Minnesota Hospital Association


June 25, 2018

MHA Newsline: June 25, 2018

In this issue 

Dr. Kurt DeVine honored with MHA Bruce and Denise Rueben Courage Award

MHA on June 1 honored innovative programs and outstanding leaders in health care at its 34th annual awards ceremony.   

Dr. Kurt DeVine of CHI St. Gabriel’s Health in Little Falls received the Bruce and Denise Rueben Courage Award, which recognizes an individual who demonstrates leadership and courage in the development of ground-breaking activities to increase patient safety, has proactively led efforts to increase transparency and openness in sharing health care information and has shown exceptional attention to issues that focus on improving patient care through advocacy and compassion.   

DeVine, a family practice physician, has led the implementation of a clinic-based model that is demonstrating success in solving the opioid epidemic in his community. With funding, he led a care coordination team that developed a program to monitor patients using narcotics for pain.   

DeVine enlisted the assistance of community partners, such as law enforcement, to substantiate the problem of diversion among some patients. He demonstrated leadership not by mandating and setting new policies, but by encouraging reduced prescribing among his colleagues through the use of CDC guidelines. By offering suboxone treatment to over 70 patients within the first year, he has literally saved lives and allowed patients to participate fully in their community without addiction.   

Additional award winners will be profiled in upcoming issues of Newsline. To learn more about the award winners, visit the MHA websitereturn to top   

MHA engaging 2018 candidates

The MHA Board of Directors engaged Rep. Tim Walz in a robust health care discussion at its meeting June 22. Walz said that Minnesota’s economic security depends on education and health care and that if we do not have a healthy, educated workforce, we will not be competitive. He also cited his experience with improving the Veterans Administration health system and the need for more mental health investment, the use of telemedicine and advanced directives. MHA will continue to engage our membership with the candidates between now and primary election day on August 14. With questions about the election and campaigns, contact Mary Krinkie, vice president of government relations, MHA, 651-659-1465. return to top   

House approves legislation to address opioid abuse

The House on June 22 voted 396-14 to approve bipartisan legislation to combat opioid abuse. The Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment for Patients and Communities Act (HR 6), which compiles multiple bills, would provide resources for hospitals to develop protocols on discharging patients who have presented with an opioid overdose; establish a demonstration program to test alternative pain management protocols to limit opioid use in hospital emergency departments; direct the Centers for Medicare and Medicaid Services (CMS) to evaluate coverage of abuse-deterrent opioids in Medicare plans; include opioid use and pain management resources in the “Medicare & You” handbook; and expand the use of telehealth services for substance use disorder.   

MHA is pleased that HR 6 includes provisions that would improve information-sharing among providers with regard to substance use disorder treatment by aligning 42 CFR Part 2 regulations with the Health Insurance Portability and Accountability Act (HIPPA); allow states to receive federal matching funds for up to 30 days per year for services provided to adult Medicaid beneficiaries with an opioid or cocaine use disorder in an Institution for Mental Disease (IMD); and preserve the ability for nurse practitioners and physician assistants to provide medication-assisted treatment (MAT) and for physicians to prescribe buprenorphine to up to 100 patients immediately after they obtain a waiver. MHA will continue to advocate for Congress to provide appropriate resources to expand MAT training and to incentivize clinicians to obtain training and to continue to scale back the IMD exclusion.   

In the Senate, the Finance Committee approved the Helping to End Addiction and Lessen (HEAL) Substance Use Disorders Act, which would require Medicare and Medicaid to provide beneficiaries better education, prevention, management and treatment options for pain and addiction and improve tracking of opioid prescriptions under Medicare Part D. The Health, Education, Labor and Pensions (HELP) Committee approved the Opioid Crisis Response Act, which would improve access to MAT by expanding the types of providers able to prescribe MAT, allowing physicians to prescribe MAT to up to 275 patients and authorizing federal grants to medical schools and teaching hospitals to support MAT training. The bill would provide grants for communities to set up comprehensive opioid recovery centers and provide new authorities to the FDA and NIH to develop opioid-related research. The Senate is expected to consider opioid legislation as early as mid-July.   

The White House has expressed support for the House and Senate legislation. return to top   

Updated resources for sexual assault patients

In response to 2014 legislation, the Minnesota Department of Public Safety Office of Justice Programs (OJP) partnered with the Minnesota Coalition Against Sexual Assault (MNCASA), the Minnesota Chapter of the International Association of Forensic Nurses, the Minnesota Hospital Association and others to develop a resource brochure for hospitals to provide sexual assault patients. The brochure contains information about crime victim rights, payment obligation for forensic sexual assault exams, civil protective order options and important supportive resources.   

Legislation passed in 2018 requires that this brochure include additional information about a sexual assault patient’s right to request information from the law enforcement agency about the status of the sexual assault examination kit, including the date it was submitted to a forensic lab for testing, the date results were received and whether a DNA profile was obtained.   

An updated version of the brochure in English is available on the OJP website. Updated brochures in Spanish, Somali and Hmong are scheduled to be available by the end of July.   

With questions or to request a design file to customize the brochure, contact Suzanne Elwell, director, Crime Victim Justice Unit, OJP, 651-201-7312.   

MHA partnered with MNCASA to develop webinars on providing medical forensic exams for sexual assault patients. Two webinars provide overview information for chief nursing officers and finance staff. A three-part webinar series provides sexual assault nurse examiner (SANE) training using medical forensic exam curriculum that was developed for emergency department nurses.   

MHA members can earn a total of four nursing contact hour CEUs from the webinars, which are available on the MHA Member Center. For assistance accessing the Member Center, contact Ashley Beno, member services and communications specialist, MHA, 651-603-3545. return to top   

MHA offers cybersecurity tactical simulation webinars

MHA in August will offer a series of three cybersecurity tactical simulation webinars with cybersecurity firm Sensato Cybersecurity Solutions.   

These dynamic webinars give authentic landscape simulations so key staff can test and tweak their cybersecurity incident response plans without ever leaving their physical location. Hospitals that participate in these webinars will receive a cybersecurity tactical simulation certificate of participation. All materials used (PowerPoints, workbooks, etc.) will be available to participating organizations.   

Dates, times and topics for the three webinars are: 

  • Aug. 1, 1-2 p.m.: Webinar 1 – Tactical Simulation Preparation: This webinar reviews what health care organizations should currently have in place to combat a cybersecurity attack.  
  • Aug. 22, 12-2 p.m.: Webinar 2 – Cybersecurity Tactical Simulation: During this two-hour webinar, each group will participate in a comprehensive cybersecurity simulated attack. 
  • Aug. 29, 1-2 p.m.: Webinar 3 – Tactical Simulation Recap and Lessons Learned: This final webinar will review strategies and lessons learned provided anonymously by simulation participants and provide an opportunity for questions and answers. 

Fees have been discounted and the cost for attending will be $1,100 per acute care hospital, $2,400 per health system and $650 for post-acute, critical access hospitals and other long-term care provider organizations.   

Do not miss out on this unique opportunity to protect your hospital from cybersecurity attacks. Register onlinereturn to top