June 1, 2018
Patient Partners
Our ultimate goal, after all, is not a good death, but a good life to the very end." - Dr. Atul Gawande

For the past five years, Maryland's hospitals have upended the traditional definition of what it means to be a hospital. You've brought proactive care to people's neighborhoods, homes, and families. You've become not only a safety net for when people are injured or ill, but also a driving force to keep them healthy in the first place.

Keys to this change have been the partnerships you've forged with other providers - like physicians, nursing facilities and more. This week, we took an important step toward reaching another partner who will be critical as we continue to build a health care system for the 21 st century: the people we serve.

On Wednesday, MHA hosted the Collaboration in Care Planning forum, bringing together nearly 150 hospital leaders, doctors, nurses, academics, students, and post-acute providers, to share promising strategies for changing the culture around end-of-life planning and conversations. The forum had its roots in a recommendation from MHA's continuing care work group, which proffered that improving advance care planning would be beneficial to all people, whether or not they are being cared for in a health care facility.

A key goal of the effort is to address a gap between what patients and families want and what health care providers actually deliver. Consider that 70 percent of people want to die at home, yet in Maryland, 62 percent of deaths occur at a hospital, nursing home, or hospice.

We can do better.

We know that by asking for and respecting the wishes of the people we serve, patients and families will have a superior experience of care. We know from Wednesday's forum that some of Maryland's hospitals and communities are successfully executing strategies to increase advance care planning and the sharing of advance directives with those working at the point of care. These lessons tell us that for meaningful change to happen, leaders must embrace the issue, direct resources to improve the manner in which we engage people around end-of-life decisions, and follow through to ensure culture change is lasting and meaningful.

Fortunately, this is not a new problem. Similar to hand hygiene, it's less about recognizing what must be done and more about how well improvement is executed. Soon, MHA will post a video of Wednesday's forum and links to key resources. Please draw upon these tools and consider how your hospital or health system can improve.

Changing the culture around advance care planning is no small feat, but I am encouraged by the fact that this is a goal that all health care providers support. That's a pretty good place to start for something so important.

Bob Atlas
President & CEO

Registration Deadline for Annual Meeting is Monday
The registration deadline for MHA's annual membership meeting is just a few days away. Hospital CEOs and other leaders will gather at the Four Seasons Hotel in Baltimore to discuss the latest issues in health care and how a new agreement with the federal government will affect the future of Maryland's hospitals. An evening reception on Monday, June 11, will offer time to connect with one another, and we'll recognize some special award winners. On Tuesday, June 12, our program runs through lunch and features several prominent speakers:
  • This year's Davidson Lecture will be delivered by Atul Gawande, M.D., one of Time's 100 Most Influential Thinkers, a renowned surgeon and researcher, and author of Being Mortal: Medicine and what Matters in the End. Gawande will share his bold vision for improving performance by focusing on the needs of real people, the values that make for a healthy society, the science and technologies waiting over the horizon, and how to reform systems to make it all work. Dr. Gawande will remain after his lecture for a book-signing.
  • Ben Nemtin's inspirational message has its roots in a cross-country trip with three friends, when they began to check items off of the "world's greatest" bucket list. Every time they accomplished a dream, they helped a complete stranger cross something off their bucket list. From playing basketball with President Obama to streaking a soccer field, from raising over $400,000 for charity to placing a record-breaking $250,000 bet on roulette-the bucket list quest has inspired millions to chase their dreams. Nemtin's message of radical possibility has been featured in major media including The Today Show, The Oprah Winfrey Show, CNN, FOX, ABC, CBS, NBC News, and more.
  • Dr. Omar Manejwala, Addiction psychiatrist and Chief Medical Officer at Catasys, a national health services management company; Author of Craving: Why We Can't Seem to Get Enough; and former Hazelden Foundation Medical Director.in his talk, he will present a futurist's perspective, detailing the changes needed to foster improved addiction outcomes and how innovation will play a key role in the work to turn the tide on substance use disorders.
There's still time to register . You can check the full brochure here .
Contact: Kathy Gotwalt
Workplace Violence Summit Scheduled 
MHA and the Maryland Nurses Association will hold a Workplace Violence Summit June 28 from 9 a.m. to 4 p.m. at the Marriott BWI Airport. The summit will feature national experts who will discuss promising strategies on violence prevention programs in health care facilities. It also will offer facilitated discussions of workplace safety issues like employee resiliency, security protocols, and creating a culture of safety. The keynote speaker is Ann Scott Blouin, RN, PhD, FACHE, President and CEO, PSQ Advisory. A nationally recognized health care leader with more than 30 years of strategic planning, health care administration, consulting, and clinical experience, Dr. Blouin has worked with health systems across the country to address operations efficiency and effectiveness, improve revenue management, address competitive challenges and minimize reputational risk by enhancing quality and patient safety. Registration is free but space is limited. The meeting is aimed at health care practitioners (nurses, physicians, etc.), health care facility, security, and administrative staff, law enforcement, and state officials.
Contact: Erin Dorrien
Faith Health Network Seeking Participants
This week, the Maryland Faith Health Network presented the results of its pilot program with LifeBridge Health to more than a dozen hospital representatives at MHA's headquarters in Elkridge. The network is based on the successful Congregational Health Network in Memphis, Tenn., where hospitals and trained volunteers in faith communities work together to better serve ailing congregants. The two-year pilot with LifeBridge yielded strong results at Carroll Hospital Center and provided learning and improvement opportunities at Sinai Hospital. Now, the network is looking to expand. If you're interested in learning more, contact Suzanne Schlattman at suzanne@healthcareforall.com.
Contact: David Simon
High-Utilizer Webinar Available
A two-part webinar - Improving Care for High Utilizers: The MAX Method - is designed for hospital teams focused on reducing potentially avoidable utilization, specifically high utilizers of the emergency department or inpatient settings. The webinar, hosted by MHA and Amy Boutwell, MD, MPP, the developer of the MAX Method, will explain core concepts and key operational aspects as well as the impact it has on patients, teams, cross-setting partnerships, and outcomes. Part one is June 13 from 9 a.m. to 10 a.m. and part two is June 27 from 9 a.m. to 10 p.m. The webinar is free, but you must register ( part one registration; part 2 registration).
SAMHSA Offers $196M in Opioid Treatment Grants
The Substance Abuse and Mental Health Services Administration is accepting applications for grants totaling $196 million to treat opioid use disorders. The funding will expand access to medication-assisted treatment and recovery support services to people with opioid use disorders. Eligibility is limited to states (including Maryland), as well as public and private nonprofit organizations in states with the highest rates of primary treatment admissions for heroin and prescription opioids per capita. Eligible states include those with the most dramatic increases for heroin and prescription opioids, as identified by SAMHSA's 2015 Treatment Episode Data Set. See the funding opportunity announcement for more details.
MHEI Annual Conference Open to All Hospital Leaders
The MHEI Annual Conference, a mainstay of healthcare leadership education in Maryland, is now expanding so that all hospital leaders, regardless of title, can take advantage of the great speakers and information that will be presented at the conference.  

Prime's Value to Member Hospitals
Prime is the shared service/group purchasing subsidiary of the Maryland Hospital Association. Its goal is to help our member hospitals reduce the cost of care.

Issue Brief Offers Strategies on Meeting Complex Needs of Older Adults
A new AHA  issue brief  offers a prototype practice model to help hospitals and health systems meet the complex needs of older adults across care settings.

Modern Healthcare, By Tara Bannow, May 26
Fierce Healthcare, By Mike Stankiewicz, May 29
Modern Healthcare, By Harris Meyer and Rachel Z. Arndt, May 29
Modern Healthcare, By Shelby Livingston, May 30
The Wall Street Journal, By Peter Pronovost, May 31
The Baltimore Sun, By Alan Lyles, May 26

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