2023 Ludwig Nominee: McLaren Resident Enhances Screenings for Domestic Violence

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, highlighting the exceptional and creative work being accomplished by Michigan’s hospitals.

McLaren Oakland, part of McLaren Health Care and a 2023 nominee, is identifying and assisting victims of Intimate Partner Violence (IPV) through enhanced screenings in the healthcare setting.

What started as an idea from Dr. Jordan Murray, chief resident of the McLaren Oakland Radiology Residency Program, has now become a regular practice at the Pontiac-based McLaren hospital. During mammogram appointments – one of the few instances where female patients are alone and away from their partner – healthcare providers are able to ask important questions about home safety and intervene as needed.

Those who experience IPV often suffer from battery, sexual violence, stalking and/or psychological harm at the hands of a former or current partner/spouse. According to the Centers of Disease Control and Prevention, one in four women report experiencing some form of IPV each year. Research also shows that Black women experience IPV at disproportionately higher rates.

McLaren Oakland hospital staff are focused on offering potential victims immediate help in a safe, private environment.

The initiative continues to grow as a collaborative effort between the Radiology Residency Program, the ancillary staff at McLaren Oakland (including mammography technicians) and members of HAVEN. Together, their teams are working to expand IPV screenings to other McLaren Health Care locations and create a blueprint for other hospital and healthcare practices to use.

“This project has added another facet to my job and gives me a sense of purpose, knowing that I can change women’s lives for the better,” said Megan Carrillo, DO, a resident at McLaren Oakland. “Dr. Murray’s passion to help others – with the understanding that the role of a physician is not only to treat, but to educate and keep community members safe – has inspired others to continue what he started.”

Members with questions about the program or the Ludwig Community Benefit Award should contact Erica Leyko at the MHA.

2023 Ludwig Nominee: Trinity Health Coalition Working to Prevent Youth Suicide

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, highlighting the exceptional and creative work being accomplished by Michigan’s hospitals.

Trinity Health Livonia (THLA) Hospital, a 2023 Ludwig nominee, is addressing gaps in behavioral health through their Western Wayne Suicide Prevention Coalition (WWSPC), a community-based program focused on preventing youth suicides.

Through a Community Health Needs Assessment, behavioral health struggles – primarily mental health and substance abuse – were identified as top concerns among adolescents in Western Wayne County. In one survey conducted by the Michigan Profile for Healthy Youth (MiPHY), it was found that at least 4% of high school students and 11% of middle school student reported suicide attempts.

With the understanding that students needed better access to behavioral health resources, the WWSPC created a comprehensive program to train more than 20,000 people – teens, families, school staff and community members – to change policies and support suicide prevention. Over the last several years, the coalition has grown to be a collaboration between THLA, seven school districts and seven community-based organizations that represent counselors, social workers, psychologists, regional educators and many other local experts.

WWSPC provides evidence-based behavioral health services, youth activities and education to decrease stigma and improve early detection of depression and suicide. As one example, more than 3,000 school staff (teachers, custodial staff, bus drivers, etc.) and 1,000 students have been trained on the life-saving suicide prevention model Question, Persuade, Refer. The intent of this method is to identify and interrupt a mental health crisis and direct the individual to proper care.

Looking ahead, the coalition is continuing efforts that support the mission of zero youth suicides in WWSPC schools. This includes expanding access to mental health screenings and treatment, developing safety plans for students returning to school after a suicide attempt, teaching skills to manage mental health, and procedural changes that equip staff to monitor and communicate with students who may be struggling.

Members with questions about the program or the Ludwig Community Benefit Award should contact Erica Leyko at the MHA.

Those struggling are encouraged to dial the 988 Suicide & Crisis Lifeline, a national network of local crisis centers that provides free and confidential emotional support to people in suicidal crisis or emotional distress 24 hours a day, 7 days a week in U.S.

The Substance Abuse and Mental Health Services Administration (SAMHSA) National Helpline, 1-800-662-HELP (4357) is also a confidential, free, 24-hour service for English and Spanish-speaking individuals a facing mental and/or substance use disorders. This service provides referrals to local treatment facilities, support groups, and community-based organizations.

2023 Ludwig Nominee: Exercise Program at Sparrow Eaton Helps Patients Manage Chronic Disease

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, highlighting the exceptional and creative work being accomplished by Michigan’s hospitals.

At Sparrow Eaton Hospital, a 2023 Ludwig nominee, the Health Management program applies tailored exercise plans to help patients better manage chronic disease, prevent illness and improve overall health.

Prior to the program’s existence, Sparrow Eaton teams found that a large percentage of the patient population struggled with obesity, diabetes and hypertension. Regular physical activity has been shown to improve – and in some cases reverse – symptoms of these conditions. With this in mind, the program utilizes exercise physiologists to engage and educate patients on how to be more active in a way that suits their lifestyle and health goals.

Patients are referred to the program through their primary doctor or at the completion of a clinical service such as physical therapy or cardiac rehab. Those who qualify choose between an at-home workout plan or participate in weekly group sessions led by exercise physiologists. On average, patients who participate in the program increase their weekly physical activity by over an hour – and nearly half of surveyed partakers reported improvements to their chronic condition.

Dr. Kimberly Friar, MD (top) and Dr. Anthony Marl, DO (bottom) are Primary Care Physicians and champions of the Health Management program at Sparrow Eaton Hospital.

Since being implemented, the program has received over 100 referrals from primary care providers and more than half of those referred have participated. Overall, the initiative has made it possible for Sparrow Eaton providers to help their patients become more active and understand how proper physical activity can be used to improve their overall health.

Members with questions about the program or the Ludwig Community Benefit Award should contact Erica Leyko at the MHA.

2023 Ludwig Nominee: Munson Healthcare Expanding Substance Use Disorder Treatment, Recovery in Northern Michigan

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, highlighting the exceptional and creative work being accomplished by Michigan’s hospitals.

Munson Healthcare (MHC), a 2023 nominee, is advancing the health of northern Michigan communities through the Regional Community Health Opioid Initiative, which offers resources for Substance Use Disorder (SUD) treatment and recovery. This includes efforts to address stigma, ensure safe prescribing and educate both patients and providers.

In a 2022 Community Health Needs Assessment, SUD was identified as a top concern in the regions Munson serves. The issue affects people from all demographics, income levels and educational backgrounds. Although SUDs are common, recurrent and often serious, treatment options in rural Northern Michigan are limited. In many cases, patients seeking help are tasked with travelling several hours for treatment or go without care because of this barrier.

The MHC initiative improves access to treatment by providing on-demand resources in the emergency and inpatient setting while reducing SUD-related medical complications through offerings like take-home naloxone for at-risk individuals. The health system also focuses on fostering community partnerships; implementing stigma reduction campaigns, staff education and peer recovery coaching; expanding harm reduction and enhancing suicide prevention efforts.

In addition to serving the residents of Grand Traverse, Wexford, Manistee, Kalkaska, Antrim and Otsego counties, MHC teams hope to expand programming into more areas where SUD resources are limited or not available. Simultaneously, they are working to share best practices for treatment with regional primary care clinics and extend long-term recovery resources for Michiganders.

Members with questions about the program or the Ludwig Community Benefit Award should contact Erica Leyko at the MHA.

MHA Monday Report May 22, 2023

MHA Monday Report

capitol buildingUrge State Lawmakers to Oppose Harmful Hospital Nurse Staffing Legislation

Harmful legislation was introduced in the Michigan Legislature May 11 that proposes mandated nursing staffing ratios, which would exacerbate existing shortages and restrict important access to healthcare services for Michigan patients. The MHA voiced their …


Patient Treatment Impacted by Shortage of Cancer Drugs

Manufacturing delays at several pharmaceutical companies are causing nationwide shortages of two critical chemotherapy medications – forcing Michigan hospitals and health systems to find alternative treatments for patients, some of which may be less effective. …


Annual Meeting iconMHA Annual Membership Meeting Registration Deadline May 26

Registration is due May 26 for the MHA Annual Membership Meeting June 28 through 30 at the Grand Hotel on Mackinac Island. Education sessions highlight tactics to address structural inequalities by leveraging data and partnerships, …


MHA Celebrates National Hospital Week with Messages from Michigan Leaders

During the week of May 7, the MHA celebrated National Hospital Week (NHW) by sharing a series of videos featuring healthcare, education, government and agriculture leaders across the state thanking Michigan hospitals and healthcare workers …


MHA Webinar Reviews PACE Programs

With the closure of nursing homes and long-term care facilities, hospitals and health systems need options to care for seniors. Dually eligible frail seniors are one of the most complex cohorts with multiple comorbidities, frequent hospital admissions and readmissions, and expensive care needs that span acute, post-acute and long-term care. …


Registrations Due May 22 for Person & Family Engagement Webinar

Registrations closes May 22 for the MHA webinar Person & Family Engagement: A Roadmap to Patient-Centered Care and Outcomes from 8:30 to 10 a.m. ET May 24. The webinar will review the newly released MHA …


Governance Fellowship 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 board, working in strategic partnership with management, helps envision the future and assists in discerning and framing …


2023 Ludwig Nominee: Bronson Task Force Addressing Racial Bias in Maternal and Infant Care

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, …


The Keckley Report

Paul KeckleyHospital Boards are Not Prepared for the Future

“While Congressional leaders play chicken with the debt ceiling this week, antipathy toward hospitals is mounting. To be fair, hospitals are not alone: drug companies and PBMs share the distinction while health insurers, device companies, medical groups and long-term care providers enjoy less attention…for now.

Hospitals are soft targets. They’re also vulnerable. They operate in a sector that’s labor intense, capital intense and highly regulated by federal, state and local governments. They’re high profile: many advertise regionally/nationally, all claim unparalleled clinical excellence and unfair treatment by health insurers. …

Most hospital boards of directors, especially not-for-profit organizations, are not prepared to calibrate the pace of these changes nor active in developing scenario possibilities for their future. That’s the place to start. …“

Paul Keckley, May 15, 2023


News to Know

  • The MHA and Endorsed Business Partner AMN Healthcare Language Services are hosting the webinar New Organizational Responsibilities in Health Equity Regulation: ACA Section 1557 from 3 to 4 p.m. ET June 14.
  • Completed 2022 occupational mix surveys must be submitted by acute care hospitals paid under the Medicare prospective payment system to the Medicare Administrative Contractor by June 30, 2023.

MHA in the News

The MHA received media coverage the week of May 15 regarding a shortage of two critical chemotherapy medications, hospital nurse staffing legislation and the well-being of hospital workers. A press release was published May 17 by the …

MHA Monday Report May 15, 2023

MHA Monday Report

capitol buildingHarmful Nurse Staffing Legislation Introduced in Michigan Legislature

Harmful nurse staffing legislation was introduced May 11 in the Michigan Legislature that would mandate nurse staffing ratios, require public disclosure of the ratios and restrict mandatory overtime for nurses. The bill package is pushed by the Michigan Nurses Association and was ….


Behavioral Health ED Boarding Data Available

Behavioral health emergency department (ED) boarding data the MHA has been collecting on a weekly basis from acute care hospitals across Michigan since March 2023 is now available on the Health Data webpage of the …


Annual Meeting iconMHA Annual Membership Meeting Includes Ways to Support Michigan Hospitals

The MHA membership will convene in person for the MHA Annual Membership Meeting June 28 through 30 at Grand Hotel on Mackinac Island. The annual meeting will feature an outstanding lineup of speakers, the family …


DEA Issues Temporary Extension of COVID-19 Telemedicine Flexibilities for Prescription of Controlled Medications

After delaying the final rule for ending COVID-19 telehealth prescribing rules, the Drug Enforcement Agency (DEA) has issued a temporary rule to allow the following: The full set of telemedicine flexibilities regarding prescription of controlled …


Upcoming Webinars on Medicare FFS Quality-based Programs

The MHA is partnering with DataGen to host two free webinars focused on Medicare fee-for-service (FFS) quality-based programs, which can reduce hospital inpatient FFS payments by up to 6%, depending upon hospital performance. The webinars …


Webinar Outlines Practices to Re-engage Patients and Families in Care

Fractured social contracts in today’s world have changed the healthcare landscape and culture. There is a convergence of patient consumerism and digital transformation happening, and those who focus on patient-centered care and person and family …


MHA Keystone Center PSO Safe Table – Health IT & Risk Safety

The MHA Keystone Center PSO is hosting a Health IT & Risk Safety Safe Table from 12:30 to 3 p.m. June 14. The event will be held at Goshen Health, located at 200 High Park …


Direct Care and Behavioral Health Workforce Assessment: Regional Feedback Sessions

Public Sector Consultants and Health Management Associates are partnering with the Michigan Department of Health and Human Services to gather the perspectives of people impacted by the direct care worker and behavioral health workforce …


MHA Webinar Focuses on Building Trust and Relationships for Trustees

When stakeholders gather to discuss community vitality, the health and wellbeing of the community is not only about access to safe, affordable healthcare, but about non-medical health influences that have an impact on the community. …


MDHHS Releases Beginner Guide for Doula Providers

Michigan Medicaid began reimbursing doula services provided to individuals covered by or eligible for Medicaid as of Jan. 1, 2023. Doula providers are required to be on the Michigan Department of Health and Human Services …


The Keckley ReportPaul Keckley

The End of the Pandemic Health Emergency is Ill-timed and Short-sighted: The Impact will further Destabilize the Health Industry

“The national spotlight this week will be on the debt ceiling stand-off in Congress, the end of Title 42 that enables immigrants’ legal access to the U.S., the April CPI report from the Department of Labor and the aftermath of the nation’s 199th mass shooting this year in Allen TX.

The official end of the Pandemic Health Emergency (PHE) Thursday will also be noted but its impact on the health industry will be immediate and under-estimated. …

In the weeks ahead as the debt ceiling is debated, the Federal FY 2024 budget finalized and campaign 2024 launches, the societal value of the entire health system and speculation about its preparedness for the next pandemic will be top of mind. …“

Paul Keckley, May 8, 2023


News to Know

  • Upon the end of the COVID-19 Public Health Emergency, the Health Resources & Services Administration will end a 2020 policy allowing hospitals to use 340B drugs for eligible patients in new hospital locations, even if they have not yet appeared on a filed Medicare cost report.
  • The MHA is hosting the webinar MHA Programs of All-Inclusive Care for the Elderly (PACE): An Alternative to Traditional Nursing Home care from 8:30 to 9:30 a.m. May 23.
  • Completed 2022 occupational mix surveys must be submitted by acute care hospitals paid under the Medicare prospective payment system to the Medicare Administrative Contractor by June 30, 2023.

Brian PetersMHA in the News

The MHA received media coverage the week of May 8 regarding nurse staffing legislation, healthcare worker shortages, the ending of the COVID-19 public health emergency and more. A joint media statement was published May 11 …

MHA Monday Report May 8, 2023

MHA Monday Report

capitol buildingState Legislation Introduced to Address Violence Against Healthcare Workers, Strengthen Healthy Michigan Plan and Expand Organ Donor Registration

Legislation to increase the penalties for assaulting healthcare employees and volunteers was introduced in the state House of Representatives during the week of May 1. Additional legislation was introduced to remove unnecessary provisions of the …


Michigan’s Largest Private-sector Employer Remains Healthcare

The Partnership for Michigan’s Health reports healthcare directly employed nearly 568,000 Michigan residents in 2021, demonstrating that healthcare remains the largest private-sector employer in the state despite continued staffing losses attributed to the COVID-19 pandemic. …


Webinar Reveals New Tool to Improve Person and Family Engagement

The MHA is hosting a webinar from 8:30 to 10 a.m. May 24 to review the newly released MHA Person & Family Engagement Roadmap, which includes recommended policies to re-engage patients and caregivers and …


Final Medicaid Bulletin on Continuous Glucose Monitoring Systems

The Michigan Department of Health and Human Services issued a final Medicaid Policy Bulletin May 1 with revisions to the Continuous Glucose Monitoring Systems Policy. In response to the proposed policy issued April 1, …


speak upE.W. Sparrow Hospital Nurse Receives Q2 MHA Keystone Center Speak-up! Award

The MHA Keystone Center presented Cheryl Kay, RN, at E.W. Sparrow Hospital with the quarterly MHA Keystone Center Speak-up! Award, which celebrates individuals or teams in Michigan hospitals demonstrating a commitment to the prevention of …


DEA Delays Ending COVID-19 Telehealth Prescribing Rules

The Drug Enforcement Agency (DEA) is delaying draft rules that proposed stricter telehealth limits on providers prescribing controlled substances, like buprenorphine for opioid use disorder or Adderall for ADHD. The DEA will temporarily extend …


MHA Webinar Reviews PACE Programs

With the closure of nursing homes and long-term care facilities, hospitals and health systems need options to care for seniors. Dually eligible frail seniors are one of the most complex cohorts with multiple comorbidities, frequent …


MHA Podcast Explores How Michigan Leaders Can Collaborate to Address Gaps in Behavioral Health

The MHA released another episode of the MiCare Champion Cast, which features interviews with healthcare policy experts in Michigan on key issues that impact healthcare and the health of communities. On episode 29, State Representative …


2023 Ludwig Nominee: Priority Health, National Fitness Campaign Partner to Offer Free Fitness Courts

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, …


MHA Rounds Report - Brian Peters, MHA CEOMHA CEO Report — Attracting Healthcare Talent

Talent acquisition is always top of mind for all business leaders. Demand for workers now outpaces supply throughout the U.S., but particularly here in Michigan due to our demographic realities, including an aging baby-boom generation entering retirement in significant numbers. …


The Keckley Report

Paul KeckleyThe Tit for Tat Game in Healthcare produces No Winners

“Tit for Tat battles in healthcare are nothing new. Last week, they were on full display. …

Most of the food fights in healthcare like last week’s revolve around each sector’s unique response to the three challenges above. That’s why they exist: to protect the interests of their members and advocate on their behalf. All believe their mission and vision is essential to the greater good and the moral high ground theirs. Some are imperiled more than others: not for profit, rural and safety net hospitals, long-term care operators, direct caregivers and public health programs at the top of this list.

Educating lawmakers is necessary but what’s needed is serious, objective forward-looking definition of the U.S. health system’s future. The tit for tat game will not solve anything. That’s where we are. …“

Paul Keckley, May 1, 2023


News to Know

  • National Hospital Week 2023 is May 7-13.
  • The Michigan Department of Health and Human Services created a series of short videos to help providers and community partners navigate policies impacted by the ending of the federal COVID-19 Public Health Emergency.
  • Registration remains open for the 2023 MHA Annual Membership Meeting, scheduled June 28 through 30 at Grand Hotel on Mackinac Island.
  • Completed 2022 occupational mix surveys must be submitted by acute care hospitals paid under the Medicare prospective payment system to the Medicare Administrative Contractor by June 30, 2023.

MHA CEO Brian Peters speaks with WLNS.MHA in the News

The MHA received media coverage the week of May 1 on the economic impact of healthcare in Michigan and planned state legislation that would require nurse-to-patient staffing ratios in hospitals. Crain’s Grand Rapids Business published …

2023 Ludwig Nominee: Priority Health, National Fitness Campaign Partner to Offer Free Fitness Courts

Since 1990, the MHA has honored member healthcare organizations working to enrich the overall welfare of their local communities through the Ludwig Community Benefit Award. This year, the MHA is excited to showcase all award nominees, highlighting the exceptional and creative work being accomplished by Michigan’s hospitals.

Priority Health, a 2023 nominee, is improving the well-being of residents through a partnership with the National Fitness Campaign by offering free access to outdoor fitness courts to communities across Michigan. According to the U.S. Centers for Disease Control and Prevention (CDC), Michigan reported an adult obesity rate of 34.4% in 2021. The CDC also reports that more than half of Americans don’t live within half a mile of a park, a common barrier that can impact health outcomes.

To fight obesity, improve quality of life and create equitable access to exercise, Priority Health Fitness Courts® have been installed in more than 13 communities since 2019, delivering important outdoor wellness infrastructures to help community members stay active. The company has committed to an additional 30 courts to be placed throughout the state by 2025.

Created for people ages 14 and over with all abilities and fitness levels, the courts are handicap-accessible and allow participants to move at their own pace. By downloading the free Fitness Court App, users also have access to dozens of workouts creating a unique, digitally supported wellness experience.

Members with questions about the program or the Ludwig Community Benefit Award should contact Erica Leyko at the MHA.