MHA Monday Report Sept. 29, 2025

House Health Policy Hears Testimony on 340B Legislation

The House Health Policy Committee took up recently introduced legislation addressing 340B contract pharmacy arrangements during the week of Sept. 22. House Bill 4878, sponsored by Rep. Curt VanderWall (R-Ludington), was recently introduced and …


U.S. Senate Approves SUPPORT Act Reauthorization to Address Opioid and Mental Health Crisis

The U.S. Senate passed the SUPPORT for Patients and Communities Reauthorization Act of 2025 on Sept. 18. The bill would provide more resources for preventing and treating addiction and mental illness. It passed the U.S. …


Vault Verify’s Role in HR Automation Featured in Podcast

MHA Endorsed Business Partner Vault Verify was recently featured on the RPI Tech Connect podcast episode “From Manual to Measurable: How UMMS Streamlined HR with RPI and Vault Verify.” Rebecca Hielke from the University of …


MHA Keystone Center PSO Hosts Human Errors and Design Thinking Safe Table

Registration is open for the MHA Keystone Center Patient Safety Organization (PSO) Human Errors and Design Thinking Safe Table. The event will be held from 10 a.m. to 3 p.m. on Oct. 1 at the …


Catching Up on All Things Healthcare with Tina Freese Decker

The MHA released a new episode of the MiCare Champion Cast exploring state and federal healthcare priorities with Tina Freese Decker, MHA, MSIE, FACHE, president & CEO, Corewell Health and 2025 chair of the American …


Keckley Report

Responding to Trump Healthcare 2.0: Key Takeaways after 8 Months

“The Trump 2.0 administration is 8-months into its MAGA agenda. Summer has passed. Schools are open. Congress is in session. Campaign 2026 is underway. The economy is slowing and public sentiment is dropping.

For U.S. healthcare, it’s more bad news than good. The challenges are unprecedented. Most organizations—hospitals, medical groups, drug and device makers, infomediaries and solution providers, insurers, et al—are defaulting to lower risk bets since the long-term for the health system is unclear.

The good news is that the health system in the U.S. is big, fragmented, complex, expensive (5% CAGR spending increases thru 2034) and slow to change. It is highly regulated at local, state and federal levels, labor intense (20 million) and capital-dependent (government funding, private investment)—a trifecta nightmare for operators and goldmine for private investors who time the system for shareholders effectively. And it operates opaquely: business practices are hidden from everyday users and bona-fide measures of its effectiveness not widely applied or accepted. …

Trump Healthcare 2.0 is not transformational: it is transactional. It aims to simplify the system and facilitate changes certain to disrupt the status quo. Its locus of control, is Main Street USA. not Pennsylvania Ave, in DC.”

Paul Keckley, Sept. 21, 2025


New to Know

News to Know

  • More than 50 Michigan hospitals are coming together to improve outcomes in maternal health, behavioral health and chronic disease through new community benefit collaboratives.
  • The MHA Human Resources (HR) & Workforce Council met Sept. 25 to discuss current HR priorities and review its role in advancing the mission of the MHA and the role of human resource leaders.
  • 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.

 

MHA Monday Report Sept. 22, 2025

MHA EventsHospital Nurses Ensure Healthcare Stays Top of Mind for State Legislators

The Michigan Organization for Nursing Leadership and the American Nurses Association of Michigan hosted more than 75 nurses from across the state for an advocacy day at the Michigan State Capitol on Sept. …


Michigan House Passes Important Medical Decisionmaker Legislation

The Michigan House of Representatives unanimously approved legislation Sept. 18 to establish next-of-kin designation, allowing certain family members of an incapacitated patient to make medical decisions on their behalf. House Bills 4418 and 4419, sponsored …


MHA Keystone Center PSO Hosts Human Errors and Design Thinking Safe Table

Registration is open for the MHA Keystone Center Patient Safety Organization (PSO) Human Errors and Design Thinking Safe Table. The event will be held from 10 a.m. to 3 p.m. on Oct. 1 at the …


State’s Chief Medical Executive Issues Standing Recommendation for COVID-19 Vaccine Access

Michigan’s Chief Medical Executive, Dr. Natasha Bagdasarian, issued a Standing Recommendation on Sept. 19 that expands eligibility for COVID-19 vaccines, ensuring access for all residents six months and older. The recommendation follows Executive Directive 2025-7 from Governor …


Latest AHA Trustee Insights Explores Board Culture and Workforce Strategy

The September edition of Trustee Insights, the monthly digital package from the American Hospital Association (AHA), highlights the podcasts, videos, webinar and other resources available on today’s most pressing issues. The issue provides a checklist for …


Keckley Report

Healthcare: Lost but Making Record Time

‘“Lost but making record time”—that’s an apt description of where U.S. healthcare is. Attributed to Yankee’s legend Yogi Berra, it captures the absurdity of misguided efficiency and unbridled innovation without direction. The growing level of anxiety, frustration, uncertainty and even fear that grips the nation is also at play in across every organization in healthcare. The destination for the industry is unknown, but the pace is quickening. …

I am optimistic about U.S. healthcare’s future because each of the changes above is resident and ‘newer and better’ is necessary to our collective success. The big unknown is who will step forward to lead healthcare’s response. Being ‘lost but making record time’ is not a plan, it’s an excuse.’”

Paul Keckley, Sept. 14, 2025


New to Know

News to Know

The American Hospital Association (AHA) is accepting applications for the AHA’s 2026 Dick Davidson NOVA Award.

 

 

MHA Keystone Center PSO Hosts Human Errors and Design Thinking Safe Table

Registration is open for the MHA Keystone Center Patient Safety Organization (PSO) Human Errors and Design Thinking Safe Table. The event will be held from 10 a.m. to 3 p.m. on Oct. 1 at the MHA Headquarters in Okemos.

This safe table event introduces human factors in healthcare, exploring how human errors occur and how Human Factors Engineering design principles can reduce their impact.

At the end of the program, attendees will be able to:

  • Explain the evolution of traditional safety approaches.
  • Understand the purpose of proactive and reactive safety processes.
  • Integrate new frameworks within existing ones.

The Safe Table is free of charge for MHA Keystone PSO members and lunch is provided.

Chief quality officers, chief safety officers, chief nursing officers, chief medical officers, vice presidents of quality, safety and risk, vice presidents of clinical transformation, directors of quality improvement and directors or managers of patient safety and performance improvement are encouraged to attend.

Nursing and risk continuing education credits and Continuing Medical Education credits are being pursued.

Members with questions may reach out to the MHA Keystone Center PSO.

MHA Keystone Center PSO to Host Two Safe Tables in June

The MHA Keystone Center Patient Safety Organization (PSO) will host two upcoming safe table events in June focused on cybersecurity risk management and regulatory inspections. These events offer healthcare leaders an opportunity to engage in discussions to improve patient safety and reduce harm.

Adapting Clinical Risk Management for Cybersecurity Safe Table scheduled from 12:30 to 4 p.m. June 4 at the MHA Headquarters in Okemos. In partnership with MHA Endorsed Business Partner CyberForce|Q, this session will provide practical insights into building and strengthening a cybersecurity program through effective risk management and strategic planning. Attendees will explore how to identify and address cybersecurity risks, recognize gaps in current systems and incorporate cybersecurity into organizational budgets and strategic planning.

Regulatory Inspections: A Strategic Approach Virtual Safe Table scheduled 11:30 a.m. to 1 p.m. June 17 will be hosted virtually. In partnership with the Alliance for Quality Improvement and Patient Safety, this session will guide participants in preparing for regulatory authority visits. Attendees will explore best practices for protecting and disclosing Patient Safety Work Product. The discussion will also focus on how participants can implement CMS Patient Safety Structural Measures and participate in PSOs using Patient Safety Act protections.

Participants will learn to recognize regulatory risks, prepare for inspections and understand the role of structural measures in patient safety improvement.

Chief quality officers, chief nursing executives, chief medical officers, chief information services officers, directors of quality improvement, patient safety and risk management are encouraged to register for both safe tables.

Nursing and risk management credits are being pursued for both events.

What is a Safe Table?

Safe tables are valuable opportunities for hospital team members to come together, share ideas with peers, engage in safety discussions and obtain advice to improve or eliminate harm. These events are unique in offering a legally protected confidential environment for discussing sensitive topics.

Members with questions may reach out to the MHA Keystone Center.

MHA Keystone Center PSO to Host Cybersecurity Safe Table

The MHA Keystone Center Patient Safety Organization (PSO) and MHA Endorsed Business Partner CyberForce|Q, will host a Safe Table event focused on adapting clinical risk management practices for cybersecurity. The session will be held from 12:30 to 4 p.m. Wednesday, June 4, at MHA headquarters in Okemos. CyberForce|Q specializes in cybersecurity risk management best practices to hospitals and assists them in implementing increased cybersecurity measures to improve their cybersecurity posture.

The presentation will provide practical insights into building and strengthening a cybersecurity program through effective risk management and strategic planning. The presenter will discuss how to identify, assess and manage cybersecurity risks and key components that should be included in any comprehensive security program. The session will cover how to recognize gaps in existing approaches and provide guidance on how to implement improvement tactics that enhance an organization’s overall posture. The facilitator will also share best practices on how to strategically approach information technology (IT) interventions and align cybersecurity efforts with organizational goals through effective budgeting and long-term planning.

Participants will engage in an interactive incident response tabletop exercise led by the participant success leader at CyberForce|Q. This hands-on exercise will provide a practical understanding of incident response strategies in a cybersecurity context.

Attendees will learn how to:

  • Conduct risk management for cybersecurity.
  • Identify key items to include in their cybersecurity program.
  • Determine cybersecurity gaps and improvement tactics.
  • Facilitate IT Interventions.
  • Include cybersecurity into organizational budgeting and strategic planning.

Members with questions may contact the MHA Keystone Center PSO.

MHA Monday Report Aug. 19, 2024

MHA Submits Comments on Speech-Language Pathologist Proposed Policy

The MHA recently provided comments to the Michigan Department of Health and Human Services (MDHHS) regarding a proposed policy change for Medicaid enrollment of speech-language pathologists. The MHA supports MDHHS’s efforts to align Michigan licensure …


Registration Open for Safe Table on Just Culture

The MHA Keystone Center Patient Safety Organization is hosting a Just Culture Safe Table from noon to 4 p.m., Thursday, Sept. 19 at the MHA headquarters in Okemos, MI. The peer-led discussion about Just …


Special Pathogen Preparedness and the Revised Infection Control Joint Commission Standards Webinar

The National Emerging Special Pathogens Training & Education Center, in collaboration with the Association for Professionals in Infection Control and Epidemiology, are hosting the webinar Special Pathogen Preparedness and the Revised Infection Control Joint Commission Standards …


Kelley Cawthorne Ad


New CMS Requirements for Reporting of Hospital Respiratory Data

The MHA recently submitted formal comments to the Centers for Medicare & Medicaid Services (CMS) on the proposed updates to the Medicare Inpatient Prospective Payment System for fiscal year 2025. Updates to the hospital and …


MHA Provides Comment on Proposed Medicaid Reimbursement for Group Prenatal Care

The MHA submitted a comment letter to the Michigan Department of Health and Human Services regarding the proposed Medicaid coverage of group prenatal care, set to begin in October 2024. The MHA expressed support for …


The Keckley Report

Healthcare’s Three Big Tents have Much in Common

“Arguably, three trade groups have emerged at the center of healthcare system transformation efforts in the U.S.: the American Hospital Association (AHA), America’s Health Insurance Plans (AHIP) and the Pharmaceutical Research and Manufacturers of America (PhRMA). Others weigh in—the American Medical Association, AdvaMed, the American Public Health Association and others—but this trio is widely regarded as the Big Tents under which policy changes are pursued. …

The Boards of the Big Tent trio weigh in, but senior staff in each of the Big Tents drive the organization’s strategy. They’re experienced in advocacy, well-paid and often heavy-handed in dealing with critics.

Operationally, the 3 Big Tents have much in common. Strategically, they’re far apart and the gap appears to be widening. Each blames the other for medical inflation and unnecessary cost. Each alleges the others use unfair business practices to gain market advantages. And each thinks their vision for the future of the U.S. health system is accurate, complete and in the best interest of the public good.

And none of the three has put-forth a vision for the long-term future of the U.S. health system.  Protecting the immediate interests of their members against unwelcome regulatory changes is their focus.”

Paul Keckley, Aug. 12, 2024


News to Know

The MHA Keystone Center is partnering with the Community Foundation of Southeast Michigan to host a two-part, virtual series about peer recovery services for substance and opioid use disorders from 10 a.m. to 12 p.m. on Sept. 17 and Sept. 23.


MHA CEO Brian Peters

MHA in the News

U.S. Representative Elissa Slotkin (D-MI) issued a press release Aug. 8 highlighting her introduction of the American Made Pharmaceuticals Acts that included a quote of support from MHA CEO Brian Peters. The bipartisan bill, introduced with U.S. Rep. Don …

Registration Open for Safe Table on Just Culture

The MHA Keystone Center Patient Safety Organization (PSO) is hosting a Just Culture Safe Table from 12:00 to 4 p.m., Thursday, Sept. 19 at the MHA headquarters in Okemos, MI. The peer-led discussion about Just Culture best practices will be facilitated by Trinity Health.

At the end of the discussion, participants will be able to:

  • Describe the tenets of a Just Culture.
  • Articulate the rationale for a replicable system of workplace justice across all values.
  • Appreciate the change management process that yields a Just Culture.
  • Learn about processes and desirable outcomes from peers and individuals who lead and benefit from a Just Culture.

Chief quality officers, chief safety officers, chief nursing officers, vice presidents of quality, safety, and risk, vice presidents of clinical transformation, nursing leaders, directors of quality improvement and safety improvement, senior administrative and clinical leaders, board members, frontline managers and human resource professionals are encouraged to register.

Registration for the safe table is free of charge for MHA Keystone Center PSO members and includes lunch beforehand at 11:30 a.m.

Nursing and risk management credits are being pursued.

Members with questions may contact the MHA Keystone Center.

About MHA Keystone Center Safe Tables

Safe tables allow hospitals to share ideas with peers, engage in meaningful discussions and obtain advice to make improvements to reduce or eliminate harm. These events are unique in that they offer a legally protected, confidential environment for discussion around sensitive topics.

Registration Open for Workplace Violence Prevention Safe Table

MHA EventsThe MHA Keystone Center Patient Safety Organization (PSO) is hosting a Workplace Violence Prevention Safe Table from 12:30 to 4 p.m. Thursday, July 25 at the MHA Headquarters. Lunch will be provided before the safe table at 11:30 a.m.

The MHA Keystone Center PSO has partnered with Tom Peterson, MD, FAAP, chief safety officer, Trinity Health and his team to offer this free event.

Participants will learn how to:

  1. Use workplace violence metrics to identify gaps, opportunities and progress.
  2. Successfully design and implement a Zero-Tolerance Code of Conduct and a Code of Conduct program.
  3. Implement critical preventive tools such as electronic risk scoring and safety planning, early preventive response teams, and a zero-tolerance policy and process.
  4. Share other proven workplace violence prevention strategies from their organization and collaborate with other hospitals and health systems.

The target audience for this event is chief quality officers, chief safety officers, chief nursing officers, vice presidents of quality, safety, and risk, vice presidents of clinical transformation, nursing leaders, directors of quality improvement, directors of patient safety and performance improvement directors.

Nursing and risk management credits are being pursued.

Members with questions may contact the MHA Keystone Center PSO.

Registration Open for Safe Table on Structured Communication Models

MHA Events

The MHA Keystone Center Patient Safety Organization (PSO) is hosting the Structured Communication Hand-Off Safe Table from 12:30 to 4 p.m., Wednesday, June 12 at the MHA headquarters in Okemos, MI. The peer-led discussion about barriers to effective communication during hand-offs will be facilitated by I-PASS Patient Safety Institute.

 

The safe table is free to MHA Keystone Center PSO members and includes lunch served at 11:30 a.m.

 

Safe table participants will discuss how implementing structured communication models, particularly in high-risk situations like hand-offs, can substantially impact across safety, quality and experience outcomes.

 

Chief quality officers, chief safety officers, chief nursing officers, vice presidents of quality, safety and risk, vice presidents of clinical transformation, nursing leaders, directors of quality improvement, directors of patient safety and performance improvement directors are encouraged to register.

 

Nursing and risk management credits are being pursued.

 

Members with questions may contact the MHA Keystone Center.

 

About MHA Keystone Center Safe Tables

Safe tables allow hospitals to share ideas with peers, engage in meaningful discussions and obtain advice to make improvements to reduce or eliminate harm. These events are unique in that they offer a legally protected, confidential environment for discussion around sensitive topics.