Media Recap: Pandemic Preparedness and Hospital Mergers

Brian Peters

Brian PetersThe MHA received media coverage the week of April 3 regarding the preparedness of hospital for another pandemic and how hospital and health system merger and acquisition activity impacts healthcare.

ABC News published a story April 1 that reviewed how chronic staffing shortages and new threats to funding may undermine the ability of hospitals to respond to a future pandemic. ABC News spoke to 11 hospital associations, including MHA CEO Brian Peters. A quote from Peters is included in the story regarding staffing challenges.

“Now, nurses and others are leaving health care altogether, to companies that have signing bonuses and very high hourly rates. And so all of a sudden, hospitals are in a position where the only way we’re going to have an adequate nursing force is to work with the nurse traveler agencies,” said Peters.

Bridge published an article April 3 on the finalized partnership between Michigan Medicine and Sparrow Health System. A section of the article reviews hospital acquisitions and mergers within healthcare. Peters spoke to the general reasons why a hospital or health system may determine merging with another organization is the best decision for their community.

“We have hospitals right now in Michigan … that are struggling mightily from a financial perspective,” said Peters. They’re struggling with supply chain issues. They’re struggling with the workforce.”

“I’ve heard it said more than once and I really think this summarizes the situation well: ‘We value our independence, but we’re not going to ride our independence to our grave.’ The ultimate goal of any organization — whether it’s a hospital system or any other entity in the community — is not about maintaining your independence. It’s about maintaining your viability.”

The Detroit Free Press and Michigan Radio also published stories on a recent nursing workforce survey released April 6. A portion of a statement Peters issued in March following the appropriation of $75 million for healthcare recruitment and retention as part of Public Act 5 of 2023 was published in the Detroit Free Press story. Meanwhile, the MHA provided a statement to Michigan Radio sharing the study incorrectly identifies mandated nurse-to-patient staffing ratios as a solution to the problem of inadequate nurse supply.  Portions of the statement are included in the Michigan Radio article.

Members with any questions regarding media requests should contact John Karasinski at the MHA.

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

MHA Covid-19 update

MHA Covid-19 updateCOVID-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 were confirmed from May 5 through 11.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

MDHHS Shares Updated FDA Guidelines for Johnson & Johnson COVID-19 Vaccine

The Michigan Department of Health and Human Services (MDHHS) has reminded providers of updated guidelines from the Food and Drug Administration (FDA) for use of the Johnson & Johnson/Janssen COVID-19 vaccine. The new guidelines essentially limit use to individuals 18 and older who cannot or will not take one of the other approved vaccines. The risk of thrombosis with thrombocytopenia syndrome (TTS) warrants limiting the authorized use of the vaccine. TTS is a syndrome of rare and potentially life-threatening blood clots in combination with low levels of blood platelets. Members are encouraged to review the provider guidelines. For more information regarding vaccines, contact Ruthanne Sudderth at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpage. Questions on COVID-19 and infectious disease response strategies may be directed to the MDHHS Community Health Emergency Coordination Center (CHECC).

Combating the Novel Coronavirus (COVID-19): Week of Sept. 13

MHA Covid-19 update

MHA COVID-19 UpdateCOVID-19 cases and related hospitalizations have continued to climb in Michigan, with 1,356 adults and 17 children hospitalized Sept. 17 with confirmed cases. The total number of confirmed cases in the state since the pandemic began is nearing 1 million, reaching 988,725 cases that had caused 20,665 deaths as of Sept. 17. Meanwhile, by Sept. 16, just 66.7% of Michigan residents ages 16 and over had received at least one dose of a vaccine to combat the illness.

The MHA continues to keep members apprised of pandemic-related developments affecting hospitals through email updates and the MHA Coronavirus webpage. Important updates are outlined below.

Hospitals May Verify Employee Vaccination Status Through MCIR

The MHA has been working with the Michigan Department of Health & Human Services (MDHHS) Division of Immunizations on changes that will allow hospitals to use the Michigan Care Improvement Registry (MCIR) to verify the COVID-19 vaccination status of employees to comply with state and federal data reporting rules. Hospitals may now use MCIR for this purpose; however, they must submit an additional form. The original MCIR provider agreement was meant for the establishment of a MCIR site for provider/patient relationships and does not cover providers as employers.

Hospitals and health systems that would like to use their existing MCIR site to do employee status checks need to complete the new MCIR Agreement “Provider as Employer” Addendum and send it to the Division of Immunizations Lansing Office as instructed on the Addendum. Before accessing MCIR to verify employee vaccination status, the employer must obtain written employee consent and retain it indefinitely to make available to the MDHHS upon request.

Organizations may also consider setting up a new MCIR site to effectively separate patient vaccination status checks from those for employees. To do so, they will need to complete a new MCIR Provider Agreement to establish the site and obtain a MCIR ID, and then complete the Addendum.

Additional functions for the MCIR system are being explored, and hospitals and health systems will receive additional information when they are in production. Members with questions may contact Ruthanne Sudderth at the MHA.

No Expansion of Expiration Date for Johnson & Johnson Vaccine

The Centers for Disease Control and Prevention has confirmed that expiration dates of the Johnson & Johnson COVID-19 vaccine have not been given an additional extension. Many unused doses will expire soon, and providers are urged to check their inventory to ensure no expired doses are administered. Expiration dates can be found by scanning the QR code located on the outer carton, checking the Janssen Expiration Lookup website or calling (800) 565-4008. Providers should use this vaccine only until the expiration date and then follow requirements for disposal and report wastage into MCIR.

Questions regarding vaccines may be directed to Ruthanne Sudderth at the MHA.

Additional information on the COVID-19 pandemic is available to members on the MHA Community Site and the MHA COVID-19 webpage. Questions on COVID-19 and infectious disease response strategies may be directed to the MDHHS Community Health Emergency Coordination Center (CHECC).