June 9, 2019
Addressing Workforce Challenges
A highly trained and fully engaged workforce is essential for Maryland’s hospitals as you strive to deliver the best clinical care along with a superior experience for patients.

We know you face challenges filling in-demand positions, retaining good talent, combating workplace violence, and more.

That is why MHA’s three-year strategic plan, adopted last November, recognizes workforce as a major factor in the vitality of hospitals and health systems, in our field’s ability to advance the health of all Marylanders, and in the success of the Total Cost of Care Model.

There is much to be done to guarantee Maryland has a robust and engaged health care labor force. Knowing we all need to choose wisely how to use finite resources, our focus right now is on two critical challenges you’ve identified for us: workforce supply and workplace violence .

Recently we secured a federal waiver allowing your nurse practitioners to write home care orders and ensured passage of scope-of-practice legislation addressing shortages in your cardiac catheterization labs. We collaborated with the Maryland Nurses Association to establish our Workplace Violence Prevention Steering Committee. We are also aiding creation of a stronger talent pipeline.

These are discrete but important steps to address some of the obstacles you face.

As your hospitals and health systems continue to innovate and redesign care delivery, we are looking at how to best serve you. To help us understand your needs, on Monday we will reach out requesting additional information through surveys and focus groups . (You can read more about these specific efforts in the Workforce section of this newsletter).

Thank you in advance for contributing to our collective effort on workforce advancement.
Bob Atlas
President & CEO
C.Difficile Collaboratives, Expantion of Cardiac Rehab Collaborative
The Statewide Prevention and Reduction of C. difficile (SPARC) Collaborative running now provides onsite gap assessments and resources to hospitals and is hosting a series of webinars to address common needs across hospitals. Hospitals interested in an onsite gap assessment may contact Rebecca Perlmutter . In a webinar June 12 at 1:30 p.m., Dr. Stuart M. Levine, FACP, will discuss the important role senior level and executive leadership play in helping drive C. difficile rate reduction. Registration information is here , and additional information is here .

An upcoming program sponsored by the Centers for Disease Control and Prevention (CDC) and the American Hospital Association, “Let’s Make a C-DIFFerence: The CDI Prevention Collaborative," is recruiting hospitals with opportunity for improvement as identified through the CDC’s National Healthcare Safety Network (NHSN) Targeted Assessment for Prevention (TAP) Reports. The 12-month learning collaborative will begin in the fall. In the next few weeks, identified hospitals will be invited to participate. Contact the program team at cdifference@aha.org .

Cardiac rehabilitation can cut both cardiovascular deaths and hospitalization by roughly 30%. But only one in five people who could benefit take part in cardiac rehabilitation. Raising the participation rate to 70 percent could save an estimated 25,000 lives and prevent about 180,000 hospital admissions a year. A learning network will collaborate with and train up to 100 hospitals and health systems to increase rehabilitation referrals, enrollment and retention. These efforts will apply strategies in the new Million Hearts®/AACVPR Cardiac Rehabilitation Change Package and the team will work with hospitals to adopt two proven strategies: automated referrals of patients who qualify and a trained liaison to help make the referrals happen.Read more here . Contact with any inquiries: Cardiac.rehab@aha.org
Livanta To Perform QIO Case Reviews in Md., Va.
The Centers for Medicare & Medicaid Services (CMS) recently announced the award of new, five-year Beneficiary and Family Centered Care Quality Improvement Organization (BFCC QIO) contracts. Effective June 8 Livanta will hold the BFCC QIO contract in Maryland and Virginia; this role was previously held by KEPRO. As the BFCC QIO, Livanta will review beneficiary appeals and quality of care complaints.
Please note: Health Quality Innovators (HQI) continues to serve as the Quality Innovation Network-Quality Improvement Organization (QIN-QIO) for Maryland and Virginia.
Providers are asked to take the following steps:
  • Distribute the Livanta Provider Bulletin to mailroom staff, medical records staff, care transitions staff, quality staff and any other critical personnel in your facility to ensure a smooth transition.
  • Please remove all references to KEPRO in your publications by June 8, 2019.
  • Beginning with notices issued on June 8, update all Medicare Beneficiary Notices with Livanta’s Helpline information: 1-888-396-4646, TTY 1-888-985-2660.

Learn more:
Capital Bond Program Application Reminder
The 2019 Maryland Hospital Association Hospital Capital Bond Program provides an opportunity for hospitals to apply for state allocated funding to complete private capital projects. Hospitals applying for funding under this program must submit their applications via the hospital-specific SharePoint site by Friday, June 21. Additional information and application documents are available on MHA’s website . If you have questions, please contact  Brett McCone Jennifer Witten , or  Jane Krienke .
Survey, Focus Groups Focused on Workforce Supply, Violence
In the coming weeks, your Maryland Hospital Association will ask for your help to further efforts to address challenges with workforce supply and workplace violence. On Monday:

  • MHA is requesting your standard vacancy data for certain employee categories.
  • In that same communication we will invite your HR leads and other appropriate staff to participate in the first of a series of web-based focus groups to further develop our understanding of the workforce challenges you face. The first of the focus groups will convene July 9. Additional details and registration information will be shared soon.
  • MHA also will launch a workplace violence prevention survey, which your CEOs will receive. The survey aims to assess incidents of workplace violence, prevention efforts and reporting practices. Please share the survey with the appropriate individuals. Individual survey results will be kept anonymous, but aggregate data and blinded responses will be shared.

Information collected through these efforts will help MHA develop recommendations for programming, resources, policy, and advocacy efforts to support your health care workforce.

For more information, contact Jane Krienke , 410-540-5061.
MHEI Offers Leadership Development Program For Physicians
Registration is open for the Maryland Healthcare Education Institute’s fall Practice of Leadership program for physicians. The sessions — in September, October, November and December — are focused on preparing physicians for the complex role of leading groups of individuals responsible for accomplishing critical strategic goals within constantly changing organizations. Details can be found here , and a recent MHEI blog post on this topic can be found here . For questions and registration details, contact Alison Burrows .
Sullenberger, Tamber, Boehler to Address MHA's Annual Meeting
Your Maryland Hospital Association’s 2019 Annual Membership Meeting will kick off Monday with an evening reception, and the general session is scheduled for June 11, from 8:30 a.m. to 1 p.m. The lineup of speakers includes a keynote address from Captain “Sully” Sullenberger, a safety expert and author known for the successful water landing called the “Miracle on the Hudson.” Adam Boehler, senior adviser to the Secretary for the Centers for Medicare & Medicaid Services and director of the Center for Medicare and Medicaid Innovation, discusses new models with MHA’s SVP Government Affairs & Policy, Nicole Stallings, and Dr. Pritpal Tamber, founder of the Creating Health Collaborative and former physician editor of TEDMED, will speak about social determinants of health. For questions, contact Kathy Gotwalt .
Celebrating Maryland's Health Care Heroes
Congratulations to our members who were named The Daily Record’s 2019 Health Care Heroes, honoring organizations and individuals who have made an impact on the quality of health care within our state. MHA is proud to be the event partner for this year’s event, which is June 27. A full list of winners and event details can be found here.
Thank you to our
2019 Annual Meeting Sponsors
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