Keeping Nurses at the Bedside Act
The Keeping Nurses at the Bedside Act is a bill designed to address the hospital short-staffing and retention crisis. The conditions that hospital CEOs have created are driving nurses away from the profession and hurting patient care. The Keeping Nurses at the Bedside Act puts patients and workers before profits to fix the under-staffing and retention crisis while improving the quality-of-care patients receive at Minnesota hospitals.
Workplace Violence Prevention
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.
The issue of workplace violence against nurses, doctors, and healthcare workers is not unique to Minnesota. Nurses all across the country are facing similar threats and acts of violence, which is why MNA’s national affiliate, National Nurses United (NNU), has introduced a workplace violence prevention bill in Congress.
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.
Healthcare for All: Nurses see the devastating impact illness and injury can have on patients. Beyond the physical life-changing experience, it can also affect their finances. Many patients have trouble affording both their premiums and deductibles, prohibiting them from taking a proactive approach to seeing their doctors and receiving the care they need.
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 a 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.
Capping Hospital and HMO CEO pay: In 2018, non-profit healthcare 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. Minnesotans need assurance that their healthcare dollars are going to care, not CEO salaries.