![]() If data shows that a hospital isn’t within 80 percent of targeted staffing projections, the health commissioner would require that they come into compliance within 90 days “and ability to continue to participate in the alternative pathway set forth in will be revoked,” per the language. Hospitals would have to meet a number of other requirements to access this “alternative compliance pathway,” including proving that they currently seek input and feedback from direct care nurses when making staffing decisions, are using staffing software “specifically developed to provide comparative staffing and workforce management guidance for nursing staff,” and would cooperate with on-site review from the health department, among other things. "The fact that an alternative is even being considered means that the underlying bill is bad, and potentially getting worse." Rahul Koranne, president and CEO of the Minnesota Hospitals Association. “The issue here is not that there's an alternative provided for the Mayo Clinic, it's that the alternative is not available to other hospitals and healthcare systems,” said Dr. ![]() This would prevent many major hospital systems, aside from Mayo, from taking advantage of this carve-out. However, according to draft language obtained by MPR News, this provision is only available to certain eligible hospitals that are “a national referral center engaged in substantial programs of patient care, medical research, and medical education meeting state and national needs, that receives more than 40 percent of its patients from outside the state of Minnesota, and that is located outside the seven-county metropolitan area.” If approved, health care systems like Mayo Clinic could side-step some of the major provisions of the proposed Keeping Nurses at the Bedside Act, including the requirement that a committee made up of nurses, executives and others agree to staffing plans or, if they can’t, resolve their issues through arbitration. New language being considered by a legislative conference committee working on a health budget bill would exempt some hospitals from nurse staffing rules contained in the bill.
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