MHA Keystone Board Reviews Workplace Violence Prevention and Maternal Health Efforts

The MHA Keystone Board of Directors met Nov. 12 to review ongoing work to improve safety and quality across member organizations. The meeting opened with a connect-to-purpose story shared by Keystone Board Chair Doug Dascenzo, DNP, RN, CENP, vice president of nursing operations, Henry Ford Health, which reinforced Keystone’s focus on preventing workplace violence.

The board discussed strategies to address violence in healthcare settings, including clinics and off-site locations. Members reviewed efforts to strengthen policies, training and coordinated approaches that support safer environments for healthcare workers. The discussion emphasized that workplace violence affects staff well-being, patient safety and overall organizational performance.

The board also reviewed maternal health priorities, including the MI AIM program and the framework for maternal levels of care. The overview highlighted how levels of care categorize facilities based on their ability to provide specialized maternal services, ensuring that patients receive appropriate care tailored to their clinical needs.

The board will receive a detailed presentation on Keystone initiatives related to maternal health at a future meeting. The presentation will outline opportunities for board support in advancing work to improve maternal and infant care.

The meeting reaffirmed Keystone’s commitment to addressing critical safety and quality issues through collaborative leadership and continuous improvement.

Members with questions may contact Amy Brown at the MHA.

MHA Monday Report Oct. 6, 2025

Michigan Legislature Passes State Budget, Preserves Healthcare Funding

The Michigan House of Representatives and Michigan Senate passed a state budget protecting all existing healthcare funding on Oct. 3. House Bill 4706, sponsored by Rep. Ann Bollin (R-Brighton), passed by both chambers, includes …


CMS Shares Updates for Medicare Operations During Federal Shutdown

The Centers for Medicare and Medicaid Services (CMS) recently directed Medicare Administrative Contractors to hold Medicare fee-for-service claims for ten business days due to the expiration of several Medicare payment provisions and the Oct. …


Hospital Communicators Gather at MHA Communications Retreat

The 2025 MHA Communications Retreat brought together about 100 communications, marketing and public relations professionals from MHA-member facilities Oct. 1 to network and learn from peers across the state. The agenda featured sessions on reputation management …


CE Credits Available for Maternal Health Quality Improvement Modules

Continuing education (CE) credits are now available for obstetric teams that complete the Michigan Alliance for Innovation on Maternal Health (MI AIM) virtual modules. The approximately three-hour series consists of the following modules: MI AIM …


MDHHS Introduces New Provider Updates Under Michigan’s Mental Health Framework

The Michigan Department of Health and Human Services (MDHHS) recently introduced new requirements under the state’s Mental Health Framework to strengthen assessments, referrals and care coordination for Medicaid enrollees. These changes take effect beginning October …


MHA Rounds image of Brian PetersMHA CEO Report — Launching Collaboratives to Improve Community Health

In the healthcare community, we know that a person’s health is shaped outside the four walls of a hospital and our support must expand beyond acute care. The MHA recently launched community benefit collaboratives with …


Keckley Report

Who Owns the Public’s Health?

“September 2025 marks a significant shift in U.S. health policy, especially its approach to the public’s health. …

Public health is a vital part of the U.S. health system but a stepchild to its major players. In reality, the U.S. operates a dual system: one that serves those with insurance (public and private) and another for those without. Public health programs like SNAP, HeadStart, Federally Qualified Health Centers et. al., serve lower income and under-insured populations and integrate with local delivery systems emergency services and during mass-events like pandemics, mass-casualties and disease outbreaks. Funding for public health programs is 2-5% of total health spending shared between local, state and federal governments.

Studies show food, housing and income insecurity—areas targeted by public health– correlate to chronic disease prevalence and health costs. Unlike most developed systems of the world which operate at a lower cost and produce better population-health outcomes, our system perpetuates a structural divide between healthcare and public health. Integrating the two is a necessary strategy for system transformation, but a difficult task given entrenched animosity toward “the system” held by public health leaders and funding pressures.  The bridge between public health and the healthcare delivery systems is a two-lane road with lots of potholes at the federal level, and sometimes better in local communities. But funding seems to be an afterthought unless local communities deem it vital.”

Paul Keckley, Sept. 28, 2025


New to Know

News to Know

  • MHA Endorsed Business Partner (EBP) SunRx is hosting a 340B Regulatory Brief webinar Nov. 4 at 2 p.m. EDT with Bharath Krishnamurthy, health policy & analytics, American Hospital Association.
  • The American Hospital Association (AHA) is accepting applications for the AHA’s 2026 Dick Davidson NOVA Award.

 

CE Credits Available for Maternal Health Quality Improvement Modules

Continuing education (CE) credits are now available for obstetric teams that complete the Michigan Alliance for Innovation on Maternal Health (MI AIM) virtual modules.

The approximately three-hour series consists of the following modules:

MI AIM Collaborative Orientation

Focuses on criteria for each program year by highlighting requirements for birthing hospital participation, data collection and reporting, and quality improvement implementation.

MI AIM Data Overview

Walks through the KeyMetrics system, how to navigate the pages within the dashboard, filter between hospital, region and state data, and interpret data and graphs.

Fundamentals of Quality Improvement

Provides an exploration of the Quality Improvement Model, the Plan, Do, Study, Act cycle, instructions on conducting a GAP analysis and for crafting SMART goals.

MI AIM designed these modules for data personnel, quality improvement practitioners and program managers responsible for tracking hospital participation in MI AIM. The National Alliance for Innovation on Maternal Health (AIM) created modules specifically for clinical teams implementing AIM patient safety bundles.

Staff at birthing hospitals in Prosperity Region 10 are eligible to receive $25 gift cards for completing one of the courses. Participants must fill out an attestation survey to receive a gift card. Members with questions about the modules or CE credits may reach out to Naomi Rosner at the MHA Keystone Center.

MHA Monday Report Aug. 18, 2025

CMS Releases FY 2026 LTCH Prospective Payment System Final Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service long-term care hospital (LTCH) prospective payment system for fiscal year (FY) 2026. Specifically, the …


MHA Keystone Center and MI AIM Announce Recipients of Maternal Health Education Grant

The MHA Keystone Center, in collaboration with the Michigan Alliance for Innovation on Maternal Health (MI AIM), recently announced a partnership with UnitedHealthcare to offer $25,000 grants to birthing hospitals in Michigan to purchase equipment …


CMS Releases FY 2026 Final Rule for Inpatient Rehabilitation Facilities

The Centers for Medicare & Medicaid Services (CMS) recently released a final rule to update the Medicare fee-for-service prospective payment system for inpatient rehabilitation facilities for fiscal year (FY) 2026. Key provisions include: …


Keckley Report

Health Industry Notoriety is a Two-Edged Sword: Four Considerations as the Mid-Term Elections Near

“Keeping track of all things healthcare is a formidable task.  Last week’s news is no exception: …

These events and actions illustrate the administration’s “flood the zone” strategy and its propensity to dictate news cycles in media coverage. They also reflect the ubiquitous role played by healthcare in our society as an employer and economic engine.

Collectively, they appear to cast the industry in a negative light reinforcing populist’ suspicions about affordability, price transparency, corporatization and cost-containment. And they lend to growing disfavor among lawmakers, employers and critics. …”

Paul Keckley, Aug. 10, 2025


New to KnowNews to Know

  • Registration is open for the 2025 MHA Communications Retreat from 8 a.m. to 4 p.m. on Wednesday, Oct. 1 at the Henry Center for Executive Development in Lansing.
  • In the latest episode of the MiCare Champion Cast, MHA CEO Brian Peters and MHA Board Chair Bill Manns, president and CEO, Bronson Healthcare, explore what’s top of mind in healthcare as the 2025-2026 program year kicks off.

MHA Keystone Center and MI AIM Announce Recipients of Maternal Health Education Grant

The MHA Keystone Center, in collaboration with the Michigan Alliance for Innovation on Maternal Health (MI AIM), recently announced a partnership with UnitedHealthcare to offer $25,000 grants to birthing hospitals in Michigan to purchase equipment for obstetric staff education.

A total of 16 applications were submitted by birthing hospitals across the state, requesting funding for a range of educational tools such as simulation mannequins and hemorrhage carts to enhance clinical training.

The following birthing hospitals have been selected to receive funding:

  • Hurley Medical Center
  • Memorial Healthcare
  • MyMichigan Health Foundation
  • Trinity Health Ann Arbor

Members with questions should contact Naomi Rosner at the MHA Keystone Center.

MHA Monday Report July 28, 2025

MHA Shares Recent Medicare and Medicaid Enrollment Analysis

The MHA recently updated its analysis of Medicaid and Medicare enrollment based on June 2025 data. The analysis includes program enrollment as a percentage of each county’s total population and the split between fee-for-service and …


Registration Open for 2025 Communications Retreat

Registration is open for the 2025 MHA Communications Retreat from 8 a.m. to 4 p.m. on Wednesday, Oct. 1 at the Henry Center for Executive Development in Lansing. The daylong event offers hospital communicators a …


New PwC Report Warns of Rising Hospital Costs and Mounting Financial Pressure on U.S. Healthcare System

The MHA is drawing attention to a new national report from PricewaterhouseCoopers (PwC) that outlines the severe financial challenges facing hospitals across the country that could soon jeopardize patient care …


MI AIM Hosting Regional Quality Improvement Training Sessions in the Fall

The Michigan Alliance for Innovation on Maternal Health (MI AIM) is inviting inpatient clinicians from birthing units across Michigan to its fall regional training sessions. The half-day trainings will be facilitated by maternal health experts …


Keckley Report

Gut Punches for Healthcare and Hospitals: The One Big Beautiful Bill Act and the CMS Proposed Rule

“The healthcare industry is still licking its wounds from $1 trillion in federal funding cuts included in the One Big Beautiful Bill Act (OBBBA) signed into law July 4. Adding insult to injury, the Center for Medicare and Medicaid services issued a 913-page proposed rule last Tuesday that includes unwelcome changes especially troublesome for hospitals i.e. adoption of site neutral payments, expansion of hospital price transparency requirements, reduction of inpatient-only services, acceleration of hospital 340B discount repayment obligations and more. …

The antipathy toward the healthcare industry among the public  and in Congress played a key role in passage of the OBBBA and regulatory changes likely to follow. Polls show three-fourths of likely voters want to see transformational change to healthcare and two-thirds think the industry is more concerned with its profit over their care: these views lend to hostile regulatory changes. The public and the majority of elected officials think the industry prioritizes protection of the status quo over obligations to serve communities and the greater good. The result: winners and losers in each sector, lack of continuity and interoperability, runaway costs and poor outcomes. No sector in healthcare stands as the surrogate for the health and wellbeing of the population. There are well-intended players in each sector who seek the moral high ground for healthcare, but their boards and leaders put short-term sustainability above long-term systemness and purpose. That void needs to be filled.”

Paul Keckley, July 20, 2025


New to KnowNews to Know

  • Join MHA Endorsed Business Partner CyberForce|Q for the in-person Coffee & Collab for Cybersecurity Leaders Aug. 19 from 9:30 – 11 a.m. ET at the MHA headquarters in Okemos.
  • MHA Endorsed Business Partner CorroHealth recently hosted the webinar Price Transparency in 2025: What’s Required, What’s Coming, What to do Now and a recording is now available on the CorroHealth On-Demand platform along with additional resources.

 

MHA in the News

The MHA received media coverage during the week of July 21 that focused on setting the record straight about the impacts of the One Big Beautiful Bill Act on hospitals. The Detroit News published …

MI AIM Hosting Regional Quality Improvement Training Sessions in the Fall

The Michigan Alliance for Innovation on Maternal Health (MI AIM) is inviting inpatient clinicians from birthing units across Michigan to its fall regional training sessions.

The half-day trainings will be facilitated by maternal health experts who will share information regarding the national Alliance for Innovation on Maternal Health’s Severe Hypertension in Pregnancy Patient Safety Bundle, including successes and challenges with bundle implementation. The MHA Keystone Center will also provide an overview of region-specific data and MI AIM’s data dashboard.

The content for each event is being tailored to match the unique needs of each Michigan Perinatal Quality Collaborative Prosperity Region.

  • Region 1 – Northern Michigan University, Thursday, Nov. 6
  • Regions 2 & 3 – Kirtland Community College, Grayling, Thursday, Sept. 18
  • Region 4 – UM Health – West, Wednesday, Oct. 16
  • Region 5 – McLaren Bay Region, Wednesday, Oct. 1
    • Please note: This event was originally scheduled for Sept. 30 and has been rescheduled to Oct. 1.
  • Region 6 – Hurley Medical Center, Tuesday, Sept. 23
  • Regions 7 & 8 – Bronson Methodist Hospital, Tuesday, Oct. 21
  • Region 9 – Trinity Health Ann Arbor Hospital, Wednesday, Oct. 22
  • Region 10 – Trinity Health Oakland Hospital, Wednesday, Oct. 29

Members with questions may contact the MHA Keystone Center.

MHA Monday Report July 21, 2025

CMS Releases Medicare 2026 Outpatient Prospective Payment System Proposed Rule

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to update the Medicare fee-for-service outpatient prospective payment system effective Jan. 1, 2026. The proposed rule: Provides a net 0.9% increase …


On Demand Webinar: Balancing the Complexities of the Healthcare Workforce in Rural Markets

MHA Endorsed Business Partner AMN Healthcare recently hosted the webinar Balancing the Complexities of the Healthcare Workforce in Rural Markets. Speakers  John Higgins, vice president of talent management, Essentia Health, …


Vaccination Resources Available for Healthcare Providers

The MHA remains committed to supporting vaccination efforts across the state by providing healthcare professionals with timely resources, updated guidance and tools to strengthen public health outreach. The state of Michigan has reported 18 measles …


MDHHS Proposes Policy Changes to Streamline Mental Health Assessments for Youth

The Michigan Department of Health and Human Services (MDHHS) recently released a proposed policy to revise the Michigan Child and Adolescent Needs and Strengths (MichiCANS) screening tool for individuals under age 21. The policy aims …


Latest AHA Trustee Insights Examines The Boards Role in Workforce Strategy

The July edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), highlights board-level strategies for advancing leadership development, governance structure, care transformation and the use of AI in healthcare data analysis. …


Keckley Report

AMA, AHA Board Meetings this week: Shared Concerns, Divergent Positioning

“This week, two boards with much on the line in U.S. healthcare will convene:

  • The American Medical Association (AMA) Board of Trustees will meet in San Diego.
  • The American Hospital Association (AHA) Board of Trustees will meet in Nashville.

Media scrutiny: Media attention to physicians and hospitals is significant and increasing. Winning the hearts and minds of populations is complicated and expensive. Polling suggests the public trusts physicians, nurses and pharmacists more than hospitals, insurers and drug companies but concerns about affordability and institutional mistrust are mounting for all.”

Paul Keckley, July 13, 2025


MHA in the News

The MHA continued to receive media coverage during the week of July 14 about the impacts of the federal budget reconciliation bill, officially referred to as the One Big Beautiful Big Act (OBBBA). Coverage includes …

MHA Monday Report July 14, 2025

Medical Debt Legislation Introduced, Maternal and Behavioral Health Bills Clear Senate

Legislation addressing medical debt was introduced in the Michigan State Senate June 26. The bipartisan three-bill package, Senate Bills 449, 450 and 451, codify the existence of hospital financial assistance programs, create new …


MHA Service Corporation Highlights Security Technology Solutions and Action Plan Priorities

The MHA Service Corporation board held its final meeting of the 2024-2025 program year focused on supporting the MHA Strategic Action Plan priorities of protecting access, workforce support, strengthening cybercrime and cybersecurity policy, mental …


CMS Releases Home Health PPS Proposed Rule

The Centers for Medicare and Medicaid Services (CMS) recently released a proposed rule updating the home health prospective payment system (PPS) for calendar year 2026. Highlights of the proposed rule include: A 6% …


Deadline Approaching to Qualify for MDHHS Maternal Health Quality Payments

Birthing hospitals pursuing the 2025 Michigan Department of Health and Human Services (MDHHS) Maternal Health Quality Payments must meet all requirements by July 31 to receive payments. Eligibility requirements include full participation in the Michigan …


Free Substance Use Disorder Technical Assistance Available

The Michigan Opioid Partnership is offering free, tailored technical assistance to help Michigan hospitals and healthcare providers improve care for patients with substance use disorders, whether they are implementing new protocols or strengthening existing …


Virtual Maternal Health Quality Improvement Courses Available

The Michigan Alliance for Innovation on Maternal Health (MI AIM) is offering virtual modules to support maternal health quality improvement efforts. All obstetric team members at MI AIM participating birthing hospitals are encouraged to complete …


MHA Shares State Impacts and Insights at Regional 340B Roundtable

MHA staff attended the Regional 340B Roundtable July 8 in Florence, IN to join colleagues from the Indiana Hospital Association, Ohio Hospital Association, Kentucky Hospital Association and endorsed business partner, SunRx, to share best practices for successful 340B administration and …


MHA Releases Executive Summary of Final LARA Rules for Osteopathic Medicine and Surgery

The MHA recently released an executive summary regarding administrative rules finalized by the Michigan Department of Licensing and Regulatory Affairs (LARA), updating licensing and practice standards for osteopathic medicine and surgery in Michigan. The rules, …


MHA Rounds image of Brian PetersMHA CEO Report — A Year of Progress and Purpose

With another program year behind us, the MHA Annual Meeting served as a powerful reminder of our shared mission to advance the health and well-being of Michigan’s patients and communities. Despite an evolving political landscape, we’ve made meaningful progress and are moving …


Keckley Report

Special Edition: Lessons from the ACA applicable to the Big Beautiful Bill

“One Big Beautiful Bill Act (OBBBA) passed both houses of Congress by the thinnest of margins and was signed into law by President Trump last Thursday. It is the most significant legislation for U.S. healthcare since the Patient Protection and Affordable Care Act (ACA) signed into law by President Obama March 23, 2010. …

It’s too soon to know what the results will be for OBBBA. Many fear it will cause irreparable damage to the safety net—public health programs, rural and safety net hospitals, nursing homes and others that serve lower-income and disabled populations. Some see it as a necessary reset asserting waste, fraud and abuse in healthcare has been allowed to fester, harming those in bona-fide need and keeping resources in healthcare better used elsewhere.

What’s known for sure is that opinions about the OBBBA will change as it’s implemented over the next four years. How states address work requirements and implementation will be central to its success.  And executive orders, administrative actions, court decisions and market conditions will alter its trajectory—especially economic conditions at home.”

Paul Keckley, July 6, 2025


New to KnowNews to Know

MHA Endorsed Business Partner CorroHealth, is hosting the webinar Price Transparency in 2025: What’s Required, What’s Coming, What to do Now, for MHA members from 2 to 3 p.m. ET July 16.


MHA in the News

The MHA received media coverage during the weeks of June 30 and July 7 on Medicaid cuts included in the federal budget reconciliation bill. MHA CEO Brian Peters and MHA Executive Vice President Laura Appel …

Deadline Approaching to Qualify for MDHHS Maternal Health Quality Payments

Birthing hospitals pursuing the 2025 Michigan Department of Health and Human Services (MDHHS) Maternal Health Quality Payments must meet all requirements by July 31 to receive payments. Eligibility requirements include full participation in the Michigan Alliance for Innovation on Maternal Health (MI AIM) collaborative and The Joint Commission’s Maternal Levels of Care (MLC) Verification Program. Participating birthing hospitals will also have the costs associated with pursing MLC verification covered by the MHA Keystone Center through MDHHS funding.

The quality payments aim to strengthen maternal health quality improvement initiatives at Michigan birthing hospitals. Hospital payments will be based on the number of Medicaid-covered births and the hospital’s maternal morbidity rate. The payments will be released directly through MDHHS Medicaid to eligible birthing hospitals in September.

The MHA Keystone Center continues to offer technical support to all birthing hospitals interested in pursuing the funding. Members with questions should contact Ewa Panetta at the MHA.