CE Credits Available for Unionization and Legal Guidelines Webinar

The webinar Dispelling Misinformation About Unionization and Legal Guidelines 8:30 – 10 a.m. ET Nov. 11 has been approved by HR Certification Institute® (HRCI®) for 1.5 hours. The webinar will outline:

  • Understanding how recent dynamics, including the COVID-19 crisis and worker shortages, have increased healthcare industry’s vulnerability to union organizing.
  • Exploring current trends and tactics unions use to recruit healthcare employees.
  • Identifying strategies that boost employee engagement.
  • How to properly identify and respond to protected concerted activity.
  • How to navigate evolving rules from the National Relations Labor Board, including those applicable to social media.
  • Tips and guidelines for leaders in response to a union or other protected concerted activity.

Sponsored by the MHA Service Corporation Unemployment Compensation Program and the Miller Johnson law firm, the webinar is offered free of charge. Human resource executives and professionals, chief nurse executives and legal counsel are encouraged to register.

Details about the HR Certification Institute® credits are on the registration page. Members with questions should contact Erin Steward at the MHA.


MHA Monday Report Oct. 24, 2022

MHA Monday Report

Trustee Forum Converts to Virtual

To expand access to critical information and discussion about the MHA’s 2022-2023 program year’s strategic action plan, the MHA Trustee Member Forum on Nov. 2 will be offered in a virtual format rather than in …

Crain’s Healthcare Leadership Summit Features MHA and Hospital Leaders

The Oct. 20 Crain’s 2022 Healthcare Leadership Summit featured speakers from the MHA and member hospitals in a series of panels on policy issues, labor force solutions and technology integration….


Strategic Action Planning Session with MHA Service Corporation Board

The MHA Service Corporation (MHASC) board focused on supporting MHA Strategic Action Plan priorities at the Oct. 13 planning session including addressing financial viability, workforce restoration & wellbeing, behavioral health improvements, health equity and …

MHA Podcast Details Upcoming Election

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 …

Recording Available for MHA Strategic Action Plan Review

The MHA hosted a virtual forum Oct. 18 reviewing the Strategic Action Plan that was approved by the MHA Board of Trustees in August. The forum discussed pressing challenges and opportunities facing healthcare, including workforce development …

MHA Race of the Week – Michigan Attorney General

The MHA’s Race of the Week series highlights the most pivotal statewide races and ballot questions for Election 2022. The series will provide hospitals and healthcare advocates with the resources they need to make informed decisions on Election Day, including candidates’ views and background …


Paul KeckleyThe Keckley Report

The Lame Duck Session of Congress Will Not Be Lame for Healthcare

“Mid-mid-term election day is 22 days away. The “official end” of the Covid public health emergency has been delayed to January 11. The Federal Reserve is expected to increase its borrowing rate for the sixth time this year at its November meeting as it attempts to slow inflation and the stock market is under-water as year-end approaches. Regardless of the mid-term outcome and the state of the economy, healthcare will be prominent in the upcoming lame-duck Congress…”

Paul Keckley, Oct. 17, 2022

News to KnowLogo for MI Vote Matters, Tuesday Nov. 8

  • The last day to register online to vote in the Nov. 8 election is Oct. 24, 2022.
  • The second gubernatorial debate is this Tuesday, Oct. 25 at 7 p.m. on the Oakland University campus between Gov. Gretchen Whitmer and Republican candidate Tudor Dixon.
  • Early in-person voting by absentee ballot at a clerk’s office remains available.
  • Complimentary MI Vote Matters informational posters and the 2022 Candidate Guide are still available for MHA members.


MHA CEO Brian PetersMHA in the News

The MHA received media coverage on through a couple stories during the week of Oct. 17, including on the introduction of the Stop Nurse Shortages Act at the federal level and the latest MiCare Champion …


Strategic Action Planning Session with MHA Service Corporation Board

The MHA Service Corporation (MHASC) board focused on supporting MHA Strategic Action Plan priorities at the Oct. 13 planning session including addressing financial viability, workforce restoration & wellbeing, behavioral health improvements, health equity and more. The board considered strategies to support trends of redesigning patient care through innovation, technology and workforce partnerships. In these areas, the board stressed the importance of focusing on the mission of healthcare organizations to advance the health of patients and communities and explaining the challenges healthcare providers face in achieving this mission with specific examples.

The MHASC board engaged in a robust discussion about workforce challenges and services to assist MHA members. MHASC leadership will continue to identify and enhance new endorsed business partners with programs and services that promote and strengthen association workforce priorities including violence prevention, coaching/development, well-being, recruitment, retention, temporary/permanent staffing and redesigning care.

In addition, the MHASC Board passed a resolution during the meeting that places the board in alignment with the commitment made by the MHA Board of Trustees during their Nov. 4, 2020 Board Meeting to lead by example in addressing systemic racism and health inequities in our communities. The MHASC board also celebrated the continuing expansion of the MHA Unemployment Compensation Program into other states to offer high-quality human resources support in this area to members and other clients.

The MHASC provides critical support to the MHA in the form of nondues revenue through its Data Services, Unemployment Compensation Program and Endorsed Business Partner program to address workforce, financial and other operational needs. Visit the MHA Business Services webpage to learn more about resources available.

Questions regarding the MHASC Board should be directed to Peter Schonfeld at the MHA.

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.


CEO Report — Addressing Staffing Challenges

MHA Rounds Report - Brian Peters, MHA CEO

“There is time for work. And time for love. That leaves no other time.” — Coco Chanel

MHA CEO Brian PetersHospitals have displayed tremendous resiliency over the past year and a half responding to the COVID-19 pandemic. That resiliency has come from the healthcare heroes who have served on the front lines of this crisis and experienced extreme physical and mental stress over the course of three trying surges. Yet that toll has elevated staffing, an already existing concern, to the top of every hospital executive’s mind.

We have said throughout the pandemic that the most significant determining factor of a hospital’s capacity is not physical space, beds or technology — rather, it is available staffing.  Even before the pandemic, we understood that healthcare staffing was a challenge. We currently have a population where the baby-boom generation is maturing, leading to an increased demand for healthcare services. It just so happens that many of those baby boomers also work in healthcare, and the incredible pressures brought about by the pandemic have accelerated their retirement plans.

On top of that dynamic, it has become very difficult for hospitals to recruit and retain staff in an increasingly competitive labor market where many opportunities exist outside of healthcare that offer competitive wages, signing bonuses, free or low-cost training, and the like. Nationally, 80% of nursing leaders have reported an increase in nurse turnover due to the pandemic. According to a 2021 study by Incredible Health, the demand for intensive care and emergency nurses grew by 186% over the past year. We are simply in a situation where the demand for labor currently outpaces supply, with 1.4 million job openings currently in the national healthcare sector according to the Labor Department’s Job Openings and Labor Turnover Summary. In Michigan, simply visiting the Careers webpage of your local hospitals will likely show the dramatic number of openings that are currently available.

Lastly, pent-up demand for healthcare services has stretched existing staff over recent months, as those who were hesitant to receive care for fear of contracting COVID-19 delayed seeing a provider and are now visiting our emergency departments (EDs) at very high levels. In fact, we have seen a 16% increase in hospital ED visits during the latest quarter compared to pre-COVID times in the second quarter of 2019. This pent-up demand is increasing the pressure on our hospitals and staff as people use the ED as a point of entry to the healthcare system.

A contributing factor to the staffing shortage prior to the pandemic was the rate of stress and burnout in the healthcare setting. It is apparent that there are certain jobs, especially those dealing with direct patient care, where the burnout factor is especially pronounced. In response, the MHA has assisted our members in recent years in adopting the Quadruple Aim, a framework that focuses on achieving better healthcare outcomes and has the added goal of improving the mental wellness and work/life balance of healthcare providers to address the issue of burnout. The pandemic has added new urgency to this work.

In addition, our member hospitals and health systems throughout the state have been active in identifying solutions for our healthcare heroes. Some have offered bonuses and hazard pay to staff to show their appreciation for their hard work. Hospitals are also deploying more resources toward behavioral health support to help staff cope with the traumatic stress that they have experienced over the past 17 months. During Michigan’s three COVID-19 surges, many hospitals also brought in contract workers and traveling nurses to supplement their existing workforce due to staffing shortages, the cost of which came well above standard rates due to the demand. Hospitals have also gone to great lengths to procure record amounts of personal protective equipment for their staff — yet another unplanned and unbudgeted expense.

For years, the MHA has advocated strenuously to support graduate medical education (GME) in the state budget process, and we have hosted in-person GME Advocacy Day in Lansing events in the past with our partners at the Michigan Osteopathic Association and the Michigan State Medical Society to connect medical residents with their elected officials. GME is critical to attracting medical students and residents from around the globe to Michigan.

In addition, we advocated for passage of House Bill 4359, which modernized the scope of practice for Certified Registered Nurse Anesthetists (CRNAs). Rural providers have a difficult time hiring anesthesiologists, and this new law will allow flexibility for each hospital to choose the anesthesia care model that best fits its location, staffing and resources to offer safe and effective patient care by eliminating the state requirement that a CRNA must work under direct physician supervision. We appreciate all the stakeholders that made this bill possible, as it eliminates a costly regulation while maintaining patient safety.

The MHA has also been active in bringing together stakeholders to identify solutions to healthcare staffing. The MHA Service Corporation (MHASC) Human Resources (HR) Committee was created as a collaborative body for HR leaders to come together and address issues specific to healthcare workforce issues. Led by Peter Schonfeld, senior vice president, policy & chief operating officer, MHASC, the committee has met to discuss current HR leadership priorities and review its role in guiding the purpose and direction for the MHASC efforts to address workforce resources, education, data staff development and more. The committee has also addressed priorities including vaccination policies, staffing shortages, and diversity, equity and inclusion.

We also recently formed the MHA Human Resources Council as a resource for healthcare professionals to provide input on legislative and regulatory issues relevant to healthcare employers. Staffed by MHA COO Nancy McKeague, the council will provide networking and educational opportunities for HR professionals, dissemination of best practices, and data collection and reporting relating to hospital and health system workforce metrics.

The MHASC has also been providing staffing solutions to our members through both the Unemployment Compensation Program and our Endorsed Business Partner (EBP) Program. The Unemployment Compensation Program has seen a dramatic increase in the number of cases filed since the pandemic began, processing over 70,000 unemployment claims in the last year alone, from clients in Michigan and across the country. Their decades of expertise have saved our client organizations tens of millions of dollars while addressing unemployment fraud that has become rampant recently.

We currently have six EBPs that focus on workforce solutions, including Merritt Hawkins, which provides permanent physician recruiting and consulting services. These EBPs have been carefully vetted to ensure they provide high-value services for our members in need of workforce assistance. In fact, we recently added NextJob as our newest EBP to help hospitals better support healthcare workers with re-employment services, which enhances the work of our unemployment program. I’m extremely happy that we have these services available, with other EBPs in this space focusing on compensation, workplace violence training, consulting and performance coaching.

Finally, as we look to the future, we know that telehealth and virtual care, which has seen an acceleration during the pandemic, has the potential to be real game changers for the delivery of healthcare. We will need to do all we can to help ensure that new technologies are adopted in such a way as to maximize access and affordability for all populations, while also doing right by our healthcare staff.

As you can see, the staffing challenges hospitals face are complex; yet across Michigan we are pursuing every tool in our toolbox to create solutions that both bring in top-notch caregivers and retain our healthcare heroes who have treated over 125,000 COVID-19 patients during the pandemic. Michigan hospitals remain committed to protecting our staff and doing everything we can to ensure they feel safe and protected while caring for their patients. From physicians and nurses to environmental service workers and support staff, our hospitals need all levels of team members to efficiently and effectively operate 24/7/365.

As always, I welcome your thoughts.

CEO Report – Adding Value to Your Membership

MHA Rounds Report - Brian Peters, MHA CEO

“If people like you, they’ll listen to you.  But if they trust you, they’ll do business with you.”
― Zig Ziglar

MHA CEO Brian PetersSeveral months ago, I celebrated my 30th anniversary with the MHA. As you can imagine, the operating environment for our association has changed dramatically from the day I first walked in the door as an intern working for legendary MHA President Spencer Johnson. I shared an office with another intern by the name of Amy Barkholz, who of course is now our MHA General Counsel. Amy and I used typewriters to compose memos, sharing a bottle of white-out to correct any mistakes (she didn’t make many, but I sure did). There was no email, no voicemail, no internet and no Zoom calls. Smoking was permitted just about everywhere, including inside the MHA offices. Different times for sure.

As I reflect on the last few decades, it is clear to me that one of the MHA’s strengths has been a diversified business model. And as I look to the future, there is no doubt that this diversified model will become even more important. Allow me to explain.

The MHA is widely known as an advocacy organization and, by any metric, we have consistently been among the very best in this regard. Whether it is the legislative, regulatory or legal domain — at both the state and federal levels — we have the connections, experience and clout to make good things happen for our members and the patients and communities they serve.

But not every challenge confronted by hospitals and health systems lends itself (at least not solely) to a solution in the public policy arena. In a military situation, sometimes you need the Army, sometimes the Navy, sometimes the Air Force (or the Marine Corps or Coast Guard)  — and sometimes you need all the above, working closely together in harmony. In our world, the equivalent “three-legged stool” is the traditional 501(c)6 trade association (or as Spence used to call it, the “junkyard dog” always advocating for our members), but also a 501(c)3 nonprofit arm — the MHA Health Foundation and MHA Keystone Center, and a for-profit arm known as the MHA Service Corporation (MHASC).

Through the Foundation, we have been able to provide outstanding educational programming, including issue-specific webinars, major conferences and events, an Excellence in Governance Fellowship and a Healthcare Leadership Academy. Through the Keystone Center, we have been able to provide nationally and internationally renowned leadership in the field of safety and quality improvement. And through the Service Corporation, we have been able to meet the unemployment compensation needs of our members through our Unemployment Compensation Program (UCP) and their healthcare data needs through our Data Services division. More recently, our Endorsed Business Partner Program has created even more capacity to meet new challenges in the healthcare operating environment.

To be more specific, since the pandemic began and caused staffing upheaval, the UCP has seen a dramatic increase in the number of cases filed. Representing over 300 employers in Michigan and numerous other states, the UCP last year alone processed over 70,000 unemployment claims, and saved client organizations tens of millions of dollars, while directly addressing the unemployment fraud that has become rampant in Michigan and throughout the country.

Our Data Services division is home to four decades of hospital data with the Michigan Inpatient Database and Michigan Outpatient Database. Their flagship products — Data Koala and Community Benefits Tracker — are used by more than 500 healthcare entities nationwide to formulate market strategies, track community benefits and improve care quality. The Data Services team has also played an integral role in our state’s pandemic response, working directly with our members and the state to collect and compile key data metrics that are used to guide our state’s strategy and response to the spread of COVID-19.

The launch of the MHA Endorsed Business Partner Program in 2018 was an important step in identifying business partners for our member hospitals and health systems that provide the highest quality products and services in key strategic areas, including staffing, workplace safety, financial services, 340-B drug program management and more. We currently have 14 business partners that have been carefully and thoroughly evaluated, ready to work with our members to address some of the most pressing issues of the day.

Lastly, as an association we obviously create and disseminate a very large number of communications, ranging from advocacy reports to event invitations and much more. Years ago, we decided that, rather than contract for this work to be done off-site, we would not only keep this business in-house, but look to serve the needs of our members as well (after all, every hospital has numerous events and annual fundraising galas, and we have produced the materials for more than a few). Today, we offer our world-class Graphic Design & Print Services to both our association members and a very large and growing list of external clients that includes the University of Michigan and Michigan State University. We have even handled the governor’s holiday cards! I consistently receive positive feedback from clients related to the quality, pricing and customer service that our team provides in this space — and I am confident that they are the best in the business.

Bringing all this together: think about the issue of workplace violence — a growing problem whereby nurses and other front-line caregivers are put in harm’s way. We attempted to address this problem through our advocacy arm, supporting legislation that would create new penalties for those who commit acts of violence in a healthcare setting. But we also addressed it through the Foundation, offering educational programming that featured expert speakers and case studies, and through the MHASC, as MHA Endorsed Business Partner HSS provides violence prevention consulting services tailored specifically to hospitals. Because we know that one-size-fits-all legislative mandates are usually not the optimal way to govern the delivery of healthcare, we have been able to lift up the extraordinary work of the Keystone Center as a more effective path forward to improve patient safety for Michiganders. The examples of the importance of the “three-legged stool” could fill far more space than this column will allow, but you get the point.

But wait — there’s more! Not only do our members benefit from our diversified business model in the ways described above, but because these other arms of the MHA continue to generate their own revenue streams, they have helped to ensure a strong, effective association while eliminating the need for sizeable dues increases. In fact, MHA dues today represent a significantly smaller portion of our member hospitals’ total expenses than they did back when Amy and I were wrestling with typewriters and white-out.

Across the entire MHA enterprise, we are committed to our shared mission to advance the health of individuals and communities. And we are also committed to a culture of trust. When you do business with us, you are doing business with an organization that has now been around for over a hundred years.  Now more than ever, I can assure you that our entire team understands that we must demonstrate value and earn the trust of our members and clients, every single day, in everything we do.

And I have never been prouder of them for doing exactly that.

As always, I welcome your thoughts.