggest hospital operator, was guilty of nurse under-staffing at Asheville NC Mission Hospital endangering patient care. The 182- hospital chain countered its hospitals operated safely as evidenced by earning A/B from Leapfrog in 80% of its hospitals. …

In one respect, Mission is a case study applicable to every hospital in the U.S. health system. Pressure to reduce operating costs and increase revenue is a constant. …”

Paul Keckley, Jan. 16, 2023


News to Know

Hospital leadership and key decision-makers will gather June 28-30 for the MHA Annual Membership Meeting on Mackinac Island. …

LARA Updates Implicit Bias Training Rules

The Michigan Department of Licensing and Regulatory Affairs (LARA) recently released the final draft of the Public Health Code – General Rules to allow asynchronous teleconference or webinars as acceptable modality of training as part of the implicit bias training standards. Webinars and asynchronous teleconference were previously prohibited because they didn’t allow for interaction between students and the instructor. These rules will be filed with the Joint Committee on Administrative Rules and become effective March 23, 2023

Under the updated rules, individuals applying to renew their license will be allowed to satisfy the implicit bias training standard through webinars offered by acceptable sponsors. Another positive rule change is the allowance of implicit bias training to satisfy other training or continuing education requirements.

Members with questions should contact Renée Smiddy at the MHA.

Implicit Bias Trainings Available to Meet LARA Requirement

The Department of Licensing and Regulatory Affairs (LARA) revised Public Health Code Rules requiring implicit bias training for all professions licensed or registered under the Public Health Code took effect in June. Implicit Bias trainings are still available for those needing to meet the requirement.

The Office for Health Equity and Inclusion at Michigan Medicine is hosting a 1-hour, live virtual course called Building Toward Belonging: Implicit Bias Training (LARA Compliant) for $150 per participant. The following groups qualify for a $50 per person discount:

  • University of Michigan alumni and retirees.
  • Non-profit workers.
  • K-12 workers.
  • Groups of 10+ (must be registered together).

Those who fall within one of the above categories can contact the team to request a promo code. For teams of 50 or more, a request can be made at least 6-8 weeks in advance for scheduling a virtual session outside of the posted dates.

The Michigan Health Council is also offering implicit bias trainings in two formats, hybrid or live guest lecture, over the next several months. In a hybrid delivery model, learners will watch a one-hour video on demand and attend a one-hour webinar to engage in a robust discussion and group exercises. Registration for this training is available for $50 per person.

With a guest presentation, organizations can offer the training to staff onsite at their convenience. The presentation will include an introduction to implicit bias followed by targeted exercises, discussion and evaluation questions. Members may contact Kristin Sewell for pricing and availability.

MHA Monday Report Aug. 1, 2022

MHA Monday Report

Healthcare Community Urged to Vote in Aug. 2 Primary ElectionMI Vote Matters


Fiscal Year 2023 State Budget Signed

capitol background


Register Now for MHA Rural Advocacy Day


Proposal Released to Update Medicare Outpatient Prospective Payment System


CMS Wage Data Revisions Due Sept. 2


U.S. House Passes Advancing Telehealth Beyond COVID-19 Act


Implicit Bias Trainings Available to Meet LARA Requirement


CMS Seeks Comment on Rural Emergency Hospital Proposed Rule


Online Nurse Preceptor Academy Helps Acclimate New Nurses


MHA CEO Report — Benefits of the State Budget

MHA Rounds Report - Brian Peters, MHA CEO


Paul KeckleyThe Keckley Report

The U.S. Economy at the 2022 Mid-point: Three Immediate Implications for Healthcare

“The labor market is tight. Inflation is at a 40-year high. Consumers are worried but still spending. And this week, 5 key indicators of the economy’s strength/vulnerability will be reported. … Collectively, these indicators are likely to show an economy in stress. … So, what’s that mean for healthcare?”

Paul Keckley, July 25, 2022


News to Know


MHA in the News

MHA CEO Brian Peters

Implicit Bias Trainings Available to Meet LARA Requirement

The Department of Licensing and Regulatory Affairs (LARA) revised Public Health Code Rules requiring implicit bias training for all professions licensed or registered under the Public Health Code took effect in June. Implicit Bias trainings are still available for those needing to meet the requirement.

The Office for Health Equity and Inclusion – Michigan Medicine is hosting Building Toward Belonging: Implicit Bias Training (LARA Compliant), a 1-hour, live virtual course.

Building Toward Belonging: Implicit Bias Training is being offered for $150 per participant.

The following groups qualify for a $50 per person discount:

  • University of Michigan alumni and retirees
  • Non-profit workers
  • K-12 workers
  • Groups of 10+ (must be registered together)

If you fall within one of these categories, send an email to OHEI-training@med.umich.edu and request a promo code for the category you qualify for.

Community Group Session Rates: If your team has 50 or more participants, you can request a virtual session outside of our currently posted schedule. This session would be scheduled for a time that works for your team and requests must be submitted in this form at least 6-8 weeks in advance.

The Michigan Health Council is also offering implicit bias trainings in two formats, hybrid or live guest lecture, over the next several months.

In a hybrid delivery model, learners will watch a one-hour video on demand and attend a one-hour webinar to engage in a robust discussion and group exercises with the instructor and other learners. This training is available for $50 per person. Register here.

With a guest presentation, organizations can offer the training to their staff on-site at their convenience. The presentation will include an introduction to implicit bias and targeted exercises, discussion, and evaluation questions. Members may contact Kristin Sewell via email or at 517-908-8243 for pricing and availability.

Peters Expresses Support for Implicit Bias Training Requirement

Brian Peters

Brian PetersMHA CEO Brian Peters expressed the MHA’s support for the Michigan Department of Licensing and Regulatory Affair’s new implicit bias training requirement for all professions licensed or registered under the Public Health Code in a story by Michigan Capitol Confidential.

Peters cited the training as the next step in the MHA’s long history of safety and quality improvement work by hospitals led through the MHA Keystone Center. Peters also mentioned that many hospitals in the state have already been offering an implicit bias training prior to the requirement.

“Yes, we might require some time for our clinicians or employees to do this training,” said Peters. “But if we avoid rehospitalizations, if we avoid complications that require an extended hospital stay, we’re going to save them time on the back end by having better outcomes.”

Read the article

MHA Monday Report May 16, 2022

MHA Monday Report

MHA Covid-19 update

Combating the Novel Coronavirus (COVID-19): Week of May 9

COVID-19 hospitalizations in Michigan have been rising in recent weeks, with 875 adults hospitalized with confirmed or suspected cases on May 11; 77 of that number were in intensive care units. In addition, 36 children were in the hospital with confirmed or suspected cases on that date. A daily average of over 2,700 cases …


Final Procedural Step for CRNA Legislation Completed

Legislation enhancing hospital flexibility for anesthesia care went into full effect May 10 following official confirmation from the Centers for Medicare & Medicaid Services that it had received the letter of attestation sent by the governor. This was the final step needed for the provisions in House Bill …


capitol building

Michigan Legislators Act on Healthcare Bills

Several bills impacting hospitals were acted upon during the week of May 9. Bills to plan for new funding from the national opioid settlement and to allow for certain out-of-state prescriptions were sent to the governor. In the Senate, testimony was taken on a bill to create a new license for …


Annual Meeting icon

MHA Annual Meeting Registration Deadline Approaching

The registration deadline is May 27 for the MHA Annual Membership Meeting June 29, 30 and July 1 on Mackinac Island. COVID-19 vaccination is required for attendees 12 years of age and older; details surrounding the vaccination verification process are outlined on the Code of Conduct …


EIGFFellowship Helps Trustees Think Critically About the Future

Strategic thinking is a critical skill for all healthcare leaders, and the future belongs to organizations whose governing boards, working in strategic partnership with management, help envision the future and assist in discerning and framing questions the organization should ask of itself to prepare for the future. …


Webinar Reviews Infection Control Worksheet Compliance

Antibiotics have transformed the practice of medicine, making once lethal infections readily treatable and other medical advances possible. Like all medications, antibiotics can have serious unintended consequences, such as causing a patient to have an adverse drug reaction or a patient misusing the …


The Keckley Report

Paul Keckley

Overturning Roe v. Wade Creates Immediate Challenges for Healthcare

“Politico broke its story at 8:32 pm last Monday: ‘Supreme Court has voted to overturn abortion rights, draft opinion shows.’ …

“Their reporting was based on a leaked copy of the February 10, 98-page draft of Supreme Court Justice Samuel Alito’s opinion on behalf of the court’s 5 conservative justices …

“The final ruling is expected next month but the immediate implications for the healthcare industry are significant.”

Paul Keckley, May 9, 2022


MHA in the News

The MHA received media coverage the week of May 9 on an upcoming implicit bias training requirement and extending Medicaid coverage to 12 months postpartum.

LARA Rules Requiring Implicit Bias Training Take Effect June 1

The Department of Licensing and Regulatory Affairs (LARA) revised Public Health Code Rules requiring implicit bias training for all professions licensed or registered under the Public Health Code, except for Veterinary Medicine, effective June 1.

First-time applicants for licensure or registration must have completed a minimum of two hours of implicit bias training within the previous five years.

Beginning June 1, those renewing licenses or registrations must complete one hour of implicit bias training for each year of their license or registration cycle. However, for renewal applications submitted between the rule’s promulgation date of June 1, 2021, and May 31, 2022, only one hour of training is required. This includes licensees whose 90-day renewal window includes June 1, 2022. For example, a license scheduled for renewal in August 2022 can be renewed in May, requiring only one hour of training regardless of the length of the license or registration cycle. Subsequent renewals would require an hour of training for each year of the license or renewal cycle.

Documentation of this training must be retained for six years from the date of applying for licensure, registration or renewal. The department retains the right to audit licensees or registrants and request documentation of completion of training.

The department released a frequently asked questions document for implicit bias training, which includes clarification that trainings with prerecorded videos must also provide opportunities for interaction between participants and the instructor. Therefore, prerecorded videos without instructor interaction would not satisfy the implicit bias training standard.

Members with questions related to implicit bias training requirements may contact the Bureau of Professional Licensing. For more information, contact Renée Smiddy at the MHA.