Ask Congress to Support SAVE Act to Protect Healthcare Workers

The Safety from Violence for Healthcare Employees (SAVE) Act is newly proposed federal legislation to give healthcare workers the same legal protections against assault and intimidation that flight crews and airport workers have under federal law. U.S. Reps. Madeleine Dean (D-PA) and Larry Bucshon, MD, (R-IN) are the original cosponsors of the bill, and the MHA urges all members to contact their U.S. representative to ask them to cosponsor H.R. 7961. Contact information is available through the American Hospital Association’s action alert on the bill.

The increase in acts of violence against healthcare workers in every setting — inpatient, outpatient, ambulatory and home care — is frightening, and the MHA is committed to doing everything possible to respond to this crisis and show support for those delivering patient care. In addition to offering federal-level protections to healthcare workers, the SAVE Act would provide grants to hospitals for programs to help reduce the incidence of violence in care settings. These grants could be used for training hospital personnel, coordinating with state and local law enforcement, and purchasing equipment or technology that will assist in creating a safer environment.

On a related note, the MHA has developed workplace safety posters for members to display throughout their facilities to highlight the consequences of causing physical harm to healthcare workers or hospital property. Complimentary copies of the materials are available to MHA members upon request.

Members and other citizens concerned about the safety of healthcare workers are encouraged to ask their U.S. representative to cosponsor the SAVE Act as quickly as possible. It is among the MHA’s highest legislative priorities at the federal and state level. For more information, contact Laura Appel at the MHA.

MHA Monday Report April 18, 2022

MHA Monday Report

MHA Covid-19 update

Combating the Novel Coronavirus (COVID-19): Week of April 11

The number of confirmed and suspected cases of COVID-19 in Michigan went up April 7-13 from the previous week, rising from an average of 750 per day to 1,104 per day. Out of the 7,725 confirmed and suspected cases that week, 81 Michiganders …

Board of Trustees Meets at MHA Capitol Advocacy Center

The MHA Board of Trustees met at the MHA’s downtown Lansing offices April 13 and were joined by Michigan House of Representatives Appropriations Committee Chair Thomas Albert (R-Lowell). Albert provided an update on the progress of the fiscal year 2023 state budget, which includes funding for …

capitol building

State Legislature Discusses Multiple Bills Affecting Healthcare

MHA Annual Membership Meeting Registration Open

MHA members will return to an in-person annual meeting June 29 through July 1 on Mackinac Island. COVID-19 vaccination is required for attendees 12 years of age and older; details surrounding the vaccination verification process are outlined …

State Extension of Medicaid/CHIP Coverage for 12 Months Postpartum Approved

The Centers for Medicare & Medicaid Services recently approved an extension of Michigan Medicaid and Children’s Health Insurance Program coverage for 12 months after pregnancy, up from 60 days, effective April 1, 2022. This coverage extension is expected to apply to approximately 16,000 pregnant and …

Skilled Nursing Facility Prospective Payment System Proposed Rule Released

The Centers for Medicare & Medicaid Services recently released a proposed rule to update the Medicare fee-for-service prospective payment system for skilled nursing facilities for fiscal year 2023. …

Proposal Would Update Hospice Payment System

The Centers for Medicare & Medicaid Services recently released a proposed rule to update Medicare fee-for-service hospice payment rates, wage index, beneficiary cap amount and quality reporting program requirements for fiscal year 2023, which begins Oct. 1, 2022. …

EIGFExcellence in Governance Fellowship Prepares Trustees to Lead

The MHA Excellence in Governance Fellowship is the best choice to help prepare health organization board members to excel in performing their vital responsibilities as hospitals and health systems navigate an environment where COVID-19 is endemic. Launched 20 …

MHA Comments on Telecommunications/Broadband Rules for Rural Hospitals

The MHA submitted a comment letter April 14 on behalf of its rural hospital members to the Federal Communications Commission in response to its request for input on proposed rulemaking to improve the Rural Health Care Program. …

New Podcast Explores Social Determinants of Health with Wright Lassiter

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. …

Workplace Safety and Minority Health Recognized in April

National organizations are recognizing April as Workplace Violence Awareness Month and Minority Health Month, each of which are key priorities for the Michigan Health & Hospital Association. The Alliance Against Workplace Violence is leading efforts for Workplace Violence Awareness Month while the U.S. …

The Keckley Report

Paul Keckley

U.S. Healthcare and Inflation: A Tipping Point

“Inflation hit a 40-year high of 7.9% in the first quarter of 2022. Driven by higher gas and food prices, the average household’s expenses have increased $433/month this year and the end is not in sight.

“It is taking its toll on consumers– disproportionately in lower income households, rural communities, the unhealthy and frail elderly and non-white populations. Recent polling underscores the gravity of the public mood.”

Paul Keckley, April 11, 2022

News to Know

  • The MHA will host a webinar from noon to 12:30 p.m. ET April 27 to discuss compliance support for the No Surprises Act.
  • The MHA will host a webinar from 10 to 11 a.m. ET April 28 with ParaRev to provide coding and billing guidance related to COVID-19.
  • MHA CEO Brian Peters issued a statement April 13 on the tragic shooting of Patrick Lyoya.

Explore Resources During Workplace Violence Awareness Month

Healthcare workers across the country are experiencing a growing rate of incidents of violence against front-line caregivers, including workers in Michigan. In fact, healthcare workers are nearly four times more likely to experience violence than individuals in other industries, according to the Occupational and Safety Health Administration (OSHA). In conjunction with the National Institute for Occupational Safety and Health’s declaration of April as Workplace Violence Awareness Month, the MHA is highlighting related resources that are available to its members.

The American Hospital Association has a dedicated webpage providing several workforce and workplace violence prevention tools for hospitals. Additionally, an OSHA publication titled Guidelines for Preventing Workplace Violence for Healthcare and Social Service Workers provides healthcare workers with tips to identify and assess workplace violence hazards and detailed information for developing violence prevention programs.

The MHA, the MHA Keystone Center and Michigan hospitals are partnering to address violence against healthcare workers through de-escalation and resiliency trainings and through the work of the MHA Workplace Safety Collaborative. The collaborative launched in March 2019 with the goal to reduce injuries and increase safety awareness through educational events, webinar series and insights from subject matter experts.

The MHA has also developed workplace safety posters for members to display throughout their facilities, communicating the consequences of committing physical harm toward healthcare workers or hospital property. The informational posters are geared toward patients, families and visitors, with various creative options available in two sizes. Complimentary copies of the materials are available to MHA members by request through an online order form. Nonmembers may purchase materials at cost.

The MHA Keystone Center collects member data on workplace safety that is used to determine areas in which their efforts should be focused, especially for workplace violence. Additionally, members can view the Workplace Safety dashboard to recognize trends in their reportable data. Members are encouraged to submit their OSHA recordable incident rate; lost time case rate; and days away, restricted or transfer rate each month in the MHA Keystone Center’s data reporting platform, KeyMetrics. Those with questions may contact the MHA Keystone Center.

New Healthcare Workplace Safety Posters Available

Assault is not part of our job. It is a crime.

Assault is not part of our job. It is a crime.As healthcare workers across the country, including Michigan, are experiencing a growing rate of incidents of violence, the MHA has developed workplace safety posters for members to display throughout their facilities communicating the consequences of committing physical harm toward healthcare workers or hospital property.

The informational posters are geared toward patients, families and visitors, with a variety of creative options available in two sizes. Complimentary copies of the materials are available to MHA members by request through an online order form.

Through the MHA Keystone Center, the MHA is also assisting hospitals to address violence against healthcare workers through trainings and through the work of the MHA Workplace Safety Collaborative. The MHA also continues to support legislation that would improve protections for healthcare workers and medical volunteers.

Members with questions on legislative efforts should contact Adam Carlson and any questions regarding the posters should be directed to John Karasinski at the MHA.

Peters Discusses Healthcare Challenges with Becker’s, Michigan Advance

MHA CEO Brian Peters

Brian PetersMHA CEO Brian Peters discussed some of the top challenges facing Michigan hospitals in articles published the week of Oct. 4 by Becker’s Hospital Review and Michigan Advance.

The Becker’s Hospital Review story interviewed several hospital leaders from across the country on the most pressing issues they are facing. Peters touched on the importance of unity in public policy and advocacy and the threat of increasing politicization of healthcare issues.

“For an association, it is imperative that our member hospitals and health systems remain united around our common mission, and advocate in unison for public policy that advances the health of individuals and communities.

Michigan Advance published an article that reviewed the increasing rates of threats and violence experienced by healthcare workers during the pandemic. Clinician burnout and efforts to improve workplace safety through the MHA Workplace Safety Collaborative are mentioned by Peters.

“At the beginning [of COVID-19], our frontline caregivers would see the hero signs, banners and ads on TV and radio; that was uplifting,” said Peters. “Some of that has faded, and unfortunately we see these instances of violence and distrust. We would harken back to the earlier days of the pandemic, when they were rightly hailed as heroes. They still are.”

Strategies to Implement Workplace Violence Prevention Programs Reviewed

Nearly 80 MHA members attended the MHA Workplace Safety Collaborative’s April 27 webinar, Mitigating Violence Amid COVID-19. The event provided an overview of ways to implement workplace violence prevention programs despite the disruption to previous efforts caused by the COVID-19 pandemic.

Since the pandemic surfaced, organizational approaches to designing and implementing workplace violence prevention programs have changed considerably. New challenges affect factors such as personal protective equipment, including its usage and related policies; behavioral health screenings and de-escalation tactics.

Ken Smith, CHSP, CIE, CHCM, healthcare safety specialist at Healthcare Safety Services, presented strategies for effective workplace violence prevention efforts taking the COVID-19 implications into account. One key takeaway is the emphasis on comprehensive and instantaneous communication channels among staff organizationwide.

Members with questions about this event may contact the MHA Keystone Center.

Expert to Provide Strategies on Mitigating Healthcare Workplace Violence

The MHA Workplace Safety Collaborative is hosting a webinar April 27 to discuss strategies for managing violence directed toward healthcare workers amid the COVID-19 pandemic.

Ken Smith, CHSP, CIE, CHCM, healthcare safety specialist at Healthcare Safety Services in Colorado, will present the implications of healthcare workplace violence while managing a necessary response to the pandemic. Smith is a national safety expert with 30 years of experience assisting over 200 healthcare facilities throughout the United States. His areas of expertise include implementing workplace violence programs and safety management systems. Smith also helps organizations improve safety programs by evaluating strategies and developing cost-effective, sustainable safety action plans.

MHA members may register for the webinar at no cost. Those with questions may contact the MHA Keystone Center PSO.

Members Implement Staff Wellbeing Tool, Share Experiences During March 25 Event

The MHA Workplace Safety Collaborative hosted a virtual meeting March 25 to discuss members’ experiences implementing the Institute for Healthcare Improvement’s resource, Conversation and Action Guide to Support Staff Well-being and Joy in Work During and After the COVID-19 Pandemic.

The guide helps leaders begin conducting effective conversations with staff to address COVID-19 pandemic-related working conditions and other principles affecting the work environment. It includes actionable ideas that leaders can test quickly and efficiently during the COVID-19 pandemic and provides sustainable strategies for maintaining joy in work after the pandemic subsides.

MHA members gathered Jan. 28 to examine the guide, and this event served as a follow-up to share successes and barriers to implementing the resource’s strategies organizationwide. Members with questions may contact the MHA Keystone Center.

Workplace Safety Event Examines Tool to Build Joy in Work; Follow-up Meeting Planned

Healthcare professionals statewide gathered virtually Jan. 28 for an MHA Workplace Safety event that focused on implementing the Institute for Healthcare Improvement’s (IHI’s) new resource, Conversation and Action Guide to Support Staff Well-being and Joy in Work During and After the COVID-19 Pandemic.

The guide builds on the IHI Framework for Improving Joy in Work and includes actionable ideas that leaders can quickly test during the coronavirus response. The aim is to build a longer-term foundation to sustain joy in work for healthcare employees. Leaders are encouraged to use all opportunities to frequently communicate with team members — using brief in-person huddles, electronic methods or other approaches — to promote staff well-being.

The event concluded by providing participants with next steps to test in their organizations. A follow-up meeting will take place from 1 to 2 p.m. March 25 to discuss their experience, successes and barriers to implementing the tool. Online registration is available, and members who missed the Jan. 28 event are invited to participate to learn more about the guide.

Members with questions may contact the MHA Keystone Center PSO.

Healthcare Hot Topics: MHA Keystone Center – 2021 Priorities and Leadership Changes

MHA Keystone Center Healthcare Hot Topics

Brittany Bogan, FACHE, CPPS, senior vice president of safety and quality, MHA, and executive director of the MHA Keystone Center, discusses the MHA Keystone Center’s 2021 focus areas in addition to announcing her departure from the MHA.

As we look back on 2020, we remember a year that challenged our hospitals, healthcare systems, employees and communities in unimaginable ways. We also remember a year during which, despite extraordinary circumstances, the front line remained resilient and determined, providing high quality, compassionate care to the people of Michigan. In recognition of this dedication, in this new year more than ever, the MHA Keystone Center remains committed to its mission: supporting healthcare providers to achieve excellence in the outcomes desired by the people they serve.

Our priorities across 2021 include:

Health Equity

We will devote our efforts and resources to eliminating health disparities and dismantling institutional racism. The COVID-19 pandemic has only further highlighted the racial injustices vulnerable populations face, and while some progress has been made, we have a long way to go.

We commend the MHA-member hospitals and healthcare organizations that have taken the first step to address this critical issue by pledging to listen, act and lead as we eliminate healthcare disparities to achieve equitable outcomes for all. The organizations that have signed the pledge will be recognized on the MHA Keystone Center’s public website in the coming weeks. I encourage the healthcare organization chief executive officers who have not yet signed the pledge to contact the MHA Keystone Center.

Improving Care for Older Adults

The older adult population has also been adversely affected by the COVID-19 pandemic. The MHA Keystone Center is enrolling sites for its second Age-Friendly Health Systems Action Community, which will start in March and will support organizations working to improve healthcare outcomes for older adults. The Action Community will adapt its content to meet the needs of the ever-evolving pandemic.

The MHA Keystone Center is also one of eight organizations that came together to create the Superior Health Quality Alliance, a joint venture intended to improve the quality of health and healthcare for the Medicare population by designing and implementing initiatives that are person-centered and integrated across the continuum of care and services. Under Superior Health, the MHA Keystone Center is engaged in efforts with hospitals, nursing homes and community coalitions to prevent harm, save lives and lower healthcare costs.

Ensuring Healthy Mothers and Babies

On the opposite end of the life spectrum, I am excited to announce the recent launch of Project Baby Deer, a statewide initiative offering rapid whole-genome sequencing (rWGS) for critically ill babies and children. The MHA is working collaboratively with several other organizations to support Project Baby Deer and aiming to make Michigan the first state in the nation to offer rWGS to all babies and children that meet the clinical criteria, regardless of location or type of insurance. More information on Project Baby Deer will be released soon.

In addition to serving families and children through Project Baby Deer, hospital teams across Michigan are focusing on addressing factors contributing to maternal mortality through the Michigan Alliance for Innovation on Maternal Health (MI AIM). Across 2021, birthing hospitals will be invited to attend regional safety sessions, which will enhance healthcare providers’ ability to work toward full implementation of the MI AIM safety bundles, including those focused on hypertension, hemorrhage and sepsis.

Workplace Safety and Well-being

The MHA Keystone Center will continue efforts to improve workplace safety through the MHA Workplace Safety Collaborative, convened in 2019 to identify, develop and implement risk-reduction strategies. The MHA Workplace Safety Collaborative is hosting a webinar Jan. 28 to educate members on the Institute for Healthcare Improvement Staff Wellness Tool, which serves as a guide for those in leadership positions to have structured conversations with their colleagues to help ensure staff well-being.

Addressing the Opiod Epidemic

The MHA Keystone Center and the Michigan Center for Rural Health partnered in 2020 to ensure that providers and health systems focus on preventing opioid-related morbidity and mortality. This partnership offers academic detailing training so providers can offer peer-to-peer educational outreach within their facilities. The training is intended to help providers identify patients at-risk for overdose or opioid use disorder and to offer or connect patients with care appropriate for their individual needs. Our goal is to continue to expand access to this training across the year and align with other state and national efforts to curb opioid abuse in Michigan and beyond.

As evidenced by the information above, the MHA Keystone Center team has a lot of fantastic resources and events planned to support healthcare providers in 2021, kicking off with our first PSO Safe Table of the year Jan. 13 and followed by the PSO Annual Member Meeting March 10 and 11. Please save these dates and watch for more details in our weekly communications.

As my time with the MHA and MHA Keystone Center comes to a close, I want to express my gratitude to everyone I have worked with and learned from over the past 12 years. I am honored to have been part of the MHA and MHA Keystone Center teams and humbled by all that has been achieved through collaboration to advance safety and healthcare quality. As MHA’s leader Brian Peters repeatedly says, “we are in this together,” and working together, we really do make a difference. Thank you for being part of the collective effort.