MNA 2020 top issues

MNA 2020 top issues

Workplace Violence Prevention (HF 4086, Stephenson)/SF 3917, Abeler)

Nurses are experiencing violence ranging from death threats and sexual harassment to kicking and punching from patients and their visitors at an alarming and unconscionable rate. Meanwhile, many hospitals refuse to take action to increase security or staffing requests and there is little data available to the public about the rates of these incidences in Minnesota’s hospitals.

Currently there is no standard for defining and documenting workplace violence incidents in Minnesota Hospitals. It’s essential to have a standardized, simple system for defining and reporting workplace violence incidents in hospitals and ensure that data is reported to the Minnesota Department of Health. This will ensure we can gather accurate data and develop the proper preventative and corrective measures to keep nurses, patients, and communities safe in all Minnesota hospitals.

Facts about Workplace Violence: 

  • 79% of Minnesotans surveyed say that hospitals should be responsible for keeping workers safe.
  • At a time when we need to get more nurses and healthcare workers into the workforce, 45% of MNA nurses report that they’ve considered leaving their job because it’s unsafe.
  • 60% of MNA nurses believe patient safety is at risk due to violence.
  • 95% of MNA nurses say they do not feel safe at work at all times.
  • Despite current statute requiring hospitals to provide violence prevention training to their workers, 52% of MNA nurses believe hospitals have not adequately trained them to deal with violence.
  • According to OSHA, working when understaffed poses an increased risk of workplace violence in hospitals, yet 69% of nurses say that understaffing by hospitals continues to be a major issue and contributor to violence in their hospitals. Share your story about an incident of workplace violence.

ASK: Will you support Minnesota nurses by asking hospitals to track and report violent incidents against nurses and other hospital workers? 


Support Patients Before Profits

Minnesotans should have access to safe, community-based care regardless of race, income, or neighborhood. However as large hospital systems take over community hospitals, and the bottom line drives facility and unit closure, too many are left without access. We need a healthcare system that puts patients before profits and ensures that people have access to quality, affordable care in the community in which they live. In the current system, health insurance companies and hospitals make decisions through a financial lens rather than a patient care lens. Minnesota has seen reductions in access to care through hospital closure in both rural and urban areas while hospitals and health insurance companies make record profits; and executives make exorbitant salaries. We need a system that puts patients first.

Hospital Closures: Policy solutions include increased transparency around the proposed closing of healthcare facilities and requiring hospitals to obtain permission to close beds or facilities. In order to ensure that patients still have access to care in their communities, Minnesota could require advance notice of any closure to the legislature, municipal officials, and impacted communities so that they can be part of the conversation about how this will affect their community. Other states give oversight authority to the Attorney General. Current Minnesota law requires legislative approval before increasing hospital beds or opening a new hospital facility. In order to ensure that hospital closures are indeed, in the best interest of patients, Minnesota could create a process in which the legislature must review and approve proposals to close hospitals or reduce the number of beds.

Non-profit status: Minnesota hospitals benefit from many tax breaks in the form of exemptions from state income tax, sales tax, and property tax.  In return they are expected to give back to their communities in the form of community benefits that can include direct patient care; research and education; financial and in-kind contributions; and community activities.  Minnesota has community benefit reporting mandate for hospitals, but not clinics.  Most community benefit (75%) goes to offset care that is paid at lower rates or provided for no cost, or to maintain needed services.  Traditional “community care” accounts for about 1.6% of total community benefits.  Minnesota needs more oversight into whether these benefits are commensurate with the tax benefits their receive.

Cap Hospital and HMO CEO pay: In 2018, non-profit health care companies made up the top 10 spots on the largest non-profits in Minnesota.  Those companies made millions of dollars in profits and their CEOs were paid millions of dollars to run those companies.  Minnesotan’s need assurance that their healthcare dollars are going to care, not CEO salaries.


ASK:  What specific reforms will you support to ensure hospitals are focused on first on patient care and transparency instead of profits?