Webinar Outlines CRNA’s Role in Various Clinical Settings

Michigan legislation modernized the scope of practice for certified registered nurse anesthetists (CRNAs) in 2022, eliminating the state requirement that a CRNA must work under direct physician supervision. CRNAs enhance the ability to deliver care in a multitude of scenarios, particularly in rural areas where anesthesia services may be limited.

The webinar “CRNA’s Role in the Future of Clinical Operations” on Jan. 12, 2023 will showcase the use of CRNAs in three hospitals which differ in size, location and operation. Panelists include Steve Barnett, president and CEO of McKenzie Health System, Robert Casalou, president and CEO of Trinity Health Michigan & Southeast Regions and Jeremiah J. Hodshire, president of Hillsdale Hospital. They will review the CRNA duties and responsibilities in their settings and tactics to build support and operationalize CRNA practice. MHA staff will outline the CRNA’s scope of practice law and answer questions about reimbursement.

The webinar is cosponsored by the Michigan Association of Nurse Anesthetists (MANA) and is open to MHA and MANA members. Chief executives, presidents, compliance officers, nurses and financial, operational and medical team members are encouraged to register.

Questions can be directed to Erin Steward.

Expanded Scope of Practice Creates Opportunities

To optimize cost savings, patient experience and staffing, hospitals and health systems are using multidisciplinary teams working to deliver care. Fortunately, new legislation expanded certified registered nurse anesthetists (CRNAs) abilities to practice without direct physician supervision.

The CRNA’s Role in the Future of Clinical Operations webinar on Jan. 12, 2023 will include panelists Steve Barnett, president and CEO of McKenzie Health System, Robert Casalou, president and CEO of Trinity Health Michigan & Southeast Regions and Jeremiah J. Hodshire, president of Hillsdale Hospital. They will review how their organizations have increased CRNA duties and responsibilities and tactics to build support and operationalize CRNA practice. MHA staff will outline advocacy efforts to expand CRNA’s scope of practice and answer questions about reimbursement.

The webinar is cosponsored by the Michigan Association of Nurse Anesthetists (MANA) and is open to MHA and MANA members. Chief executives and presidents, financial and operational team members, medical, nurses and compliance officers are encouraged to register.

Members with questions should contact Erin Steward at the MHA.

Webinar Outlines CRNA’s Role in the Future of Clinical Operations

Michigan legislation in 2022 modernized the scope of practice for certified registered nurse anesthetists (CRNAs), eliminating the state requirement that a CRNA must work under direct physician supervision. Hospitals can now choose the anesthesia care model that best fits their location, staffing and resources to offer safe and effective patient care.

The CRNA’s Role in the Future of Clinical Operations webinar on Jan. 12, 2023 will include panelists Steve Barnett, president and CEO of McKenzie Health System, Robert Casalou, president and CEO of Trinity Health Michigan & Southeast Regions and Jeremiah J. Hodshire, president of Hillsdale Hospital. They will review the CRNA duties and responsibilities in their settings and tactics to build support and operationalize CRNA practice. MHA staff will outline advocacy efforts to expand CRNA’s scope of practice and answer questions about reimbursement.

The webinar is cosponsored by the Michigan Association of Nurse Anesthetists (MANA) and is open to MHA and MANA members. Chief executives and presidents, financial and operational team members, medical, nurses and compliance officers are encouraged to register.

Members with questions should contact Erin Steward at the MHA.

Peters Focuses on Rural Hospital Challenges in Rural Innovation eXchange Story

MHA CEO Brian Peters

MHA CEO Brian Peters

Rural Innovation eXchange interviewed MHA CEO Brian Peters for a story published April 28 that examines the challenges facing rural hospitals in Michigan.

Peters discussed staffing shortages and efforts to improve workforce sustainability, the impact of COVID-19 on hospital finances and cybersecurity threats.

“The [workforce] pipeline is going to be so important,” said Peters. “The pipeline as it exists today is not adequate, particularly in rural areas, which are significantly older than non-rural areas and have older and sicker patients. This also means that the phenomenon of folks leaving the field is felt more acutely in rural communities.”

Other healthcare executives appearing in the story include John T. Foss, vice president of operations, Mercy Health Lakeshore Campus; Steve Barnett, president and CEO, McKenzie Health; and JJ Hodshire, president and CEO, Hillsdale Hospital.

The MHA also provided comment to Michigan Radio for a story published April 27 on increasing COVID hospitalizations due to the omicron BA.2 variant.

“…[B]ut there are clear indications that the severity of illness is down and so we hope there will not be a surge of COVID hospitalizations like the state has experienced previously,” said John Karasinski, director, communications, MHA.

MHA Members Testify Before Senate Committee on CRNA Legislation

capitol building

The Senate’s Health and Human Services Policy Committee addressed a pair of bills relevant to hospitals during the week of May 17. The committee took testimony on House Bill (HB) 4359, which would modernize the scope of practice for certified registered nurse anesthetists (CRNAs). The committee also took up Senate Bill (SB) 440, which would remove certain positron emission tomography (PET) scanner services from Certificate of Need (CON) oversight.

Steve Barnett, president and CEO, McKenzie Health, and David Jahn, president and CEO, War Memorial Hospital, provided testimony May 20 to the committee in support of HB 4359. “This legislation will increase access to healthcare for Michigan residents. It will reduce costs for Michigan residents. It will permit CRNAs to practice to the full extent of what their license already provides for – and it will do all of this while maintaining every bit of patient safety,” said Jahn.

The MHA supports HB 4359 that, by modernizing the scope of practice for CRNAs, would 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. The bill, sponsored by Rep. Mary Whiteford (R-Casco Township), would also bring Michigan in line with 42 other states and the U.S. military on this issue. This change would eliminate a costly regulation while maintaining patient safety and would put into law a policy that has been allowed and proven effective during the COVID-19 pandemic. Current Michigan law requires a licensed physician of any specialty to supervise a CRNA to deliver anesthesia care.

The committee also voted to report SB 440, introduced by Sen. Winnie Brinks (D-Grand Rapids), to the Senate floor. The MHA supports Michigan’s existing CON process and is opposed to the bill that would, by removing certain full body PET scanner services from CON oversight, undermine the program that ensures high-quality, accessible, cost-effective care for patients in the state. The specific technology this bill seeks to address is expected to be before the CON Commission at its June meeting. The MHA will continue to monitor any action that is taken.

For more information on state legislation affecting healthcare, contact Adam Carlson at the MHA.